Therapists in 83854

Photo of Tiffany Triplett, Marriage & Family Therapist, MA, LMFT
Tiffany Triplett
Marriage & Family Therapist, MA, LMFT
Online Only
My name is Tiffany Triplett and I am a Licensed Marriage and Family Therapist here in ID. I became a therapist because I want to help you! If you are currently facing a difficult situation and or one that you have been struggling with for years, it is important to maintain a sense of support and balance in your life in order to effectively navigate life's ups and downs. My goal is to empower you in implementing effective solutions to not only get you through the challenges you face, but to help you thrive and reach your full potential. I'm here to provide dedicated mental health support tailored to your needs.
My name is Tiffany Triplett and I am a Licensed Marriage and Family Therapist here in ID. I became a therapist because I want to help you! If you are currently facing a difficult situation and or one that you have been struggling with for years, it is important to maintain a sense of support and balance in your life in order to effectively navigate life's ups and downs. My goal is to empower you in implementing effective solutions to not only get you through the challenges you face, but to help you thrive and reach your full potential. I'm here to provide dedicated mental health support tailored to your needs.
(208) 886-1627 View (208) 886-1627
Photo of Amie Marie Brown, Counselor, MS, LCPC, LMHC, SUDP
Amie Marie Brown
Counselor, MS, LCPC, LMHC, SUDP
1 Endorsed
Post Falls, ID 83854
I have experience working with people of all ages with a diverse range of backgrounds. I am excited to provide services to individuals, families, and couples dealing with stress, anxiety, substance use disorders, depression, life changes, and trauma among other issues. I have worked in a variety of human service positions for more than 14 years helping children, youth, and families. I approach counseling from a whole-person health perspective which focuses on everyone’s unique needs.
I have experience working with people of all ages with a diverse range of backgrounds. I am excited to provide services to individuals, families, and couples dealing with stress, anxiety, substance use disorders, depression, life changes, and trauma among other issues. I have worked in a variety of human service positions for more than 14 years helping children, youth, and families. I approach counseling from a whole-person health perspective which focuses on everyone’s unique needs.
(855) 400-6720 View (855) 400-6720
Photo of Sonja M Alberti, Counselor, LCPC, LMHC, MFT
Sonja M Alberti
Counselor, LCPC, LMHC, MFT
1 Endorsed
Post Falls, ID 83854
I am a Licensed Clinical Professional Counselor who earned my Master’s degree in Marriage and Family Therapy at Whitworth University in Spokane, WA. Since 2015, my areas of focus have been on supporting individuals/couples/families in achieving their personal goals of being authentic and genuine in their interactions and functioning in their lives. I use a multitude of modalities to explore treatment options, teach skills to improve, and help clients overcome barriers to living their best life. Outside of work, I enjoy spending time with family and friends, quilting, and exploring the outdoors.
I am a Licensed Clinical Professional Counselor who earned my Master’s degree in Marriage and Family Therapy at Whitworth University in Spokane, WA. Since 2015, my areas of focus have been on supporting individuals/couples/families in achieving their personal goals of being authentic and genuine in their interactions and functioning in their lives. I use a multitude of modalities to explore treatment options, teach skills to improve, and help clients overcome barriers to living their best life. Outside of work, I enjoy spending time with family and friends, quilting, and exploring the outdoors.
(208) 490-9306 View (208) 490-9306
Photo of Jennifer Smith, Marriage & Family Therapist, LMFT
Jennifer Smith
Marriage & Family Therapist, LMFT
Post Falls, ID 83854
Trying to navigate the waters of life but you keep feeling pulled under? Fear, sadness, stress, and relationship problems keep creeping up? You find yourself ready to reach for a helping hand but are unsure where to start. You seek change and a sense of purpose. You want to establish a better path through life. A desire to master your emotions and take steps towards your dreams.
Trying to navigate the waters of life but you keep feeling pulled under? Fear, sadness, stress, and relationship problems keep creeping up? You find yourself ready to reach for a helping hand but are unsure where to start. You seek change and a sense of purpose. You want to establish a better path through life. A desire to master your emotions and take steps towards your dreams.
(208) 240-6073 View (208) 240-6073
Sara McPherson
Pre-Licensed Professional, LMSW
Online Only
