Therapists in Oak Brook, IL

Photo of A Better Tomorrow: Behavioral Health Care Center, Psychologist in Oak Brook, IL
A Better Tomorrow: Behavioral Health Care Center
Psychologist, PhD, PsyD, RDN, LDN
Verified Verified
1 Endorsed
Oak Brook, IL 60523
At 'A Better Tomorrow', we believe that a decision to change means you're halfway there. We understand that deciding to seek help can be a difficult choice to make. It is important to find a therapist with whom you feel comfortable and one who challenges you in a way to facilitate and inspire change. We have several professionals on staff who can help, and can work as a collaborative team to explore which aspects of your life may be holding you back from realizing a more emotionally healthy and satisfying life.
At 'A Better Tomorrow', we believe that a decision to change means you're halfway there. We understand that deciding to seek help can be a difficult choice to make. It is important to find a therapist with whom you feel comfortable and one who challenges you in a way to facilitate and inspire change. We have several professionals on staff who can help, and can work as a collaborative team to explore which aspects of your life may be holding you back from realizing a more emotionally healthy and satisfying life.
(630) 317-7775 View (630) 317-7775
Photo of Swati Varma, Psychologist in Oak Brook, IL
Swati Varma
Psychologist, PsyD, PMH-C
Verified Verified
Oak Brook, IL 60523
Are you pregnant or have you recently given birth? Are you struggling with managing your emotions, new responsibilities, and a new identity? You are not alone. I am here to help you navigate your way through this complex life transition by providing you support and tools to cope with changes during the perinatal stage. I also specialize in working with individual in various transitions in life (ie: high school to college, college to working life etc.). In addition, I incorporate a strong cultural lens within my work and work closely with the South Asian Population.
Are you pregnant or have you recently given birth? Are you struggling with managing your emotions, new responsibilities, and a new identity? You are not alone. I am here to help you navigate your way through this complex life transition by providing you support and tools to cope with changes during the perinatal stage. I also specialize in working with individual in various transitions in life (ie: high school to college, college to working life etc.). In addition, I incorporate a strong cultural lens within my work and work closely with the South Asian Population.
(872) 216-5893 View (872) 216-5893
Photo of Eliane G Stefango, Counselor in Oak Brook, IL
Eliane G Stefango
Counselor, MA, LCPC, NCC
Verified Verified
Oak Brook, IL 60523
EGS Counseling is a multicultural environment where you will feel welcome and appreciated. Having studied the cultural aspects of living abroad throughout my life I understand the difficulties of being in a different country, where our personal values may clash and bounce. Cultural understanding is weaved in our sessions as it is a part of relational conflict within the families. We have extensive expertise in a variety of areas, including depression, anxiety, grief and loss, relationship and marital difficulties, divorce and life transitions, adolescent behavior problems, parenting issues, eating disorder, personality disorders, abuse and trauma, and adjustment difficulties.
EGS Counseling is a multicultural environment where you will feel welcome and appreciated. Having studied the cultural aspects of living abroad throughout my life I understand the difficulties of being in a different country, where our personal values may clash and bounce. Cultural understanding is weaved in our sessions as it is a part of relational conflict within the families. We have extensive expertise in a variety of areas, including depression, anxiety, grief and loss, relationship and marital difficulties, divorce and life transitions, adolescent behavior problems, parenting issues, eating disorder, personality disorders, abuse and trauma, and adjustment difficulties.
(872) 713-0024 View (872) 713-0024
Photo of Dr. Eleni Malamis, Psychologist in Oak Brook, IL
Dr. Eleni Malamis
Psychologist, PsyD, MA
Verified Verified
Oak Brook, IL 60523
I am a licensed clinical psychologist who offers professional yet warm and caring help to those struggling with life's challenges. I have devoted my clinical work to assisting adult individuals with a broad spectrum of concerns. Specifically, I enjoy working with individuals in the following areas: depression and anxiety, substance abuse, life transitions, low self-esteem, communication and relationship concerns.
I am a licensed clinical psychologist who offers professional yet warm and caring help to those struggling with life's challenges. I have devoted my clinical work to assisting adult individuals with a broad spectrum of concerns. Specifically, I enjoy working with individuals in the following areas: depression and anxiety, substance abuse, life transitions, low self-esteem, communication and relationship concerns.
