Therapists in Suffolk, VA

Photo of Layla Gray, Licensed Professional Counselor in Suffolk, VA
Layla Gray
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Suffolk, VA 23435  (Online Only)
I love what I do as much as I did when I entered the field more than 15 years ago. My goal is to engage, educate, encourage, and empower those I work with. I am creative in how I do this so that I can connect with each of my clients. I don't simply hear what my clients say. Instead, I strive to understand how they think, what they are feeling, and how they view relationships and the world in general. It is my belief that only once these points are understood can I extend meaningful support that can illicit changes the client seeks.
I love what I do as much as I did when I entered the field more than 15 years ago. My goal is to engage, educate, encourage, and empower those I work with. I am creative in how I do this so that I can connect with each of my clients. I don't simply hear what my clients say. Instead, I strive to understand how they think, what they are feeling, and how they view relationships and the world in general. It is my belief that only once these points are understood can I extend meaningful support that can illicit changes the client seeks.
(757) 571-8248 View (757) 571-8248
Photo of Symphony Counseling, Licensed Professional Counselor in Suffolk, VA
Symphony Counseling
Licensed Professional Counselor, LPC
Verified Verified
Suffolk, VA 23434  (Online Only)
Therapy helps to improve lives in a meaningful way (have better relationships with friends, family members and partners, improve our self-esteem), rather than offering just symptom relief. I work to help you identify issues, problems and patterns, but also implement skills and tools to make changes to these patterns. I’ll support you in mastering these essential skills, so that you can create a life beyond what you believed possible for yourself.
Therapy helps to improve lives in a meaningful way (have better relationships with friends, family members and partners, improve our self-esteem), rather than offering just symptom relief. I work to help you identify issues, problems and patterns, but also implement skills and tools to make changes to these patterns. I’ll support you in mastering these essential skills, so that you can create a life beyond what you believed possible for yourself.
(757) 330-4356 View (757) 330-4356
Photo of Latifah Whitfield, Pre-Licensed Professional in Suffolk, VA
Latifah Whitfield
Pre-Licensed Professional
Verified Verified
Suffolk, VA 23434
Are you anxious, concerned about your future, or experiencing unhealthy relational bonds? I can help you with those challenges and bring clarity to situations that are unclear. Building confidence, breaking through obstacles, and creating healthy relational bonds is the foundation for successful relationships. Sometimes we judge ourselves according to the relationships we maintain and if they are negative, we will experience those negative emotions towards ourselves. I'm sure you want to be happy, increase your level of confidence, and gain emotional control. Everything you want for yourself is attainable!
Are you anxious, concerned about your future, or experiencing unhealthy relational bonds? I can help you with those challenges and bring clarity to situations that are unclear. Building confidence, breaking through obstacles, and creating healthy relational bonds is the foundation for successful relationships. Sometimes we judge ourselves according to the relationships we maintain and if they are negative, we will experience those negative emotions towards ourselves. I'm sure you want to be happy, increase your level of confidence, and gain emotional control. Everything you want for yourself is attainable!
(757) 350-8533 View (757) 350-8533
Photo of Erin May, Resident in Counseling in Suffolk, VA
Erin May
Resident in Counseling, LMHP, R
Verified Verified
Suffolk, VA 23435
Are you feeling unhappy, stuck or overwhelmed? Are you struggling with relationship issues, work stress or challenges with family members? Together, we can explore your current behaviors and beliefs and begin to unpack how your experiences from the past may be impeding your ability to live peacefully and purposefully in the present. I have worked with individuals from many walks of life for over 18 years. Many times, life transitions, feelings of loneliness, isolation, sadness, and anxiety can lead to one feeling unable to get the traction needed to be able to accomplish many of the goals they have set for themselves.
Are you feeling unhappy, stuck or overwhelmed? Are you struggling with relationship issues, work stress or challenges with family members? Together, we can explore your current behaviors and beliefs and begin to unpack how your experiences from the past may be impeding your ability to live peacefully and purposefully in the present. I have worked with individuals from many walks of life for over 18 years. Many times, life transitions, feelings of loneliness, isolation, sadness, and anxiety can lead to one feeling unable to get the traction needed to be able to accomplish many of the goals they have set for themselves.
