Therapists in Mulberry, AR

Photo of Alexandria Kerr - Stable Steps, Clinical Social Work/Therapist, LCSW
Stable Steps
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Mulberry, AR 72947
At Stable Steps, we believe that mental wellness is crucial for living a fulfilling life. We are committed to providing compassionate and personalized experiential therapy services to help individuals overcome their mental health challenges and improve their overall well-being. Our unique approach includes Counseling with Horses to promote healing and growth. We strive to create a safe and welcoming environment where every individual feels heard, valued, and supported.​
At Stable Steps, we believe that mental wellness is crucial for living a fulfilling life. We are committed to providing compassionate and personalized experiential therapy services to help individuals overcome their mental health challenges and improve their overall well-being. Our unique approach includes Counseling with Horses to promote healing and growth. We strive to create a safe and welcoming environment where every individual feels heard, valued, and supported.​
(479) 515-8700 View (479) 515-8700

More Therapists Nearby

Photo of David Bourne, Licensed Professional Counselor, MS, LPC
David Bourne
Licensed Professional Counselor, MS, LPC
Verified Verified
Fort Smith, AR 72903
If you are looking to make changes and see yourself finding a new sense of purpose, please reach out. In today's fast paced world, we often find ourselves feeling completely isolated and that we can't reach out to anyone. From our first session, we will work to identify the habit loops that created our present and learn how to create the future you want for yourself, your friendships, and your family.
If you are looking to make changes and see yourself finding a new sense of purpose, please reach out. In today's fast paced world, we often find ourselves feeling completely isolated and that we can't reach out to anyone. From our first session, we will work to identify the habit loops that created our present and learn how to create the future you want for yourself, your friendships, and your family.
(479) 370-1661 View (479) 370-1661
Photo of Darlene Cantu, Licensed Professional Counselor, LPC-TA, MS
Darlene Cantu
Licensed Professional Counselor, LPC-TA, MS
Verified Verified
1 Endorsed
Fort Smith, AR 72903
Life can feel overwhelming. Past experiences can shape our present view of life, thoughts, and behaviors as well as impact the future. Trauma is not a theirs is worse than mine experience, we each experience and react like the amazingly unique beings we are. Feelings like shame, guilt, embarrassment are just a few of the residual emotions left by traumatic experiences. Those can create an unhealthy view of ourselves and can lead to a decline in mental health. Overcoming negative life experiences can be similar to opening the curtains making the dark disappear and letting the light back in our lives.
Life can feel overwhelming. Past experiences can shape our present view of life, thoughts, and behaviors as well as impact the future. Trauma is not a theirs is worse than mine experience, we each experience and react like the amazingly unique beings we are. Feelings like shame, guilt, embarrassment are just a few of the residual emotions left by traumatic experiences. Those can create an unhealthy view of ourselves and can lead to a decline in mental health. Overcoming negative life experiences can be similar to opening the curtains making the dark disappear and letting the light back in our lives.
(479) 348-4814 View (479) 348-4814
Photo of Dr. Suzi Wallace - Dr. Suzi Wallace, PhD Clinical Psychologist, Psychologist, PhD, PT, LPC
Dr. Suzi Wallace, PhD Clinical Psychologist
Psychologist, PhD, PT, LPC
Verified Verified
Fort Smith, AR 72903
Here to help and pleased to hear from you. You may contact me for an appointment at 479/ 651-7413. If I am unable to answer, please leave a message and I will get with you in just a bit.
Here to help and pleased to hear from you. You may contact me for an appointment at 479/ 651-7413. If I am unable to answer, please leave a message and I will get with you in just a bit.
(479) 651-7413 View (479) 651-7413
Photo of Julianne Passen, Licensed Professional Counselor, MS, LPC
Julianne Passen
Licensed Professional Counselor, MS, LPC
Verified Verified
Fort Smith, AR 72903
Painful experiences can leave us feeling completely alone. Sometimes we just need someone to meet us where we are to find a way to move forward. Healthy relationships can be difficult to navigate, especially when there is a lifetime of hurt getting in the way. I want to help you create healthy, fulfilling, nourishing connections with those you care about. Along with anxiety and depression, I am passionate about working with those who have dealt with trauma.
