Therapists in Westerville, OH
Kevin Jaworski
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Westerville, OH 43081 (Online Only)
Not accepting new clients
As a therapist specializing in OCD, I understand the pain and futility that accompanies chronic overthinking and the difficulty of being mired in the same unhelpful behaviors and emotions. I understand the bewilderment of not knowing what could help, as well as the frustration of knowing, yet still feeling unable to move forward. We want agency over ourselves and our lives, but we also want to be able to let go of that which is out of our control. While I put no timetable on recovery, my hope for my clients is that they come to a place where they feel like they no longer need my services.
As a therapist specializing in OCD, I understand the pain and futility that accompanies chronic overthinking and the difficulty of being mired in the same unhelpful behaviors and emotions. I understand the bewilderment of not knowing what could help, as well as the frustration of knowing, yet still feeling unable to move forward. We want agency over ourselves and our lives, but we also want to be able to let go of that which is out of our control. While I put no timetable on recovery, my hope for my clients is that they come to a place where they feel like they no longer need my services.
Jennifer Kimpan
Drug & Alcohol Counselor, MS, LICDC, ICADC, LADC
Verified Verified
Westerville, OH 43082
Change is Possible, Recovery Works. When you or someone you know is struggling with Addiction, it is difficult to know what to do. Make New Beginnings Counseling Center your first step. We provide comprehensive drug, alcohol, and addiction recovery services for those struggling and for those who want to support their recovery. Hope starts here. Recovery works, take the first step toward yours.
Change is Possible, Recovery Works. When you or someone you know is struggling with Addiction, it is difficult to know what to do. Make New Beginnings Counseling Center your first step. We provide comprehensive drug, alcohol, and addiction recovery services for those struggling and for those who want to support their recovery. Hope starts here. Recovery works, take the first step toward yours.
Tracy Wheeler
Clinical Social Work/Therapist, LISW
Verified Verified
Westerville, OH 43082
Tracy Wheeler is a Licensed Social Worker through the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board and a Licensed Independent Chemical Dependency Counselor through the Ohio Chemical Dependency Professionals Board. Tracy attended the University of North Georgia where she obtained a Bachelor of Science and continued her education at Indiana Wesleyan University where she earned a Master of Social Work. Tracy is able to work with multiple therapy styles to help individuals with their own unique needs.
Tracy Wheeler is a Licensed Social Worker through the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board and a Licensed Independent Chemical Dependency Counselor through the Ohio Chemical Dependency Professionals Board. Tracy attended the University of North Georgia where she obtained a Bachelor of Science and continued her education at Indiana Wesleyan University where she earned a Master of Social Work. Tracy is able to work with multiple therapy styles to help individuals with their own unique needs.
Cassandra Tapia
Clinical Social Work/Therapist, LSW
Verified Verified
Westerville, OH 43082
I am a Licensed Social Work Trainee through the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board. I earned my Bachelors of Arts degree in English Literature, with a minor in Rhetoric in Human Rights Narrative, from The Ohio State University in 2011. I am currently a student in The Ohio State University's Master of Social Work Program. I am a certified trauma sensitive yoga instructor with 5 years' experience as a yoga teacher and over 10 years as a yoga student.
I am a Licensed Social Work Trainee through the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board. I earned my Bachelors of Arts degree in English Literature, with a minor in Rhetoric in Human Rights Narrative, from The Ohio State University in 2011. I am currently a student in The Ohio State University's Master of Social Work Program. I am a certified trauma sensitive yoga instructor with 5 years' experience as a yoga teacher and over 10 years as a yoga student.
Norline Ford
Licensed Professional Clinical Counselor, MA, LPCC, NCC
Verified Verified
Westerville, OH 43081
Waitlist for new clients
My heart and passion is to see others achieve happiness and healthiness. To be the best version of themselves possible. As a wife and a mother to teenagers I understand how life can be overwhelming at times. No matter what stage of life you are in I invite you to reach out and schedule a session today.
My heart and passion is to see others achieve happiness and healthiness. To be the best version of themselves possible. As a wife and a mother to teenagers I understand how life can be overwhelming at times. No matter what stage of life you are in I invite you to reach out and schedule a session today.