(757) 347-4219 View (757) 347-4219
Photo of Carole Lee, Licensed Professional Counselor in Suffolk, VA
Carole Lee
Licensed Professional Counselor, MA, NCC, CCMHC
Verified Verified
Suffolk, VA 23434
Depression...Despair...Overwhelming fear or anxiety. All of these things, and many others, can derail your life and make it more difficult to carry out ordinary tasks. But there is hope. Barriers can be removed, and perspectives adjusted to change and solve problems. I provide a safe environment in which to explore the issues standing in your way, and help you work towards finding your own, personalized way to overcome them.
Depression...Despair...Overwhelming fear or anxiety. All of these things, and many others, can derail your life and make it more difficult to carry out ordinary tasks. But there is hope. Barriers can be removed, and perspectives adjusted to change and solve problems. I provide a safe environment in which to explore the issues standing in your way, and help you work towards finding your own, personalized way to overcome them.
(757) 785-0862 View (757) 785-0862
Photo of Your Mental Health Matters LLC, Licensed Professional Counselor in Suffolk, VA
Your Mental Health Matters LLC
Licensed Professional Counselor, MA , LPC
Verified Verified
1 Endorsed
Suffolk, VA 23435
We know that life gets difficult and overwhelming at times. At times, it can feel like you are drowning, but we want to equip you with the tools you need to keep swimming during life's most challenging times.
We know that life gets difficult and overwhelming at times. At times, it can feel like you are drowning, but we want to equip you with the tools you need to keep swimming during life's most challenging times.
(757) 798-7265 View (757) 798-7265
Photo of Dr. Fred Scott, Licensed Professional Counselor in Suffolk, VA
Dr. Fred Scott
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
1 Endorsed
Suffolk, VA 23434  (Online Only)
Waitlist for new clients
Dr. Fred Scott is an accomplished Licensed Professional Counselor with years of experience in the mental health field. His expertise lies in utilizing solution-focused brief therapy, a unique approach that emphasizes client collaboration and prompt problem-solving. Dr. Scott offers a range of virtual therapy services, encompassing individual sessions for both new and existing patients. He also provides specialized virtual couples therapy, allowing couples to access professional support from the comfort of their own homes.
Dr. Fred Scott is an accomplished Licensed Professional Counselor with years of experience in the mental health field. His expertise lies in utilizing solution-focused brief therapy, a unique approach that emphasizes client collaboration and prompt problem-solving. Dr. Scott offers a range of virtual therapy services, encompassing individual sessions for both new and existing patients. He also provides specialized virtual couples therapy, allowing couples to access professional support from the comfort of their own homes.
(757) 909-5917 View (757) 909-5917
Photo of Dr. Porcha Porter, Clinical Social Work/Therapist in Suffolk, VA
Dr. Porcha Porter
Clinical Social Work/Therapist, LCSW, DSW
Verified Verified
Suffolk, VA 23435  (Online Only)
I am licensed in Virginia with seven years of professional work experience. I have experience in helping children, teens, adults, and couples with stress and anxiety, coping with addictions, LGBT-related issues, life transitions, domestic violence survivors, trauma & depression. I work with my clients to create an open and relaxed environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to sign up for therapy takes courage, and I am excited that you have chosen me to be a part of your healing journey.
I am licensed in Virginia with seven years of professional work experience. I have experience in helping children, teens, adults, and couples with stress and anxiety, coping with addictions, LGBT-related issues, life transitions, domestic violence survivors, trauma & depression. I work with my clients to create an open and relaxed environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to sign up for therapy takes courage, and I am excited that you have chosen me to be a part of your healing journey.
(757) 908-3739 View (757) 908-3739
Photo of Sherrial Swiney, Pre-Licensed Professional in Suffolk, VA
Sherrial Swiney
Pre-Licensed Professional, MSW , LCSW-S
Verified Verified
Suffolk, VA 23435  (Online Only)
I strive to create emotional safety and comfortability for my clients. I have experience working with individuals and families affected by the stressors of life. I provide compassion that allows you to open up about the traumatic experiences you've endured that prevent you from rising to your authentic self. This environment presents a safe space to explore your troubles, create and achieve goals, establish healthy boundaries, strengthen your interpersonal relationships, and build your self-confidence.
