Therapists in Timonium, MD

Photo of Benjamin Bowman, Counselor in Timonium, MD
Benjamin Bowman
Counselor, LCPC
Verified Verified
1 Endorsed
Timonium, MD 21093
With the right person, therapy can be a unique and powerful tool for affecting change. Through the process of self-exploration, in a nonjudgmental environment, I believe every person has the ability to change their circumstances and to rewrite their story as it’s being written.
With the right person, therapy can be a unique and powerful tool for affecting change. Through the process of self-exploration, in a nonjudgmental environment, I believe every person has the ability to change their circumstances and to rewrite their story as it’s being written.
(443) 233-0737 View (443) 233-0737
Photo of Savannah Rourk, LPC Intern in Timonium, MD
Savannah Rourk
LPC Intern
Verified Verified
1 Endorsed
Timonium, MD 21093
Are you going through transitions in life that seem difficult and overwhelming to manage? Do you want to begin the healing process but do not know where to start? Are you grieving a loss? Are you experiencing identity confusion or challenges related to your environment? Do you need someone that will listen to you without judgement? As a counselor my approach is collaborative in nature and I feel that together we can work together to reach your goals and aspirations. I view therapy through a person-centered and feminist lens.
Are you going through transitions in life that seem difficult and overwhelming to manage? Do you want to begin the healing process but do not know where to start? Are you grieving a loss? Are you experiencing identity confusion or challenges related to your environment? Do you need someone that will listen to you without judgement? As a counselor my approach is collaborative in nature and I feel that together we can work together to reach your goals and aspirations. I view therapy through a person-centered and feminist lens.
(410) 835-4195 View (410) 835-4195
Photo of Kelly Rogan, Licensed Clinical Professional Counselor in Timonium, MD
Kelly Rogan
Licensed Clinical Professional Counselor, LCPC
Verified Verified
2 Endorsed
Timonium, MD 21093
Not accepting new clients
Therapy is a resource that can help you navigate difficult moments in life, and I would love to join you on that journey. Whether you are looking for support with current transitions/stressors or working through difficult past experiences, we can work together to discover your strengths and reach your goals. I have experience working with adults (age 18+) with anxiety, depression, adjustment difficulties and traumatic experiences.
Therapy is a resource that can help you navigate difficult moments in life, and I would love to join you on that journey. Whether you are looking for support with current transitions/stressors or working through difficult past experiences, we can work together to discover your strengths and reach your goals. I have experience working with adults (age 18+) with anxiety, depression, adjustment difficulties and traumatic experiences.
(410) 883-5328 View (410) 883-5328
Photo of Jennifer Heffner, Counselor in Timonium, MD
Jennifer Heffner
Counselor, LCPC, DEd
Verified Verified
Timonium, MD 21093  (Online Only)
Needing support and guidance from others is part of being human. Whether you are navigating anxiety, depression, life transitions, relationships, parenting, or other challenges, my role as a therapist is to create a safe, welcoming, supportive space that allows you to work toward understanding yourself within the various contexts of your life.
Needing support and guidance from others is part of being human. Whether you are navigating anxiety, depression, life transitions, relationships, parenting, or other challenges, my role as a therapist is to create a safe, welcoming, supportive space that allows you to work toward understanding yourself within the various contexts of your life.
(410) 883-8495 View (410) 883-8495
Photo of Nancy Craven, Clinical Social Work/Therapist in Timonium, MD
Nancy Craven
Clinical Social Work/Therapist, LCSW
Verified Verified
Timonium, MD 21093
Nancy Kurtz Craven is a Licensed Clinical Social Worker in Maryland who has been practicing since 1994. Nancy has an outstanding reputation as a psychotherapist. Her style of therapy is highly compassionate and genuine. When working with individuals, couples, and families, together Nancy and the clients achieve more appropriate coping and decision-making skills as well as increase confidence to view more positive options, all to increase quality of life. Outside of work, Nancy enjoys the beach, LOVES Maryland sports (Ravens, Orioles, and Terps), and is extremely social, enjoying interactions with others.