My ideal client is someone who acknowledges they need help in some aspect of their lives and want to fully engage in therapy. I don't believe any specific issues or needs of individual clients define them nor direct their life goals. I believe all clients have the tools they need to improve their lives with some direction and problem-solving which I can help with. I work with individuals, couples, families, and teens.
My ideal client is someone who acknowledges they need help in some aspect of their lives and want to fully engage in therapy. I don't believe any specific issues or needs of individual clients define them nor direct their life goals. I believe all clients have the tools they need to improve their lives with some direction and problem-solving which I can help with. I work with individuals, couples, families, and teens.
(208) 328-4274 View (208) 328-4274
Photo of Trent Taggart, Clinical Social Work/Therapist, LMSW
Trent Taggart
Clinical Social Work/Therapist, LMSW
1 Endorsed
Post Falls, ID 83854
Waitlist for new clients
I am a licensed master social worker. I have experience working with adolescents, adults, couples and families. My speciality is in marriage/couples counseling. When compared to all other types of relationships marriage and otherwise romantic relationships are very unique. With this being the case it stands to reason that different rules apply. Sadly, many people either don't know, or don't fully understand these rules that build and foster romantic intimacy and cohesion.
I am a licensed master social worker. I have experience working with adolescents, adults, couples and families. My speciality is in marriage/couples counseling. When compared to all other types of relationships marriage and otherwise romantic relationships are very unique. With this being the case it stands to reason that different rules apply. Sadly, many people either don't know, or don't fully understand these rules that build and foster romantic intimacy and cohesion.
(208) 449-1995 View (208) 449-1995
Photo of Dave Cannon, Licensed Professional Counselor, LPC
Dave Cannon
Licensed Professional Counselor, LPC
Post Falls, ID 83854
Not accepting new clients
I work with teens and young adults primarily as well as Military Veterans. I am Emdria trained in EMDR and have found great success with my clients in the treatment of trauma. New clinic opening March 17 in Rathdrum. Dragonfly Support Services North Taking applications for clinicians.
I work with teens and young adults primarily as well as Military Veterans. I am Emdria trained in EMDR and have found great success with my clients in the treatment of trauma. New clinic opening March 17 in Rathdrum. Dragonfly Support Services North Taking applications for clinicians.
(208) 689-1508 View (208) 689-1508
Photo of Dr. Jorge Rosales Lopez, Licensed Professional Counselor, PhD, LPC, CRC, NCC
Dr. Jorge Rosales Lopez
Licensed Professional Counselor, PhD, LPC, CRC, NCC
1 Endorsed
Online Only
Accepting NEW clients! Life’s challenges can feel overwhelming, but you don’t have to do it alone. As a bilingual (English & Spanish) licensed therapist, I offer a compassionate, culturally responsive approach to support Latine, BIPOC, LGBTQ+, individuals living with a disability and all. Using a variety of therapeutic approaches to best fit the individual client, I help clients manage anxiety, trauma, and life transitions while fostering resilience and self-acceptance. Rooted in cultural humility and Relational Cultural Theory, my work creates a safe space for healing and empowerment. Telehealth available—now accepting new clients!
Accepting NEW clients! Life’s challenges can feel overwhelming, but you don’t have to do it alone. As a bilingual (English & Spanish) licensed therapist, I offer a compassionate, culturally responsive approach to support Latine, BIPOC, LGBTQ+, individuals living with a disability and all. Using a variety of therapeutic approaches to best fit the individual client, I help clients manage anxiety, trauma, and life transitions while fostering resilience and self-acceptance. Rooted in cultural humility and Relational Cultural Theory, my work creates a safe space for healing and empowerment. Telehealth available—now accepting new clients!
(208) 279-7570 View (208) 279-7570
Photo of Candy Joubert - Consider Hope Services, Licensed Professional Counselor, MA, LPC
Consider Hope Services
Licensed Professional Counselor, MA, LPC
Post Falls, ID 83854
When the body holds the physical symptoms of chronic stress and traumatic stress, life can become overwhelming, relationships difficult, and feeling comfortable in your own shoes may become uncertain. You need help to see the path forward and the skills to control and calm yourself in those high-stress moments that come out of nowhere. You want to feel in control of yourself and you want to respond to others in a way that you feel good about, remembering without regret, and feeling strong enough to build the connections you value.
