Therapists in Statesville, NC

Photo of Shara Gilreath, Licensed Professional Counselor in Statesville, NC
Shara Gilreath
Licensed Professional Counselor, MA, LCMHC
Verified Verified
Statesville, NC 28625
Connection matters! Whether you are dealing with adjustments in life, marriage struggles, career struggles, anxiety, depression, overwhelming life stress, or childhood trauma; navigating these difficulties can feel very lonely. My strengths are in helping clients heal from the hurt of their past, find connection and healing in marriage even if there have been great hurts, and assist individuals who feel trapped in destructive relationships and trapped in negative self-belief. My hope is that my clients discover true connection, in place of their pain or struggle, that allows them to fully embrace their uniqueness.
Connection matters! Whether you are dealing with adjustments in life, marriage struggles, career struggles, anxiety, depression, overwhelming life stress, or childhood trauma; navigating these difficulties can feel very lonely. My strengths are in helping clients heal from the hurt of their past, find connection and healing in marriage even if there have been great hurts, and assist individuals who feel trapped in destructive relationships and trapped in negative self-belief. My hope is that my clients discover true connection, in place of their pain or struggle, that allows them to fully embrace their uniqueness.
(980) 268-2459 View (980) 268-2459
Photo of Barbara Miller, Licensed Clinical Mental Health Counselor in Statesville, NC
Barbara Miller
Licensed Clinical Mental Health Counselor, LCMCHS
Verified Verified
Statesville, NC 28625
Barbara Miller is a North Carolina Licensed Clinical Mental Health Counselor Supervisor. She earned her Master's at Nova University in Florida. She has 30 years' experience in individual, family and group therapy in office and school settings, over telehealth and, when warranted, in the home. She enjoys working with children, adolescents and their families, as well as adults. Barbara is proud to offer multiple therapy techniques including CBT, DBT, Reality, Person Centered, Motivational Interviewing and Psychoeducation to help each client reach their unique life goals.
Barbara Miller is a North Carolina Licensed Clinical Mental Health Counselor Supervisor. She earned her Master's at Nova University in Florida. She has 30 years' experience in individual, family and group therapy in office and school settings, over telehealth and, when warranted, in the home. She enjoys working with children, adolescents and their families, as well as adults. Barbara is proud to offer multiple therapy techniques including CBT, DBT, Reality, Person Centered, Motivational Interviewing and Psychoeducation to help each client reach their unique life goals.
(704) 389-3032 View (704) 389-3032
Photo of Chaqueenia Livingston, Licensed Clinical Mental Health Counselor in Statesville, NC
Chaqueenia Livingston
Licensed Clinical Mental Health Counselor, MA, LCMHCA
Verified Verified
Statesville, NC 28625
Chaqueenia treats patients starting 10 years old. Chaqueenia graduated from Lenoir Rhyne University with a Master's Degree in Mental Health counseling. She is licensed in the state of North Carolina as a Clinical Mental Health Counselor Associate. She enjoys working with children, adolescents, and adults. Chaqueenia believes that effective therapy is about a number of things: experience, expertise, a clear diagnosis, concise goals, and the knowledge and the tools that may effectively help clients navigate difficult life issues.
Chaqueenia treats patients starting 10 years old. Chaqueenia graduated from Lenoir Rhyne University with a Master's Degree in Mental Health counseling. She is licensed in the state of North Carolina as a Clinical Mental Health Counselor Associate. She enjoys working with children, adolescents, and adults. Chaqueenia believes that effective therapy is about a number of things: experience, expertise, a clear diagnosis, concise goals, and the knowledge and the tools that may effectively help clients navigate difficult life issues.
(704) 389-2346 View (704) 389-2346
Photo of Heather Herrig, Licensed Clinical Mental Health Counselor in Statesville, NC
Heather Herrig
Licensed Clinical Mental Health Counselor, MA, LCMHC, LCAS
Verified Verified
Statesville, NC 28625
Heather is a Licensed Substance Abuse Counselor as well as a Licensed Clinical Mental Health Counselor, who has been practicing since 2014. They graduated from Lenoir Rhyne University in Hickory, NC with a degree in Mental Health Counseling. Heather's undergraduate degree is from The Ohio State University in Columbus Ohio. With a degree in Human Development and Family Sciences. Heather believes in Cognitive Behavioral Therapy (CBT) and Person Centered Therapy approaches. Heather feels it is best to meet someone where they are at emotionally in life and help them on their journey to mental wellness.