I strive to create emotional safety and comfortability for my clients. I have experience working with individuals and families affected by the stressors of life. I provide compassion that allows you to open up about the traumatic experiences you've endured that prevent you from rising to your authentic self. This environment presents a safe space to explore your troubles, create and achieve goals, establish healthy boundaries, strengthen your interpersonal relationships, and build your self-confidence.
(757) 835-3692 View (757) 835-3692
Photo of We Are Chosen LLC, Clinical Social Work/Therapist in Suffolk, VA
We Are Chosen LLC
Clinical Social Work/Therapist, MSW, LCSW, CGIP
Verified Verified
1 Endorsed
Suffolk, VA 23434  (Online Only)
Hello! I am a licensed clinical social worker in the state of Virginia. I provide virtual counseling via tele-health technology with a focus on person-centered and christian counseling. I specialize in helping individuals address symptoms of grief, depression, anxiety, post traumatic stress (PTSD), trauma, anger management, relationship issues and parenting problems. I utilize therapeutic approaches that includes Cognitive Behavioral Therapy, Strength Based, Solution Focus Therapy, and Play Therapy.
Hello! I am a licensed clinical social worker in the state of Virginia. I provide virtual counseling via tele-health technology with a focus on person-centered and christian counseling. I specialize in helping individuals address symptoms of grief, depression, anxiety, post traumatic stress (PTSD), trauma, anger management, relationship issues and parenting problems. I utilize therapeutic approaches that includes Cognitive Behavioral Therapy, Strength Based, Solution Focus Therapy, and Play Therapy.
(757) 996-4594 View (757) 996-4594
Photo of Lifebulb Counseling & Therapy, Licensed Professional Counselor in Suffolk, VA
Lifebulb Counseling & Therapy
Licensed Professional Counselor, LPC
Verified Verified
Suffolk, VA 23432
We're confident we can help you achieve your therapy goals. We believe you're best served by a therapist passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to helping therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. Working with us, you'll get results.
We're confident we can help you achieve your therapy goals. We believe you're best served by a therapist passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to helping therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. Working with us, you'll get results.
(757) 919-1943 View (757) 919-1943
Photo of Patricia Crowder, Licensed Professional Counselor in Suffolk, VA
Patricia Crowder
Licensed Professional Counselor, LPC, CSAC
Verified Verified
Suffolk, VA 23435
Patricia Crowder, LPC, Patricia Crowder is a Licensed Professional Counselor and Certified Substance Abuse Counselor. She received her master's degree in Professional Counseling from Liberty University and her bachelor's degree in Human Services from Old Dominion University. Patricia strives to provide a safe, non-judgmental environment for patients to progress in their journey of healing. She works with patients struggling with anxiety, depression, grief, and trauma. She has worked with children placed into therapeutic foster care, military and first responders and couples.
Patricia Crowder, LPC, Patricia Crowder is a Licensed Professional Counselor and Certified Substance Abuse Counselor. She received her master's degree in Professional Counseling from Liberty University and her bachelor's degree in Human Services from Old Dominion University. Patricia strives to provide a safe, non-judgmental environment for patients to progress in their journey of healing. She works with patients struggling with anxiety, depression, grief, and trauma. She has worked with children placed into therapeutic foster care, military and first responders and couples.
(757) 859-8274 View (757) 859-8274
Photo of Chavon Blowe, Licensed Professional Counselor in Suffolk, VA
Chavon Blowe
Licensed Professional Counselor, MA, LPC, NCC, CSAC, Coach
Verified Verified
Suffolk, VA 23435  (Online Only)
In my experience, I have learned that “hitting rock bottom” does not mean the end of your life, but rather a chance to rebuild your life the way you want it. Life can get stressful and often leave one “suffocating” from the pressure. It is in those moments that you may need someone to stand in the chaos with you and help you rebuild. Life involves learning and "unlearning" ideals, habits, and ways of thinking. I have an integrated theoretical approach to meet the needs of my clients, however my primary approach is Cognitive Behavioral.