When the body holds the physical symptoms of chronic stress and traumatic stress, life can become overwhelming, relationships difficult, and feeling comfortable in your own shoes may become uncertain. You need help to see the path forward and the skills to control and calm yourself in those high-stress moments that come out of nowhere. You want to feel in control of yourself and you want to respond to others in a way that you feel good about, remembering without regret, and feeling strong enough to build the connections you value.
(208) 551-5286 View (208) 551-5286
Photo of Madeline Kraut - Blue Jay Therapy LLC, Clinical Social Work/Therapist, LMSW
Blue Jay Therapy LLC
Clinical Social Work/Therapist, LMSW
2 Endorsed
Post Falls, ID 83854
Nice to meet you! My name is Madeline Kraut, and I am a Licensed Master Social Worker in the state of Idaho. First, I commend you for taking a big step to invest in yourself and your well being by seeking therapy. It's very courageous of you! Have you ever experienced that sense of knowing that there's more for you? More joy, more freedom, more authenticity, more wellness, more fun, more connection, more peace? I work with clients who are motivated to thrive but encounter some road blocks in making that happen. We work as a team to resolve those road blocks and create opportunities for your thriving.
Nice to meet you! My name is Madeline Kraut, and I am a Licensed Master Social Worker in the state of Idaho. First, I commend you for taking a big step to invest in yourself and your well being by seeking therapy. It's very courageous of you! Have you ever experienced that sense of knowing that there's more for you? More joy, more freedom, more authenticity, more wellness, more fun, more connection, more peace? I work with clients who are motivated to thrive but encounter some road blocks in making that happen. We work as a team to resolve those road blocks and create opportunities for your thriving.
(208) 216-1380 View (208) 216-1380
Photo of Elena Marchesan Lopez, Counselor, MS, LCPC, NCC, CRC, S
Elena Marchesan Lopez
Counselor, MS, LCPC, NCC, CRC, S
2 Endorsed
Online Only
Taking NEW Clients! WELCOME and thank you for being here! This is your neurodivergent affirming place (and more). I am experienced working with individuals on the Autism spectrum, and have a passion for transition youth at risk and young adults. With a blend of modalities to best suit each individual, to empower them clients to their fullest potential; adding in somatic approaches, play therapy, strength-based approach and more, to foster an engaging and accepting therapeutic environment. With the four languages I speak, I hope to bring access to therapy to various communities in need by proving Telehealth to all clients.
Taking NEW Clients! WELCOME and thank you for being here! This is your neurodivergent affirming place (and more). I am experienced working with individuals on the Autism spectrum, and have a passion for transition youth at risk and young adults. With a blend of modalities to best suit each individual, to empower them clients to their fullest potential; adding in somatic approaches, play therapy, strength-based approach and more, to foster an engaging and accepting therapeutic environment. With the four languages I speak, I hope to bring access to therapy to various communities in need by proving Telehealth to all clients.
(208) 506-2520 View (208) 506-2520
Photo of Lindsay Lartz - Esteem Counseling, Counselor, LCPC, LMHC
Esteem Counseling
Counselor, LCPC, LMHC
4 Endorsed
Online Only
I provide counseling to teens, adults, couples and families in Idaho and Washington. If you are looking to learn about your mental health and find a safe space to heal and improve your overall wellness, you are in the right place. I enjoy working with trauma, depression, anxiety, and stress. I offer telehealth counseling, using confidential video calling to provide you with counseling from the comfort of your own space. Life coaching services are available upon request.
I provide counseling to teens, adults, couples and families in Idaho and Washington. If you are looking to learn about your mental health and find a safe space to heal and improve your overall wellness, you are in the right place. I enjoy working with trauma, depression, anxiety, and stress. I offer telehealth counseling, using confidential video calling to provide you with counseling from the comfort of your own space. Life coaching services are available upon request.
(208) 400-5717 View (208) 400-5717
Photo of Carmen Renee Jeffrey - Inspirational Therapy LLC, Clinical Social Work/Therapist, LMSW, CTP
Inspirational Therapy LLC
Clinical Social Work/Therapist, LMSW, CTP
Post Falls, ID 83854
Welcome to Inspirational Therapy, my name is Carmen Jeffrey, I am a licensed social worker ( LMSW) and have been in the social work field for over 25 years. I am excited to continue helping people that suffer from trauma and other mental illnesses. I am a strong believer in personal growth and positive change, after having dealt with multiple traumatic events of my own. I enjoy watching people heal and become stronger within themselves. I am dedicated to validating individuals that have been hurt and are struggling.