Heather is a Licensed Substance Abuse Counselor as well as a Licensed Clinical Mental Health Counselor, who has been practicing since 2014. They graduated from Lenoir Rhyne University in Hickory, NC with a degree in Mental Health Counseling. Heather's undergraduate degree is from The Ohio State University in Columbus Ohio. With a degree in Human Development and Family Sciences. Heather believes in Cognitive Behavioral Therapy (CBT) and Person Centered Therapy approaches. Heather feels it is best to meet someone where they are at emotionally in life and help them on their journey to mental wellness.
(704) 741-5617 View (704) 741-5617
Photo of Megan LeAnn Byerly, Licensed Clinical Mental Health Counselor in Statesville, NC
Megan LeAnn Byerly
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
1 Endorsed
Statesville, NC 28677
I think it is safe to assume that if you have found yourself here on my page, you are looking for the right counselor to pursue mental health counseling services with whether it be for yourself, family member, friend, or another loved one. Well, hopefully I will be that perfect fit counselor you are looking for! My name is Megan Byerly, LCMHC, and I am an undergraduate from Western Carolina, double majoring in Psychology and Recreational Therapy. I then obtained my graduate degree from Lenoir-Rhyne University in Clinical Mental Health Counseling. I have been working in the field for over 5 years, in various settings.
I think it is safe to assume that if you have found yourself here on my page, you are looking for the right counselor to pursue mental health counseling services with whether it be for yourself, family member, friend, or another loved one. Well, hopefully I will be that perfect fit counselor you are looking for! My name is Megan Byerly, LCMHC, and I am an undergraduate from Western Carolina, double majoring in Psychology and Recreational Therapy. I then obtained my graduate degree from Lenoir-Rhyne University in Clinical Mental Health Counseling. I have been working in the field for over 5 years, in various settings.
(704) 742-2567 View (704) 742-2567
Photo of Kambi A Swan, Licensed Professional Counselor in Statesville, NC
Kambi A Swan
Licensed Professional Counselor, LCMHCS
Verified Verified
1 Endorsed
Statesville, NC 28677
Waitlist for new clients
Unexpected, sometimes traumatic life events happens to us all. The good news is we are made to heal. My work with clients offers an expert guide and partner on your healing journey. Together we can help you establish a life of balance and peace. While other interventions offer coping skills, the work we do together offers healing and restoration. When you are ready to begin your journey, please let me know and we can begin our work together in an atmosphere of acceptance and care.
Unexpected, sometimes traumatic life events happens to us all. The good news is we are made to heal. My work with clients offers an expert guide and partner on your healing journey. Together we can help you establish a life of balance and peace. While other interventions offer coping skills, the work we do together offers healing and restoration. When you are ready to begin your journey, please let me know and we can begin our work together in an atmosphere of acceptance and care.
(704) 209-4898 View (704) 209-4898
Photo of Edward Curlee, Licensed Professional Counselor in Statesville, NC
Edward Curlee
Licensed Professional Counselor, LPC, LCAS, CS-I
Verified Verified
Statesville, NC 28677
Waitlist for new clients
I provide discreet professional behavioral health assessment/diagnostics, psychotherapy, individual and group counseling, and addiction-related treatments. I also offer secure video appointments if desired and if appropriate (delivered similar to FaceTime/Skype).
I provide discreet professional behavioral health assessment/diagnostics, psychotherapy, individual and group counseling, and addiction-related treatments. I also offer secure video appointments if desired and if appropriate (delivered similar to FaceTime/Skype).
(704) 769-1252 View (704) 769-1252
Photo of Camilla Rogers, Ph.D., Psychologist in Statesville, NC
Camilla Rogers, Ph.D.