In my experience, I have learned that “hitting rock bottom” does not mean the end of your life, but rather a chance to rebuild your life the way you want it. Life can get stressful and often leave one “suffocating” from the pressure. It is in those moments that you may need someone to stand in the chaos with you and help you rebuild. Life involves learning and "unlearning" ideals, habits, and ways of thinking. I have an integrated theoretical approach to meet the needs of my clients, however my primary approach is Cognitive Behavioral.
(757) 524-8952 View (757) 524-8952
Photo of Bryce Buttrill, Pre-Licensed Professional in Suffolk, VA
Bryce Buttrill
Pre-Licensed Professional, MA
Verified Verified
Suffolk, VA 23435
I provide individualized and compassionate care using a strengths-based approach to provide my clients with the coping skills, self-awareness and the mindset they need to overcome barriers in their life. I enjoy working with children, adolescents, and adults by providing individual and family counseling.
I provide individualized and compassionate care using a strengths-based approach to provide my clients with the coping skills, self-awareness and the mindset they need to overcome barriers in their life. I enjoy working with children, adolescents, and adults by providing individual and family counseling.
(757) 520-1235 View (757) 520-1235
Photo of Cindy Vasquez, Clinical Social Work/Therapist in Suffolk, VA
Cindy Vasquez
Clinical Social Work/Therapist, LCSW
Verified Verified
Suffolk, VA 23435  (Online Only)
Overwhelmed? Trouble sleeping? Difficulties with daily tasks or decision making? Healing from loss? These situations can be very painful, and are common, especially given all the changes in our world the last two years. Unfortunately, many people are often hesitant to take the time or seek the support they need for themselves, which ends up impacting you as the individual and those around you. Together, we will find healing and understanding and you will find ways to manage your emotional pain, deal with everyday life issues as they come up; and to recognize and find meaning and purpose in your work, friendships and family.
Overwhelmed? Trouble sleeping? Difficulties with daily tasks or decision making? Healing from loss? These situations can be very painful, and are common, especially given all the changes in our world the last two years. Unfortunately, many people are often hesitant to take the time or seek the support they need for themselves, which ends up impacting you as the individual and those around you. Together, we will find healing and understanding and you will find ways to manage your emotional pain, deal with everyday life issues as they come up; and to recognize and find meaning and purpose in your work, friendships and family.
(585) 316-0637 View (585) 316-0637
Photo of Hope Holman, Clinical Social Work/Therapist in Suffolk, VA
Hope Holman
Clinical Social Work/Therapist, MSW, LCSW, RPT
Verified Verified
1 Endorsed
Suffolk, VA 23434  (Online Only)
Hi and Welcome! My name is Hope Holman. I am a Licensed Clinical Social Worker in Virginia with over 10 years of experience in the mental health field. I am a retired Navy veteran who earned my Master of Social Work at Saint Leo University. I have served clients with a wide range of concerns including; but not limited to, depression, anxiety, trauma and abuse, domestic violence, self-esteem issues, grief and loss, anger issues, relational conflict, emotional abuse, abandonment/rejection, and life changes.
Hi and Welcome! My name is Hope Holman. I am a Licensed Clinical Social Worker in Virginia with over 10 years of experience in the mental health field. I am a retired Navy veteran who earned my Master of Social Work at Saint Leo University. I have served clients with a wide range of concerns including; but not limited to, depression, anxiety, trauma and abuse, domestic violence, self-esteem issues, grief and loss, anger issues, relational conflict, emotional abuse, abandonment/rejection, and life changes.
(757) 891-6344 View (757) 891-6344
Photo of Ashanti Conner, Pre-Licensed Professional in Suffolk, VA
Ashanti Conner
Pre-Licensed Professional, MA
Verified Verified
Suffolk, VA 23434
I am passionate about equipping each client with the tools and strategies needed to thrive in life. I meet my clients on their worst day to remind them they have a reason to live every day. I believe the therapeutic process is a collaborative effort with the client and therapist. I have always had a heart for people, a helping spirit and being passionate about helping individuals find their purpose. I believe people have the ability to overcome every issue of life as long as they have an ounce of hope.
I am passionate about equipping each client with the tools and strategies needed to thrive in life. I meet my clients on their worst day to remind them they have a reason to live every day. I believe the therapeutic process is a collaborative effort with the client and therapist. I have always had a heart for people, a helping spirit and being passionate about helping individuals find their purpose. I believe people have the ability to overcome every issue of life as long as they have an ounce of hope.