(630) 506-3906 View (630) 506-3906
James J Guidi
Psychologist, PsyD, CADC
Verified Verified
Oak Brook, IL 60523
My ideal client is someone who is open to explore their feelings, beliefs, behavior, and relationships and undertake the journey of change. This will not always be easy; change is difficult and we often times get stuck in unhealthy patterns of behaviors and beliefs. Change can be uncomfortable - sometimes even frightening - even when your in pain. My ideal client is willing to do battle with their ambivalence and their fears and participate in the struggle to learn new ways to cope and deal with what hurts them.
My ideal client is someone who is open to explore their feelings, beliefs, behavior, and relationships and undertake the journey of change. This will not always be easy; change is difficult and we often times get stuck in unhealthy patterns of behaviors and beliefs. Change can be uncomfortable - sometimes even frightening - even when your in pain. My ideal client is willing to do battle with their ambivalence and their fears and participate in the struggle to learn new ways to cope and deal with what hurts them.
(847) 915-6230 View (847) 915-6230
Photo of Dilek M. McCombs, Psychologist in Oak Brook, IL
Dilek M. McCombs
Psychologist, PsyD, PC
Verified Verified
Oak Brook, IL 60523
ACCEPTING NEW CLIENTS. My mission as a licensed clinical psychologist is to promote health and happiness through empowerment of my clients. I believe that we are resilient beings with full capacity to achieve meaningful lives. My role in therapy is to guide my clients towards cultivating what is best in them, uncovering their existing resources as their foundation and acquiring additional skills to reach their goals. I help my clients heal from traumatic experiences and overcome depression and anxiety to become better adjusted individuals. It would be my privilege to assist you transform your life and achieve wellness.
ACCEPTING NEW CLIENTS. My mission as a licensed clinical psychologist is to promote health and happiness through empowerment of my clients. I believe that we are resilient beings with full capacity to achieve meaningful lives. My role in therapy is to guide my clients towards cultivating what is best in them, uncovering their existing resources as their foundation and acquiring additional skills to reach their goals. I help my clients heal from traumatic experiences and overcome depression and anxiety to become better adjusted individuals. It would be my privilege to assist you transform your life and achieve wellness.
(331) 771-7009 View (331) 771-7009
Photo of Kate Schoenlein, Licensed Clinical Professional Counselor in Oak Brook, IL
Kate Schoenlein
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Oak Brook, IL 60523
I am a licensed clinical counselor who offers a warm and supportive environment for teens and adults looking for comprehensive therapy. I also enjoy working with couples. My goal is to guide my clients through the process of growth and healing. I specialize in treatment for anxiety, depression, PTSD/Trauma, relationship issues, family related concerns, self-esteem, substance abuse, and anger management. I also have extensive experience working with military trauma, career counseling, and life-transitions.
I am a licensed clinical counselor who offers a warm and supportive environment for teens and adults looking for comprehensive therapy. I also enjoy working with couples. My goal is to guide my clients through the process of growth and healing. I specialize in treatment for anxiety, depression, PTSD/Trauma, relationship issues, family related concerns, self-esteem, substance abuse, and anger management. I also have extensive experience working with military trauma, career counseling, and life-transitions.
(847) 320-0598 View (847) 320-0598
Photo of Shared Vision Psychological Services, Psychologist in Oak Brook, IL
Shared Vision Psychological Services
Psychologist
Verified Verified
Oak Brook, IL 60523
The staff at Shared Vision Psychological Services is committed to providing individualized attention to every person, couple and family we see. It is our goal to help you, too. In everything we do—from individual psychotherapy, to group sessions, to our nature-inspired surroundings—we strive to make you feel comfortable, encouraged and understood. And, we will work side-by-side with you, your child or spouse, to help reach understanding, strengthen resilience and experience hope. Please see our services to see how our team of clinical psychologists can help you.
The staff at Shared Vision Psychological Services is committed to providing individualized attention to every person, couple and family we see. It is our goal to help you, too. In everything we do—from individual psychotherapy, to group sessions, to our nature-inspired surroundings—we strive to make you feel comfortable, encouraged and understood. And, we will work side-by-side with you, your child or spouse, to help reach understanding, strengthen resilience and experience hope. Please see our services to see how our team of clinical psychologists can help you.
