Photo of S Davis Porterfield, Counselor in 87501, NM
S Davis Porterfield
Counselor, MA, LMHC, MBACP
Verified Verified
Santa Fe, NM 87501
It takes courage to ask for help, and it can feel humbling to speak to a stranger about the difficult or painful parts of our life. I offer a non-judgmental and supportive space in which we can work together to help you find clarity and healing. I work compassionately, with humor and straight-forwardness, supporting greater awareness, insight, choice and fulfillment.
It takes courage to ask for help, and it can feel humbling to speak to a stranger about the difficult or painful parts of our life. I offer a non-judgmental and supportive space in which we can work together to help you find clarity and healing. I work compassionately, with humor and straight-forwardness, supporting greater awareness, insight, choice and fulfillment.
(505) 560-9855 View (505) 560-9855
Photo of Carolyn Burns, Marriage & Family Therapist in 87501, NM
Carolyn Burns
Marriage & Family Therapist, MA, LMFT
Verified Verified
Santa Fe, NM 87501
Do you sometimes feel alone and sad even with friends and family? Together, we can explore these feelings, transform them, and increase vitality. We will unravel issues that may be causing suffering or isolation; such as depression and anxiety, loss and grief, trauma, or substance abuse. We will face the dragons of suffering together, and unleash your wise and intuitive self to become empowered and embodied. Our work will allow you to remove the barriers to an emotionally close and satisfying relationship with yourself and others. This allows for a greater sense of joy & aliveness.
Do you sometimes feel alone and sad even with friends and family? Together, we can explore these feelings, transform them, and increase vitality. We will unravel issues that may be causing suffering or isolation; such as depression and anxiety, loss and grief, trauma, or substance abuse. We will face the dragons of suffering together, and unleash your wise and intuitive self to become empowered and embodied. Our work will allow you to remove the barriers to an emotionally close and satisfying relationship with yourself and others. This allows for a greater sense of joy & aliveness.
(505) 926-2017 View (505) 926-2017
Loren Elmaleh
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87501
In my practice I focus on helping clients achieve their goals in a safe, supportive environment. Working to increase their quality of life whether they suffer from symptoms of anxiety, depression or anger. Once able to let go of past unhealthy patterns clients can be free to live up to their highest potential. I have much experience working with clients of diverse backgrounds and enjoy the opportunity to do so.
In my practice I focus on helping clients achieve their goals in a safe, supportive environment. Working to increase their quality of life whether they suffer from symptoms of anxiety, depression or anger. Once able to let go of past unhealthy patterns clients can be free to live up to their highest potential. I have much experience working with clients of diverse backgrounds and enjoy the opportunity to do so.
(505) 557-1306 View (505) 557-1306
Photo of Naja Druva, Counselor in 87501, NM
Naja Druva
Counselor, LPCC
Verified Verified
Santa Fe, NM 87501  (Online Only)
I am an LPCC independently licensed therapist specializing in treating trauma in all age groups. As an Afrolatina my identity is an integral part of how I show up in the world including in my work. I strive to uplift my clients in their own power and identities as well. I have made it my goal to apply my training and experience to working with marginalized communities and their families.
I am an LPCC independently licensed therapist specializing in treating trauma in all age groups. As an Afrolatina my identity is an integral part of how I show up in the world including in my work. I strive to uplift my clients in their own power and identities as well. I have made it my goal to apply my training and experience to working with marginalized communities and their families.
(505) 405-7281 View (505) 405-7281
Photo of Jane Acevedo, Clinical Social Work/Therapist in 87501, NM
Jane Acevedo
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87501  (Online Only)
Ultimately, my purpose as your therapist is to help you find joy in life. I use a Feminist, Attachment-based, Trauma-informed approach to empower you to trust yourself, and tap into your inner resilience. I believe that you are the expert in your own life. Together we can work to process and heal past traumas, gain insight, and replace harmful behaviors with more positive ones. I work with women and non-binary folks who have experienced relational trauma, PTSD, Anxiety, Depression, and Disordered Eating. I also work with Highly Sensitive people.
