Photo of Cheyann Peckinpaugh, MAC, Pre-Licensed Professional
Cheyann Peckinpaugh
Pre-Licensed Professional, MAC
Verified Verified
Online Only
You’ve been doing your best to keep it all together, but under the surface, there’s a storm: anxiety, old wounds, or a feeling that life has somehow veered off track. Maybe you’ve started questioning your relationship with substances or are tired of feeling stuck in patterns that no longer serve you. You crave a sense of clarity, connection, and control. You want to feel more like yourself — but not just the old you, the best version of you. Someone who’s confident, free, and at peace. You’re ready for the real work — and you’re looking for someone who’s genuine, grounded, and ready to walk this road with you.
You’ve been doing your best to keep it all together, but under the surface, there’s a storm: anxiety, old wounds, or a feeling that life has somehow veered off track. Maybe you’ve started questioning your relationship with substances or are tired of feeling stuck in patterns that no longer serve you. You crave a sense of clarity, connection, and control. You want to feel more like yourself — but not just the old you, the best version of you. Someone who’s confident, free, and at peace. You’re ready for the real work — and you’re looking for someone who’s genuine, grounded, and ready to walk this road with you.
(765) 753-6922 View (765) 753-6922
Photo of Cezanne Elias - Clear Step Counseling, LLC, PhD, LMFT, Marriage & Family Therapist
Clear Step Counseling, LLC
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Serves Area
I specialize in helping individuals, couples and families effectively address personal challenges. My advanced training and experience provide me the skills to meet your treatment goals. I work with individuals, couples and families who present with a variety of concerns, including, but not limited to: chronic health conditions, anxiety, relationship distress, depression, and life transitions. I am taking new clients and scheduling is easy- please call or email to get started.
I specialize in helping individuals, couples and families effectively address personal challenges. My advanced training and experience provide me the skills to meet your treatment goals. I work with individuals, couples and families who present with a variety of concerns, including, but not limited to: chronic health conditions, anxiety, relationship distress, depression, and life transitions. I am taking new clients and scheduling is easy- please call or email to get started.
(765) 997-5614 View (765) 997-5614
Photo of Theresa White - In Time Creative Counseling Services, LMHC, NCC, RDT/BCT, CADACIV, CCTP, Counselor
In Time Creative Counseling Services
Counselor, LMHC, NCC, RDT/BCT, CADACIV, CCTP
Verified Verified
2 Endorsed
Online Only
Are you sick and tired of being sick and tired? The stress shows up in your body and mind. Your back hurts. Your head hurts and you struggle with sleep. You've gotten used to putting yourself last--ignoring your needs. You say "I'm ok...I'm fine; I've just gotten used to it.; it is what it is; "I'll take care of me later" but later never comes. You try to keep pushing. But you're screaming in silence hoping someone hears and helps; Deep down you know there’s more to life. You want to be healthy and whole. Allow someone to help care for you, listen to you, and build you up.
Are you sick and tired of being sick and tired? The stress shows up in your body and mind. Your back hurts. Your head hurts and you struggle with sleep. You've gotten used to putting yourself last--ignoring your needs. You say "I'm ok...I'm fine; I've just gotten used to it.; it is what it is; "I'll take care of me later" but later never comes. You try to keep pushing. But you're screaming in silence hoping someone hears and helps; Deep down you know there’s more to life. You want to be healthy and whole. Allow someone to help care for you, listen to you, and build you up.
(812) 567-1571 View (812) 567-1571

