Therapists in Matthews, NC

Photo of Patrick Balsley, Drug & Alcohol Counselor in Matthews, NC
Patrick Balsley
Drug & Alcohol Counselor, CADC
Verified Verified
4 Endorsed
Matthews, NC 28105
Patrick Balsley is a North Carolina Addiction Specialists Professional Practice Board Certified Alcohol and Drug Counselor and Structured Family Recovery® Counselor who has dedicated his life to serving individuals and families struggling with addiction.
Patrick Balsley is a North Carolina Addiction Specialists Professional Practice Board Certified Alcohol and Drug Counselor and Structured Family Recovery® Counselor who has dedicated his life to serving individuals and families struggling with addiction.
(704) 385-7319 View (704) 385-7319
Photo of La Vida Counseling, PLLC, Licensed Professional Counselor in Matthews, NC
La Vida Counseling, PLLC
Licensed Professional Counselor, LCMHCS, LCAS
Verified Verified
4 Endorsed
Matthews, NC 28105
Our team of therapists are ready to help for individual or couples counseling! We offer in person and virtual session! Specialties include but not limited to: trauma, substance abuse, depression, anxiety, behavioral problems and transitions into college. Please visit our website at www.lavidacounseling.com for more details about our therapists and services we offer. We offer counseling services and Immigration Evaluations to clients from age 5 years-Adult and video sessions and in person sessions. ¡Se habla Español!
Our team of therapists are ready to help for individual or couples counseling! We offer in person and virtual session! Specialties include but not limited to: trauma, substance abuse, depression, anxiety, behavioral problems and transitions into college. Please visit our website at www.lavidacounseling.com for more details about our therapists and services we offer. We offer counseling services and Immigration Evaluations to clients from age 5 years-Adult and video sessions and in person sessions. ¡Se habla Español!
(704) 935-4208 View (704) 935-4208
Photo of Devon Quinn, Marriage & Family Therapist Associate in Matthews, NC
Devon Quinn
Marriage & Family Therapist Associate, LMFTA
Verified Verified
2 Endorsed
Matthews, NC 28105
Are you looking to strengthen and improve your relationships? I believe that the quality of our relationships directly impacts the quality of our lives. My goal as a therapist is to help my clients increase their awareness of themselves and their relationships while providing skills to help them improve areas of their life. Whether you are looking to learn coping skills, work on healthy communication, identify negative behavior patterns within yourself or a relationship, or just need a safe place and someone to talk to, I work with you to help you achieve your goals.
Are you looking to strengthen and improve your relationships? I believe that the quality of our relationships directly impacts the quality of our lives. My goal as a therapist is to help my clients increase their awareness of themselves and their relationships while providing skills to help them improve areas of their life. Whether you are looking to learn coping skills, work on healthy communication, identify negative behavior patterns within yourself or a relationship, or just need a safe place and someone to talk to, I work with you to help you achieve your goals.
(704) 742-2455 View (704) 742-2455
Photo of Chelsea Brianne Carman in Matthews, NC
Chelsea Brianne Carman
MA
Verified Verified
Matthews, NC 28105
Throughout my career (so far) I have witnessed many individuals struggle and wrestle with their mental health and their faith. There is a stigma that rests within the church and mental health that is still present today so many Christians are faced with masking their mental health. I am here to say that this should not be. You can struggle with mental health concerns and remain a believer and child of God. I am here to meet you where you are at and work through your symptoms, one step at a time. I also have found that people forego their mental health due to financial strains. You don't have to do that with me. Give me a call.
Throughout my career (so far) I have witnessed many individuals struggle and wrestle with their mental health and their faith. There is a stigma that rests within the church and mental health that is still present today so many Christians are faced with masking their mental health. I am here to say that this should not be. You can struggle with mental health concerns and remain a believer and child of God. I am here to meet you where you are at and work through your symptoms, one step at a time. I also have found that people forego their mental health due to financial strains. You don't have to do that with me. Give me a call.
(704) 981-6370 View (704) 981-6370
Photo of Stephanie Kemper, Psychologist in Matthews, NC
Stephanie Kemper
Psychologist, PsyD
Verified Verified
1 Endorsed
Matthews, NC 28105
