Therapists in Timonium, MD

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 Alexander Jasion, Counselor in Timonium, MD
Alexander Jasion
Counselor, MS, LCPC
Verified Verified
Timonium, MD 21093
Waitlist for new clients
Taking the steps towards seeking help can be challenging and overwhelming. As a therapist, I aim to provide a safe, genuine space where anyone can feel comfortable to begin the process of exploration and development. Clients and I will develop achievable goals based on individual strengths, core values and the uniqueness of one’s identity to form a holistic direction for our work together.
Taking the steps towards seeking help can be challenging and overwhelming. As a therapist, I aim to provide a safe, genuine space where anyone can feel comfortable to begin the process of exploration and development. Clients and I will develop achievable goals based on individual strengths, core values and the uniqueness of one’s identity to form a holistic direction for our work together.
(410) 431-2171 View (410) 431-2171
Photo of Dr. H. DiNardo: Psychodynamic Individual Treatment, Clinical Social Work/Therapist in Timonium, MD
Dr. H. DiNardo: Psychodynamic Individual Treatment
Clinical Social Work/Therapist, PhD/MFT, LCSW-C, MSW
Verified Verified
Timonium, MD 21093
To Schedule An Initial Appointment, Please E-Mail. I'm an experienced individual psychotherapist, having worked in numerous outpatient and inpatient settings. I've been in private practice for many years now, and believe a therapist needs to have a sound practical understanding of human behavior and psychological difficulties. Therapy is about understanding one's life, problem symptoms and causes, and working towards greater health. I work with patients of all ages. I'm also familiar with the unique issues often relevant to men's development and treatment.
To Schedule An Initial Appointment, Please E-Mail. I'm an experienced individual psychotherapist, having worked in numerous outpatient and inpatient settings. I've been in private practice for many years now, and believe a therapist needs to have a sound practical understanding of human behavior and psychological difficulties. Therapy is about understanding one's life, problem symptoms and causes, and working towards greater health. I work with patients of all ages. I'm also familiar with the unique issues often relevant to men's development and treatment.
(443) 791-6316 View (443) 791-6316
Photo of Ryan Ward, Counselor in Timonium, MD
Ryan Ward
Counselor, LCPC
Verified Verified
1 Endorsed
Timonium, MD 21093
Accepting new clients: In-person and virtual. I am a compassionate person that is approachable and kind. We will work together in a warm and safe environment, so you feel comfortable. I work to develop a trusting relationship so you will be able to work on feelings of uncertainty, feelings of being overwhelmed and feeling alone. Using evidenced based therapy, we will work together to develop inner peace. Focus on what you need to be happy and confident. We will develop your goals together and will discuss how we will work to achieve those goals. We will develop strong tools for you to have outside of therapy to manage stress.
Accepting new clients: In-person and virtual. I am a compassionate person that is approachable and kind. We will work together in a warm and safe environment, so you feel comfortable. I work to develop a trusting relationship so you will be able to work on feelings of uncertainty, feelings of being overwhelmed and feeling alone. Using evidenced based therapy, we will work together to develop inner peace. Focus on what you need to be happy and confident. We will develop your goals together and will discuss how we will work to achieve those goals. We will develop strong tools for you to have outside of therapy to manage stress.
(410) 346-0446 View (410) 346-0446
Photo of Beth McDonald, Pre-Licensed Professional in Timonium, MD
Beth McDonald
Pre-Licensed Professional
Verified Verified
1 Endorsed
Timonium, MD 21093
Everyone, including you, deserves a space where they feel seen, heard, and understood. With a collaborative approach, I seek to create that safe environment where you can explore and transform your stories, finding healing and integration. Working from an attachment theory lens, I provide strategic, practical, and holistic support, simultaneously facilitating a deeper journey inward that gets to the core issues. I integrate cognitive-behavioral, mindfulness, and solution-focused techniques with client-centered therapy. Together, we will create a warm, compassionate space that encourages growth, self-awareness, insight, and change.
