Therapists in Chandler, AZ

Photo of Kimberly Jackowski, Counselor in Chandler, AZ
Kimberly Jackowski
Counselor, MA, LAC
Verified Verified
1 Endorsed
Chandler, AZ 85225
I am so glad you are here. The decision to start therapy isn't always an easy one, and you’ve already accomplished one of the hardest parts: starting the process. I want you to know that you are not alone! I specialize in shame reduction, trauma work, and living a wholehearted and authentic life. I appreciate the positive impact of creating trust and a strong rapport with my clients combined with a cognitive approach to assist you with building a connection between thoughts and feelings in order for you to evolve into the best version of yourself.
I am so glad you are here. The decision to start therapy isn't always an easy one, and you’ve already accomplished one of the hardest parts: starting the process. I want you to know that you are not alone! I specialize in shame reduction, trauma work, and living a wholehearted and authentic life. I appreciate the positive impact of creating trust and a strong rapport with my clients combined with a cognitive approach to assist you with building a connection between thoughts and feelings in order for you to evolve into the best version of yourself.
(480) 780-3356 View (480) 780-3356
Photo of Ellen McDow, Licensed Professional Counselor in Chandler, AZ
Ellen McDow
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Chandler, AZ 85224
Do you feel frustrated by the same issues coming up over and over again in your relationship? Do you feel like your partner isn't really there for you? Do you find yourself missing the connection that you used to have? Sometimes couples to get into emotional patterns that feel really bad. Many people feel like they have been loudly asking for what they need to no avail. Others feel like they are doing everything they can to make their partner happy, and it's not working. Other times, something has happened in the relationship that has led to a loss of trust. Are you wanting to get back to the joy you used to have?
Do you feel frustrated by the same issues coming up over and over again in your relationship? Do you feel like your partner isn't really there for you? Do you find yourself missing the connection that you used to have? Sometimes couples to get into emotional patterns that feel really bad. Many people feel like they have been loudly asking for what they need to no avail. Others feel like they are doing everything they can to make their partner happy, and it's not working. Other times, something has happened in the relationship that has led to a loss of trust. Are you wanting to get back to the joy you used to have?
(480) 923-7593 View (480) 923-7593
Photo of AZ Marriage and Family Therapy Clinic, Marriage & Family Therapist in Chandler, AZ
AZ Marriage and Family Therapy Clinic
Marriage & Family Therapist, LMFT
Verified Verified
Chandler, AZ 85226
My goal is to help you overcome the feeling of being stuck so you can start moving forward! Whether this is related to your relationships, feelings of anxiety, or a recent change in your life, I am dedicated to uncovering the root cause of these issues, eradicating the discomfort and transforming it into functional daily living. A safe, judgment free environment will be felt along with the introduction of tools and techniques to create progress during this journey! Through a client centered approach, we will team up to uncover your underlying needs and explore healthy solutions to create meaningful change.
My goal is to help you overcome the feeling of being stuck so you can start moving forward! Whether this is related to your relationships, feelings of anxiety, or a recent change in your life, I am dedicated to uncovering the root cause of these issues, eradicating the discomfort and transforming it into functional daily living. A safe, judgment free environment will be felt along with the introduction of tools and techniques to create progress during this journey! Through a client centered approach, we will team up to uncover your underlying needs and explore healthy solutions to create meaningful change.
(602) 975-2023 View (602) 975-2023
Photo of Amanda Smith, Psychologist in Chandler, AZ
Amanda Smith
Psychologist, PsyD, LCP
Verified Verified
Chandler, AZ 85286  (Online Only)
Hi! My name is Dr. Amanda Smith and I'm a clinical psychologist licensed in Arizona, Texas, and Ohio. With nearly 20 years of experience under my belt, I lead a diverse team of therapists at WellQor dedicated to helping clients on their journey towards healing and growth. At our practice, each member of our team brings their own expertise and therapeutic style to the table, allowing us to tailor our interventions to best support you on your path to well-being. We take great care in placing you with a member of our team whose specialties and approaches align with your issues, goals, personality, and preferences.