My work is a calling and a purpose that focuses on helping individuals of all ages know that they are worthy of being loved and valued, live fulfilling lives, and heal from pain and hurt. Therapy is a place where your family can find support and encouragement to help your child or family develop optimally. Treatment is chosen based on your child's unique set of needs and is based on effective research based interventions.
My work is a calling and a purpose that focuses on helping individuals of all ages know that they are worthy of being loved and valued, live fulfilling lives, and heal from pain and hurt. Therapy is a place where your family can find support and encouragement to help your child or family develop optimally. Treatment is chosen based on your child's unique set of needs and is based on effective research based interventions.
(704) 769-2837 View (704) 769-2837
Photo of Tiarra Oquendo-Way, LCSW Associate in Matthews, NC
Tiarra Oquendo-Way
LCSW Associate , LCSWA
Verified Verified
Matthews, NC 28105
Tiarra Oquendo-way is a Licensed Clinical Social Worker Associate in North Carolina who has been practicing since 2021. Tiarra can offer her clients a safe space to be their authentic selves without judgment, and the resources, tools, and clarity on how to become their best self. Tiarra is a foodie, so she loves to explore the city and find new places to eat. She also enjoys going to movies and concerts on her own. She loves to travel and spend time doing photography and interior decorating.
Tiarra Oquendo-way is a Licensed Clinical Social Worker Associate in North Carolina who has been practicing since 2021. Tiarra can offer her clients a safe space to be their authentic selves without judgment, and the resources, tools, and clarity on how to become their best self. Tiarra is a foodie, so she loves to explore the city and find new places to eat. She also enjoys going to movies and concerts on her own. She loves to travel and spend time doing photography and interior decorating.
(704) 850-6791 View (704) 850-6791
Photo of Joseph Pope, Licensed Clinical Mental Health Counselor in Matthews, NC
Joseph Pope
Licensed Clinical Mental Health Counselor, MS, LCMHC, LCAS
Verified Verified
4 Endorsed
Matthews, NC 28105
A person's natural tendency is to gravitate toward health and wholeness. Sometimes when trying to move toward goals and the most authentic expression of self, we get stuck by internal or external barriers. I enjoy working with clients who are willing to step into vulnerability even when it's scary and who are open to exploring creative approaches to healing. With curiosity, you can discover meaning within emotional pain and grow beyond limits you might have internalized.
A person's natural tendency is to gravitate toward health and wholeness. Sometimes when trying to move toward goals and the most authentic expression of self, we get stuck by internal or external barriers. I enjoy working with clients who are willing to step into vulnerability even when it's scary and who are open to exploring creative approaches to healing. With curiosity, you can discover meaning within emotional pain and grow beyond limits you might have internalized.
(704) 276-6748 View (704) 276-6748
Photo of Alexandra Lagunas, Clinical Social Work/Therapist in Matthews, NC
Alexandra Lagunas
Clinical Social Work/Therapist, LCSW
Verified Verified
Matthews, NC 28105
Alexandra Lagunas is a Licensed Clinical Social Worker in North Carolina who has been practicing since 2022. She has a Master of Social Work from Aurora University. While attending graduate school, she worked with adolescents who had experienced trauma from sexual abuse. Postgraduate, Alexandra worked at a rape crisis center providing advocacy services and crisis intervention to survivors of sexual assault of all ages. Alexandra has also worked at a private practice and healthcare setting providing therapeutic services for adolescents, adults, and seniors.
Alexandra Lagunas is a Licensed Clinical Social Worker in North Carolina who has been practicing since 2022. She has a Master of Social Work from Aurora University. While attending graduate school, she worked with adolescents who had experienced trauma from sexual abuse. Postgraduate, Alexandra worked at a rape crisis center providing advocacy services and crisis intervention to survivors of sexual assault of all ages. Alexandra has also worked at a private practice and healthcare setting providing therapeutic services for adolescents, adults, and seniors.
(980) 485-4937 View (980) 485-4937
Photo of Sonja Buckles-Smith in Matthews, NC
Sonja Buckles-Smith
MA, LCMHCS
Verified Verified
2 Endorsed
Matthews, NC 28105
Waitlist for new clients
I strive to help people discover their purpose, increase self-awareness, and empower them to be the outstanding individuals they are capable of being. By discarding emotional baggage, often years of hurt, pain, guilt and shame; you can rediscover your purpose, live a more fulfilling life, and regain your natural balance.
