Therapists in Tamworth, NH

Photo of Denise Champagne, Counselor in Tamworth, NH
Denise Champagne
Counselor, MS, LMHC, QS
Verified Verified
Tamworth, NH 03886  (Online Only)
Not accepting new clients
I specialize in working with couples, families and children. My focus is on resolving behavioral issues and relationship issues, with an emphasis on letting the past go and working to make the future better. My emphasis on proper parenting techniques and on improved communication skills helps my clients to work through existing issues and find better ways to handle day-to-day interactions. Specific specialty areas include: law enforcement and military personnel and families. Telehealth provider for Florida residents
I specialize in working with couples, families and children. My focus is on resolving behavioral issues and relationship issues, with an emphasis on letting the past go and working to make the future better. My emphasis on proper parenting techniques and on improved communication skills helps my clients to work through existing issues and find better ways to handle day-to-day interactions. Specific specialty areas include: law enforcement and military personnel and families. Telehealth provider for Florida residents
(603) 825-6226 View (603) 825-6226

More Therapists Nearby

Photo of Tracy E Hill PhD & Associates LLC, Licensed Professional Counselor in Tamworth, NH
Tracy E Hill PhD & Associates LLC
Licensed Professional Counselor, PMHNP, LPC, PhD, LCSW, LSW
Verified Verified
Conway, NH 03818
Tracy E. Hill PhD & Associates LLC has a variety of clinicians to choose from. Whether you want virtual (NY residents) or in person; we have clinicians who are licensed in Connecticut, Colorado, New Jersey, New York, and Pennsylvania. We offer both virtual and in person sessions. We have a licensed psychiatric nurse practitioner, licensed social workers and licensed professional counselors along with Ph.D.s. Our team of dedicated professional clinicians can help you figure life out when life becomes complicated.
Tracy E. Hill PhD & Associates LLC has a variety of clinicians to choose from. Whether you want virtual (NY residents) or in person; we have clinicians who are licensed in Connecticut, Colorado, New Jersey, New York, and Pennsylvania. We offer both virtual and in person sessions. We have a licensed psychiatric nurse practitioner, licensed social workers and licensed professional counselors along with Ph.D.s. Our team of dedicated professional clinicians can help you figure life out when life becomes complicated.
(484) 873-4187 View (484) 873-4187
Photo of Jamie Ann Morrison, Clinical Social Work/Therapist in Tamworth, NH
Jamie Ann Morrison
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Conway, NH 03818  (Online Only)
I am a licensed independent social worker (aka mental health therapist) in FL, WA, MA, NH and ME. Therapy is a partnership and part of my job is to hold up the mirror for you to look at yourself. While using the therapeutic space to vent and process is an important component, I see the most progress in people who recognize things they want to change while in session and then take action to make those changes while out in the world. It is MY goal to meet you where you're at as you navigate YOUR goals; you are the expert on yourself and it's important to me that, together, we really hone in on what it is that YOU want to focus on.
I am a licensed independent social worker (aka mental health therapist) in FL, WA, MA, NH and ME. Therapy is a partnership and part of my job is to hold up the mirror for you to look at yourself. While using the therapeutic space to vent and process is an important component, I see the most progress in people who recognize things they want to change while in session and then take action to make those changes while out in the world. It is MY goal to meet you where you're at as you navigate YOUR goals; you are the expert on yourself and it's important to me that, together, we really hone in on what it is that YOU want to focus on.
(727) 947-1572 View (727) 947-1572
Photo of Stevi Gelinas Sex Therapy Online, Marriage & Family Therapist Associate in Tamworth, NH
Stevi Gelinas Sex Therapy Online
Marriage & Family Therapist Associate, MS, MFT-A
Verified Verified
1 Endorsed
Madison, NH 03849  (Online Only)
I am dedicated to addressing sensitive and often overlooked topics in traditional therapy related to sex and intimacy, as these issues can significantly impact individuals' overall well-being and relationships. By shining a light on areas such as erectile dysfunction, sexual pain, kink-related concerns, religious shame, and infidelity, I aim to provide a safe and non-judgmental space for individuals to explore and work through these challenges. I support clients in both monogamous and polyamorous relationships ultimately helping individuals strengthen their self-identity and foster meaningful connections.