Hi! My name is Dr. Amanda Smith and I'm a clinical psychologist licensed in Arizona, Texas, and Ohio. With nearly 20 years of experience under my belt, I lead a diverse team of therapists at WellQor dedicated to helping clients on their journey towards healing and growth. At our practice, each member of our team brings their own expertise and therapeutic style to the table, allowing us to tailor our interventions to best support you on your path to well-being. We take great care in placing you with a member of our team whose specialties and approaches align with your issues, goals, personality, and preferences.
(602) 889-0748 View (602) 889-0748
Photo of Better Days Behavioral Health, LLC, Clinical Social Work/Therapist in Chandler, AZ
Better Days Behavioral Health, LLC
Clinical Social Work/Therapist, LCSW, 15185
Verified Verified
1 Endorsed
Chandler, AZ 85286
I specialize in working with clients who struggle with anxiety, depression, OCD, and trauma. I believe in my clients resilience and ability to self determine what works for them. Every client has their own strengths and needs, which I help them to identify and work to address to help them feel empowered. Working together we will help you achieve the identified treatment goals to find more peace and happiness in your daily life.
I specialize in working with clients who struggle with anxiety, depression, OCD, and trauma. I believe in my clients resilience and ability to self determine what works for them. Every client has their own strengths and needs, which I help them to identify and work to address to help them feel empowered. Working together we will help you achieve the identified treatment goals to find more peace and happiness in your daily life.
(480) 351-6450 View (480) 351-6450
Photo of Lori Davenport, Licensed Professional Counselor in Chandler, AZ
Lori Davenport
Licensed Professional Counselor, LPC, CCTP
Verified Verified
Chandler, AZ 85286  (Online Only)
Not accepting new clients
Copper Earth Counseling is not accepting new clients at this time. Please call your customer service number on the back of your insurance card to find an in-network therapist. Copper Earth Counseling anticipates exciting changes in October of 2024, including service expansion! Please check back at that time for details and warm wishes on your journey.
Copper Earth Counseling is not accepting new clients at this time. Please call your customer service number on the back of your insurance card to find an in-network therapist. Copper Earth Counseling anticipates exciting changes in October of 2024, including service expansion! Please check back at that time for details and warm wishes on your journey.
(928) 223-4232 View (928) 223-4232
Photo of Abrianna E Colossio, Licensed Professional Counselor in Chandler, AZ
Abrianna E Colossio
Licensed Professional Counselor, MSc, LPC
Verified Verified
7 Endorsed
Chandler, AZ 85224
I provide individual and family therapy to address client and family social, emotional and behavioral concerns. I am specialized in working with victim trauma, general mental health problems, substance abuse, chronic behavioral health problems, and youth with sexually maladaptive behavior issues. I also have experience working with children and families struggling with history of domestic violence, addiction, and working with adolescents on aggression replacement, acceptance and responsibility and implementing healthy lifestyles. This practice does NOT get involved in custody/divorce cases.
I provide individual and family therapy to address client and family social, emotional and behavioral concerns. I am specialized in working with victim trauma, general mental health problems, substance abuse, chronic behavioral health problems, and youth with sexually maladaptive behavior issues. I also have experience working with children and families struggling with history of domestic violence, addiction, and working with adolescents on aggression replacement, acceptance and responsibility and implementing healthy lifestyles. This practice does NOT get involved in custody/divorce cases.
(623) 263-1299 View (623) 263-1299
Photo of Arizona Marriage and Family Therapy Clinic, Marriage & Family Therapist in Chandler, AZ
Arizona Marriage and Family Therapy Clinic
Marriage & Family Therapist, PhD, LMFT
Verified Verified
2 Endorsed
Chandler, AZ 85226
I provide a supportive, compassionate, collaborative and non-judgmental environment. Your comfort and trust are the most important aspects to your success. Whether you are having challenges at home, school, or work, we can design a plan that will help you make positive changes in your life. In addition to my clinical practice, I am the Co-Director of the Marriage and Family Therapy graduate program. This keeps me "connected" to the latest advances in the field which I bring to our work together.
I provide a supportive, compassionate, collaborative and non-judgmental environment. Your comfort and trust are the most important aspects to your success. Whether you are having challenges at home, school, or work, we can design a plan that will help you make positive changes in your life. In addition to my clinical practice, I am the Co-Director of the Marriage and Family Therapy graduate program. This keeps me "connected" to the latest advances in the field which I bring to our work together.