I strive to help people discover their purpose, increase self-awareness, and empower them to be the outstanding individuals they are capable of being. By discarding emotional baggage, often years of hurt, pain, guilt and shame; you can rediscover your purpose, live a more fulfilling life, and regain your natural balance.
(704) 251-6025 View (704) 251-6025
Photo of Ann Fields, Clinical Social Work/Therapist in Matthews, NC
Ann Fields
Clinical Social Work/Therapist, MSW, LCSW, Coach
Verified Verified
Matthews, NC 28105
At times, we experience difficult seasons where life does not match our ideal. It is in this space a safe place is needed to unpack the unexpected. Together, we will look at the pieces of your life, set goals, then chart a course. You will be provided with real tools to help overcome challenges, resolve the past, and move forward to attain wellness. My approach is real, insightful, and interactive. The focus is always on you and your well-being. I am kind, but direct. I talk truth and hold my clients accountable.
At times, we experience difficult seasons where life does not match our ideal. It is in this space a safe place is needed to unpack the unexpected. Together, we will look at the pieces of your life, set goals, then chart a course. You will be provided with real tools to help overcome challenges, resolve the past, and move forward to attain wellness. My approach is real, insightful, and interactive. The focus is always on you and your well-being. I am kind, but direct. I talk truth and hold my clients accountable.
(704) 327-0482 View (704) 327-0482
Photo of John Hartline, Clinical Social Work/Therapist in Matthews, NC
John Hartline
Clinical Social Work/Therapist, LCSW, MDiv
Verified Verified
1 Endorsed
Matthews, NC 28105  (Online Only)
Most of my life has been devoted to professional counseling. I bring passion and dedication to my clients. I work with both adults and adolescents. I experience my greatest joy as they achieve their goals and experience healing.I use an integrative approach to therapy inspired by a variety of evidence based practices, including, but not limited to, cognitive behavioral therapy (CBT), solution focused therapy, and mindfulness. I've received advanced training in CBT, having successfully completed a cognitive behavioral therapy certificate course led by Dr. John Ludgate, who trained under Dr. Aron Beck, founder of cognitive therapy.
Most of my life has been devoted to professional counseling. I bring passion and dedication to my clients. I work with both adults and adolescents. I experience my greatest joy as they achieve their goals and experience healing.I use an integrative approach to therapy inspired by a variety of evidence based practices, including, but not limited to, cognitive behavioral therapy (CBT), solution focused therapy, and mindfulness. I've received advanced training in CBT, having successfully completed a cognitive behavioral therapy certificate course led by Dr. John Ludgate, who trained under Dr. Aron Beck, founder of cognitive therapy.
(412) 275-5130 View (412) 275-5130
Photo of Nathan Roberson, Pre-Licensed Professional in Matthews, NC
Nathan Roberson
Pre-Licensed Professional, LCMHCA, LCASA
Verified Verified
1 Endorsed
Matthews, NC 28105
It is hard to reach out for help. I applaud your willingness to be here looking for someone to help you get started. Let’s create a life that you can feel good about. Anxiety, depression, and substance use disorders are a few of the issues I can help you address. I offer a non-judgmental and supportive space so you can feel safe. We can explore the thoughts and beliefs that create the anxiety and depression that often times drive us to use substances to cope. Through understanding where you are and what got you here, you can make the changes needed to improve your life. You can ultimately create a life you can fully embrace.
It is hard to reach out for help. I applaud your willingness to be here looking for someone to help you get started. Let’s create a life that you can feel good about. Anxiety, depression, and substance use disorders are a few of the issues I can help you address. I offer a non-judgmental and supportive space so you can feel safe. We can explore the thoughts and beliefs that create the anxiety and depression that often times drive us to use substances to cope. Through understanding where you are and what got you here, you can make the changes needed to improve your life. You can ultimately create a life you can fully embrace.
(704) 741-0728 View (704) 741-0728
Photo of Jenica Cannella, Clinical Social Work/Therapist in Matthews, NC
Jenica Cannella
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
Matthews, NC 28105
Are you navigating neurodivergence, anxiety, or life transitions as a woman? I specialize in late-diagnosed ADHD and autism. Being late diagnosed neurodivergent myself, I deeply understand the complexities of juggling parenting, family, career, and social aspects of life. I'm here to help you work through these challenges, empowering you towards growth and healing. I also work with children ages 5-12 in the areas of ADHD, emotional regulation, anxiety, and going between split households. I am an adoption competent therapist and work with adoptees and adoptive parents.
