Therapists in Apex, NC

Photo of Brett Maher, Psychologist in Apex, NC
Brett Maher
Psychologist, PsyD
Verified Verified
1 Endorsed
Apex, NC 27502
Are you feeling like your life needs a change but you are not sure where to start? It seems, as life becomes more complex, more and more people are suffering from the devastating effects of stress, depression and anxiety and can benefit from the support and insight that therapy provides. I am a NC Licensed Psychologist working clinically with a wide range of ages and issues. I've worked in the field for 20 years, in schools, day treatment, and the private practice setting with adults, families, couples and children; focusing on adjustment difficulties, relationship problems, childhood abuse and maladaptive coping.
Are you feeling like your life needs a change but you are not sure where to start? It seems, as life becomes more complex, more and more people are suffering from the devastating effects of stress, depression and anxiety and can benefit from the support and insight that therapy provides. I am a NC Licensed Psychologist working clinically with a wide range of ages and issues. I've worked in the field for 20 years, in schools, day treatment, and the private practice setting with adults, families, couples and children; focusing on adjustment difficulties, relationship problems, childhood abuse and maladaptive coping.
(919) 429-8751 View (919) 429-8751
Photo of Rebecca Harrison, Counselor in Apex, NC
Rebecca Harrison
Counselor, LCMHCA
Verified Verified
Apex, NC 27523
Take a second and think, "What brought me here?" Are life's demands causing you added stress? Are you feeling a lack of control over the direction your life is heading? Do you feel like you are walking through life without actually living it? If you answered yes to any of these questions, counseling can help address your concerns and provide you with the skills and resources needed to feel better and thrive.
Take a second and think, "What brought me here?" Are life's demands causing you added stress? Are you feeling a lack of control over the direction your life is heading? Do you feel like you are walking through life without actually living it? If you answered yes to any of these questions, counseling can help address your concerns and provide you with the skills and resources needed to feel better and thrive.
(984) 305-3376 View (984) 305-3376
Photo of Christina Cooper Leadership Coach | Speaker | Consultant, Clinical Social Work/Therapist in Apex, NC
Christina Cooper Leadership Coach | Speaker | Consultant
Clinical Social Work/Therapist
Verified Verified
2 Endorsed
Apex, NC 27502
Are you in a season of your professional journey where you want more? Have you been living to please others and as a result are living your life on "empty". Are you sick of coming against the same challenges over and over again in your relationships, friendships, and work? Are you struggling to establish and maintain healthy relationships, but can't pinpoint why you're dissatisfied in the areas of your life that matter to you?
Are you in a season of your professional journey where you want more? Have you been living to please others and as a result are living your life on "empty". Are you sick of coming against the same challenges over and over again in your relationships, friendships, and work? Are you struggling to establish and maintain healthy relationships, but can't pinpoint why you're dissatisfied in the areas of your life that matter to you?
(919) 626-3379 View (919) 626-3379
Photo of Katherine Conlon Hutchinson, Psychologist in Apex, NC
Katherine Conlon Hutchinson
Psychologist, PhD, CDWF-C
Verified Verified
Apex, NC 27502
Not accepting new clients
I am licensed psychologist with an interest and expertise in anxiety, depression and family/parenting stress. I also treat perinatal anxiety and mood disorders, including postpartum depression. I am particularly passionate about women's mental health across the lifespan, from teen to older adult.
I am licensed psychologist with an interest and expertise in anxiety, depression and family/parenting stress. I also treat perinatal anxiety and mood disorders, including postpartum depression. I am particularly passionate about women's mental health across the lifespan, from teen to older adult.
(919) 303-0377 View (919) 303-0377
Photo of Kamini Wood Certified Life Coach in Apex, NC
Kamini Wood Certified Life Coach
CLC, CWC, CPM
Verified Verified
Apex, NC 27523
Meet Kamini Wood, an AADP Certified Life and Wellness Coach - Kamini’s mission is to guide her clients in nurturing their mental, emotional, physical and strategic plans for their lives. She works collaboratively with her clients to address both external goals and challenges, as well as the internal responses, thoughts and behaviors that may hinder their desired results. Internal obstacles that get in the way include lack of boundaries, people-pleasing, over giving, over functioning, hyper achievement, perfectionism, procrastination, burnout. She works with teens through adults.