Welcome to Inspirational Therapy, my name is Carmen Jeffrey, I am a licensed social worker ( LMSW) and have been in the social work field for over 25 years. I am excited to continue helping people that suffer from trauma and other mental illnesses. I am a strong believer in personal growth and positive change, after having dealt with multiple traumatic events of my own. I enjoy watching people heal and become stronger within themselves. I am dedicated to validating individuals that have been hurt and are struggling.
(208) 907-4566 View (208) 907-4566
Photo of Jeff Craig VanZant - Bright Hearts Counseling, Licensed Clinical Professional Counselor, MA, LPCP, CSAT
Bright Hearts Counseling
Licensed Clinical Professional Counselor, MA, LPCP, CSAT
Online Only
Are you or a loved one experiencing compulsive sexual behavior, marital/couple difficulty, or problem anger? Is social media, infidelity, porn addiction, or other trust damaging behaviors (such as secrecy, hostility, or verbal abuse) truncating your hopes for a long-term, happy relationship? As a former campus minister and domestic violence counselor I bring multiple years of ministry experience combined with the latest evidenced-based sexual addiction, anger management, and couples therapy principles to both individuals, couples, and group therapy settings as well as tailored treatment plans to monitor and track therapy progress.
Are you or a loved one experiencing compulsive sexual behavior, marital/couple difficulty, or problem anger? Is social media, infidelity, porn addiction, or other trust damaging behaviors (such as secrecy, hostility, or verbal abuse) truncating your hopes for a long-term, happy relationship? As a former campus minister and domestic violence counselor I bring multiple years of ministry experience combined with the latest evidenced-based sexual addiction, anger management, and couples therapy principles to both individuals, couples, and group therapy settings as well as tailored treatment plans to monitor and track therapy progress.
(208) 328-5528 View (208) 328-5528
Photo of Ryan Manwaring, DNP, APRN, PMHNP
Ryan Manwaring
Verified Verified
1 Endorsed
Online Only
Parenting a child with behavioral challenges can feel like standing in the center of a storm—pulled in every direction, bracing against forces both seen and unseen. Each day brings new challenges, not only in navigating broken systems and advocating for your child but also in facing the emotions rising within—frustration, guilt, exhaustion, isolation. It’s easy to believe that if you could just do more, be stronger, or push through, the storm might settle. But the path forward isn’t in struggling against the wind—it’s in turning inward, listening, and tending to the parts of you carrying the weight of this journey.
Parenting a child with behavioral challenges can feel like standing in the center of a storm—pulled in every direction, bracing against forces both seen and unseen. Each day brings new challenges, not only in navigating broken systems and advocating for your child but also in facing the emotions rising within—frustration, guilt, exhaustion, isolation. It’s easy to believe that if you could just do more, be stronger, or push through, the storm might settle. But the path forward isn’t in struggling against the wind—it’s in turning inward, listening, and tending to the parts of you carrying the weight of this journey.
(208) 544-4060 View (208) 544-4060
Photo of Judith A Pinkerton, MT-BC, LPMT
Judith A Pinkerton
Verified Verified
Online Only
Learn how to thrive through adversity. Navigate emotion regulation without numbing feelings. Shift out of anxiety, anger, depression or grief optimally. Create prescriptive playlists to produce new comfort zones mastering your moods. During our session you will be able to access psycho-education DIY products and programs at no additional charge to practice the Music Medicine Protocol, the Evidence-Based Practice of theMusic4Life.com. Join thousands of people who practice this protocol, mastering music's influence on emotions, physiology and behavior.
Learn how to thrive through adversity. Navigate emotion regulation without numbing feelings. Shift out of anxiety, anger, depression or grief optimally. Create prescriptive playlists to produce new comfort zones mastering your moods. During our session you will be able to access psycho-education DIY products and programs at no additional charge to practice the Music Medicine Protocol, the Evidence-Based Practice of theMusic4Life.com. Join thousands of people who practice this protocol, mastering music's influence on emotions, physiology and behavior.
(725) 257-8081 View (725) 257-8081
Photo of Jeff C Vanzant - Bright Hearts Counseling, Counselor, MA, LMHC, CSAT, CPC
Bright Hearts Counseling
Counselor, MA, LMHC, CSAT, CPC
Post Falls, ID 83854