Melanie Thornburgh
Clinical Social Work/Therapist, LISW-S
Verified Verified
1 Endorsed
Westerville, OH 43081
Whether you are feeling anxious, depressed or just feeling stuck, you do not have to go through it alone. I can help you overcome challenges, fears and negative thought patterns preventing you from becoming your best self. I have 14 years experience working with adults suffering from anxiety, depression, trauma, sexual abuse and domestic violence.
Whether you are feeling anxious, depressed or just feeling stuck, you do not have to go through it alone. I can help you overcome challenges, fears and negative thought patterns preventing you from becoming your best self. I have 14 years experience working with adults suffering from anxiety, depression, trauma, sexual abuse and domestic violence.
Carol E McClure
Counselor, MACMHC, LPCC
Verified Verified
3 Endorsed
Westerville, OH 43081
I have extensive training and over 30 years of experience working with adult survivors of childhood abuse and pregnancy loss, including abortion. I hold an MA in Mental Health Clinical Counseling and have completed the Jungian Professional Psychotherapy program with the CG Jung Institute of Chicago. Additionally, I work with couples using the Gottman Method to strengthen relationships and deal with underlying issues. I also hold a certification for coaching with the Enneagram. Recently, my husband and I celebrated 44 years of marriage.
I have extensive training and over 30 years of experience working with adult survivors of childhood abuse and pregnancy loss, including abortion. I hold an MA in Mental Health Clinical Counseling and have completed the Jungian Professional Psychotherapy program with the CG Jung Institute of Chicago. Additionally, I work with couples using the Gottman Method to strengthen relationships and deal with underlying issues. I also hold a certification for coaching with the Enneagram. Recently, my husband and I celebrated 44 years of marriage.
Fresh Start Therapy and Wellness, LLC
LPCC-S
Verified Verified
Westerville, OH 43082
You just want to breathe. You just want to hope. You just want to know that there can be a better tomorrow, a fresh start. You have tried it alone for long enough, and you have decided that it's time to bring in some reinforcements. At Fresh Start, we see each person as an individual and seek to fit treatment to his or her needs. We will be fair. We will be compassionate. We will be honest. We will be in it for as long as you are able or willing. Life can beat you up. It's not your fault. Give yourself the support you need in a judgment-free, kind, honest space. What do you have to lose?
You just want to breathe. You just want to hope. You just want to know that there can be a better tomorrow, a fresh start. You have tried it alone for long enough, and you have decided that it's time to bring in some reinforcements. At Fresh Start, we see each person as an individual and seek to fit treatment to his or her needs. We will be fair. We will be compassionate. We will be honest. We will be in it for as long as you are able or willing. Life can beat you up. It's not your fault. Give yourself the support you need in a judgment-free, kind, honest space. What do you have to lose?
Connor Fais
Psychologist, PhD
Verified Verified
1 Endorsed
Westerville, OH 43081
I have been providing clinical services since 2016. I enjoy working primarily as a youth and family clinician, but I have also worked with adults, and served as a clinical supervisor. I treat a range of presenting issues including disruptive/oppositional behavior, depression, anger issues, behavioral issues, anxiety, parent-child conflict, and emotional dysregulation.
I have been providing clinical services since 2016. I enjoy working primarily as a youth and family clinician, but I have also worked with adults, and served as a clinical supervisor. I treat a range of presenting issues including disruptive/oppositional behavior, depression, anger issues, behavioral issues, anxiety, parent-child conflict, and emotional dysregulation.
Walter Poupart
Counselor, LPCC
Verified Verified
Westerville, OH 43081
As a licensed professional clinical counselor I diagnose and treat individuals, adolescents, adults, couples, and families contending with a wide range of mental and emotional disorders, and specialize in men’s issues. I offer therapy for: depression, stress & anxiety, pastoral counseling, grief, certain phobias, co-dependency, types of trauma, anger management, spiritual formation, individuals hurt in relationships, and relational recovery. I do not counsel with individual women, only couples, pre-marital, married couples, and families in conflict. I also work with male adolescents and teen males with the parent’s participation.