Everyone, including you, deserves a space where they feel seen, heard, and understood. With a collaborative approach, I seek to create that safe environment where you can explore and transform your stories, finding healing and integration. Working from an attachment theory lens, I provide strategic, practical, and holistic support, simultaneously facilitating a deeper journey inward that gets to the core issues. I integrate cognitive-behavioral, mindfulness, and solution-focused techniques with client-centered therapy. Together, we will create a warm, compassionate space that encourages growth, self-awareness, insight, and change.
(443) 729-0828 x712 View (443) 729-0828 x712
Photo of Norma Leaf, Licensed Clinical Professional Counselor in Timonium, MD
Norma Leaf
Licensed Clinical Professional Counselor, LCPC, MS
Verified Verified
Timonium, MD 21093
Making the choice to see a mental health professional is a wonderful first step. It comes with an acknowledgment that something might be holding you back from living your life fully to feel happier and to achieve your goals. Perhaps you want to see a therapist because you are experiencing anxiety, grief, or relationship issues that prevent you from feeling fulfilled. Maybe you are experiencing a transition in your life that feels stressful. You may want to explore how to make a change in your life. I can help you wherever you are in your journey.
Making the choice to see a mental health professional is a wonderful first step. It comes with an acknowledgment that something might be holding you back from living your life fully to feel happier and to achieve your goals. Perhaps you want to see a therapist because you are experiencing anxiety, grief, or relationship issues that prevent you from feeling fulfilled. Maybe you are experiencing a transition in your life that feels stressful. You may want to explore how to make a change in your life. I can help you wherever you are in your journey.
(443) 234-0675 View (443) 234-0675
Photo of Jill Linkoff Coaching, LLC in Timonium, MD
Jill Linkoff Coaching, LLC
PCC, ACAC
Verified Verified
Timonium, MD 21093
A Professional Certified Life Coach specializing in AD/HD, my passion is to make a positive difference with professionals and adults impacted by executive function challenges. Completing rigorous training and practice coaching requirements cultivates my expertise as an Executive Function Coach to explain the complexities of ADHD in a simple language clients will understand. I partner with clients to find strategies and tools to manage executive function challenges at work, home, in a relationship, or in college. Individual goals and actions are created and employed based on the client's unique skills and strengths.
A Professional Certified Life Coach specializing in AD/HD, my passion is to make a positive difference with professionals and adults impacted by executive function challenges. Completing rigorous training and practice coaching requirements cultivates my expertise as an Executive Function Coach to explain the complexities of ADHD in a simple language clients will understand. I partner with clients to find strategies and tools to manage executive function challenges at work, home, in a relationship, or in college. Individual goals and actions are created and employed based on the client's unique skills and strengths.
(443) 399-2254 View (443) 399-2254
Photo of Chana Bruckenstein, Licensed Clinical Professional Counselor in Timonium, MD
Chana Bruckenstein
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
Timonium, MD 21093  (Online Only)
You have been feeling down and overwhelmed, maybe even stuck. You may feel like you have tried everything or this may be your first attempt to reach out. We all go through times in our lives when therapy can help us to cope with the difficulties that arise. You are not alone.
You have been feeling down and overwhelmed, maybe even stuck. You may feel like you have tried everything or this may be your first attempt to reach out. We all go through times in our lives when therapy can help us to cope with the difficulties that arise. You are not alone.
(443) 464-2694 View (443) 464-2694
Photo of Naomi Janney, Clinical Social Work/Therapist in Timonium, MD
Naomi Janney
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Timonium, MD 21093
Not accepting new clients
Welcome! My name is Naomi and I specialize in working with adults 18+ who suffer from anxiety, depression, trauma, complicated grief, addiction, and/or personality disorders. It’s also okay to come to therapy when you’re not sure what you’re looking for but just want to get started on the road to feeling better. I believe all people have the inner wisdom to cope effectively and that some just need help tapping into it. I keep it real with my clients competently and compassionately. I meet people where they are using empathy, humor, and 9 years of clinical experience.
Welcome! My name is Naomi and I specialize in working with adults 18+ who suffer from anxiety, depression, trauma, complicated grief, addiction, and/or personality disorders. It’s also okay to come to therapy when you’re not sure what you’re looking for but just want to get started on the road to feeling better. I believe all people have the inner wisdom to cope effectively and that some just need help tapping into it. I keep it real with my clients competently and compassionately. I meet people where they are using empathy, humor, and 9 years of clinical experience.