Ultimately, my purpose as your therapist is to help you find joy in life. I use a Feminist, Attachment-based, Trauma-informed approach to empower you to trust yourself, and tap into your inner resilience. I believe that you are the expert in your own life. Together we can work to process and heal past traumas, gain insight, and replace harmful behaviors with more positive ones. I work with women and non-binary folks who have experienced relational trauma, PTSD, Anxiety, Depression, and Disordered Eating. I also work with Highly Sensitive people.
(505) 557-1429 View (505) 557-1429
Photo of Judy Baker LCSW, Clinical Social Work/Therapist in 87501, NM
Judy Baker LCSW
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Santa Fe, NM 87501  (Online Only)
Not accepting new clients
Currently, my practice is completely full. My practice is substantially focused on clients who are experiencing the effects of trauma, from childhood trauma to recent trauma. Using a variety of modalities including EMDR, CBT, some somatic, emotional release, and more, my goal is to help my clients find resolution and move forward. My passion is assisting those who come to me with finding their way to their most inspired, integrated way of life.
Currently, my practice is completely full. My practice is substantially focused on clients who are experiencing the effects of trauma, from childhood trauma to recent trauma. Using a variety of modalities including EMDR, CBT, some somatic, emotional release, and more, my goal is to help my clients find resolution and move forward. My passion is assisting those who come to me with finding their way to their most inspired, integrated way of life.
(505) 399-3837 View (505) 399-3837
Photo of Kelly Quintia, Marriage & Family Therapist Associate in 87501, NM
Kelly Quintia
Marriage & Family Therapist Associate, MS, LAMFT
Verified Verified
Santa Fe, NM 87501
The type of clients who seek my support are both individuals and couples who are deeply committed to their own relationship with themselves. It is this primary relationship to Self that informs how we relate to others. I work with folks who are curious or already invested in living in alignment with their chosen values. I practice through a lens of deep compassion, curiosity, warmth, and radical reverence for grief-work and the reciprocal relationship between Grief and Gratitude. I support my clients through challenges that can ultimately lead to more insight, wisdom, self-love, compassion and a sense of security and well-being.
The type of clients who seek my support are both individuals and couples who are deeply committed to their own relationship with themselves. It is this primary relationship to Self that informs how we relate to others. I work with folks who are curious or already invested in living in alignment with their chosen values. I practice through a lens of deep compassion, curiosity, warmth, and radical reverence for grief-work and the reciprocal relationship between Grief and Gratitude. I support my clients through challenges that can ultimately lead to more insight, wisdom, self-love, compassion and a sense of security and well-being.
(505) 278-6794 View (505) 278-6794
Photo of Rosvita Botkin, Counselor in 87501, NM
Rosvita Botkin
Counselor, PhD
Verified Verified
Santa Fe, NM 87501
Life is an ongoing process of aligning with our true authentic self. Without that alignment life can feel barren and meaningless. We feel stuck and unable to realize our visions and dreams. Yet, the capacity of the human spirit for creative and intuitive development is truly unlimited. Most of us however, use only a small fraction of that capacity. Through self-reflection and personal exploration we can gain an understanding of what limits this capacity.
Life is an ongoing process of aligning with our true authentic self. Without that alignment life can feel barren and meaningless. We feel stuck and unable to realize our visions and dreams. Yet, the capacity of the human spirit for creative and intuitive development is truly unlimited. Most of us however, use only a small fraction of that capacity. Through self-reflection and personal exploration we can gain an understanding of what limits this capacity.
(505) 636-5334 View (505) 636-5334
Photo of Nancy Estelle Perry, Psychologist in 87501, NM
Nancy Estelle Perry
Psychologist, RN
Verified Verified
Santa Fe, NM 87501
Each client is unique with his or her own needs and goals. It is critical to understand what each client wants and why, before a therapeutic relationship can be established and therapy move forward. Initial sessions explore goals, time frames, and needs, as well as determine if the therapist and client are a good fit. Therapy may be short or long term.
Each client is unique with his or her own needs and goals. It is critical to understand what each client wants and why, before a therapeutic relationship can be established and therapy move forward. Initial sessions explore goals, time frames, and needs, as well as determine if the therapist and client are a good fit. Therapy may be short or long term.
(505) 257-6407 View (505) 257-6407
Photo of Artistic Wellness, Counselor in 87501, NM
Artistic Wellness
Counselor, LPCC, LPAT, ATR-BC
Verified Verified
Santa Fe, NM 87501  (Online Only)