Meet Kamini Wood, an AADP Certified Life and Wellness Coach - Kamini’s mission is to guide her clients in nurturing their mental, emotional, physical and strategic plans for their lives. She works collaboratively with her clients to address both external goals and challenges, as well as the internal responses, thoughts and behaviors that may hinder their desired results. Internal obstacles that get in the way include lack of boundaries, people-pleasing, over giving, over functioning, hyper achievement, perfectionism, procrastination, burnout. She works with teens through adults.
(984) 209-1229 View (984) 209-1229
Photo of Corinne Fisher-LaRoche, Clinical Social Work/Therapist in Apex, NC
Corinne Fisher-LaRoche
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Apex, NC 27502
Therapy can help you overcome and cope with a number of challenges. It is my hope that you feel empowered after each session with tools that will last a lifetime. I have 25 yrs as a psychotherapist. Before moving to NC I had a private practice in northern CA and still maintain my license in CA and see clients remotely. Over the years I have broadened my client population to adolescents as well as adults. My specialty is anxiety but I see clients with a range of clinical issues or simply just coping with life events and transitions. Additionally, I am certified to provide clinical supervision to clinicians seeking their LCSW in NC
Therapy can help you overcome and cope with a number of challenges. It is my hope that you feel empowered after each session with tools that will last a lifetime. I have 25 yrs as a psychotherapist. Before moving to NC I had a private practice in northern CA and still maintain my license in CA and see clients remotely. Over the years I have broadened my client population to adolescents as well as adults. My specialty is anxiety but I see clients with a range of clinical issues or simply just coping with life events and transitions. Additionally, I am certified to provide clinical supervision to clinicians seeking their LCSW in NC
(919) 885-1149 View (919) 885-1149
Photo of Taylor Trull, Lic Clinical Mental Health Counselor Associate in Apex, NC
Taylor Trull
Lic Clinical Mental Health Counselor Associate, MA, NCC, LCMHC-A
Verified Verified
1 Endorsed
Apex, NC 27502
I applaud you for recognizing you need help and taking that first step- that's an accomplishment on it's own! Life can be so hard. It is my goal to provide you a safe environment for us to journey down the path of change. I always want to make the therapeutic space a safe space for you to share, heal and grow. I have worked with a wide range of ages, demographics, backgrounds, etc. and seen amazing results. I have a lot of experience working with depression, anxiety, OCD, ED, PTSD, ADHD, schizophrenia, and so much more! This is my life's passion; I am here for you!
I applaud you for recognizing you need help and taking that first step- that's an accomplishment on it's own! Life can be so hard. It is my goal to provide you a safe environment for us to journey down the path of change. I always want to make the therapeutic space a safe space for you to share, heal and grow. I have worked with a wide range of ages, demographics, backgrounds, etc. and seen amazing results. I have a lot of experience working with depression, anxiety, OCD, ED, PTSD, ADHD, schizophrenia, and so much more! This is my life's passion; I am here for you!
(984) 600-0978 View (984) 600-0978
Photo of Antonia Leonore Verhine, Clinical Social Work/Therapist in Apex, NC
Antonia Leonore Verhine
Clinical Social Work/Therapist, LCSW, LCASA, CIMHP
Verified Verified
2 Endorsed
Apex, NC 27502
I am a licensed clinical social worker, addiction specialist associate, and certified integrative mental health provider who takes a holistic and trauma-informed approach to treating mental health and substance abuse disorders. Currently, I am going through training to become a certified ketamine-assisted psychotherapy provider. I have experience working with clients on a variety of issues, such as anxiety and panic disorders, depression, personal growth and self-esteem, general relationship challenges (family, friends, co-workers), and Addiction and substance misuse.
I am a licensed clinical social worker, addiction specialist associate, and certified integrative mental health provider who takes a holistic and trauma-informed approach to treating mental health and substance abuse disorders. Currently, I am going through training to become a certified ketamine-assisted psychotherapy provider. I have experience working with clients on a variety of issues, such as anxiety and panic disorders, depression, personal growth and self-esteem, general relationship challenges (family, friends, co-workers), and Addiction and substance misuse.
(984) 368-4697 View (984) 368-4697
Photo of Jamie Stashko, Psychologist in Apex, NC
Jamie Stashko
Psychologist, PsyD
Verified Verified
Apex, NC 27502