Psychologist, PhD
Verified Verified
Statesville, NC 28677
Not accepting new clients
I am a licensed psychologist treating depression, bipolar and anxiety disorders, relationship difficulties, health-related stress, and career and work problems. In addition to helping people find relief from depression and anxiety, I have a particular focus on helping the person understand how his/her mind works so that experiences can be more fulfilling and internal life, more rich and meaningful. I work to recognize and build upon personal strengths, cultivate resilience and enhance optimal functioning. See CamillaRogersPhD.com
I am a licensed psychologist treating depression, bipolar and anxiety disorders, relationship difficulties, health-related stress, and career and work problems. In addition to helping people find relief from depression and anxiety, I have a particular focus on helping the person understand how his/her mind works so that experiences can be more fulfilling and internal life, more rich and meaningful. I work to recognize and build upon personal strengths, cultivate resilience and enhance optimal functioning. See CamillaRogersPhD.com
(704) 216-4090 View (704) 216-4090
Photo of Shameka Harley Chambers, Clinical Social Work/Therapist in Statesville, NC
Shameka Harley Chambers
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Statesville, NC 28625
I am a LCSW with over 23 years of experience working with children, adolescents, families and adults with an array of social and emotional needs. If you, your child, or loved one is struggling to manage life stressors, the initial or ongoing impact of trauma, bullying, low esteem, anxiety, depression, indecisiveness, or desire to learn additional coping or interpersonal skills, I am here to support you. My goal is to partner with those who entrust me, to support your efforts in navigating your journey of healing, change, and growth.
I am a LCSW with over 23 years of experience working with children, adolescents, families and adults with an array of social and emotional needs. If you, your child, or loved one is struggling to manage life stressors, the initial or ongoing impact of trauma, bullying, low esteem, anxiety, depression, indecisiveness, or desire to learn additional coping or interpersonal skills, I am here to support you. My goal is to partner with those who entrust me, to support your efforts in navigating your journey of healing, change, and growth.
(704) 736-3991 View (704) 736-3991
Photo of Sueann Brown, Clinical Social Work/Therapist in Statesville, NC
Sueann Brown
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Statesville, NC 28625
Sue Ann earned her Bachelor's Degree (BA) in Sociology and Anthropology from the University of Mississippi and her Master of Social Work Degree (MSW) with a concentration in geriatric and elderly issues from the University of Alabama. Sue Ann has provided Critical Incident Stress Management (CISM) to individuals and groups as a certified CISM specialist since 2003. Sue Ann has clinical experience working with clients of all ages, with the goal of helping clients better their lives by making sense of life stressors through personal growth and gaining new perspecitives and insights.
Sue Ann earned her Bachelor's Degree (BA) in Sociology and Anthropology from the University of Mississippi and her Master of Social Work Degree (MSW) with a concentration in geriatric and elderly issues from the University of Alabama. Sue Ann has provided Critical Incident Stress Management (CISM) to individuals and groups as a certified CISM specialist since 2003. Sue Ann has clinical experience working with clients of all ages, with the goal of helping clients better their lives by making sense of life stressors through personal growth and gaining new perspecitives and insights.
(704) 251-6458 View (704) 251-6458
Photo of New Arrows Counseling, PLLC , Counselor in Statesville, NC
New Arrows Counseling, PLLC
Counselor, LCMHCA
Verified Verified
1 Endorsed
Statesville, NC 28625
At New Arrows Counseling, PLLC we work with children, teens, and adults that are struggling with any of the challenges that life throws our way. Our therapist, Nichole Lentz, specializes in dealing with anxiety, depression, and parenting skills as well postpartum and perinatal issues. We also provide Life Coach services for those individuals who are needing help and support in reaching their goals in personal growth, relationships, work, diet/exercise, or organizational skills.
At New Arrows Counseling, PLLC we work with children, teens, and adults that are struggling with any of the challenges that life throws our way. Our therapist, Nichole Lentz, specializes in dealing with anxiety, depression, and parenting skills as well postpartum and perinatal issues. We also provide Life Coach services for those individuals who are needing help and support in reaching their goals in personal growth, relationships, work, diet/exercise, or organizational skills.
(704) 981-9778 View (704) 981-9778
Photo of Helen Lynn Dula, Counselor in Statesville, NC
Helen Lynn Dula
Counselor, MA, LCAS-A, LPC-A, NCC, LCMHC
Verified Verified
Statesville, NC 28625
I enjoy the helping profession. I am passionate about working with children, adolescents and adults.
I enjoy the helping profession. I am passionate about working with children, adolescents and adults.
(704) 457-1641 View (704) 457-1641
Photo of Josh Gardner, Lic Clinical Mental Health Counselor Associate in Statesville, NC
Josh Gardner
Lic Clinical Mental Health Counselor Associate, LCMHCA
Verified Verified
Statesville, NC 28677
I work with clients who struggle with anxiety, self-understanding, and communication. While I generally focus on older teens, young adults, and couples, I also work with those older or younger down to age 12. Often clients aren't sure what their goals are or aren't sure how to begin. I create a safe and supportive space to speak freely so that self understanding can can grow and anxiety can diminish.