I am dedicated to addressing sensitive and often overlooked topics in traditional therapy related to sex and intimacy, as these issues can significantly impact individuals' overall well-being and relationships. By shining a light on areas such as erectile dysfunction, sexual pain, kink-related concerns, religious shame, and infidelity, I aim to provide a safe and non-judgmental space for individuals to explore and work through these challenges. I support clients in both monogamous and polyamorous relationships ultimately helping individuals strengthen their self-identity and foster meaningful connections.
(833) 322-6258 View (833) 322-6258
Photo of Jan Hodges Coville in Tamworth, NH
Jan Hodges Coville
CCC, MPC, MS
Verified Verified
Moultonborough, NH 03254
Do you need to make a change? As a Career Counselor and Life Coach, I love helping people of all ages to design new life chapters infused with meaning and purpose. I believe that people are happiest when they are fully engaged in work that fits them and is a positive part of a well-lived life. Through a process of exploration, identifying goals and developing a plan, it is always possible to create positive change. Regardless of whether the goal is to perform better in your current role or to find a new one, let me help you to design a life you love.
Do you need to make a change? As a Career Counselor and Life Coach, I love helping people of all ages to design new life chapters infused with meaning and purpose. I believe that people are happiest when they are fully engaged in work that fits them and is a positive part of a well-lived life. Through a process of exploration, identifying goals and developing a plan, it is always possible to create positive change. Regardless of whether the goal is to perform better in your current role or to find a new one, let me help you to design a life you love.
(603) 707-1216 View (603) 707-1216
Photo of Emily Bass, Social Worker Associate in Tamworth, NH
Emily Bass
Social Worker Associate, LICSWA, PCC
Verified Verified
Silver Lake, NH 03875  (Online Only)
I believe what people need to be well in life is to feel heard, understood, and accepted for who they are. I provide this to my clients through active and reflective listening, powerful questioning to provoke deeper thinking about one's challenges, and manageable practices to help you understand your own thoughts and beliefs about your challenges. When struggling with challenging issues such as end-of-life, grief, and depression, life can feel heavy and unmanageable. Clarifying one's needs and values can be a good starting point for creating goals to work toward. Having measurable goals provides purpose when things seem hopeless.
I believe what people need to be well in life is to feel heard, understood, and accepted for who they are. I provide this to my clients through active and reflective listening, powerful questioning to provoke deeper thinking about one's challenges, and manageable practices to help you understand your own thoughts and beliefs about your challenges. When struggling with challenging issues such as end-of-life, grief, and depression, life can feel heavy and unmanageable. Clarifying one's needs and values can be a good starting point for creating goals to work toward. Having measurable goals provides purpose when things seem hopeless.
(888) 507-6531 View (888) 507-6531
Photo of TERRA Equine Therapy Center in Tamworth, NH
TERRA Equine Therapy Center
PhD
Verified Verified
Conway, NH 03818
TERRA is a 501(c)(3) non-profit serving the mental health needs of Mount Washington Valley and surrounding communities.
TERRA is a 501(c)(3) non-profit serving the mental health needs of Mount Washington Valley and surrounding communities.
(855) 621-1781 View (855) 621-1781
Photo of Caitlyn Cook, Counselor in Tamworth, NH
Caitlyn Cook
Counselor, LCMHC, LCPC, LCAT
Verified Verified
Center Ossipee, NH 03814  (Online Only)
Being a teen or young adult is hard. Besides drowning in a culture of “never enough,” they are bombarded daily by a constant stream of messaging about who, how and what they are supposed to be. The pressure is often crippling, the messages are confusing, and it can be tough to know where to turn for help. For over a decade, I have worked with teens, young adults, and parents who are learning how to navigate this important period with self-awareness, skill, and confidence. I listen carefully and read between the lines, helping young people figure out what is really going on and helping them forge their own, unique path forward.
Being a teen or young adult is hard. Besides drowning in a culture of “never enough,” they are bombarded daily by a constant stream of messaging about who, how and what they are supposed to be. The pressure is often crippling, the messages are confusing, and it can be tough to know where to turn for help. For over a decade, I have worked with teens, young adults, and parents who are learning how to navigate this important period with self-awareness, skill, and confidence. I listen carefully and read between the lines, helping young people figure out what is really going on and helping them forge their own, unique path forward.