(480) 382-5925 View (480) 382-5925
Photo of Jeffrey C Schwartz, Drug & Alcohol Counselor in Chandler, AZ
Jeffrey C Schwartz
Drug & Alcohol Counselor, MS, LISAC
Verified Verified
4 Endorsed
Chandler, AZ 85226
I specialize in providing State funded treatment for problem & compulsive gambling, in a safe & confidential setting. I also treat drug/alcohol addiction. I offer group, individual, family, & couples counseling to adults of all ages. I work with addicts, spouses, affected members, & families during the treatment process to develop a customized approach that best meets each person’s individual needs. My journey has bestowed me with a profound understanding of addiction & — I can help you get your life back!
I specialize in providing State funded treatment for problem & compulsive gambling, in a safe & confidential setting. I also treat drug/alcohol addiction. I offer group, individual, family, & couples counseling to adults of all ages. I work with addicts, spouses, affected members, & families during the treatment process to develop a customized approach that best meets each person’s individual needs. My journey has bestowed me with a profound understanding of addiction & — I can help you get your life back!
(480) 418-1696 View (480) 418-1696
Photo of Athen Fisher, Marriage & Family Therapist in Chandler, AZ
Athen Fisher
Marriage & Family Therapist, MAS, LMFT
Verified Verified
1 Endorsed
Chandler, AZ 85224
I have a passion for helping clients create and strengthen meaningful relationships in their lives, whether it be with their partner, family member or their self. I enjoy working with couples, families and individuals and helping them identify and change hurtful, negative patterns and create more effective, healthy ones. Healing and change happen within ourselves and through relationships when we feel secure and loved. I strive to help couples, in families develop and strengthen those bonds and create positive interactions.
I have a passion for helping clients create and strengthen meaningful relationships in their lives, whether it be with their partner, family member or their self. I enjoy working with couples, families and individuals and helping them identify and change hurtful, negative patterns and create more effective, healthy ones. Healing and change happen within ourselves and through relationships when we feel secure and loved. I strive to help couples, in families develop and strengthen those bonds and create positive interactions.
(480) 386-6082 View (480) 386-6082
Photo of Chikaodi Banor in Chandler, AZ
Chikaodi Banor
DNP, APRN, MSN/Ed, FNP-C, PMHNPBC
Verified Verified
3 Endorsed
Chandler, AZ 85225
At Pulse Healthcare Solutions we provide medication management to our patients Mondays through Fridays from 8 AM to 5 PM. We are closed from 12 pm to 1 pm for lunch, and on most major holidays. Same day appointments and walk in appts are available.
At Pulse Healthcare Solutions we provide medication management to our patients Mondays through Fridays from 8 AM to 5 PM. We are closed from 12 pm to 1 pm for lunch, and on most major holidays. Same day appointments and walk in appts are available.
(480) 631-9360 View (480) 631-9360
Photo of Luca Counseling & Wellness Center LLC, Licensed Professional Counselor in Chandler, AZ
Luca Counseling & Wellness Center LLC
Licensed Professional Counselor, MA, LPC, LAC
Verified Verified
Chandler, AZ 85224
We at LUCA are here to Lift Up Communities In Arizona by providing mental health and support services to guide individuals and families toward healing and a newfound purpose and fulfillment. Katie is a Licensed Professional Counselor in the state of Arizona and Wyoming, is our clinical director with over 17 years of counseling experience, and over 20 years within the social service field, helping individuals and families heal from trauma and life challenges.
We at LUCA are here to Lift Up Communities In Arizona by providing mental health and support services to guide individuals and families toward healing and a newfound purpose and fulfillment. Katie is a Licensed Professional Counselor in the state of Arizona and Wyoming, is our clinical director with over 17 years of counseling experience, and over 20 years within the social service field, helping individuals and families heal from trauma and life challenges.
(480) 906-4396 View (480) 906-4396
Photo of Pamela Bonilla, Licensed Professional Counselor in Chandler, AZ
Pamela Bonilla
Licensed Professional Counselor, MS, LPC-S, ITR-CTS
Verified Verified
Chandler, AZ 85224
Meet Pam, a Certified Trauma Specialist who has been working with children since 1987. Pam's passion is to help families become more securely attached by working with children and adolescents who have trauma, attachment disorders, and autism. With Pam's expertise in trauma using Instinctual Trauma Response, Dyadic Developmental Psychotherapy, and Autplay Therapy for autism, children and their families can experience the highest level of care and support.