More Therapists Nearby

Photo of Wendy Galyen - Thrive for Life Counseling, LLC, LCSW, BC-TMH, Clinical Social Work/Therapist
Thrive for Life Counseling, LLC
Clinical Social Work/Therapist, LCSW, BC-TMH
Verified Verified
11 Endorsed
Online Only
Group Practice - Accepting NEW clients in FL, IL, IN, & NJ. Wendy Galyen & the team of psychotherapists at Thrive for Life offer VIDEO, PHONE, & EMAIL-based counseling - great for children, teens, busy professionals, college students, stay-at-home moms, retirees, or other clients who do not have time for traditional in-person sessions but who would benefit from counseling support in their daily lives. Insurance & private pay. Prices range from $100-$175/session. Team: Wendy Galyen, Katelyn Murphy, Andrea Aichele, Marilyn Verbiscer, Kelli Jones, & Emma Flores
Group Practice - Accepting NEW clients in FL, IL, IN, & NJ. Wendy Galyen & the team of psychotherapists at Thrive for Life offer VIDEO, PHONE, & EMAIL-based counseling - great for children, teens, busy professionals, college students, stay-at-home moms, retirees, or other clients who do not have time for traditional in-person sessions but who would benefit from counseling support in their daily lives. Insurance & private pay. Prices range from $100-$175/session. Team: Wendy Galyen, Katelyn Murphy, Andrea Aichele, Marilyn Verbiscer, Kelli Jones, & Emma Flores
(317) 548-0026 View (317) 548-0026
Photo of Katherine Georgeoff Mohr, MSW, LCSW, LCAC, Clinical Social Work/Therapist
Katherine Georgeoff Mohr
Clinical Social Work/Therapist, MSW, LCSW, LCAC
Verified Verified
Online Only
Sleep troubles, trauma, chronic pain, or anxiety negatively impact your life? I believe clients are the expert of themselves. I have additional tools through training and experience to be part of a team approach with a client in the process of recovering from Insomnia, traumatic event(s) and other issues, in a relatively short amount of time when compared to typical therapies.Evidence-Based Therapy may be of interest to you because the rigorously researched therapy showed consistent outcomes, tend to be less sessions than standard supportive therapy, which can be more cost-effective.
Sleep troubles, trauma, chronic pain, or anxiety negatively impact your life? I believe clients are the expert of themselves. I have additional tools through training and experience to be part of a team approach with a client in the process of recovering from Insomnia, traumatic event(s) and other issues, in a relatively short amount of time when compared to typical therapies.Evidence-Based Therapy may be of interest to you because the rigorously researched therapy showed consistent outcomes, tend to be less sessions than standard supportive therapy, which can be more cost-effective.
(765) 436-1048 View (765) 436-1048
Photo of James Bush, LCSW, Clinical Social Work/Therapist
James Bush
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hi, my name is Jim. I'm a licensed clinical social worker. I have a passion for helping people and a deep commitment to my clients. I believe that therapy is a collaborative process, and I work with my clients to create a safe and supportive environment where they can explore their thoughts and feelings and develop new ways of coping with life's challenges.
Hi, my name is Jim. I'm a licensed clinical social worker. I have a passion for helping people and a deep commitment to my clients. I believe that therapy is a collaborative process, and I work with my clients to create a safe and supportive environment where they can explore their thoughts and feelings and develop new ways of coping with life's challenges.
(765) 590-4633 View (765) 590-4633
Photo of Annette R Daniels, MSW, LCSW , Clinical Social Work/Therapist
Annette R Daniels
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Online Only
Entering into a counseling relationship can be a scary thing for many people. Some are hesitant about therapy based on past experience. Others are considering therapy for the very first time and really don't know what to expect. My approach to counseling begins with relaxed conversations aimed at establishing mutual trust and confidence. For my part, I pledge to be engaging, empathetic, culturally-sensitive, and client-centered, which includes a healthy amount of active listening. Moving forward, we will work together to identify strengths and skills and create a proactive strategy that is natural, realistic, and practical.
Entering into a counseling relationship can be a scary thing for many people. Some are hesitant about therapy based on past experience. Others are considering therapy for the very first time and really don't know what to expect. My approach to counseling begins with relaxed conversations aimed at establishing mutual trust and confidence. For my part, I pledge to be engaging, empathetic, culturally-sensitive, and client-centered, which includes a healthy amount of active listening. Moving forward, we will work together to identify strengths and skills and create a proactive strategy that is natural, realistic, and practical.
(317) 666-8180 View (317) 666-8180
Photo of Emily Clark, LCSW, Clinical Social Work/Therapist