Nancy Kurtz Craven is a Licensed Clinical Social Worker in Maryland who has been practicing since 1994. Nancy has an outstanding reputation as a psychotherapist. Her style of therapy is highly compassionate and genuine. When working with individuals, couples, and families, together Nancy and the clients achieve more appropriate coping and decision-making skills as well as increase confidence to view more positive options, all to increase quality of life. Outside of work, Nancy enjoys the beach, LOVES Maryland sports (Ravens, Orioles, and Terps), and is extremely social, enjoying interactions with others.
(410) 904-6897 View (410) 904-6897
Photo of Heather Ann Raley, Licensed Clinical Professional Counselor in Timonium, MD
Heather Ann Raley
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Timonium, MD 21093  (Online Only)
Through my 15+ years in this work, I feel I am best equipped to support individuals who are struggling with alcohol/substance use or misuse that may be attributed to co-occurring mental health disorders, past trauma, or unknown reasons. I have worked with a variety of patients ranging from those experiencing minor struggles that may be impacting relationships to those hitting 'rock bottom' and lacking hope. If you are interested in changing any aspect of your drinking or substance use behavior, together, we can make that happen.
Through my 15+ years in this work, I feel I am best equipped to support individuals who are struggling with alcohol/substance use or misuse that may be attributed to co-occurring mental health disorders, past trauma, or unknown reasons. I have worked with a variety of patients ranging from those experiencing minor struggles that may be impacting relationships to those hitting 'rock bottom' and lacking hope. If you are interested in changing any aspect of your drinking or substance use behavior, together, we can make that happen.
(410) 782-3966 View (410) 782-3966
Photo of Jacquelyn Wilson, Clinical Social Work/Therapist in Timonium, MD
Jacquelyn Wilson
Clinical Social Work/Therapist, LMSW
Verified Verified
Timonium, MD 21093
I am Jacquelyn Wilson, a Licensed Clinical Therapist (LCT) with a passion for helping individuals, couples, families, and children navigate the complexities of behavioral health issues. I am dedicated to providing a compassionate and supportive environment where you can explore your unique journey towards healing and growth. As an experienced Licensed Master Social Worker, I bring a wealth of knowledge and expertise to the therapeutic process. My therapeutic approach is inclusive and sensitive to diverse backgrounds, including race, gender, class, religion, sexual orientation, and relationship status.
I am Jacquelyn Wilson, a Licensed Clinical Therapist (LCT) with a passion for helping individuals, couples, families, and children navigate the complexities of behavioral health issues. I am dedicated to providing a compassionate and supportive environment where you can explore your unique journey towards healing and growth. As an experienced Licensed Master Social Worker, I bring a wealth of knowledge and expertise to the therapeutic process. My therapeutic approach is inclusive and sensitive to diverse backgrounds, including race, gender, class, religion, sexual orientation, and relationship status.
(410) 846-6497 View (410) 846-6497
Photo of Lauren Zolluccio, Clinical Social Work/Therapist in Timonium, MD
Lauren Zolluccio
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Timonium, MD 21093  (Online Only)
Are you feeling overwhelmed by life stressors or struggling with grief, stress, anxiety, or depression. Take the time to slow down, gain insight into your needs and truths, and find a deeper purpose with life. Therapy is an enriching journey which can provide much-needed relief from chaotic or overwhelming moments in our lives. It's my mission as a therapist to help reconnect with your inner voice without judgment or limitation - creating space for you to explore what it means to lead an integrated lifestyle that aligns within all parts of yourself.
Are you feeling overwhelmed by life stressors or struggling with grief, stress, anxiety, or depression. Take the time to slow down, gain insight into your needs and truths, and find a deeper purpose with life. Therapy is an enriching journey which can provide much-needed relief from chaotic or overwhelming moments in our lives. It's my mission as a therapist to help reconnect with your inner voice without judgment or limitation - creating space for you to explore what it means to lead an integrated lifestyle that aligns within all parts of yourself.
(410) 618-1710 View (410) 618-1710
Photo of Grace Putz, LPC Intern in Timonium, MD
Grace Putz
LPC Intern
Verified Verified
2 Endorsed
Timonium, MD 21093
Navigating life's struggles often requires support and understanding. I work with individuals by looking at how past experiences, thought patterns, and emotional responses can impact individuals. I am a great fit for any client who is ready for hard work to create change. I am a strong believer in therapy being a space for collaboration, healing and self-growth. Coping with anxiety, depression, and big life transitions can be really difficult. Through our work together you will develop insight that has the capacity to promote personal wellness. I am a trauma-informed therapist intern with an integrative approach to therapy.