Dr. Jamie Stashko is returning to Peak City Psychology after spending the last few years raising her young family. She has undergone specialty training in the treatment of Postpartum Mood and Anxiety Disorders and advanced training in Interpersonal Psychotherapy (IPT). She is excited to support women experiencing challenges related to pregnancy, pregnancy loss, and mothering and partnering in the context of a new birth.
Dr. Jamie Stashko is returning to Peak City Psychology after spending the last few years raising her young family. She has undergone specialty training in the treatment of Postpartum Mood and Anxiety Disorders and advanced training in Interpersonal Psychotherapy (IPT). She is excited to support women experiencing challenges related to pregnancy, pregnancy loss, and mothering and partnering in the context of a new birth.
(919) 737-2098 View (919) 737-2098
Photo of Sarah E Moore, Clinical Social Work/Therapist in Apex, NC
Sarah E Moore
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Apex, NC 27502
It is brave for you to be here and willing to take steps to have more from life. Many of us were taught that we just need to try harder. Often, I find that we need to try differently instead of harder. Struggling in quicksand will not get you out. Navigating our world is scary, painful, and often lonely. Whether relationship issues, perfectionism, parenting challenges, impossible expectation, or trying to be you in an unaccepting world, you do not have to struggle alone. I would be honored to come beside you and be a part of your journey towards something more fulfilling.
It is brave for you to be here and willing to take steps to have more from life. Many of us were taught that we just need to try harder. Often, I find that we need to try differently instead of harder. Struggling in quicksand will not get you out. Navigating our world is scary, painful, and often lonely. Whether relationship issues, perfectionism, parenting challenges, impossible expectation, or trying to be you in an unaccepting world, you do not have to struggle alone. I would be honored to come beside you and be a part of your journey towards something more fulfilling.
(919) 695-9112 View (919) 695-9112
Photo of Melissa Martell Senior, Psychologist in Apex, NC
Melissa Martell Senior
Psychologist, PhD, LP, HSP-P
Verified Verified
1 Endorsed
Apex, NC 27502
Waitlist for new clients
Melissa has over ten years of experience in completing comprehensive psychological evaluations for children, adolescents, and young adults. She developed a unique point of view on how schools, parents, and therapists can work most effectively together due to hands-on years of experience in both school systems and private practice. Each evaluation that Melissa completes is tailored to the unique referral questions to improve daily functioning and wellness. Melissa believes evaluations should be multifaceted to better understand one’s difficulties and strengths and identify evidence-based interventions and supports.
Melissa has over ten years of experience in completing comprehensive psychological evaluations for children, adolescents, and young adults. She developed a unique point of view on how schools, parents, and therapists can work most effectively together due to hands-on years of experience in both school systems and private practice. Each evaluation that Melissa completes is tailored to the unique referral questions to improve daily functioning and wellness. Melissa believes evaluations should be multifaceted to better understand one’s difficulties and strengths and identify evidence-based interventions and supports.
(984) 266-2439 View (984) 266-2439
Photo of Julianne Evans, Lic Clinical Mental Health Counselor Supervisor in Apex, NC
Julianne Evans
Lic Clinical Mental Health Counselor Supervisor, MA, LCMHCS
Verified Verified
1 Endorsed
Apex, NC 27523
Do you struggle with people-pleasing tendencies that affect your relationships with others? Do you tend to put others' feelings and needs before your own? Do you struggle with setting boundaries and often avoid conflict? Now more than ever, people are feeling overwhelmed by the need to “do it all”. Putting others' needs before your own and not taking care of yourself can lead to long-term negative effects on your physical and mental health. I believe that there is hope and encourage others to “fill their cup”!
Do you struggle with people-pleasing tendencies that affect your relationships with others? Do you tend to put others' feelings and needs before your own? Do you struggle with setting boundaries and often avoid conflict? Now more than ever, people are feeling overwhelmed by the need to “do it all”. Putting others' needs before your own and not taking care of yourself can lead to long-term negative effects on your physical and mental health. I believe that there is hope and encourage others to “fill their cup”!
(919) 858-2682 View (919) 858-2682
Photo of Jennifer Lieberman Schiappa, Clinical Social Work/Therapist in Apex, NC
Jennifer Lieberman Schiappa
Clinical Social Work/Therapist, LCSW
Verified Verified
Apex, NC 27502  (Online Only)