Not accepting new clients
At Artistic Wellness, we strive to produce a safe, secure, and judgement free space so clients have the best opportunities to freely express themselves. Together we forge a path that leads to the achievement of life goals and a better understanding of self. Goals can range from establishing stronger relationships, reducing stress and anxiety, overcoming great life challenges, family issues, or just releasing general daily concerns.
At Artistic Wellness, we strive to produce a safe, secure, and judgement free space so clients have the best opportunities to freely express themselves. Together we forge a path that leads to the achievement of life goals and a better understanding of self. Goals can range from establishing stronger relationships, reducing stress and anxiety, overcoming great life challenges, family issues, or just releasing general daily concerns.
(561) 473-3911 View (561) 473-3911
Photo of Micky DeSilva, Marriage & Family Therapist in 87501, NM
Micky DeSilva
Marriage & Family Therapist, LMFT, MACP, LPHA
Verified Verified
2 Endorsed
Santa Fe, NM 87501  (Online Only)
Evolution can be messy. Healing and growth are non-linear processes which may feel challenging at times. A holistic approach to healing ensures that we are addressing all facets of the human experience, creating a space to discover our truest and most authentic selves, even when it feels like a hurdle. Dr. Seuss (Theodore Geisel) put it best, “Sometimes the questions are complicated and the answers are simple.” I aim to make therapy a safe container where those questions can be explored, either one-on-one in an individual therapy session, or for couples, in a joint session.
Evolution can be messy. Healing and growth are non-linear processes which may feel challenging at times. A holistic approach to healing ensures that we are addressing all facets of the human experience, creating a space to discover our truest and most authentic selves, even when it feels like a hurdle. Dr. Seuss (Theodore Geisel) put it best, “Sometimes the questions are complicated and the answers are simple.” I aim to make therapy a safe container where those questions can be explored, either one-on-one in an individual therapy session, or for couples, in a joint session.
(808) 207-6878 View (808) 207-6878
Photo of DBT Resiliency Center, Licensed Professional Counselor in 87501, NM
DBT Resiliency Center
Licensed Professional Counselor, LPCC
Verified Verified
Santa Fe, NM 87501  (Online Only)
DBT Resiliency Center specializes in DBT for Children. DBT for Children (DBT-C) is a treatment program that focuses on skill development for parents of kids who are emotionally sensitive and highly reactive. DBT-C focuses on changing the environment to meet the needs of the child. For this reason, the family is seen as the “patient". Adults, teens, tweens and children who would like to learn skills for coping with intense emotions and working towards a life worth living. We want to grow and learn how to change certain behaviors. Intense emotions, feelings of hopelessness sometimes make that change difficult to achieve.
DBT Resiliency Center specializes in DBT for Children. DBT for Children (DBT-C) is a treatment program that focuses on skill development for parents of kids who are emotionally sensitive and highly reactive. DBT-C focuses on changing the environment to meet the needs of the child. For this reason, the family is seen as the “patient". Adults, teens, tweens and children who would like to learn skills for coping with intense emotions and working towards a life worth living. We want to grow and learn how to change certain behaviors. Intense emotions, feelings of hopelessness sometimes make that change difficult to achieve.
(520) 636-5018 View (520) 636-5018
Photo of Susan Carswell, Psychologist in 87501, NM
Susan Carswell
Psychologist, PsyD, PhD
Verified Verified
Santa Fe, NM 87501
I successfully treat individuals and couples in distress, often when life circumstances change. I help them understand and then alter the factors that interfere with their functioning. Sessions with me frequently focus on problematic relationships because so many problems stem from issues in current and past relationships. Furthermore, regardless of what causes problems, we are often empowered to address them when we have support from others. I strive to be warm, non-judgmental, and, when needed, verbally interactive, to foster the emotional safety and confidentiality that are essential for honest, productive self-examinations.
I successfully treat individuals and couples in distress, often when life circumstances change. I help them understand and then alter the factors that interfere with their functioning. Sessions with me frequently focus on problematic relationships because so many problems stem from issues in current and past relationships. Furthermore, regardless of what causes problems, we are often empowered to address them when we have support from others. I strive to be warm, non-judgmental, and, when needed, verbally interactive, to foster the emotional safety and confidentiality that are essential for honest, productive self-examinations.