(410) 648-9558 View (410) 648-9558
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 Jessi Gholami, Clinical Social Work/Therapist in Timonium, MD
Jessi Gholami
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
1 Endorsed
Timonium, MD 21093
Are life stressors, anxiety, trauma, parenting, or depression getting the better of you? Discover your deeper purpose in life by taking a moment to slow down and gain valuable insights into your needs and truths. Therapy has the power to enrich and offer much-needed relief during overwhelming moments. Engaging in therapy is an excellent starting point towards reclaiming ownership of your life and rediscovering the sense of satisfaction you once experienced. Take the first step towards a happier and more satisfying life. Our collaborative efforts will meet your requirements and allow your true potential to shine once more.
Are life stressors, anxiety, trauma, parenting, or depression getting the better of you? Discover your deeper purpose in life by taking a moment to slow down and gain valuable insights into your needs and truths. Therapy has the power to enrich and offer much-needed relief during overwhelming moments. Engaging in therapy is an excellent starting point towards reclaiming ownership of your life and rediscovering the sense of satisfaction you once experienced. Take the first step towards a happier and more satisfying life. Our collaborative efforts will meet your requirements and allow your true potential to shine once more.
(410) 970-3905 View (410) 970-3905
Photo of Kaylan Cramer, Clinical Social Work/Therapist in Timonium, MD
Kaylan Cramer
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Timonium, MD 21093  (Online Only)
I believe that true healing happens when a challenge is addressed holistically, and when the client is seen as a whole person. Therapy with me is a safe space to explore your connection with any uncomfortable emotions, disruptive thoughts and behavioral patterns, as well as, complicated relationships with the individuals in your life. I am especially passionate about working with those who suffer with pain and trauma from the past and who are interested in exploring how it affects their everyday life.
I believe that true healing happens when a challenge is addressed holistically, and when the client is seen as a whole person. Therapy with me is a safe space to explore your connection with any uncomfortable emotions, disruptive thoughts and behavioral patterns, as well as, complicated relationships with the individuals in your life. I am especially passionate about working with those who suffer with pain and trauma from the past and who are interested in exploring how it affects their everyday life.
(443) 232-2377 View (443) 232-2377
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 Orly Rosenberg, Clinical Social Work/Therapist in Timonium, MD
Orly Rosenberg
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
2 Endorsed
Timonium, MD 21093  (Online Only)
Experiencing anxiety, depression or other mental health issues can be overwhelming and isolating. Are you feeling stressed, stuck and seeking support? Together, we will help you gain valuable insight, identify and utilize strengths, and build confidence to take steps towards personal growth and wellbeing. I work with clients with a range of issues who want a safe place to share, process and work through life's stressors and challenges.
Experiencing anxiety, depression or other mental health issues can be overwhelming and isolating. Are you feeling stressed, stuck and seeking support? Together, we will help you gain valuable insight, identify and utilize strengths, and build confidence to take steps towards personal growth and wellbeing. I work with clients with a range of issues who want a safe place to share, process and work through life's stressors and challenges.
(410) 941-0907 View (410) 941-0907
Photo of Yisroel Tenenbaum, Clinical Social Work/Therapist in Timonium, MD
Yisroel Tenenbaum
Clinical Social Work/Therapist, LMSW, CTP
Verified Verified
1 Endorsed
Timonium, MD 21093
Life gets rough sometimes. Whether it's a major challenge or simply an interest in going from good to great, having someone in your corner can make a big difference. My clinical social work experience includes working with children, teens, and adults experiencing anxiety, depression, obsessive-compulsive behaviors, trauma, and grief. I also have experience working with sleep difficulties, ADHD, and chronic pain.
Life gets rough sometimes. Whether it's a major challenge or simply an interest in going from good to great, having someone in your corner can make a big difference. My clinical social work experience includes working with children, teens, and adults experiencing anxiety, depression, obsessive-compulsive behaviors, trauma, and grief. I also have experience working with sleep difficulties, ADHD, and chronic pain.