(207) 200-8396 View (207) 200-8396
Photo of Wanda I Lipson, Clinical Social Work/Therapist in Tamworth, NH
Wanda I Lipson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
3 Endorsed
Moultonborough, NH 03254  (Online Only)
Hello! Whether you're a parent, new parent, teen, young adult/adult in MA or NH I can offer support needed for you to feel better. Depression; including post-partum, anxiety, grief, trauma, chronic illness, ADHD, disordered eating, complex relationships; including surviving narcissistic abuse, can get in the way of work, family, financial health, academic success, social life and an overall ability to experience peace and joyful living. With 22 yrs of experience and a warm effective approach, you can count on our work together to help you through these challenges. I look forward to our sessions and helping you achieve your goals.
Hello! Whether you're a parent, new parent, teen, young adult/adult in MA or NH I can offer support needed for you to feel better. Depression; including post-partum, anxiety, grief, trauma, chronic illness, ADHD, disordered eating, complex relationships; including surviving narcissistic abuse, can get in the way of work, family, financial health, academic success, social life and an overall ability to experience peace and joyful living. With 22 yrs of experience and a warm effective approach, you can count on our work together to help you through these challenges. I look forward to our sessions and helping you achieve your goals.
(508) 318-6684 View (508) 318-6684
Photo of Dr. Veronica E. Nuzzolo, Drug & Alcohol Counselor in Tamworth, NH
Dr. Veronica E. Nuzzolo
Drug & Alcohol Counselor, PhD, CTP, LADC1
Verified Verified
Conway, NH 03818  (Online Only)
Not accepting new clients
Current availability is for evaluations only. Waitlist for therapy is currently 16 weeks. Specializing in SUD Evaluations for RMV, DEEP & Security Clearance. I also provide services for Substance Use and Trauma Therapy remotely in Maine, Massachusetts & New Hampshire.
Current availability is for evaluations only. Waitlist for therapy is currently 16 weeks. Specializing in SUD Evaluations for RMV, DEEP & Security Clearance. I also provide services for Substance Use and Trauma Therapy remotely in Maine, Massachusetts & New Hampshire.
(857) 728-3020 View (857) 728-3020
Photo of Christine Free Sabo, Counselor in Tamworth, NH
Christine Free Sabo
Counselor, LCMHC, MS, CSTIP, Reiki 2
Verified Verified
Center Sandwich, NH 03227  (Online Only)
Waitlist for new clients
LCMHC in NC & NH, a Masters in Clinical Counseling, 200 - HRYTT & Level 2 Holy Fire Reiki practitioner. EMDR, EFT Trained Trauma Informed therapist, CSTIP, Certified Licensed Hypnotherapist, has held an ISSA personal Fitness Trainer certification with other certs.
LCMHC in NC & NH, a Masters in Clinical Counseling, 200 - HRYTT & Level 2 Holy Fire Reiki practitioner. EMDR, EFT Trained Trauma Informed therapist, CSTIP, Certified Licensed Hypnotherapist, has held an ISSA personal Fitness Trainer certification with other certs.
(603) 691-1438 View (603) 691-1438
Photo of Nikki Cooke in Tamworth, NH
Nikki Cooke
LICSW-C
Verified Verified
1 Endorsed
Conway, NH 03818  (Online Only)
Are you grappling with anxiety, depression, or trauma-related challenges? Nikki's holistic, evidence-based approach interweaves traditional psychotherapy with innovative modalities like mindfulness, tailored to adults facing emotional and psychological difficulties. Her spiritual, solution-focused therapy offers a beacon of hope, guiding you toward a balanced, fulfilling life.
Are you grappling with anxiety, depression, or trauma-related challenges? Nikki's holistic, evidence-based approach interweaves traditional psychotherapy with innovative modalities like mindfulness, tailored to adults facing emotional and psychological difficulties. Her spiritual, solution-focused therapy offers a beacon of hope, guiding you toward a balanced, fulfilling life.
(603) 945-8535 View (603) 945-8535
Photo of Monica A Nicoll, Counselor in Tamworth, NH
Monica A Nicoll
Counselor, PhD, LCMHC
Verified Verified
Conway, NH 03818
Not accepting new clients
At the Resilience Counseling & Training Center (RCTC), I assist you in enhancing your resilience quotient, RQ, and to build your personal, marital and family resilience enabling the realization of a happier and more fulfilling personal, professional, marital, and/or family life. I provide a variety of resilience focused services including: Counseling & Therapy (Individual, Marital, Family), Parent Education/Parent Coaching, and Relationship Enhancement Workshops.
At the Resilience Counseling & Training Center (RCTC), I assist you in enhancing your resilience quotient, RQ, and to build your personal, marital and family resilience enabling the realization of a happier and more fulfilling personal, professional, marital, and/or family life. I provide a variety of resilience focused services including: Counseling & Therapy (Individual, Marital, Family), Parent Education/Parent Coaching, and Relationship Enhancement Workshops.