Emily Clark
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
My goal is to create a safe space for my clients to feel heard, understood, and empowered. I have 9 years of experience working in community mental health settings with pre-teens, teenagers, parents, and families. I also have experience collaborating with teachers and school administrators to help aid in meeting a child's needs in the school setting. I have a passion for helping individuals learn healthy ways to regulate emotions, manage relationship difficulties, and find healing from trauma and difficult life experiences. Along with this, I enjoy assisting parents with finding new ways to navigate parenting challenges.
My goal is to create a safe space for my clients to feel heard, understood, and empowered. I have 9 years of experience working in community mental health settings with pre-teens, teenagers, parents, and families. I also have experience collaborating with teachers and school administrators to help aid in meeting a child's needs in the school setting. I have a passion for helping individuals learn healthy ways to regulate emotions, manage relationship difficulties, and find healing from trauma and difficult life experiences. Along with this, I enjoy assisting parents with finding new ways to navigate parenting challenges.
(463) 275-2359 View (463) 275-2359
Photo of Laci Parcell - Still Waters Counseling, LCSW, Clinical Social Work/Therapist
Still Waters Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
I love working with clients who are curious about themselves. Anxiety, depression, perfectionism, spirituality, relationship issues and self acceptance are the areas I work with most frequently. I see adolescants through adulthood. Life has many transitions, twists and turns. I enjoying being part of the process as clients begin to connect pieces of life and reframe the negative narratives they once believed into empowerment and strength.
I love working with clients who are curious about themselves. Anxiety, depression, perfectionism, spirituality, relationship issues and self acceptance are the areas I work with most frequently. I see adolescants through adulthood. Life has many transitions, twists and turns. I enjoying being part of the process as clients begin to connect pieces of life and reframe the negative narratives they once believed into empowerment and strength.
(765) 562-9960 View (765) 562-9960
Photo of Tiffanie Desmangles, MSW, LCSW, Clinical Social Work/Therapist
Tiffanie Desmangles
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Lafayette, IN 47905
Please allow me to introduce myself. My name is Tiffanie, and I am a Licensed Clinical Social Worker (LCSW) with over 20 years of experience in mental health. I enjoy sparking change in people’s lives. Are you currently feeling stuck or stressed out? Together, we will work on strategies that will allow you to address the root causes of your difficulties. My biggest goals as a therapist are to validate you and to foster a safe place where you can feel comfortable processing your feelings as you gain new insights and learn how to move forward.
Please allow me to introduce myself. My name is Tiffanie, and I am a Licensed Clinical Social Worker (LCSW) with over 20 years of experience in mental health. I enjoy sparking change in people’s lives. Are you currently feeling stuck or stressed out? Together, we will work on strategies that will allow you to address the root causes of your difficulties. My biggest goals as a therapist are to validate you and to foster a safe place where you can feel comfortable processing your feelings as you gain new insights and learn how to move forward.
(765) 565-5314 View (765) 565-5314
Photo of Kirby Bott, MSW, LSW, Clinical Social Work/Therapist
Kirby Bott
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
9 Endorsed
Embarking on the journey of therapy can often feel overwhelming for many individuals. It’s not uncommon to experience uncertainty about the process, question its potential benefits, or feel as though you need to be further along in your personal growth before seeking assistance. I recognize these challenges and am committed to creating a compassionate and nurturing environment where clients can safely explore their thoughts and emotions. My objective is to help clients understand that each step, no matter how small, is a vital part of the journey toward healing and personal development.
Embarking on the journey of therapy can often feel overwhelming for many individuals. It’s not uncommon to experience uncertainty about the process, question its potential benefits, or feel as though you need to be further along in your personal growth before seeking assistance. I recognize these challenges and am committed to creating a compassionate and nurturing environment where clients can safely explore their thoughts and emotions. My objective is to help clients understand that each step, no matter how small, is a vital part of the journey toward healing and personal development.
(765) 441-4782 View (765) 441-4782
Photo of Michael McCully, MA, LMFT, Marriage & Family Therapist
Michael McCully