(331) 245-3657 x224 View (331) 245-3657 x224
Photo of Melissa R Sobel, Psychologist in Oak Brook, IL
Melissa R Sobel
Psychologist, PsyD
Verified Verified
Oak Brook, IL 60523
Are you struggling with balance in your life? Do you find yourself feeling overwhelmed by the demands of everyday life? If you have a handle on things some days, but other days feel overwhelming and out of control, you have come to the right place. Maybe you are struggling to find meaning or connect with friends or loved ones. Possibly a recent change or life transition has upset the delicate balance in your life. Or you have been feeling this way for what seems like forever: Any of these experiences can lead to feelings of depression, anxiety, isolation and loss.
Are you struggling with balance in your life? Do you find yourself feeling overwhelmed by the demands of everyday life? If you have a handle on things some days, but other days feel overwhelming and out of control, you have come to the right place. Maybe you are struggling to find meaning or connect with friends or loved ones. Possibly a recent change or life transition has upset the delicate balance in your life. Or you have been feeling this way for what seems like forever: Any of these experiences can lead to feelings of depression, anxiety, isolation and loss.
(847) 619-1500 View (847) 619-1500
Photo of Gail Suzanne Day, Clinical Social Work/Therapist in Oak Brook, IL
Gail Suzanne Day
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
Oak Brook, IL 60523
Are you struggling with life pressures? Are you feeling like you are drowning with no way out? As a therapist, I am committed and passionate about finding ways to support individuals in owning and exploring their struggles, creating a bridge from emotional drowning to taking control of their lives. I believe in the power to view struggles as an opportunity to grow emotionally and interpersonally, becoming the person you aspire to be. I am a Licensed Social Worker and have been working in the mental health field for over 20 years with vast experience working with children & families, adolescents, adults, and geriatrics population
Are you struggling with life pressures? Are you feeling like you are drowning with no way out? As a therapist, I am committed and passionate about finding ways to support individuals in owning and exploring their struggles, creating a bridge from emotional drowning to taking control of their lives. I believe in the power to view struggles as an opportunity to grow emotionally and interpersonally, becoming the person you aspire to be. I am a Licensed Social Worker and have been working in the mental health field for over 20 years with vast experience working with children & families, adolescents, adults, and geriatrics population
(708) 847-7150 View (708) 847-7150
Photo of Dina Owen- Psychealth Services Inc., Clinical Social Work/Therapist in Oak Brook, IL
Dina Owen- Psychealth Services Inc.
Clinical Social Work/Therapist, LCSW
Verified Verified
Oak Brook, IL 60523
Are you experiencing family conflict? Is your relationship falling apart? Do you find yourself overwhelmed and burned out, struggling to maintain balance in your life? If your personal life, school, or work life is suffering, I am here to help. I am an experienced mental health therapist who specializes in working with young adults and adults seeking to rewrite the narrative of their lives. I understand that life can present us with challenges that seem insurmountable. My mission is to be your partner in this journey of self-discovery and growth.
Are you experiencing family conflict? Is your relationship falling apart? Do you find yourself overwhelmed and burned out, struggling to maintain balance in your life? If your personal life, school, or work life is suffering, I am here to help. I am an experienced mental health therapist who specializes in working with young adults and adults seeking to rewrite the narrative of their lives. I understand that life can present us with challenges that seem insurmountable. My mission is to be your partner in this journey of self-discovery and growth.
(708) 546-3811 View (708) 546-3811
Photo of Kathleen Griffin, Counselor in Oak Brook, IL
Kathleen Griffin
Counselor, LCPC, MEd
Verified Verified
Oak Brook, IL 60523  (Online Only)
I offer a genuine, compassionate and respectful relationship with clients, so they can reach greater self-awareness and insight. My goal is to help clients to reach greater satisfaction and balance with quality of life overall.
I offer a genuine, compassionate and respectful relationship with clients, so they can reach greater self-awareness and insight. My goal is to help clients to reach greater satisfaction and balance with quality of life overall.
(708) 223-8405 View (708) 223-8405
Don Mitckess
Licensed Clinical Professional Counselor, LCPC, CRADC
Verified Verified
Oak Brook, IL 60523
Not accepting new clients