Painful experiences can leave us feeling completely alone. Sometimes we just need someone to meet us where we are to find a way to move forward. Healthy relationships can be difficult to navigate, especially when there is a lifetime of hurt getting in the way. I want to help you create healthy, fulfilling, nourishing connections with those you care about. Along with anxiety and depression, I am passionate about working with those who have dealt with trauma.
(479) 668-0750 View (479) 668-0750
Photo of Donna Morgan, Licensed Professional Counselor, MS, LPC-S, TA-S, RPT-S
Donna Morgan
Licensed Professional Counselor, MS, LPC-S, TA-S, RPT-S
Verified Verified
2 Endorsed
Fort Smith, AR 72903
Hurts and pain leave us feeling shattered, injured, and disconnected from our true selves. You may be fed up with the constant pain from your past, feeling that you will never be happy or normal. You might not even remember a time when life didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to be happy and move forward without the past haunting or hurting you. You’re ready to have and feel peace in your heart, brain, and body. Most of all, you’re ready to know you are enough and that your future can be full of happiness and joy
Hurts and pain leave us feeling shattered, injured, and disconnected from our true selves. You may be fed up with the constant pain from your past, feeling that you will never be happy or normal. You might not even remember a time when life didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to be happy and move forward without the past haunting or hurting you. You’re ready to have and feel peace in your heart, brain, and body. Most of all, you’re ready to know you are enough and that your future can be full of happiness and joy
(479) 888-4757 View (479) 888-4757
Photo of William J Thornton, Psychologist, PhD
William J Thornton
Psychologist, PhD
Verified Verified
Fort Smith, AR 72903
“I’ve tried therapy. It didn’t help.” “Nobody seems to know how to help me.” “I just want to get better.” These are words I hate hearing. Suffering people need Answers. Recovery from life’s trouble MUST begin with a thorough, accurate assessment, to ensure a unique, individualized treatment plan can be created. As a Clinical Psychologist, Dr. Bill uses advanced, specialized tools and skills to get you back to happiness, meaning, and a bright perspective. A psychologist is the highest, non-medical, mental health professional available. Entrust yourself and your loved ones to only the best care available. Call Dr. Bill 479-242-4560.
“I’ve tried therapy. It didn’t help.” “Nobody seems to know how to help me.” “I just want to get better.” These are words I hate hearing. Suffering people need Answers. Recovery from life’s trouble MUST begin with a thorough, accurate assessment, to ensure a unique, individualized treatment plan can be created. As a Clinical Psychologist, Dr. Bill uses advanced, specialized tools and skills to get you back to happiness, meaning, and a bright perspective. A psychologist is the highest, non-medical, mental health professional available. Entrust yourself and your loved ones to only the best care available. Call Dr. Bill 479-242-4560.
(479) 668-3418 View (479) 668-3418
Photo of Melissa Huff, Counselor, MS, LPC, LAMFT
Melissa Huff
Counselor, MS, LPC, LAMFT
Verified Verified
Van Buren, AR 72956
Waitlist for new clients
Do you feel as if your life has a “before” and “after?” Do you feel stuck, like you can’t shake what happened to you or your relationships? I would love the opportunity to help you make sense of your story and build your path forward. - ¿Sientes como si tu vida tuviera un “antes” y un “después”? ¿Te sientes atascado, como si no pudieras deshacerte de lo que te ha pasado a ti o a tus relaciones? Me encantaría tener la oportunidad de ayudarte a dar sentido a tu historia y construir tu camino hacia adelante.
Do you feel as if your life has a “before” and “after?” Do you feel stuck, like you can’t shake what happened to you or your relationships? I would love the opportunity to help you make sense of your story and build your path forward. - ¿Sientes como si tu vida tuviera un “antes” y un “después”? ¿Te sientes atascado, como si no pudieras deshacerte de lo que te ha pasado a ti o a tus relaciones? Me encantaría tener la oportunidad de ayudarte a dar sentido a tu historia y construir tu camino hacia adelante.
(479) 777-2411 View (479) 777-2411
Photo of Patricia (Patti) Lashley, Licensed Professional Counselor, MS, LPC
Patricia (Patti) Lashley
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Serves Area
Waitlist for new clients