Meet Pam, a Certified Trauma Specialist who has been working with children since 1987. Pam's passion is to help families become more securely attached by working with children and adolescents who have trauma, attachment disorders, and autism. With Pam's expertise in trauma using Instinctual Trauma Response, Dyadic Developmental Psychotherapy, and Autplay Therapy for autism, children and their families can experience the highest level of care and support.
(480) 210-1724 View (480) 210-1724
Photo of Jane Z Pile, Psychologist in Chandler, AZ
Jane Z Pile
Psychologist, PhD
Verified Verified
1 Endorsed
Chandler, AZ 85249  (Online Only)
Not accepting new clients
I am not able to accept any new patients. I work with adults and seniors and have training and/or significant experience in diagnosing and treating most issues and disorders with the exception of drug/alcohol abuse. I treat people with 'life issues', the psychological version of the flu and people with more serious or complicated problems such as severe OCD, bi polar, eating disorders, and trauma--psychological version of pneumonia....and everything in between. My goal is to help people identify their problem, decide upon treatment goal(s), decide treatment options, and work together to achieve their goals.
I am not able to accept any new patients. I work with adults and seniors and have training and/or significant experience in diagnosing and treating most issues and disorders with the exception of drug/alcohol abuse. I treat people with 'life issues', the psychological version of the flu and people with more serious or complicated problems such as severe OCD, bi polar, eating disorders, and trauma--psychological version of pneumonia....and everything in between. My goal is to help people identify their problem, decide upon treatment goal(s), decide treatment options, and work together to achieve their goals.
(484) 652-8814 View (484) 652-8814
Photo of Natalie Andersen, Clinical Social Work/Therapist in Chandler, AZ
Natalie Andersen
Clinical Social Work/Therapist, LCSW, RPT-S, IMH-E
Verified Verified
1 Endorsed
Chandler, AZ 85248
Waitlist for new clients
Hello and thank you for your interest in therapy. I believe the relationship between the therapist and client is the most important part of the therapy journey. I specialize in working with children birth to early teens as well as young adults who have experienced trauma, including sexual and physical abuse, neglect, witness to domestic violence and homicide and attachment difficulties. In addition, Natalie uses several modalities in treatment, including Child Parent Psychotherapy, dyadic treatment for children (birth to 5) and their parents, play therapy, art therapy, and sand tray therapy.
Hello and thank you for your interest in therapy. I believe the relationship between the therapist and client is the most important part of the therapy journey. I specialize in working with children birth to early teens as well as young adults who have experienced trauma, including sexual and physical abuse, neglect, witness to domestic violence and homicide and attachment difficulties. In addition, Natalie uses several modalities in treatment, including Child Parent Psychotherapy, dyadic treatment for children (birth to 5) and their parents, play therapy, art therapy, and sand tray therapy.
(480) 690-8400 View (480) 690-8400
Photo of Max Dinet, Licensed Master Social Worker in Chandler, AZ
Max Dinet
Licensed Master Social Worker, LMSW
Verified Verified
Chandler, AZ 85224
Waitlist for new clients
Hello! I am glad you are considering counseling. I specialize in working with folks struggling with depression, anxiety, and other mood disorders. My method is to understand to the root your struggles, and find techniques and strategies to overcome and cope with those struggles. I insist that my clients take the lead on their journey to health and recovery, and I act as a guide through that process. You will never get harsh or judgmental demands of what to change from me. I want you have control of your well-being and feel confident in your self-improvement!
Hello! I am glad you are considering counseling. I specialize in working with folks struggling with depression, anxiety, and other mood disorders. My method is to understand to the root your struggles, and find techniques and strategies to overcome and cope with those struggles. I insist that my clients take the lead on their journey to health and recovery, and I act as a guide through that process. You will never get harsh or judgmental demands of what to change from me. I want you have control of your well-being and feel confident in your self-improvement!
(520) 224-1505 View (520) 224-1505
Photo of Dr. Zoë Teresa Folts, Clinical Social Work/Therapist in Chandler, AZ
Dr. Zoë Teresa Folts
Clinical Social Work/Therapist, DBH, LCSW
Verified Verified
Chandler, AZ 85226