Are you navigating neurodivergence, anxiety, or life transitions as a woman? I specialize in late-diagnosed ADHD and autism. Being late diagnosed neurodivergent myself, I deeply understand the complexities of juggling parenting, family, career, and social aspects of life. I'm here to help you work through these challenges, empowering you towards growth and healing. I also work with children ages 5-12 in the areas of ADHD, emotional regulation, anxiety, and going between split households. I am an adoption competent therapist and work with adoptees and adoptive parents.
(704) 360-5405 View (704) 360-5405
Photo of Tasha Boileau, Clinical Social Work/Therapist in Matthews, NC
Tasha Boileau
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Matthews, NC 28105
I am a Licensed Clinical Social Work (LCSW) providing mental health services to school- aged Children (5 to 12), Adolescents, and Adults. I received my Bachelor’s Degree in Family, Youth, and Community Sciences from the University of Florida in 2011. I went on to receive my Master’s Degree in Social Work from the University of South Florida in 2013. I have been working in the mental health field for about five years. I have received my training in Level II EMDR by EMDRIA and is currently participating in the prestigious North Carolina Child Treatment Program for Certification and Rostering in TF-CBT.
I am a Licensed Clinical Social Work (LCSW) providing mental health services to school- aged Children (5 to 12), Adolescents, and Adults. I received my Bachelor’s Degree in Family, Youth, and Community Sciences from the University of Florida in 2011. I went on to receive my Master’s Degree in Social Work from the University of South Florida in 2013. I have been working in the mental health field for about five years. I have received my training in Level II EMDR by EMDRIA and is currently participating in the prestigious North Carolina Child Treatment Program for Certification and Rostering in TF-CBT.
(704) 270-2893 View (704) 270-2893
Photo of Mary Ann McGannon, Licensed Clinical Mental Health Counselor in Matthews, NC
Mary Ann McGannon
Licensed Clinical Mental Health Counselor, LCMHC, ATR-BC
Verified Verified
Matthews, NC 28105
Not accepting new clients
Over the past 30 years I have enjoyed working with clients of all ages, from children to adults. As an art therapist, I use the tools of the creative arts and traditional counseling methods to help people identify their obstacles and find more peace and resolution in their lives. I work with individuals, couples and families. My focus over the past 15 years has been with children, gay and lesbian issues, couples, stress management for working parents, and mental health issues such as depression and anxiety.
Over the past 30 years I have enjoyed working with clients of all ages, from children to adults. As an art therapist, I use the tools of the creative arts and traditional counseling methods to help people identify their obstacles and find more peace and resolution in their lives. I work with individuals, couples and families. My focus over the past 15 years has been with children, gay and lesbian issues, couples, stress management for working parents, and mental health issues such as depression and anxiety.
(803) 402-4575 View (803) 402-4575
Photo of Marissa Johnson, Counselor in Matthews, NC
Marissa Johnson
Counselor, LCMHC, NCC
Verified Verified
Matthews, NC 28105
Are you struggling to regulate your emotions and meet your goals? Do you feel stuck in life? Is your past interfering with your life in the present? I am trained in EMDR and DBT, and help clients who are struggling with mood and anxiety disorders, life transitions, and past trauma. I want to help you work through difficulties to live your best life. Life right now is particularly stressful, and and I want to give you a place to process your emotions and learn skills to handle stress.
Are you struggling to regulate your emotions and meet your goals? Do you feel stuck in life? Is your past interfering with your life in the present? I am trained in EMDR and DBT, and help clients who are struggling with mood and anxiety disorders, life transitions, and past trauma. I want to help you work through difficulties to live your best life. Life right now is particularly stressful, and and I want to give you a place to process your emotions and learn skills to handle stress.
(704) 610-3970 View (704) 610-3970
Photo of Mahogany Restorative Counseling, LLC, Clinical Social Work/Therapist in Matthews, NC
Mahogany Restorative Counseling, LLC
Clinical Social Work/Therapist, MSW, LCSW, LISW
Verified Verified
1 Endorsed
Matthews, NC 28105
Not accepting new clients