(484) 802-8544 View (484) 802-8544
Photo of Jon Baskin, Clinical Social Work/Therapist in 87501, NM
Jon Baskin
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87501
You don’t understand why you feel this way. You’ve worked so hard to get here, but it feels different from what you had hoped for. On the surface things are going well, but you still feel dissatisfied, empty, distant, and disconnected. Parts of you stay hidden and it is exhausting for you to keep it that way. You feel like connecting and understanding will help you through this, but another part of you is terrified of getting what you want and need. You’ve tried other therapists and perhaps medication, too. Things feel a bit better for a little while, but you always come back to this. You want deeper, lasting change.
You don’t understand why you feel this way. You’ve worked so hard to get here, but it feels different from what you had hoped for. On the surface things are going well, but you still feel dissatisfied, empty, distant, and disconnected. Parts of you stay hidden and it is exhausting for you to keep it that way. You feel like connecting and understanding will help you through this, but another part of you is terrified of getting what you want and need. You’ve tried other therapists and perhaps medication, too. Things feel a bit better for a little while, but you always come back to this. You want deeper, lasting change.
(505) 405-2156 View (505) 405-2156
Photo of Denise Saccone, Clinical Social Work/Therapist in 87501, NM
Denise Saccone
Clinical Social Work/Therapist, LICSW, R-DMT
Verified Verified
Santa Fe, NM 87501
Waitlist for new clients
I am passionate and committed to helping you "Learn To Live From the Truth of Who You Are!" Since 1995, as a licensed clinical therapist and registered dance movement therapist, I have adopted an open, eclectic and holistic therapeutic approach that bends to meet each person's unique situation and specific needs. Through a combination of supportive, insight-oriented, skills-based, creative and expressive therapies, I will assist you in freeing your mind, healing your heart, and clearing your path to live your happiest, most authentic Life possible.
I am passionate and committed to helping you "Learn To Live From the Truth of Who You Are!" Since 1995, as a licensed clinical therapist and registered dance movement therapist, I have adopted an open, eclectic and holistic therapeutic approach that bends to meet each person's unique situation and specific needs. Through a combination of supportive, insight-oriented, skills-based, creative and expressive therapies, I will assist you in freeing your mind, healing your heart, and clearing your path to live your happiest, most authentic Life possible.
(505) 431-9636 View (505) 431-9636
Photo of Wendy Ludlow, Clinical Social Work/Therapist in 87501, NM
Wendy Ludlow
Clinical Social Work/Therapist, LCSW, RPT-S
Verified Verified
Santa Fe, NM 87501
Insurance accepted: Aetna, Bluecross/blue shield of Mass, Oscar, United, Aetna, Cigna. Consider therapy as evolution and consciousness development. I am directive - and teach skills and strategies to transform anxiety, to-program your thoughts, to heal trauma, depression, obsession, scattered thoughts, racing thoughts - you will understand where unsupportive thoughts/patterns come from - and have life long skills to evolve. I will support your soul evolution towards your highest good. specialist in child therapy/parent coaching. Build prosocial behaviors in children rather yelling/feeling helpless. Evolve your life!
Insurance accepted: Aetna, Bluecross/blue shield of Mass, Oscar, United, Aetna, Cigna. Consider therapy as evolution and consciousness development. I am directive - and teach skills and strategies to transform anxiety, to-program your thoughts, to heal trauma, depression, obsession, scattered thoughts, racing thoughts - you will understand where unsupportive thoughts/patterns come from - and have life long skills to evolve. I will support your soul evolution towards your highest good. specialist in child therapy/parent coaching. Build prosocial behaviors in children rather yelling/feeling helpless. Evolve your life!
(505) 375-6828 View (505) 375-6828
Photo of Cynthia T McCoy LPC Emotional Wellness Counseling, Licensed Professional Counselor in 87501, NM
Cynthia T McCoy LPC Emotional Wellness Counseling
Licensed Professional Counselor, MS, LPC
Verified Verified
Santa Fe, NM 87501
My name is Cynthia Tobar-McCoy and I am a Licensed Professional Counselor (LPC) in New Mexico and Oklahoma. I am honored each day to walk along side individuals who choose to therapuetically journey through the path of overcoming life stressors. Stressors can come in the form of experiencing conflict in relationships with family, couples, marital and peer groups, as well as grief, trauma and suffering from posttraumatic stress. Stress can also manifest itself when working to maintain a healthy recovery plan that addresses certain medical conditions of depression, anxiety, bipolar disorder and obsessive compulsive disorder.