(757) 520-0469 View (757) 520-0469
Photo of Courtney Snyder Elhardt, Resident in Counseling in Suffolk, VA
Courtney Snyder Elhardt
Resident in Counseling, MS, MA
Verified Verified
Suffolk, VA 23434  (Online Only)
I specialize in providing compassionate and evidence-based therapeutic support to individuals of all ages, with a particular focus on children, adolescents, and adults navigating complex mental health challenges. My clients are often someone who is seeking guidance and support in overcoming trauma, building resilience, and enhancing their overall well-being. Whether they are struggling with trauma-related issues, oppositional behavior, substance use, low self-esteem, or navigating the foster care system, my goal is to create a safe and supportive space where they can explore their thoughts, emotions, and experiences.
I specialize in providing compassionate and evidence-based therapeutic support to individuals of all ages, with a particular focus on children, adolescents, and adults navigating complex mental health challenges. My clients are often someone who is seeking guidance and support in overcoming trauma, building resilience, and enhancing their overall well-being. Whether they are struggling with trauma-related issues, oppositional behavior, substance use, low self-esteem, or navigating the foster care system, my goal is to create a safe and supportive space where they can explore their thoughts, emotions, and experiences.
(757) 859-0987 View (757) 859-0987
Photo of Margaret T Payne, Licensed Professional Counselor in Suffolk, VA
Margaret T Payne
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Suffolk, VA 23434  (Online Only)
Waitlist for new clients
I am Licensed Professional Counselor providing individual and family counseling to adolescents - adults from diverse backgrounds using a variety of individual, family, and group treatment modalities. I have a particular interest and expertise in partnering with clients who present with a variety of mental health diagnoses including (but not limited to) mood disorders, anxiety disorders, child/adolescent ADHD, problems with adjustment, as well as working with individuals hoping to gain insight into everyday issues.
I am Licensed Professional Counselor providing individual and family counseling to adolescents - adults from diverse backgrounds using a variety of individual, family, and group treatment modalities. I have a particular interest and expertise in partnering with clients who present with a variety of mental health diagnoses including (but not limited to) mood disorders, anxiety disorders, child/adolescent ADHD, problems with adjustment, as well as working with individuals hoping to gain insight into everyday issues.
(757) 505-7515 View (757) 505-7515
Photo of Rebecca Gayheart, Pre-Licensed Professional in Suffolk, VA
Rebecca Gayheart
Pre-Licensed Professional, MSW
Verified Verified
Suffolk, VA 23434
At Release it Counseling, we understand the profound challenges that can hinder the journey to true peace, freedom, and joy. The weight of past pain and current obstacles can leave you feeling stuck, hopeless, and broken. That's why we specialize in Christian Professional counseling and life coaching, offering a pathway to healing and freedom. My passion is in helping individuals recognize the value of their lives and discover a profound purpose. My passion also extends to working with military families, understanding the unique challenges they face. I am committed to being a source of strength for those who serve our country.
At Release it Counseling, we understand the profound challenges that can hinder the journey to true peace, freedom, and joy. The weight of past pain and current obstacles can leave you feeling stuck, hopeless, and broken. That's why we specialize in Christian Professional counseling and life coaching, offering a pathway to healing and freedom. My passion is in helping individuals recognize the value of their lives and discover a profound purpose. My passion also extends to working with military families, understanding the unique challenges they face. I am committed to being a source of strength for those who serve our country.
(757) 699-1339 x2 View (757) 699-1339 x2

How does your Therapist compare?

Number of Therapists in Suffolk, VA

100+

Average cost per session

$120

Therapists in Suffolk, VA who prioritize treating:

89% Anxiety
82% Depression
75% Self Esteem
72% Trauma and PTSD
71% Relationship Issues
71% Stress
66% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

84% Anthem | Elevance
82% Aetna
82% BlueCross and BlueShield

How Therapists in Suffolk, VA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

92% Female
8% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Suffolk?

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.