(410) 498-7814 x5 View (410) 498-7814 x5
Photo of Yula Ponticas, Psychologist in Timonium, MD
Yula Ponticas
Psychologist, PhD
Verified Verified
Timonium, MD 21093
I specialize in helping couples understand and improve their distressed relationships. Distressed relationships are characterized by recurrent negative patterns of interaction and conflict that create emotional distance, misunderstanding, frustration and pain. Partners are often left feeling alone, isolated and hopeless as a result of these negative interactional patterns. Many distressed couples do not feel secure, protected or cared for in their relationships when these negative patterns take over. If you or your partner can relate to this type of relationship distress, consider contacting me for a consultation.
I specialize in helping couples understand and improve their distressed relationships. Distressed relationships are characterized by recurrent negative patterns of interaction and conflict that create emotional distance, misunderstanding, frustration and pain. Partners are often left feeling alone, isolated and hopeless as a result of these negative interactional patterns. Many distressed couples do not feel secure, protected or cared for in their relationships when these negative patterns take over. If you or your partner can relate to this type of relationship distress, consider contacting me for a consultation.
(410) 941-8719 View (410) 941-8719
Photo of Theresa Scott, Psychologist in Timonium, MD
Theresa Scott
Psychologist, PsyD
Verified Verified
Timonium, MD 21093
Do you have concerns about your child's deveopment and questioned whether or not they should be assessed? Child Behavioral Health Solutions offers telehealth or in-person autism, ADHD, and psychological evaluations for children and adolescents residing in Pennsylvania, Maryland, Delaware, Virginia, and DC. Witnessing your child struggle or worrying about possible delays can lead to feelings of helplessness, frustration, or discouragement. Diagnostic evaluations will result in recomendations that will empower parents by providing them with detailed guidance and outline next steps.
Do you have concerns about your child's deveopment and questioned whether or not they should be assessed? Child Behavioral Health Solutions offers telehealth or in-person autism, ADHD, and psychological evaluations for children and adolescents residing in Pennsylvania, Maryland, Delaware, Virginia, and DC. Witnessing your child struggle or worrying about possible delays can lead to feelings of helplessness, frustration, or discouragement. Diagnostic evaluations will result in recomendations that will empower parents by providing them with detailed guidance and outline next steps.
(410) 604-8468 View (410) 604-8468
Photo of Lyndsay Soeder, Clinical Social Work/Therapist in Timonium, MD
Lyndsay Soeder
Clinical Social Work/Therapist, MS, MSW, LCSW-C
Verified Verified
Timonium, MD 21093
We all face experiences that are often difficult, painful, and even traumatic. So many of us face these situations feeling alone, overwhelmed, ashamed, and vulnerable. I believe healing and transformation comes from within, by reconnecting with our inner wisdom, becoming more self-aware, and growing more in self-love and compassion. Pain and vulnerability can also teach us a lot about ourselves and be incredibly healing. If you are struggling with relationship problems, life transitions, depression, anxiety, past traumas, feel stuck, or grieving the loss of a loved one, I can help you face these challenges.
We all face experiences that are often difficult, painful, and even traumatic. So many of us face these situations feeling alone, overwhelmed, ashamed, and vulnerable. I believe healing and transformation comes from within, by reconnecting with our inner wisdom, becoming more self-aware, and growing more in self-love and compassion. Pain and vulnerability can also teach us a lot about ourselves and be incredibly healing. If you are struggling with relationship problems, life transitions, depression, anxiety, past traumas, feel stuck, or grieving the loss of a loved one, I can help you face these challenges.
(707) 741-6065 View (707) 741-6065
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 Valerie Marks, Clinical Social Work/Therapist in Timonium, MD
Valerie Marks
Clinical Social Work/Therapist, PhD, LCSW-C
Verified Verified
Timonium, MD 21093  (Online Only)
I have experience in helping clients with stress, anxiety, life transitions, trauma, coping with grief and loss, and depression.
I have experience in helping clients with stress, anxiety, life transitions, trauma, coping with grief and loss, and depression.
(410) 724-1163 View (410) 724-1163

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
89% Depression
77% Relationship Issues
74% Self Esteem
72% Stress
71% 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.