Dr. Folts sees clients facing a variety of issues with offices in Arizona and Florida. Life presents us with circumstances; at times challenging our relationships and ourselves. Therapy can be a catalyst in the discovery of creative and viable solutions, or in the personal work toward acceptance. Dr. Folts brings a wealth of experience and training. She has been a faculty member with Maricopa Community Colleges and counseled students, employees and faculty in her work with Arizona State University. Dr Folts' doctoral research included depression, anxiety, chronic/prolonged illness, as well as those facing terminal diagnosis.
Dr. Folts sees clients facing a variety of issues with offices in Arizona and Florida. Life presents us with circumstances; at times challenging our relationships and ourselves. Therapy can be a catalyst in the discovery of creative and viable solutions, or in the personal work toward acceptance. Dr. Folts brings a wealth of experience and training. She has been a faculty member with Maricopa Community Colleges and counseled students, employees and faculty in her work with Arizona State University. Dr Folts' doctoral research included depression, anxiety, chronic/prolonged illness, as well as those facing terminal diagnosis.
(602) 671-2607 View (602) 671-2607
Photo of Dean Hebert in Chandler, AZ
Dean Hebert
MEd, MGCP, CHT
Verified Verified
2 Endorsed
Chandler, AZ 85248
My coaching improves confidence, focus, composure, resiliency, trust, and overall mental toughness. All performers want to perform confidently, control emotions, perform fearlessly, perform best in competition, embrace competition. I start with a comprehensive assessment then I create a custom game plan for our sessions. My clients want to perform at their best - freely - without mind games. My programs help athletes, coaches, youth athlete parents and performers from all disciplines (dance, theater, public speaking).
My coaching improves confidence, focus, composure, resiliency, trust, and overall mental toughness. All performers want to perform confidently, control emotions, perform fearlessly, perform best in competition, embrace competition. I start with a comprehensive assessment then I create a custom game plan for our sessions. My clients want to perform at their best - freely - without mind games. My programs help athletes, coaches, youth athlete parents and performers from all disciplines (dance, theater, public speaking).
(480) 470-9790 View (480) 470-9790
Photo of Jennifer Rosenfeld, Clinical Social Work/Therapist in Chandler, AZ
Jennifer Rosenfeld
Clinical Social Work/Therapist, LCSW
Verified Verified
Chandler, AZ 85224
I have been a clinical therapist for over 25 years working primarily with children, adolescents, families, and young adults. I have worked with some of the more difficult needs that children and adolescents have with a specialty in attachment, trauma and adoption. Additionally, I have experience in social/peer issues, school problems and anxiety.
I have been a clinical therapist for over 25 years working primarily with children, adolescents, families, and young adults. I have worked with some of the more difficult needs that children and adolescents have with a specialty in attachment, trauma and adoption. Additionally, I have experience in social/peer issues, school problems and anxiety.
(516) 830-4803 View (516) 830-4803
Photo of Maricopa Christian Psychiatry, Licensed Professional Counselor in Chandler, AZ
Maricopa Christian Psychiatry
Licensed Professional Counselor, LPC
Verified Verified
Chandler, AZ 85286
ACCEPTING NEW PATIENTS. Every individual is unique with their own set of circumstances that may keep them from reaching their full potential. Do you strive to find your own way but often feel alone and misunderstood? The circumstances that may cause an individual to seek help are often not “stand-alone” situations but involve layers of issues. Addressing the root cause of problems requires a collaborative relationship. You know the details of your life and my role as a therapist is to guide you with expertise and a new perspective through a combination of evidence-based therapeutic approaches.
ACCEPTING NEW PATIENTS. Every individual is unique with their own set of circumstances that may keep them from reaching their full potential. Do you strive to find your own way but often feel alone and misunderstood? The circumstances that may cause an individual to seek help are often not “stand-alone” situations but involve layers of issues. Addressing the root cause of problems requires a collaborative relationship. You know the details of your life and my role as a therapist is to guide you with expertise and a new perspective through a combination of evidence-based therapeutic approaches.
(480) 680-7914 View (480) 680-7914

How does your Therapist compare?

Number of Therapists in Chandler, AZ

600+

Average cost per session

$150

Therapists in Chandler, AZ who prioritize treating:

94% Anxiety
89% Depression
77% Relationship Issues
77% Self Esteem
76% Trauma and PTSD
74% Coping Skills
72% Stress

Average years in practice

10 Years

Top 3 insurances accepted

84% Aetna
71% BlueCross and BlueShield
59% UnitedHealthcare UHC | UBH

How Therapists in Chandler, AZ see their clients

79% In Person and Online
21% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Chandler?

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.