Navigating life's struggles often requires support and understanding. I work with individuals by looking at how past experiences, thought patterns, and emotional responses can impact individuals. I am a great fit for any client who is ready for hard work to create change. I am a strong believer in therapy being a space for collaboration, healing and self-growth. Coping with anxiety, depression, and big life transitions can be really difficult. Through our work together you will develop insight that has the capacity to promote personal wellness. I am a trauma-informed therapist intern with an integrative approach to therapy.
(410) 621-9323 x120 View (410) 621-9323 x120
Photo of Naami Resnick, Licensed Clinical Professional Counselor in Timonium, MD
Naami Resnick
Licensed Clinical Professional Counselor, LCPC, N
Verified Verified
1 Endorsed
Timonium, MD 21093
Naami is a compassionate, supportive therapist dedicated to helping people change and grow in the broader context of the family. She works with individuals, couples and families to help them achieve the inner peace and harmony they seek. She uses Emotionally focused therapy, and EMDR, among other modalities.
Naami is a compassionate, supportive therapist dedicated to helping people change and grow in the broader context of the family. She works with individuals, couples and families to help them achieve the inner peace and harmony they seek. She uses Emotionally focused therapy, and EMDR, among other modalities.
(410) 873-1879 View (410) 873-1879
Photo of Taylor Goldman, Clinical Social Work/Therapist in Timonium, MD
Taylor Goldman
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Timonium, MD 21093
I am passionate about working with women entering the world of motherhood who may be struggling with perinatal mood and anxiety disorders. I find helping them process and understand their new experience as a parent and the impact such a huge transition has on their well-being can be incredibly beneficial. I also love working with young couples that have recently become parents as they struggle to navigate a new vision of their relationship. I can work with young children within the family as well, while mostly focusing on the family as a whole as we work towards ways we can adjust parenting practices to sustain a happier household.
I am passionate about working with women entering the world of motherhood who may be struggling with perinatal mood and anxiety disorders. I find helping them process and understand their new experience as a parent and the impact such a huge transition has on their well-being can be incredibly beneficial. I also love working with young couples that have recently become parents as they struggle to navigate a new vision of their relationship. I can work with young children within the family as well, while mostly focusing on the family as a whole as we work towards ways we can adjust parenting practices to sustain a happier household.
(443) 424-6287 View (443) 424-6287
Photo of Ciara Wiegard, Clinical Social Work/Therapist in Timonium, MD
Ciara Wiegard
Clinical Social Work/Therapist, LMSW
Verified Verified
Timonium, MD 21093  (Online Only)
Do you find yourself feeling anxious, depressed, or just stuck? Especially during these uncertain times? Those feelings are not uncommon. This is where I come in, to provide you with a safe space to bring any and all of your feelings and challenges. I will provide a nonjudgmental and objective environment for you to begin your healing and growth. I mainly use strength-based perspective and cognitive behavioral approach in therapy. Meaning, I will learn and use what you are good at to set small goals to change negative habits and thought processes to reduce symptoms.
Do you find yourself feeling anxious, depressed, or just stuck? Especially during these uncertain times? Those feelings are not uncommon. This is where I come in, to provide you with a safe space to bring any and all of your feelings and challenges. I will provide a nonjudgmental and objective environment for you to begin your healing and growth. I mainly use strength-based perspective and cognitive behavioral approach in therapy. Meaning, I will learn and use what you are good at to set small goals to change negative habits and thought processes to reduce symptoms.
(410) 559-9760 View (410) 559-9760
Photo of Rayna Deltuva, Counselor in Timonium, MD
Rayna Deltuva
Counselor, MA, LGPC
Verified Verified
1 Endorsed
Timonium, MD 21093
As a young adult, I am passionate about supporting individuals throughout their lifespan. I utilize a safe, collaborative, and person-centered approach to my therapy, as each person has their own unique set of needs. I will be my client’s biggest advocate, while openly including caregivers or immediate family members involved to ensure a well-rounded therapeutic relationship. Areas of interest include, but are not limited to children, teens, and adults with anxiety, depression, ADHD, school refusal and behavioral issues, as well as managing general life stressors.