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Online Only
I work with adult clients that feel stuck but still want to build more confidence, more inner peace, and harmonious relationships. I enjoy empowering people to trust in themselves and in their partners. I collaborate best with folks who are smart and creative, spiritual but not necessarily religious. Some have been minorities (e.g., immigrants, LGBTQ+, etc.). Many have been feminists and progressives. Most have struggled with anxiety and depression. All have proven themselves resilient!
I work with adult clients that feel stuck but still want to build more confidence, more inner peace, and harmonious relationships. I enjoy empowering people to trust in themselves and in their partners. I collaborate best with folks who are smart and creative, spiritual but not necessarily religious. Some have been minorities (e.g., immigrants, LGBTQ+, etc.). Many have been feminists and progressives. Most have struggled with anxiety and depression. All have proven themselves resilient!
(317) 676-2881 View (317) 676-2881
Photo of Darnesha Gaskew, MS, LMHC
Darnesha Gaskew
Licensed Mental Health Counselor, MS, LMHC
Verified Verified
Serves Area
Congratulations. If you have made it this far that indicates that you have already taken the first step in the right direction. Way to go! I’ve been where you are. I’ve been saddened, confused, hopeless, and felt no sense of direction. I’ve experienced grief, guilt, defeat, and anger. You’re not alone in this journey. One of the best decisions I have made and that you can make for yourself is the decision to seek the proper help. If you are interested in starting your healing journey, please feel free to contact me for your free 15 minute consultation.
Congratulations. If you have made it this far that indicates that you have already taken the first step in the right direction. Way to go! I’ve been where you are. I’ve been saddened, confused, hopeless, and felt no sense of direction. I’ve experienced grief, guilt, defeat, and anger. You’re not alone in this journey. One of the best decisions I have made and that you can make for yourself is the decision to seek the proper help. If you are interested in starting your healing journey, please feel free to contact me for your free 15 minute consultation.
(463) 241-3830 View (463) 241-3830
Photo of Sammy O'Neal, LCAC-A, CADACIV, MS, Drug & Alcohol Counselor
Sammy O'Neal
Drug & Alcohol Counselor, LCAC-A, CADACIV, MS
Verified Verified
Lafayette, IN 47901
Mental Health or Addiction should not define you and I am here to help! I am a counselor at Collaborative Care LLC and I am currently accepting new clients! It’s my passion to help you learn how to navigate addiction, anxiety, depression, life milestones and trauma.
Mental Health or Addiction should not define you and I am here to help! I am a counselor at Collaborative Care LLC and I am currently accepting new clients! It’s my passion to help you learn how to navigate addiction, anxiety, depression, life milestones and trauma.
(765) 540-8745 View (765) 540-8745
Photo of Cali O'Connor, MSW, LCSW, Clinical Social Work/Therapist
Cali O'Connor
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Online Only
I'm so glad you're here. How can I help? I am a Licensed Clinical Social Worker, dog mom, proud plant lady and crafting enthusiast with a specialty in treating trauma. Whether that be childhood trauma, "big-T trauma", or "little-t trauma", I provide a gentle, flexible and judgment-free approach. I'm committed to empowering and helping individuals navigate the ways that trauma shows up in daily life.
I'm so glad you're here. How can I help? I am a Licensed Clinical Social Worker, dog mom, proud plant lady and crafting enthusiast with a specialty in treating trauma. Whether that be childhood trauma, "big-T trauma", or "little-t trauma", I provide a gentle, flexible and judgment-free approach. I'm committed to empowering and helping individuals navigate the ways that trauma shows up in daily life.
View
Photo of Ashley Peck, LMHC
Ashley Peck
Mental Health Counselor, LMHC
Verified Verified
Online Only
Hello! My name is Ashley Peck and I am a board certified LMHC in the state of Indiana. I use a person centered approach to working with clients and implement CBT, Attachment Theory and Mindfulness as well as other concepts and interventions to assist others in living their best lives. I enjoy working with teens and adults struggling with anxiety, depression, ADHD and relationship issues.
Hello! My name is Ashley Peck and I am a board certified LMHC in the state of Indiana. I use a person centered approach to working with clients and implement CBT, Attachment Theory and Mindfulness as well as other concepts and interventions to assist others in living their best lives. I enjoy working with teens and adults struggling with anxiety, depression, ADHD and relationship issues.
(765) 548-3646 View (765) 548-3646
Photo of Gen Judayna Elmahdi, LCSW, PHM-C, Clinical Social Work/Therapist
Gen Judayna Elmahdi
Clinical Social Work/Therapist, LCSW, PHM-C
Verified Verified
2 Endorsed
Online Only