(603) 931-3429 View (603) 931-3429
Photo of Kim Bell, Counselor in Tamworth, NH
Kim Bell
Counselor, LCMHC, MLADC
Verified Verified
West Ossipee, NH 03890
How do I even begin? My brain never turns off. Palms sweating, pulse racing, can’t breathe. Constantly feeling like I’m one step away from imploding. I would say losing my mind but I’m pretty sure that’s already gone. Its either all of that or nothing, just feeling numb and disconnected. Haven’t had one positive thought about myself or believe I’m even capable of anything. Not sure how I can ever take a step towards healing from all that life has dumped on me. Those around me don’t understand. Doing anything I can to survive, even if it hurts me. Constantly surviving one moment to the next.
How do I even begin? My brain never turns off. Palms sweating, pulse racing, can’t breathe. Constantly feeling like I’m one step away from imploding. I would say losing my mind but I’m pretty sure that’s already gone. Its either all of that or nothing, just feeling numb and disconnected. Haven’t had one positive thought about myself or believe I’m even capable of anything. Not sure how I can ever take a step towards healing from all that life has dumped on me. Those around me don’t understand. Doing anything I can to survive, even if it hurts me. Constantly surviving one moment to the next.
(603) 617-2119 View (603) 617-2119
Photo of Christine Ann Laflamme, Counselor in Tamworth, NH
Christine Ann Laflamme
Counselor, LCMHC, LCPC, MLADC
Verified Verified
1 Endorsed
Conway, NH 03818  (Online Only)
Are you struggling with depression, anxiety, trauma, and stress? Using substances in order to cope? Let me help! I have been in practice since 2008 helping individuals learn ways of coping with the stressors of life, working through traumatic memories and experiences that can hold you back from living your best life. I offer a personalized, compassionate connection in therapy to ensure that you feel comfortable and have trust in the process to wellness and recovery.
Are you struggling with depression, anxiety, trauma, and stress? Using substances in order to cope? Let me help! I have been in practice since 2008 helping individuals learn ways of coping with the stressors of life, working through traumatic memories and experiences that can hold you back from living your best life. I offer a personalized, compassionate connection in therapy to ensure that you feel comfortable and have trust in the process to wellness and recovery.
(207) 245-1685 View (207) 245-1685
Photo of Russell Beebe, Counselor in Tamworth, NH
Russell Beebe
Counselor, LCMHC, LMHC, CSAT, MLADC, LADC-I
Verified Verified
1 Endorsed
West Ossipee, NH 03890  (Online Only)
Certified Sex Addiction Therapist (CSAT) helping men struggling with sexual addiction and/or porn addiction stop their compulsive sexual behavior and live healthy productive lives. Not being able to stop can be incredibly painful and frustrating. And harmful to those closest to you. Many times this frustration is made worse by an inability to stop despite a strong desire to do so. If you or someone you know struggles with sex addiction or porn addiction contact me to schedule a free 20 minute introduction to see if working with me is the right fit!
Certified Sex Addiction Therapist (CSAT) helping men struggling with sexual addiction and/or porn addiction stop their compulsive sexual behavior and live healthy productive lives. Not being able to stop can be incredibly painful and frustrating. And harmful to those closest to you. Many times this frustration is made worse by an inability to stop despite a strong desire to do so. If you or someone you know struggles with sex addiction or porn addiction contact me to schedule a free 20 minute introduction to see if working with me is the right fit!
(603) 236-7459 View (603) 236-7459
W. Kieran Cunningham
Counselor, PhD, MLADC, LCMHC, LCS
Verified Verified
Conway, NH 03818
Living in today's world with its fast pace; we can find ourselves overly scheduled and overly stimulated by all the media technology. As a result, we may feel anxious and stressed with little time to relax or to be with the ones we love. Stress impacts us and those round us, on both an emotional and physical level. One of the most significant signs of stress is an inability to express feelings and emotions in a healthy manner causing anger to erupt. I can help you to learn alternative ways of coping and de-stressing, please call, I can help.
Living in today's world with its fast pace; we can find ourselves overly scheduled and overly stimulated by all the media technology. As a result, we may feel anxious and stressed with little time to relax or to be with the ones we love. Stress impacts us and those round us, on both an emotional and physical level. One of the most significant signs of stress is an inability to express feelings and emotions in a healthy manner causing anger to erupt. I can help you to learn alternative ways of coping and de-stressing, please call, I can help.
(603) 262-3162 View (603) 262-3162