As a young adult, I am passionate about supporting individuals throughout their lifespan. I utilize a safe, collaborative, and person-centered approach to my therapy, as each person has their own unique set of needs. I will be my client’s biggest advocate, while openly including caregivers or immediate family members involved to ensure a well-rounded therapeutic relationship. Areas of interest include, but are not limited to children, teens, and adults with anxiety, depression, ADHD, school refusal and behavioral issues, as well as managing general life stressors.
(410) 680-3801 x114 View (410) 680-3801 x114
Photo of Ellen K Tannen, Licensed Clinical Professional Counselor in Timonium, MD
Ellen K Tannen
Licensed Clinical Professional Counselor, NCC, CCMHC, LCPC
Verified Verified
Timonium, MD 21093  (Online Only)
I have been an LCPC for two decades. I specialize in treating Trauma/PTSD, Depression & Anxiety, utilizing EMDR, among other treatment modalities. I am also a Therapeutic Life Coach. My style is engaged & interactive. You and I will partner to resolve issues that interfere in both personal & work domains, to enhance your peace of mind & improve the quality of your life. Within a supportive and trusting environment, I will help you to address the issues that have kept you stuck in an inauthentic and unfulfilling life.
I have been an LCPC for two decades. I specialize in treating Trauma/PTSD, Depression & Anxiety, utilizing EMDR, among other treatment modalities. I am also a Therapeutic Life Coach. My style is engaged & interactive. You and I will partner to resolve issues that interfere in both personal & work domains, to enhance your peace of mind & improve the quality of your life. Within a supportive and trusting environment, I will help you to address the issues that have kept you stuck in an inauthentic and unfulfilling life.
(410) 469-8862 View (410) 469-8862
Photo of Annemarie Vallonga, Clinical Social Work/Therapist in Timonium, MD
Annemarie Vallonga
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Timonium, MD 21093
Annemarie is a seasoned and compassionate licensed clinical Social Worker with over 30 years of expertise. Specializing in mental health, she supports individuals dealing with depression, mood disorders, anxiety, trauma, psychosis, personality disorders, and interpersonal difficulties. Trained in various therapeutic models, Annemarie’s versatile approach customizes sessions to each client’s unique needs. As a client-centered therapist, she prioritizes building trusting, collaborative relationships, infusing sessions with humor, empathy, and unconditional acceptance.
Annemarie is a seasoned and compassionate licensed clinical Social Worker with over 30 years of expertise. Specializing in mental health, she supports individuals dealing with depression, mood disorders, anxiety, trauma, psychosis, personality disorders, and interpersonal difficulties. Trained in various therapeutic models, Annemarie’s versatile approach customizes sessions to each client’s unique needs. As a client-centered therapist, she prioritizes building trusting, collaborative relationships, infusing sessions with humor, empathy, and unconditional acceptance.
(410) 824-5083 View (410) 824-5083
Photo of Dina Wientge, Clinical Social Work/Therapist in Timonium, MD
Dina Wientge
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
4 Endorsed
Timonium, MD 21093
Welcome. It can be difficult to take the first steps and reach out for help. As an empathetic, experienced and understanding therapist, I provide a safe and judgement free space for clients to open up. I am a licensed clinical social worker and the Clinical Director of Ellie Mental Health. I work with preteens, teens and adults providing individual, couples and family therapy.
Welcome. It can be difficult to take the first steps and reach out for help. As an empathetic, experienced and understanding therapist, I provide a safe and judgement free space for clients to open up. I am a licensed clinical social worker and the Clinical Director of Ellie Mental Health. I work with preteens, teens and adults providing individual, couples and family therapy.
(410) 709-4015 View (410) 709-4015
Photo of Claire Howard, Counselor in Timonium, MD
Claire Howard
Counselor, LGPC, MEd, NCC
Verified Verified
1 Endorsed
Timonium, MD 21093
I work best with children and the teamwork of their grown ups, to create as much support as possible. As a school counselor, I have supported children and their families for a multitude of reasons, from navigating daily stressors to major life events and trauma. I specialize in peer and family conflict, anxiety, life transitions, trauma, ADHD, and self-esteem.