As a licensed professional clinical counselor I diagnose and treat individuals, adolescents, adults, couples, and families contending with a wide range of mental and emotional disorders, and specialize in men’s issues. I offer therapy for: depression, stress & anxiety, pastoral counseling, grief, certain phobias, co-dependency, types of trauma, anger management, spiritual formation, individuals hurt in relationships, and relational recovery. I do not counsel with individual women, only couples, pre-marital, married couples, and families in conflict. I also work with male adolescents and teen males with the parent’s participation.
Mariah Walters
Clinical Social Work/Therapist, MA, LISW, PsyD
Verified Verified
Westerville, OH 43081
Is your your life so f&*%^ up that you need a therapist to handle your trauma? Congratulations, you're an adult. I specialize in PTSD, working with first responders, correctional officers, firefighters, LGBTQ+, marital therapy and BWC. (I'm also the pied piper of teenage girls. ( It's a calling not a desire.) *Will accept child clients 12years or older. ) I take some insurances. UHC, OPTUM. (Jeez people, I can't do everything for you) Now introducing James Mehl, LSW ...specializing with children, PTSD, chronic pain, BWC and LGBTQ. . Jimmy private pay at 75/hr. Dr. Walters private pay at 250/hr. We do not accept Medicaid.
Is your your life so f&*%^ up that you need a therapist to handle your trauma? Congratulations, you're an adult. I specialize in PTSD, working with first responders, correctional officers, firefighters, LGBTQ+, marital therapy and BWC. (I'm also the pied piper of teenage girls. ( It's a calling not a desire.) *Will accept child clients 12years or older. ) I take some insurances. UHC, OPTUM. (Jeez people, I can't do everything for you) Now introducing James Mehl, LSW ...specializing with children, PTSD, chronic pain, BWC and LGBTQ. . Jimmy private pay at 75/hr. Dr. Walters private pay at 250/hr. We do not accept Medicaid.
15 Second Videos
Carol E McClure
Sophie Hans
Marcy Lusk
Edward Luersman
Rebecca Austin
Andie Loiseau
Jill M. McCullough
Eric C Miller
Monarch Counseling
Collin Weekes
Dana Moody
Kristin McConnell
Bowen Marshall
Jacqueline Lewis-Lyons
Joel T Hardin
Henry Stringer
Barbara Turman
Nicole Lawson
Stephanie Ann Jones
Diana Cofsky
Nikol Bowen
Juliette R Savitscus
Dani Hanlin
Lacy Purdum
Julia A King
Ann Rippel
Wellness Coaching & Therapy, LLC
Shannon Braxton
Capri Cafaro
Michael Crowdes
Zion Counseling and Wellness Enrichment Center
Kade Hirth
Maggie Reinmann
Wild Hope Therapy
Dr. Mitch and Lisa Marriages/Couples Workshops
Angela Kim
Rebecca Flowers Schamess
Madison Eagle
Davida I. Arnold
Erin Beach
Vincent Colecchi
Clinical Social Work/Therapist, LSW
Verified Verified
Westerville, OH 43081
Vinnie Colecchi, MSW, LSW is a licensed social worker who has been practicing therapy and substance use disorder counseling since 2016. He graduated from Indiana Wesleyan University in 2016 with a bachelor's degree of science in Addictions Counseling, and later in 2021 from The Ohio State University with a master's degree in Social Work. Vinnie believes in an approach to therapy which he characterizes as learning the skills to live a values-oriented life while confronting and making space for difficult emotions and life circumstances. Vinnie specializes in working with anxiety, addictions, and depressive disorders.
Vinnie Colecchi, MSW, LSW is a licensed social worker who has been practicing therapy and substance use disorder counseling since 2016. He graduated from Indiana Wesleyan University in 2016 with a bachelor's degree of science in Addictions Counseling, and later in 2021 from The Ohio State University with a master's degree in Social Work. Vinnie believes in an approach to therapy which he characterizes as learning the skills to live a values-oriented life while confronting and making space for difficult emotions and life circumstances. Vinnie specializes in working with anxiety, addictions, and depressive disorders.