Are you or a loved one experiencing compulsive sexual behavior, marital/couple difficulty, or problem anger? Is social media, infidelity, porn addiction, or other trust damaging behaviors (such as secrecy, hostility, or verbal abuse) truncating your hopes for a long-term, happy relationship? As a former campus minister and domestic violence counselor I bring multiple years of ministry experience combined with the latest evidenced-based sexual addiction, anger management, and couples therapy principles to both individuals, couples, and group therapy settings as well as tailored treatment plans to monitor and track therapy progress.
Are you or a loved one experiencing compulsive sexual behavior, marital/couple difficulty, or problem anger? Is social media, infidelity, porn addiction, or other trust damaging behaviors (such as secrecy, hostility, or verbal abuse) truncating your hopes for a long-term, happy relationship? As a former campus minister and domestic violence counselor I bring multiple years of ministry experience combined with the latest evidenced-based sexual addiction, anger management, and couples therapy principles to both individuals, couples, and group therapy settings as well as tailored treatment plans to monitor and track therapy progress.
(206) 745-0721 View (206) 745-0721
Photo of Daniel Thompson, Counselor, MEd
Daniel Thompson
Counselor, MEd
Post Falls, ID 83854
Deciding to go to counseling is one of the bravest things that someone can do. Please call for a free consultation. I have over 12 years of experience in human services. I've been a master's level counselor since 2018 and have been licensed since 2022. I have experience with almost all mental health issues and a wide variety of populations. Now accepting Medicaid.
Deciding to go to counseling is one of the bravest things that someone can do. Please call for a free consultation. I have over 12 years of experience in human services. I've been a master's level counselor since 2018 and have been licensed since 2022. I have experience with almost all mental health issues and a wide variety of populations. Now accepting Medicaid.
(208) 271-9391 View (208) 271-9391
Photo of Calli J. Ford, Clinical Social Work/Therapist, MSW, LCSW
Calli J. Ford
Clinical Social Work/Therapist, MSW, LCSW
Online Only
Hello! It's awesome that you are taking this step to work on your mental health! Facing some of the struggles in life today can be confusing and overwhelming. Therapy gives us the ability to sort through these struggles and make a plan on how to deal with them. I provide an open, safe, and collaborative space to help you learn more about yourself and what you want out of your own life. I work with clients struggling with all kinds of difficulties including anxiety, depression, ADHD/ADD, post-traumatic stress disorder, personality disorders, bipolar, amongst others. We only have one life so lets design yours your way!
Hello! It's awesome that you are taking this step to work on your mental health! Facing some of the struggles in life today can be confusing and overwhelming. Therapy gives us the ability to sort through these struggles and make a plan on how to deal with them. I provide an open, safe, and collaborative space to help you learn more about yourself and what you want out of your own life. I work with clients struggling with all kinds of difficulties including anxiety, depression, ADHD/ADD, post-traumatic stress disorder, personality disorders, bipolar, amongst others. We only have one life so lets design yours your way!
(219) 946-4327 View (219) 946-4327
Photo of Christopher Reichert, Pre-Licensed Professional, MS, LMHCA, NCC
Christopher Reichert
Pre-Licensed Professional, MS, LMHCA, NCC
Post Falls, ID 83854
Forrest Gump may have compared life to a box of chocolates, but I find it's more like a box of IKEA furniture: You open the thing up, only to find you're missing three bolts and the instructions. The good news is you already have the most important thing necessary to take on life - you! If you think therapy might be a good option for you, you've come to the right place. If you don't know if therapy is a good option for you, you've still come to the right place!
Forrest Gump may have compared life to a box of chocolates, but I find it's more like a box of IKEA furniture: You open the thing up, only to find you're missing three bolts and the instructions. The good news is you already have the most important thing necessary to take on life - you! If you think therapy might be a good option for you, you've come to the right place. If you don't know if therapy is a good option for you, you've still come to the right place!
(208) 352-6195 View (208) 352-6195

See more therapy options for 83854

How does your Therapist compare?

Number of Therapists in 83854

90+

Average cost per session

$140

Therapists in 83854 who prioritize treating:

93% Anxiety
92% Depression
75% Relationship Issues
75% Trauma and PTSD
74% Stress
72% Self Esteem
66% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

79% Blue Cross
72% Regence
71% BlueCross and BlueShield

How Therapists in 83854 see their clients

84% In Person and Online
16% Online Only

Gender breakdown

66% Female
34% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 83854?

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.