I work with clients ages 15 on up struggling with depression, anxiety, trauma, and life changes who desire to improve mood and learn healthy coping skills. I have experience working with people on the autism spectrum as well as people diagnosed with ADHD, bipolar disorder, and PTSD. LGBTQIA+ friendly. "You don't have to control your thoughts. You just have to stop letting them control you." -Dan Millman
I work with clients ages 15 on up struggling with depression, anxiety, trauma, and life changes who desire to improve mood and learn healthy coping skills. I have experience working with people on the autism spectrum as well as people diagnosed with ADHD, bipolar disorder, and PTSD. LGBTQIA+ friendly. "You don't have to control your thoughts. You just have to stop letting them control you." -Dan Millman
(919) 635-1854 View (919) 635-1854
Photo of Lisa Yates, Counselor in Apex, NC
Lisa Yates
Counselor, LCMHC-A
Verified Verified
1 Endorsed
Apex, NC 27502  (Online Only)
I believe all individuals deserve respect and dignity. I am passionate in regards to processing experiences and navigating options for moving forward. I believe, as individuals, we function as a whole through physical, emotional, cognitive, and spiritual values and priorities. My goal is to create an environment in which these can be investigated, processed, and utilized in planning and moving forward into a functional and meaningful life.
I believe all individuals deserve respect and dignity. I am passionate in regards to processing experiences and navigating options for moving forward. I believe, as individuals, we function as a whole through physical, emotional, cognitive, and spiritual values and priorities. My goal is to create an environment in which these can be investigated, processed, and utilized in planning and moving forward into a functional and meaningful life.
(984) 205-5591 View (984) 205-5591
Photo of Joyful Art Therapy LLC, Art Therapist in Apex, NC
Joyful Art Therapy LLC
Art Therapist, MA, NBCT, ATR-P, LCMHCA
Verified Verified
Apex, NC 27502
I am Vivian Magarino-Gomez and have a M.A. in Art Therapy/Transpersonal Counseling Psychology-which offers clients the best of both eastern and western psychology. With 12 years of mental health experience and 16 years as a public school educator, I offer individual, group, and family therapy for clients age 2-60+ with needs ranging from abuse, trauma, ADHD, gang involvement, PTSD, depression, anxiety, addiction, emerging sexuality issues, and neurodivergence. My past working in emergency services, school-based therapy, day treatment, group homes, and inpatient, fuels my holistic client-centered approach in outpatient art therapy.
I am Vivian Magarino-Gomez and have a M.A. in Art Therapy/Transpersonal Counseling Psychology-which offers clients the best of both eastern and western psychology. With 12 years of mental health experience and 16 years as a public school educator, I offer individual, group, and family therapy for clients age 2-60+ with needs ranging from abuse, trauma, ADHD, gang involvement, PTSD, depression, anxiety, addiction, emerging sexuality issues, and neurodivergence. My past working in emergency services, school-based therapy, day treatment, group homes, and inpatient, fuels my holistic client-centered approach in outpatient art therapy.
(919) 343-5479 View (919) 343-5479
Photo of Marina Harris, Psychologist in Apex, NC
Marina Harris
Psychologist, PhD, HSP-P
Verified Verified
Apex, NC 27502  (Online Only)
Are you or your teenager chronically overwhelmed? Do you constantly worry about eating the "right" things? Do you put high expectations on yourself to achieve, then beat yourself up if you don't meet those expectations? Whether it's big stress, big feelings, or big competitions, I can help. Most clients come to see me for anxiety, sport psychology, and eating disorders.
Are you or your teenager chronically overwhelmed? Do you constantly worry about eating the "right" things? Do you put high expectations on yourself to achieve, then beat yourself up if you don't meet those expectations? Whether it's big stress, big feelings, or big competitions, I can help. Most clients come to see me for anxiety, sport psychology, and eating disorders.
(919) 504-5592 View (919) 504-5592
Photo of Adria Sullivan, Licensed Professional Counselor in Apex, NC
Adria Sullivan
Licensed Professional Counselor, LCMHC
Verified Verified
3 Endorsed
Apex, NC 27502
It can be exhausting to feel like you've tried it all and keep getting the same results. While on the outside, you seem to have it together, on the inside, you're dealing with chaos. You've tried to set goals, but your mind is too scattered to be consistent. I can support and empower you to be a more healed and powerful version of yourself and break free from sabotaging behaviors. In a world where most people wear masks, it's a privilege to see a soul. This is how I see my role as your therapist. To see past your pain and help you uncover your true inner light.