Elise Bailey
Social Worker Trainee, MFT
Verified Verified
Westerville, OH 43081
Elise Bailey is a Licensed Social Work Trainee through the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board. She earned her Bachelor of Arts degree in Psychology and Criminology with minors in Women's, Gender, and Sexuality Studies and History from The Ohio State University in Spring 2022. She is currently a student in The Ohio State University's Master of Social Work program. She is interested in working with children, adolescents, and adults struggling with mood disorders, anxiety disorders, trauma, eating disorders, and anger management.
Elise Bailey is a Licensed Social Work Trainee through the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board. She earned her Bachelor of Arts degree in Psychology and Criminology with minors in Women's, Gender, and Sexuality Studies and History from The Ohio State University in Spring 2022. She is currently a student in The Ohio State University's Master of Social Work program. She is interested in working with children, adolescents, and adults struggling with mood disorders, anxiety disorders, trauma, eating disorders, and anger management.
Jason Stofel
Clinical Social Work/Therapist, LISW
Verified Verified
Westerville, OH 43082
Jason Stofel has been working in the field of social work in various settings since 1994. He began as a direct care staff serving youth involved in the juvenile court system in Delaware, Ohio as well as working with children and teens placed in out of home care at The United Methodist Children's Home. It was in these two settings that he learned the importance of building relationships, providing consistency and behavioral management. He then entered into doing Community Based counseling at Directions for Youth and Families, serving at risk youth and their loved ones.
Jason Stofel has been working in the field of social work in various settings since 1994. He began as a direct care staff serving youth involved in the juvenile court system in Delaware, Ohio as well as working with children and teens placed in out of home care at The United Methodist Children's Home. It was in these two settings that he learned the importance of building relationships, providing consistency and behavioral management. He then entered into doing Community Based counseling at Directions for Youth and Families, serving at risk youth and their loved ones.
Mary K Wright
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
10 Endorsed
Westerville, OH 43081
I have over 20 years of experience working with adolescents and adults who are in need of mental health counseling to address life issues of stress, depression, anxiety, addiction, work issues, relationships, sexual issues and family dynamic issues. I enjoy helping individuals learn new coping skills for depression and anxiety. I also specialize with individuals who have trauma and grief and will help you resolve those issues. I especially enjoy working with families and couples in learning how to resolve conflict and improve intimacy, communication and trust issues. My belief is that Life is a journey and at some point, we all need help.
I have over 20 years of experience working with adolescents and adults who are in need of mental health counseling to address life issues of stress, depression, anxiety, addiction, work issues, relationships, sexual issues and family dynamic issues. I enjoy helping individuals learn new coping skills for depression and anxiety. I also specialize with individuals who have trauma and grief and will help you resolve those issues. I especially enjoy working with families and couples in learning how to resolve conflict and improve intimacy, communication and trust issues. My belief is that Life is a journey and at some point, we all need help.
Friedman Counseling Services, LLC
Marriage & Family Therapist, IMFT, LPC
Verified Verified
Westerville, OH 43081
Ruth Friedman established Friedman Counseling Services, LLC, in an effort to provide excellent and affordable counseling services to couples and adult individuals (ages 18+) across Ohio. Ruth has extensive experience counseling spouses/partners/co-parents who are struggling to communicate; adjusting to marriage, cohabitation, or the demands of parenting; dealing with infidelity, addiction, or trauma; and/or considering marriage, cohabitation, separation, or divorce. Ruth also works with adults who are coping with the impact of trauma, anxiety, depression, obsessive-compulsive thoughts and behaviors, and/or challenging relationships.
Ruth Friedman established Friedman Counseling Services, LLC, in an effort to provide excellent and affordable counseling services to couples and adult individuals (ages 18+) across Ohio. Ruth has extensive experience counseling spouses/partners/co-parents who are struggling to communicate; adjusting to marriage, cohabitation, or the demands of parenting; dealing with infidelity, addiction, or trauma; and/or considering marriage, cohabitation, separation, or divorce. Ruth also works with adults who are coping with the impact of trauma, anxiety, depression, obsessive-compulsive thoughts and behaviors, and/or challenging relationships.