Visit Gen at www.genjudayna.com. Gen's life's work is to assist you in realizing who you were created to be and realizing all that you are. Gen genuinely cares about her clients and will go above and beyond to provide the best guidance and support. She will take the time to listen, assess, understand, and provide helpful insights to assist you in dealing with your current situation. Gen believes in meeting clients where they are and working together on goals that are important to the individual or family.
Visit Gen at www.genjudayna.com. Gen's life's work is to assist you in realizing who you were created to be and realizing all that you are. Gen genuinely cares about her clients and will go above and beyond to provide the best guidance and support. She will take the time to listen, assess, understand, and provide helpful insights to assist you in dealing with your current situation. Gen believes in meeting clients where they are and working together on goals that are important to the individual or family.
(765) 780-0886 View (765) 780-0886
Photo of Risha Ruano-Zin - Healing Gardens Counseling Center , NCC, LMHC, Counselor
Healing Gardens Counseling Center
Counselor, NCC, LMHC
Verified Verified
Lafayette, IN 47905
Trauma can be difficult and complex. The path to healing can be as well. Clients who have experienced trauma, but who have a strong desire to overcome their obstacles and strive for a healthy, balanced way of life, relieved of the mounting weight of the experience, are the clients that instill enthusiasm and drive in me. Their needs may range from help processing underlying emotions, dismantling unhelpful thought patterns, or creating goals that align with their strengths. These values and motives make up my ideal client. They want freedom from a negative experience because they know the potential joy of being their fullest self.
Trauma can be difficult and complex. The path to healing can be as well. Clients who have experienced trauma, but who have a strong desire to overcome their obstacles and strive for a healthy, balanced way of life, relieved of the mounting weight of the experience, are the clients that instill enthusiasm and drive in me. Their needs may range from help processing underlying emotions, dismantling unhelpful thought patterns, or creating goals that align with their strengths. These values and motives make up my ideal client. They want freedom from a negative experience because they know the potential joy of being their fullest self.
(765) 553-4716 View (765) 553-4716
Photo of Hayley Spangler, LMHC, NCC, MA, Counselor
Hayley Spangler
Counselor, LMHC, NCC, MA
Verified Verified
Online Only
Do you struggle to say "no?" Do find yourself feeling guilty when choosing your own wants and needs over someone else's? Does it feel like everyone comes to you for support but aren't there for you in return? Is it hard to feel emotions such as sadness, anger, and disappointment? Are you a young professional who has found success in your career and hobbies but struggle in relationships? If any of these statements ring true for you then we may be a good fit! Click the link to my website and schedule an appointment with me.
Do you struggle to say "no?" Do find yourself feeling guilty when choosing your own wants and needs over someone else's? Does it feel like everyone comes to you for support but aren't there for you in return? Is it hard to feel emotions such as sadness, anger, and disappointment? Are you a young professional who has found success in your career and hobbies but struggle in relationships? If any of these statements ring true for you then we may be a good fit! Click the link to my website and schedule an appointment with me.
(765) 302-4861 View (765) 302-4861
Photo of Taylor Lewis, Clinical Social Work/Therapist
Taylor Lewis
Clinical Social Work/Therapist
Verified Verified
Online Only
Hello, I'm Taylor. My focus is on empowering individuals to live the life they want. Seeking therapy can be an overwhelming experience in itself. My focus is meeting clients where they are at and outlining a plan of action for tackling difficult mental health issues including anxiety, depression etc. Together, my goal is to create a safe and healing place for you to get where you want to be.
Hello, I'm Taylor. My focus is on empowering individuals to live the life they want. Seeking therapy can be an overwhelming experience in itself. My focus is meeting clients where they are at and outlining a plan of action for tackling difficult mental health issues including anxiety, depression etc. Together, my goal is to create a safe and healing place for you to get where you want to be.
(765) 560-1196 View (765) 560-1196

See more therapy options for 47903

How does your Therapist compare?

Number of Therapists in 47903

< 10

Therapists in 47903 who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Parenting
100% Family Conflict
100% Peer Relationships
100% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

100% BHS | Behavioral Health Systems
100% ComPsych
100% Humana

How Therapists in 47903 see their clients

66% Online Only
34% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 47903?

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.