How have the challenges of being expected to fit into others’ expectations of you impacted your daily life? What has it meant for you to cope with microaggressions and biased criticisms as a Black person in America? Carrying the burdens of racial trauma, depression, and anxiety can feel like an uphill battle. If this is true for you, then therapy can help you to take steps in the direction of your best self. You should feel empowered and supported while standing in your truth.
How have the challenges of being expected to fit into others’ expectations of you impacted your daily life? What has it meant for you to cope with microaggressions and biased criticisms as a Black person in America? Carrying the burdens of racial trauma, depression, and anxiety can feel like an uphill battle. If this is true for you, then therapy can help you to take steps in the direction of your best self. You should feel empowered and supported while standing in your truth.
(380) 235-4218 View (380) 235-4218
Photo of MACS (McCloud Acosta Clinical Services PLLC), Clinical Social Work/Therapist in Matthews, NC
MACS (McCloud Acosta Clinical Services PLLC)
Clinical Social Work/Therapist
Verified Verified
3 Endorsed
Matthews, NC 28105
We are a Group of Trauma Specialist working with a variety of ages (8-100+) who have experienced trauma & have mental health needs. Our team of 15 therapists have a variety of specialties, experience & methods along with life experiences that can address most challenges. We love to work with clients who are ready to take the healing journey, are open, motivated & committed. Therapy is work & it is something we are honored to help you do. If you are ready to improve your life- please reach out. Virtual (in NC) and In-Person Sessions Available in Matthews & Mint Hill.
We are a Group of Trauma Specialist working with a variety of ages (8-100+) who have experienced trauma & have mental health needs. Our team of 15 therapists have a variety of specialties, experience & methods along with life experiences that can address most challenges. We love to work with clients who are ready to take the healing journey, are open, motivated & committed. Therapy is work & it is something we are honored to help you do. If you are ready to improve your life- please reach out. Virtual (in NC) and In-Person Sessions Available in Matthews & Mint Hill.
(704) 368-3609 View (704) 368-3609
Photo of Glenda Vinson-Nnaji, Licensed Professional Counselor in Matthews, NC
Glenda Vinson-Nnaji
Licensed Professional Counselor, MEd, LCMHCS, LCAS, LPC
Verified Verified
Matthews, NC 28105
My specialty areas include Trauma Resolution, Anxiety and Depression management, and ADHD. I take pride in helping individuals find solutions to difficulties they encounter to live happy healthy lives. My therapeutic style is empathetic and warm while focused on building on clients' strengths to help them heal from the past and find solutions for the future. My overall goal in therapy is to help clients acknowledge their problems and then focus on positive solutions that allow them to feel better and do better.
My specialty areas include Trauma Resolution, Anxiety and Depression management, and ADHD. I take pride in helping individuals find solutions to difficulties they encounter to live happy healthy lives. My therapeutic style is empathetic and warm while focused on building on clients' strengths to help them heal from the past and find solutions for the future. My overall goal in therapy is to help clients acknowledge their problems and then focus on positive solutions that allow them to feel better and do better.
(704) 769-2607 View (704) 769-2607
Photo of Tayona Fraylon, Licensed Clinical Mental Health Counselor in Matthews, NC
Tayona Fraylon
Licensed Clinical Mental Health Counselor, MS, LCMHC-A
Verified Verified
Matthews, NC 28106
I am pleased and privileged to have the opportunity to work with you and provide an atmosphere of safety and trust for you. We are going to find a way to relax and discuss information important to you and ways for meeting your goals and therapeutic needs. If you can agree to make a good faith effort at personal growth and to engage in the counseling process we can build from there.
I am pleased and privileged to have the opportunity to work with you and provide an atmosphere of safety and trust for you. We are going to find a way to relax and discuss information important to you and ways for meeting your goals and therapeutic needs. If you can agree to make a good faith effort at personal growth and to engage in the counseling process we can build from there.
(704) 270-3735 View (704) 270-3735

How does your Therapist compare?

Number of Therapists in Matthews, NC

300+

Average cost per session

$135

Therapists in Matthews, NC who prioritize treating:

95% Anxiety
90% Depression
74% Coping Skills
74% Self Esteem
70% Relationship Issues
65% Trauma and PTSD
61% Grief

Average years in practice

10 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
74% Aetna
62% UnitedHealthcare UHC | UBH

How Therapists in Matthews, NC see their clients

72% In Person and Online
28% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Matthews?

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.