I believe we are each on a journey in life and sometimes we need someone willing to walk with us to help us along our path. It is my goal for everyone to feel accepted and to know they are not alone. I believe everyone has the ability and capability to be their best selves. It is my mission to provide a safe and supportive space for my clients so they achieve the best in their lives. I work with adolescences, adults, and single parent, divorced, and blended families. I embrace working with diverse people of every race, ethnicity, sexual orientation,
I believe we are each on a journey in life and sometimes we need someone willing to walk with us to help us along our path. It is my goal for everyone to feel accepted and to know they are not alone. I believe everyone has the ability and capability to be their best selves. It is my mission to provide a safe and supportive space for my clients so they achieve the best in their lives. I work with adolescences, adults, and single parent, divorced, and blended families. I embrace working with diverse people of every race, ethnicity, sexual orientation,
(479) 431-2341 View (479) 431-2341
Photo of Shelby Knapple - Wholistic Health, Licensed Professional Counselor, LPC-TA, NCC
Wholistic Health
Licensed Professional Counselor, LPC-TA, NCC
Verified Verified
2 Endorsed
Van Buren, AR 72956
At Wholistic Health, we have multiple clinicians available to accommodate your needs. Specifically, we provide EMDR therapy which is helpful when a person is feeling “stuck” on a particular emotion or traumatic memory, as well as play therapy for kids and Dialectical Behavior Therapy (DBT) or CBT for adults. DBT is focused on helping those who struggle with suicidal thoughts or feel like their emotions are in control of them.
At Wholistic Health, we have multiple clinicians available to accommodate your needs. Specifically, we provide EMDR therapy which is helpful when a person is feeling “stuck” on a particular emotion or traumatic memory, as well as play therapy for kids and Dialectical Behavior Therapy (DBT) or CBT for adults. DBT is focused on helping those who struggle with suicidal thoughts or feel like their emotions are in control of them.
(479) 888-8187 View (479) 888-8187
Photo of Amber L. Waite, LPE-I
Amber L. Waite
LPE-I
Verified Verified
1 Endorsed
Fort Smith, AR 72901
Do you need a change in your life and are unable to find the motivation to get started on your own? I would like to help. My career experiences have provided me opportunities to work with clients struggling with mood and anxiety disorders, psychotic disorders, borderline intellectual functioning, maladaptive behavior patterns, marital discord, family dysfunction, and adjustment disorders including bereavement. I work to meet my clients where they are in their lives, manage symptoms, identify useful coping skills, and assist in working towards short-term and/or long-term goals.
Do you need a change in your life and are unable to find the motivation to get started on your own? I would like to help. My career experiences have provided me opportunities to work with clients struggling with mood and anxiety disorders, psychotic disorders, borderline intellectual functioning, maladaptive behavior patterns, marital discord, family dysfunction, and adjustment disorders including bereavement. I work to meet my clients where they are in their lives, manage symptoms, identify useful coping skills, and assist in working towards short-term and/or long-term goals.
(833) 501-7735 View (833) 501-7735
Photo of Katelyn Nabors, Licensed Professional Counselor, LPC, CSAT
Katelyn Nabors
Licensed Professional Counselor, LPC, CSAT
Verified Verified
1 Endorsed
Fort Smith, AR 72903
You Deserve a Therapist Who Truly Sees You. Your identity, desires, and relationships are valid. Whether you’re navigating gender identity, sexuality, polyamory, BDSM, or non-traditional relationships, you deserve a therapist who gets it—without judgment, shame, or outdated assumptions. I work with gender identity, transitioning, self-discovery, LGBTQIA+ relationships, polyamory, exploring kink, BDSM & power dynamics in a healthy way. I also enjoy working on healing from shame, sexual trauma & internalized stigma to help you navigating intimacy, pleasure, and body confidence.
You Deserve a Therapist Who Truly Sees You. Your identity, desires, and relationships are valid. Whether you’re navigating gender identity, sexuality, polyamory, BDSM, or non-traditional relationships, you deserve a therapist who gets it—without judgment, shame, or outdated assumptions. I work with gender identity, transitioning, self-discovery, LGBTQIA+ relationships, polyamory, exploring kink, BDSM & power dynamics in a healthy way. I also enjoy working on healing from shame, sexual trauma & internalized stigma to help you navigating intimacy, pleasure, and body confidence.
(479) 322-3959 View (479) 322-3959
Photo of Tim Beasley, Counselor, MS, LAC
Tim Beasley
Counselor, MS, LAC
Verified Verified
1 Endorsed
Fort Smith, AR 72903