Online Therapists

Photo of Cora Glazer, Clinical Social Work/Therapist in Tamworth, NH
Cora Glazer
Clinical Social Work/Therapist, LICSW
Verified Verified
West Lebanon, NH 03784  (Online Only)
Thanks for taking the time to visit my profile! I believe therapy is a deeply powerful tool that allows us to recognize and change ineffective patterns in our lives to become more connected, fulfilled versions of ourselves. Just as I expect my clients to take the risk of bringing their authentic selves into the room, I bring myself to our sessions too--in the form of humor, candor, and empathy. I see all kinds of people, but I especially enjoy working with moms of young kids, teens and adults struggling with disordered eating and body image, and NICU moms.
Thanks for taking the time to visit my profile! I believe therapy is a deeply powerful tool that allows us to recognize and change ineffective patterns in our lives to become more connected, fulfilled versions of ourselves. Just as I expect my clients to take the risk of bringing their authentic selves into the room, I bring myself to our sessions too--in the form of humor, candor, and empathy. I see all kinds of people, but I especially enjoy working with moms of young kids, teens and adults struggling with disordered eating and body image, and NICU moms.
(737) 204-9125 View (737) 204-9125
Photo of Sharon Ulrich, Licensed Professional Clinical Counselor in Tamworth, NH
Sharon Ulrich
Licensed Professional Clinical Counselor, LPCC, MFT
Verified Verified
Peterborough, NH 03458  (Online Only)
I am an experienced therapist specializing in relationships. I could be a good fit if you're struggling with relationship patterns not serving yourself or others. You may find yourself triggered with an emotional reaction which feels bigger than the present moment seems to warrant. Intimate partner relationships and parenting can point to parts of us that need awareness and further healing. I can help move to a place of self understanding, acceptance and healthier living. My background treating relational trauma guides the partnership and parenting work we'll partner in.
I am an experienced therapist specializing in relationships. I could be a good fit if you're struggling with relationship patterns not serving yourself or others. You may find yourself triggered with an emotional reaction which feels bigger than the present moment seems to warrant. Intimate partner relationships and parenting can point to parts of us that need awareness and further healing. I can help move to a place of self understanding, acceptance and healthier living. My background treating relational trauma guides the partnership and parenting work we'll partner in.
(603) 697-7042 View (603) 697-7042
Photo of Ken Robertson, Counselor in Tamworth, NH
Ken Robertson
Counselor, M/Div, MS, LCMHC
Verified Verified
1 Endorsed
Manchester, NH 03109
I am an ordained minister with over 30 years of counseling experience in pastoral care and spiritual development. I also have over 15 years of addiction counseling experience with substance abuse and was an Executive Director of a sober housing facility. I provide clinical therapy for individuals, couples, and families facing issues like anxiety, addiction, trauma, sexual abuse, complex-PTSD, marriage and family issues, and spiritual growth.
I am an ordained minister with over 30 years of counseling experience in pastoral care and spiritual development. I also have over 15 years of addiction counseling experience with substance abuse and was an Executive Director of a sober housing facility. I provide clinical therapy for individuals, couples, and families facing issues like anxiety, addiction, trauma, sexual abuse, complex-PTSD, marriage and family issues, and spiritual growth.
(833) 538-0740 View (833) 538-0740

How does your Therapist compare?

Number of Therapists in Tamworth, NH

< 10

Therapists in Tamworth, NH who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Child
100% Domestic Abuse
100% Grief
100% Parenting

Average years in practice

13 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Magellan

How Therapists in Tamworth, NH see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Tamworth?

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.