Tracy Wheeler
Clinical Social Work/Therapist, LISW, MSW, LICDC
Verified Verified
Westerville, OH 43081
I assist clients who struggle with trauma, PTSD, anxiety, and depression and want to bring about change in their lives. I help clients who want to find a balance and stability within themselves to learn and reconnect to a more desired life.
I assist clients who struggle with trauma, PTSD, anxiety, and depression and want to bring about change in their lives. I help clients who want to find a balance and stability within themselves to learn and reconnect to a more desired life.
Jennifer Catlin
Licensed Professional Counselor, MSEd, LPC
Verified Verified
Westerville, OH 43081
Everyone needs some help from time to time, and that's okay. Whether you desire healing from past events or you're stuck deciding which direction to take, I would love to come and walk beside you and be there with you. You are the expert on your life, but sometimes having a supportive partner in exploring your life can help. My practice and guiding orientation is a holistic approach, one that focuses on your mental, physical, and spiritual health. Every person is unique and I like to honor that by emphasizing your innate strengths and providing you with tools you need. I provide a safe place to share your hurts and to heal.
Everyone needs some help from time to time, and that's okay. Whether you desire healing from past events or you're stuck deciding which direction to take, I would love to come and walk beside you and be there with you. You are the expert on your life, but sometimes having a supportive partner in exploring your life can help. My practice and guiding orientation is a holistic approach, one that focuses on your mental, physical, and spiritual health. Every person is unique and I like to honor that by emphasizing your innate strengths and providing you with tools you need. I provide a safe place to share your hurts and to heal.
Sandra Webster
Psychologist, PhD
Verified Verified
Westerville, OH 43081
Waitlist for new clients
As of 2.23.24 and until further notice, I am no longer accepting new clients. Dear Potential Clients: I am a compassionate, nurturing, thinking-outside-of-the-box clinical psychologist with experience working with children and adults on the spectrum, children and families, children and adults with anxiety and depression related to school or work stress, and adults facing serious health issues. I provide a warm and creative environment as we work together to promote your sense of wholeness - child or adult - and bring families together.
As of 2.23.24 and until further notice, I am no longer accepting new clients. Dear Potential Clients: I am a compassionate, nurturing, thinking-outside-of-the-box clinical psychologist with experience working with children and adults on the spectrum, children and families, children and adults with anxiety and depression related to school or work stress, and adults facing serious health issues. I provide a warm and creative environment as we work together to promote your sense of wholeness - child or adult - and bring families together.
Sophie Hans
Clinical Social Work/Therapist, LSW
Verified Verified
Westerville, OH 43081
My ideal client is someone who comes to therapy in a time of need. They might be experiencing anxiety due to life changes and transitions or they might be experiencing symptoms of anxiety for the first time and be concerned as to where the anxiety came from. The client might be processing loss or grief from a loved one or past friendships and or relationships. My ideal client will have needs such as needing to identify coping skills to get through life stressors, assistance with reaching goals. As a therapist I would be able to provide the client with a objective perspective to bounce their ideas and situations off of.
My ideal client is someone who comes to therapy in a time of need. They might be experiencing anxiety due to life changes and transitions or they might be experiencing symptoms of anxiety for the first time and be concerned as to where the anxiety came from. The client might be processing loss or grief from a loved one or past friendships and or relationships. My ideal client will have needs such as needing to identify coping skills to get through life stressors, assistance with reaching goals. As a therapist I would be able to provide the client with a objective perspective to bounce their ideas and situations off of.
See more therapy options for Westerville
Nearby Searches for Westerville
How does your Therapist compare?
Number of Therapists in Westerville, OH
200+
Average cost per session
$125
Therapists in Westerville, OH who prioritize treating:
90% | Anxiety |
88% | Depression |
72% | Trauma and PTSD |
71% | Relationship Issues |
68% | Self Esteem |
66% | Grief |
64% | Stress |
Average years in practice
10 Years
Top 3 insurances accepted
83% | Aetna |
75% | Optum |
70% | Medical Mutual |
How Therapists in Westerville, OH see their clients
82% | In Person and Online | |
18% | Online Only |
Gender breakdown
77% | Female | |
22% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Westerville?
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
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.
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.
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.