My name is Cynthia Tobar-McCoy and I am a Licensed Professional Counselor (LPC) in New Mexico and Oklahoma. I am honored each day to walk along side individuals who choose to therapuetically journey through the path of overcoming life stressors. Stressors can come in the form of experiencing conflict in relationships with family, couples, marital and peer groups, as well as grief, trauma and suffering from posttraumatic stress. Stress can also manifest itself when working to maintain a healthy recovery plan that addresses certain medical conditions of depression, anxiety, bipolar disorder and obsessive compulsive disorder.
(405) 335-0955 View (405) 335-0955
Photo of Nancy Haverkos, Counselor in 87501, NM
Nancy Haverkos
Counselor, MA, LPCC
Verified Verified
Santa Fe, NM 87501  (Online Only)
Have you ever wondered why it seems you always get the same results in relationship? Since there are many forms of relating, it's likely you find common threads in most of those. We live in a culture that promotes codependency and fails to support us on a path of personal empowerment. This colors not only our perception of others, but also of ourselves. Feelings of sadness, grief and anger arise, and are difficult to calm. With focus on intention, coaching toward better boundaries, and clearer communication, it's possible to find more joy and harmony in life.
Have you ever wondered why it seems you always get the same results in relationship? Since there are many forms of relating, it's likely you find common threads in most of those. We live in a culture that promotes codependency and fails to support us on a path of personal empowerment. This colors not only our perception of others, but also of ourselves. Feelings of sadness, grief and anger arise, and are difficult to calm. With focus on intention, coaching toward better boundaries, and clearer communication, it's possible to find more joy and harmony in life.
(505) 386-4168 View (505) 386-4168
Photo of Lance Lashley, Clinical Social Work/Therapist in 87501, NM
Lance Lashley
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87501  (Online Only)
My ideal client is someone who is seeking support to overcome the obstacles that are preventing them from reaching their full potential. They may be struggling with anxiety, depression, relationship issues, or other challenges that are impacting their daily life. I strive to help clients develop a greater sense of self-awareness and gain the tools necessary to create positive change in their life. Ultimately, I want clients to feel empowered and fulfilled, and I am committed to helping them achieve these goals through a collaborative and compassionate therapeutic approach.
My ideal client is someone who is seeking support to overcome the obstacles that are preventing them from reaching their full potential. They may be struggling with anxiety, depression, relationship issues, or other challenges that are impacting their daily life. I strive to help clients develop a greater sense of self-awareness and gain the tools necessary to create positive change in their life. Ultimately, I want clients to feel empowered and fulfilled, and I am committed to helping them achieve these goals through a collaborative and compassionate therapeutic approach.
(505) 657-4928 View (505) 657-4928
Photo of Julie Morgan, Licensed Professional Counselor in 87501, NM
Julie Morgan
Licensed Professional Counselor, MA, LPCC
Verified Verified
Santa Fe, NM 87501  (Online Only)
I am a Licensed Professional Clinical Counselor with several additional trainings including working with Harvard Medical School in Global Mental Health and Traumatic recovery. I have worked within many cultures and contexts including high level business executives, veterans, Indigenous and refugee populations and professional athletes. I work with individuals and couples and am available for crisis or emergency sessions.
I am a Licensed Professional Clinical Counselor with several additional trainings including working with Harvard Medical School in Global Mental Health and Traumatic recovery. I have worked within many cultures and contexts including high level business executives, veterans, Indigenous and refugee populations and professional athletes. I work with individuals and couples and am available for crisis or emergency sessions.
(970) 696-8080 View (970) 696-8080

How does your Therapist compare?

Number of Therapists in 87501

100+

Average cost per session

$140

Therapists in 87501 who prioritize treating:

91% Anxiety
87% Depression
82% Relationship Issues
78% Trauma and PTSD
78% Self Esteem
72% Grief
68% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

74% Presbyterian
67% BlueCross and BlueShield
67% Medicaid

How Therapists in 87501 see their clients

56% In Person and Online
44% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in 87501?

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.