It can be exhausting to feel like you've tried it all and keep getting the same results. While on the outside, you seem to have it together, on the inside, you're dealing with chaos. You've tried to set goals, but your mind is too scattered to be consistent. I can support and empower you to be a more healed and powerful version of yourself and break free from sabotaging behaviors. In a world where most people wear masks, it's a privilege to see a soul. This is how I see my role as your therapist. To see past your pain and help you uncover your true inner light.
(919) 335-7536 View (919) 335-7536
Photo of Shreya Gunna, Licensed Clinical Mental Health Counselor in Apex, NC
Shreya Gunna
Licensed Clinical Mental Health Counselor, MS, LCMHC, CRC
Verified Verified
Apex, NC 27502
I specialize in working with adolescents and adults dealing with generalized/social anxiety, depression, low self-esteem, trauma, life transitions/building independent living skills, healthy decision making, grief/loss, and emotion management. My master’s research focused on the stigma around seeking mental health services across ethnic minority populations. Having a personal and clinical understanding of the need for mental health supports within these groups has made her passionate about utilizing a multicultural approach focused on acceptance and diverse care.
I specialize in working with adolescents and adults dealing with generalized/social anxiety, depression, low self-esteem, trauma, life transitions/building independent living skills, healthy decision making, grief/loss, and emotion management. My master’s research focused on the stigma around seeking mental health services across ethnic minority populations. Having a personal and clinical understanding of the need for mental health supports within these groups has made her passionate about utilizing a multicultural approach focused on acceptance and diverse care.
(919) 646-3574 View (919) 646-3574
Photo of Isabella Patterson, Clinical Social Work/Therapist in Apex, NC
Isabella Patterson
Clinical Social Work/Therapist, LCSW
Verified Verified
Apex, NC 27523  (Online Only)
My goal is to lend a compassionate hand to guide you through coping with the past and promoting healing for the future to achieve the best version of yourself. My passion lies in working with people from all walks of life to manage emotions and relationships. Whether you are trying to cope with a history of trauma or complexity, navigating a challenging life event or transition, or in the midst of conflict, I can help you achieve a more peaceful, fulfilling and resilient self through building on the skills you already have.
My goal is to lend a compassionate hand to guide you through coping with the past and promoting healing for the future to achieve the best version of yourself. My passion lies in working with people from all walks of life to manage emotions and relationships. Whether you are trying to cope with a history of trauma or complexity, navigating a challenging life event or transition, or in the midst of conflict, I can help you achieve a more peaceful, fulfilling and resilient self through building on the skills you already have.
(919) 629-1230 View (919) 629-1230
Photo of Yuye Zhang, Psychologist in Apex, NC
Yuye Zhang
Psychologist, PhD, HSP-P
Verified Verified
Apex, NC 27502  (Online Only)
Waitlist for new clients
We all face unique struggles and hardships in life. Whether you're going through major changes, recovering from difficult experiences, or exploring your identity, these experiences can be difficult and distressing at times. Luckily, we have the power to choose how we respond to our suffering. If you feel therapy could benefit you, I'm here to support and empower you on your journey towards a fulfilling and authentic life. I also offer diagnostic assessments and evaluations for adults. All my services will be available starting late February, 2024.
We all face unique struggles and hardships in life. Whether you're going through major changes, recovering from difficult experiences, or exploring your identity, these experiences can be difficult and distressing at times. Luckily, we have the power to choose how we respond to our suffering. If you feel therapy could benefit you, I'm here to support and empower you on your journey towards a fulfilling and authentic life. I also offer diagnostic assessments and evaluations for adults. All my services will be available starting late February, 2024.
(919) 705-0672 View (919) 705-0672

How does your Therapist compare?

Number of Therapists in Apex, NC

300+

Average cost per session

$140

Therapists in Apex, NC who prioritize treating:

93% Anxiety
86% Depression
76% Self Esteem
75% Relationship Issues
75% Coping Skills
66% Trauma and PTSD
66% Stress

Average years in practice

12 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
75% Aetna
50% Cigna and Evernorth

How Therapists in Apex, NC see their clients

77% In Person and Online
23% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Apex?

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.