Seeking a therapist can sometimes feel like an overwhelming process and I commend you for taking this first step towards change and healing! I have had the privilege of working in the behavioral health field for over 30 years and hope that my experience can aid you in your journey. I have experience working with adults with concerns including depression, anxiety, self-harm, eating disorders, substance use and co-occurring issues.
Seeking a therapist can sometimes feel like an overwhelming process and I commend you for taking this first step towards change and healing! I have had the privilege of working in the behavioral health field for over 30 years and hope that my experience can aid you in your journey. I have experience working with adults with concerns including depression, anxiety, self-harm, eating disorders, substance use and co-occurring issues.
(630) 349-4575 View (630) 349-4575
Photo of Donna Loza, Midwest Center for Hope & Healing, Ltd, Counselor in Oak Brook, IL
Donna Loza, Midwest Center for Hope & Healing, Ltd
Counselor, LCPC, CADC, CODP I
Verified Verified
1 Endorsed
Oak Brook, IL 60523
Donna aligns closely with Adlerian, Cognitive behavioral and Dialectical Behavioral therapy. Adlerian theory has been shown in research for treating multiple mental health conditions: anxiety, depression, grief, eating disorders, personality disorders, schizophrenic, and substance abuse disorders. Adlerian theory suggests that people are driven by a need to feel that they matter, and they belong. How do you want to grow as a person, what are your dreams and goals? Donna is passionate about offering a non-judgmental, supportive environment to men, women, couples and children; ages four and up.
Donna aligns closely with Adlerian, Cognitive behavioral and Dialectical Behavioral therapy. Adlerian theory has been shown in research for treating multiple mental health conditions: anxiety, depression, grief, eating disorders, personality disorders, schizophrenic, and substance abuse disorders. Adlerian theory suggests that people are driven by a need to feel that they matter, and they belong. How do you want to grow as a person, what are your dreams and goals? Donna is passionate about offering a non-judgmental, supportive environment to men, women, couples and children; ages four and up.
(630) 748-7709 View (630) 748-7709
Photo of Bri Keating, Pre-Licensed Professional in Oak Brook, IL
Bri Keating
Pre-Licensed Professional, MSEd
Verified Verified
Oak Brook, IL 60523
Bri is a mental health therapist with over a decade of experience in treating children and adolescents. She is committed to helping families overcome a range of mental and behavioral health challenges. Bri strongly advocates for children’s mental well-being and provides unparalleled treatment to every child under her care. She is passionate about empowering her clients to reach their goals and improve their quality of life.
Bri is a mental health therapist with over a decade of experience in treating children and adolescents. She is committed to helping families overcome a range of mental and behavioral health challenges. Bri strongly advocates for children’s mental well-being and provides unparalleled treatment to every child under her care. She is passionate about empowering her clients to reach their goals and improve their quality of life.
(630) 864-6654 View (630) 864-6654
Photo of Amy Brink, Licensed Professional Counselor in Oak Brook, IL
Amy Brink
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Oak Brook, IL 60523
I aim to help children, adolescents, and adults navigate family conflict issues, trauma, mood disorders, grief, loss, relational distress, life transitions, and stress management challenges. Healing and growth take place in the context of relationships, and together we will build one based on warmth, trust, and authenticity. My goal in every session is to provide a safe space of support and encouragement to help you become aware of who you are, what you want, where you are heading, and what is getting in your way. Together we will work to help you discover your strengths and develop skills to achieve your goals.
I aim to help children, adolescents, and adults navigate family conflict issues, trauma, mood disorders, grief, loss, relational distress, life transitions, and stress management challenges. Healing and growth take place in the context of relationships, and together we will build one based on warmth, trust, and authenticity. My goal in every session is to provide a safe space of support and encouragement to help you become aware of who you are, what you want, where you are heading, and what is getting in your way. Together we will work to help you discover your strengths and develop skills to achieve your goals.
(630) 534-9912 View (630) 534-9912
Photo of Madeline Malabanan, Counselor in Oak Brook, IL
Madeline Malabanan
Counselor, MA, LCPC, NCC
Verified Verified
Oak Brook, IL 60523
Often times we look back on our past with disdain and dwell on “what ifs” and fall into second-guessing ourselves. In my work with you, we will focus on how you can accept and make peace with your past, while also learning from past situations. I believe that everyone has a story to tell and can learn to embrace their past as a stepping stone for a brighter tomorrow. My goal is to create an open and safe environment where you can: raise your concerns, fears and needs; become more accepting of yourself; clarify your goals; and determine how you can work to achieve your goals and resolve current challenges.