Sometimes we need to talk through the struggle. The stress to succeed in our family, education, career, and relationships creates burdens that are too big to bear alone. If you are like most, you often find yourself feeling overwhelmed, stressed, and anxious. I believe therapy is a healthy way to appropriately identify and address the struggles that keep us from our best life. I work with teenagers and adults who are struggling with mood, anxiety, depression, relationships and spiritual issues. I am passionate about helping couples improve their marriages through improved communication, conflict resolution, and relationship skills.
Sometimes we need to talk through the struggle. The stress to succeed in our family, education, career, and relationships creates burdens that are too big to bear alone. If you are like most, you often find yourself feeling overwhelmed, stressed, and anxious. I believe therapy is a healthy way to appropriately identify and address the struggles that keep us from our best life. I work with teenagers and adults who are struggling with mood, anxiety, depression, relationships and spiritual issues. I am passionate about helping couples improve their marriages through improved communication, conflict resolution, and relationship skills.
(479) 262-0210 View (479) 262-0210
Photo of Ada Floyd, Licensed Professional Counselor, LPC-S, EMDR
Ada Floyd
Licensed Professional Counselor, LPC-S, EMDR
Verified Verified
1 Endorsed
Fort Smith, AR 72903
I work with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, career challenges, OCD and ADHD; however, my primary areas of focus are working within the LGBTQIA+ community and with trauma. I have completed training in several modalities to increase my ability to help people navigate through their struggles. I know the value of therapy for trauma due to my own experiences and try to bring compassion and empathy into every session. I use a variety of techniques and tools, such as EMDR, ego state therapy, and CBT to help tailor therapy to each individual client.
I work with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, career challenges, OCD and ADHD; however, my primary areas of focus are working within the LGBTQIA+ community and with trauma. I have completed training in several modalities to increase my ability to help people navigate through their struggles. I know the value of therapy for trauma due to my own experiences and try to bring compassion and empathy into every session. I use a variety of techniques and tools, such as EMDR, ego state therapy, and CBT to help tailor therapy to each individual client.
(479) 323-3152 View (479) 323-3152
Photo of Rebecca Whitson, Licensed Professional Counselor, MS, LPC
Rebecca Whitson
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Fort Smith, AR 72903
Waitlist for new clients
Everyone has a story. Yours is unique and valuable, and I'm here to listen. Whether you have specific goals you're working toward or just need a place to connect and sort through life, I would love to help.
Everyone has a story. Yours is unique and valuable, and I'm here to listen. Whether you have specific goals you're working toward or just need a place to connect and sort through life, I would love to help.
(479) 777-8277 View (479) 777-8277
Photo of Alexandria Kerr, Clinical Social Work/Therapist, LCSW
Alexandria Kerr
Clinical Social Work/Therapist, LCSW
Verified Verified
Fort Smith, AR 72903
Life can be a chaotic mess. Especially for adolescents and young adults trying to learn about themselves while navigating environmental pressures. Challenges such as first jobs, new relationships, evaluating potential career paths, and exploring new identities can lead to increases in anxiety, anger, and self- esteem issues.
Life can be a chaotic mess. Especially for adolescents and young adults trying to learn about themselves while navigating environmental pressures. Challenges such as first jobs, new relationships, evaluating potential career paths, and exploring new identities can lead to increases in anxiety, anger, and self- esteem issues.
(479) 239-9230 View (479) 239-9230
Photo of Dawn Marie Ellis, Licensed Professional Counselor, MS, LPC
Dawn Marie Ellis
Licensed Professional Counselor, MS, LPC
Verified Verified
Fort Smith, AR 72903
Shame is never a motivator. Many of your issues may be rooted in shame that you never even realized. Shame can take on many forms; pressure to live up to other's expectations of us, pressure to perform at the rate those around us seem to be, or pressure to live up to our own impossible standards we have created for ourselves. When these measures are not met, we can feel depleted, discouraged, and even hopeless. Or perhaps we have been verbally told by others (either past or present) they were disappointed in us or we weren't good enough. And we cannot seem to escape these defeating and destructive thoughts.