I work best with children and the teamwork of their grown ups, to create as much support as possible. As a school counselor, I have supported children and their families for a multitude of reasons, from navigating daily stressors to major life events and trauma. I specialize in peer and family conflict, anxiety, life transitions, trauma, ADHD, and self-esteem.
(410) 983-6927 View (410) 983-6927
Photo of Nancy Hayes-Gary Psy.d., Psychologist in Timonium, MD
Nancy Hayes-Gary Psy.d.
Psychologist, PsyD, D
Verified Verified
Timonium, MD 21093  (Online Only)
Therapy provides a safe relationship to resolve concerns with yoursself. I have 34 years of experience providing psychotherapy. I have specialized in the treatment of trauma, such as childhood abuse, loss, grief, chronic illness, suicidal feelings/experiences and depression and anxiety problems. In addition, I have often helped people with infertility/adoption and family communication/attachment problems and am skilled in hypnosis. I am also certified by Psypact to offer therapy in over 26 states.
Therapy provides a safe relationship to resolve concerns with yoursself. I have 34 years of experience providing psychotherapy. I have specialized in the treatment of trauma, such as childhood abuse, loss, grief, chronic illness, suicidal feelings/experiences and depression and anxiety problems. In addition, I have often helped people with infertility/adoption and family communication/attachment problems and am skilled in hypnosis. I am also certified by Psypact to offer therapy in over 26 states.
(410) 394-9314 View (410) 394-9314
Photo of Gayle Davis, Marriage & Family Therapist in Timonium, MD
Gayle Davis
Marriage & Family Therapist, MA, LCMFT
Verified Verified
Timonium, MD 21093
Not accepting new clients
I believe that therapy is about awareness and change. Change happens when we create a therapeutic relationship that is non-judgmental, respectful, and interactive. This relationship provides the basis for the support, safety and insight that is necessary to help you grow, feel empowered, and find your own solutions. My strength is my ability to provide warmth, support, insight, and strategies to help you change how you think and what you do. We will work together to understand how your earlier experiences have affected you, and what patterns have emerged in how you feel and relate to others and yourself.
I believe that therapy is about awareness and change. Change happens when we create a therapeutic relationship that is non-judgmental, respectful, and interactive. This relationship provides the basis for the support, safety and insight that is necessary to help you grow, feel empowered, and find your own solutions. My strength is my ability to provide warmth, support, insight, and strategies to help you change how you think and what you do. We will work together to understand how your earlier experiences have affected you, and what patterns have emerged in how you feel and relate to others and yourself.
(410) 417-6161 View (410) 417-6161
Photo of Kristen M. Smith Therapy, LLC, Clinical Social Work/Therapist in Timonium, MD
Kristen M. Smith Therapy, LLC
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Timonium, MD 21093
Hi, I'm Kristen! My clinical focus spans from adolescence through adulthood, specializing in supporting neurodivergent (ADHD/Autistic) individuals and their families. I work with individuals who experience difficulties related to Depression, Anxiety, Self-Esteem, Identity, Self-Image, and Transitioning to Adulthood. Utilizing a strengths-based, person-centered approach, I incorporate talk therapy, CBT and mindfulness techniques to empower clients in their healing journey. My goal is to create a warm and non-judgmental space where clients feel supported, understood, and empowered to make positive changes in their lives.
Hi, I'm Kristen! My clinical focus spans from adolescence through adulthood, specializing in supporting neurodivergent (ADHD/Autistic) individuals and their families. I work with individuals who experience difficulties related to Depression, Anxiety, Self-Esteem, Identity, Self-Image, and Transitioning to Adulthood. Utilizing a strengths-based, person-centered approach, I incorporate talk therapy, CBT and mindfulness techniques to empower clients in their healing journey. My goal is to create a warm and non-judgmental space where clients feel supported, understood, and empowered to make positive changes in their lives.
(410) 213-3779 View (410) 213-3779

How does your Therapist compare?

Number of Therapists in Timonium, MD

200+

Average cost per session

$150

Therapists in Timonium, MD who prioritize treating:

95% Anxiety
90% Depression
77% Relationship Issues
75% Self Esteem
72% Stress
72% Life Transitions
68% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

79% CareFirst
78% BlueCross and BlueShield
72% Cigna and Evernorth

How Therapists in Timonium, MD see their clients

76% In Person and Online
24% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Timonium?

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.