Often times we look back on our past with disdain and dwell on “what ifs” and fall into second-guessing ourselves. In my work with you, we will focus on how you can accept and make peace with your past, while also learning from past situations. I believe that everyone has a story to tell and can learn to embrace their past as a stepping stone for a brighter tomorrow. My goal is to create an open and safe environment where you can: raise your concerns, fears and needs; become more accepting of yourself; clarify your goals; and determine how you can work to achieve your goals and resolve current challenges.
(331) 244-7842 x37 View (331) 244-7842 x37
Photo of Paula J. Butler, Marriage & Family Therapist in Oak Brook, IL
Paula J. Butler
Marriage & Family Therapist, MS, LMFT, CADC, MAC, C Supv
Verified Verified
Oak Brook, IL 60523
"In any given moment we have two options: to step forward into growth or step back into safety" (Abraham Maslow). Deciding to make changes in one's life takes courage. For many of us life can be difficult. Whether it's addiction, depression, relationship issues or just the fears and insecurities of life, we all have challenges we must face. Therapy is meant to be a safe place where we are able to find courage to walk through these challenges and to find real hope with practical help.
"In any given moment we have two options: to step forward into growth or step back into safety" (Abraham Maslow). Deciding to make changes in one's life takes courage. For many of us life can be difficult. Whether it's addiction, depression, relationship issues or just the fears and insecurities of life, we all have challenges we must face. Therapy is meant to be a safe place where we are able to find courage to walk through these challenges and to find real hope with practical help.
(847) 440-3620 View (847) 440-3620
Photo of Latechia Hester, Counselor in Oak Brook, IL
Latechia Hester
Counselor, NCC, LCPC, CRADC
Verified Verified
Oak Brook, IL 60523
Metamorphosis is the process of change into something adult, mature, and breathtaking! I'd like to think that I have been entrusted by my clients to help them transition into living a better quality of life, so they may spread their wings and fly! My goal is to uplift, empower, teach, and motivate those who struggle to work toward living a healthier and happier lifestyle.
Metamorphosis is the process of change into something adult, mature, and breathtaking! I'd like to think that I have been entrusted by my clients to help them transition into living a better quality of life, so they may spread their wings and fly! My goal is to uplift, empower, teach, and motivate those who struggle to work toward living a healthier and happier lifestyle.
(630) 394-8368 View (630) 394-8368
Photo of Carmen Lynas - Advanced Therapeutic Solutions, Psychologist in Oak Brook, IL
Carmen Lynas - Advanced Therapeutic Solutions
Psychologist, PhD
Verified Verified
Oak Brook, IL 60523
We provide evidence-based CBT/Exposure Therapy for anxiety disorders, specializing in social anxiety, selective mutism, separation anxiety, panic disorder, & related issues. The goal is to live a valued life in the presence of anxiety and, to do this, we treat the anxious-avoidance cycle you may find yourself in. Anxious avoidance is when a person avoids something that makes them anxious (which is normal and expected). However, when avoidance interferes with your life and keeps you from living out your goals, that’s when avoidance (not anxiety) becomes problematic. We are specialists who can help you learn how to approach vs avoid.
We provide evidence-based CBT/Exposure Therapy for anxiety disorders, specializing in social anxiety, selective mutism, separation anxiety, panic disorder, & related issues. The goal is to live a valued life in the presence of anxiety and, to do this, we treat the anxious-avoidance cycle you may find yourself in. Anxious avoidance is when a person avoids something that makes them anxious (which is normal and expected). However, when avoidance interferes with your life and keeps you from living out your goals, that’s when avoidance (not anxiety) becomes problematic. We are specialists who can help you learn how to approach vs avoid.
(331) 244-4974 View (331) 244-4974

How does your Therapist compare?

Number of Therapists in Oak Brook, IL

200+

Average cost per session

$150

Therapists in Oak Brook, IL who prioritize treating:

92% Anxiety
90% Depression
80% Relationship Issues
79% Self Esteem
70% Coping Skills
69% Trauma and PTSD
64% Stress

Average years in practice

14 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
63% Aetna
58% Cigna and Evernorth

How Therapists in Oak Brook, IL see their clients

85% In Person and Online
15% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Oak Brook?

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.