Shame is never a motivator. Many of your issues may be rooted in shame that you never even realized. Shame can take on many forms; pressure to live up to other's expectations of us, pressure to perform at the rate those around us seem to be, or pressure to live up to our own impossible standards we have created for ourselves. When these measures are not met, we can feel depleted, discouraged, and even hopeless. Or perhaps we have been verbally told by others (either past or present) they were disappointed in us or we weren't good enough. And we cannot seem to escape these defeating and destructive thoughts.
(479) 339-3983 View (479) 339-3983
Photo of Pablo Albuja, Licensed Professional Counselor, MS, LPC, CCTP, EMDR, TF-CBT
Pablo Albuja
Licensed Professional Counselor, MS, LPC, CCTP, EMDR, TF-CBT
Verified Verified
1 Endorsed
Fort Smith, AR 72916
Science has shown that mental health issues might not be only genetic, but also the result of current of past adverse experiences, causing unwanted symptoms to appear. As human beings we need connection with others and psychotherapy might be a powerful tool to help heal emotional wounds. ESPAÑOL: Ciencia ha demostrado que trastornos de salud mental no solo pueden ser genéticos pero también el resultado de experiencias adversas presentes o del pasado, causando sintomas no deseados. Como seres humanos necesitamos conexión emocional con otros . Psicoterapia puede una herramienta poderosa para ayudar a sanar de lesiones emocionales.
Science has shown that mental health issues might not be only genetic, but also the result of current of past adverse experiences, causing unwanted symptoms to appear. As human beings we need connection with others and psychotherapy might be a powerful tool to help heal emotional wounds. ESPAÑOL: Ciencia ha demostrado que trastornos de salud mental no solo pueden ser genéticos pero también el resultado de experiencias adversas presentes o del pasado, causando sintomas no deseados. Como seres humanos necesitamos conexión emocional con otros . Psicoterapia puede una herramienta poderosa para ayudar a sanar de lesiones emocionales.
(479) 668-4538 View (479) 668-4538
Photo of Kenneth E Harris - Kenneth Harris, Licensed Professional Counselor, LPC-S, LADAC, ADC, NCC, EMDR
Kenneth Harris
Licensed Professional Counselor, LPC-S, LADAC, ADC, NCC, EMDR
Verified Verified
Fort Smith, AR 72903
"Over the past few years, the demand for mental health services has increased. The field of mental health, in efforts to meet this demand, has caused the technique of counseling to become commercialized. When I created Harris & Harris my mission was to create a business practice that was ethically driven to get back to the basics of counseling. Customer volume should never be a measurement of success within a business, but providing consistent quality service should always be a measurement standard."
"Over the past few years, the demand for mental health services has increased. The field of mental health, in efforts to meet this demand, has caused the technique of counseling to become commercialized. When I created Harris & Harris my mission was to create a business practice that was ethically driven to get back to the basics of counseling. Customer volume should never be a measurement of success within a business, but providing consistent quality service should always be a measurement standard."
(479) 616-1860 View (479) 616-1860
Photo of Rodney Neighbors, Licensed Professional Counselor, MS, LPC
Rodney Neighbors
Licensed Professional Counselor, MS, LPC
Verified Verified
Fort Smith, AR 72916
We are all looking for that safe place where we can go to heal heal and work on finding ways to improve our lives. People's struggles are real and we all just want that person who we know is in our corner when no one else is , but we also need that person who can help us figure out how to turn things around when it seems like there is no hope of changing things.
We are all looking for that safe place where we can go to heal heal and work on finding ways to improve our lives. People's struggles are real and we all just want that person who we know is in our corner when no one else is , but we also need that person who can help us figure out how to turn things around when it seems like there is no hope of changing things.
(479) 341-5614 View (479) 341-5614

See more therapy options for Mulberry

How does your Therapist compare?

Number of Therapists in Mulberry, AR

< 10

Therapists in Mulberry, AR who prioritize treating:

100% Depression
100% Anxiety
100% ADHD
100% Trauma and PTSD
100% Self Esteem
100% Women's Issues
100% Stress

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Cigna and Evernorth
100% Medicaid

How Therapists in Mulberry, AR see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Mulberry?

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.