I work with clients who struggle with anxiety, self-understanding, and communication. While I generally focus on older teens, young adults, and couples, I also work with those older or younger down to age 12. Often clients aren't sure what their goals are or aren't sure how to begin. I create a safe and supportive space to speak freely so that self understanding can can grow and anxiety can diminish.
(704) 326-7631 View (704) 326-7631
Photo of Thea Wooten, Counselor in Statesville, NC
Thea Wooten
Counselor, LCMHC-A, LCAS
Verified Verified
Statesville, NC 28677
I am licensed to practice in North Carolina by the NCBLPC (A18962) and the NCSAPPB (LCAS-23390). My undergraduate and graduate education were completed at Marshall University, followed by clinical internship experiences at regional elementary, middle, and high school counseling facilities. My expertise and experience include providing clinical assessment, psychotherapy, and counseling to individuals and groups from all ages and backgrounds. I am particularly skilled in trauma-based interventions, stress and anxiety management, life adjustment, and assisting folks with depression and other mood disorders.
I am licensed to practice in North Carolina by the NCBLPC (A18962) and the NCSAPPB (LCAS-23390). My undergraduate and graduate education were completed at Marshall University, followed by clinical internship experiences at regional elementary, middle, and high school counseling facilities. My expertise and experience include providing clinical assessment, psychotherapy, and counseling to individuals and groups from all ages and backgrounds. I am particularly skilled in trauma-based interventions, stress and anxiety management, life adjustment, and assisting folks with depression and other mood disorders.
(704) 586-9028 View (704) 586-9028
Photo of Elizabeth Vaughan, Licensed Clinical Mental Health Counselor in Statesville, NC
Elizabeth Vaughan
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Statesville, NC 28625
Elizabeth Vaughan holds a Bachelor of Arts degree in Spanish from Messiah College. Once her three children were grown, she furthered her education by obtaining a Master's degree in Professional Counseling from Liberty University. Elizabeth is a Licensed Clinical Mental Health Counselor who enjoys working with children, young adults and women and has previous work experience as a high school Spanish Teacher and a Homeschooling mom as well as 20 years of combined experience as a Children's Ministry Leader and Youth Pastor.
Elizabeth Vaughan holds a Bachelor of Arts degree in Spanish from Messiah College. Once her three children were grown, she furthered her education by obtaining a Master's degree in Professional Counseling from Liberty University. Elizabeth is a Licensed Clinical Mental Health Counselor who enjoys working with children, young adults and women and has previous work experience as a high school Spanish Teacher and a Homeschooling mom as well as 20 years of combined experience as a Children's Ministry Leader and Youth Pastor.
(704) 859-0662 View (704) 859-0662
Photo of Cierra Sloop, Lic Clinical Mental Health Counselor Associate in Statesville, NC
Cierra Sloop
Lic Clinical Mental Health Counselor Associate
Verified Verified
Statesville, NC 28677
You’re overwhelmed, and the chaos and stress make you question “can life really get any better?” Heartbreak has brought hard feelings you don’t know what to do with. You might even say “I don’t feel like myself” and wonder if something is wrong with you. Your past causes anxiety that you’ve carried for years. You’re alone and feel like a burden on others. If this is you, you are not alone.
You’re overwhelmed, and the chaos and stress make you question “can life really get any better?” Heartbreak has brought hard feelings you don’t know what to do with. You might even say “I don’t feel like myself” and wonder if something is wrong with you. Your past causes anxiety that you’ve carried for years. You’re alone and feel like a burden on others. If this is you, you are not alone.
(704) 459-4924 View (704) 459-4924
Photo of Karen Jean Bryant, Counselor in Statesville, NC
Karen Jean Bryant
Counselor, Karen Bryant, MA, LCMHC, LCASA, NCC
Verified Verified
2 Endorsed
Statesville, NC 28677
I am passionate about helping individuals discover their passion by empowering them to overcome obstacles that hinder their personal growth and prevent them from living life to the fullest. My focus is on supporting personal and professional development, with a specialization in guiding women through life transitions. Life transitions can arise from various stages of personal development, such as welcoming a new baby, navigating marriage or divorce, re entering the world of dating, or experiencing aging or menopause. In all these situations, I am dedicated to providing unwavering support, empowerment, healing, and guidance.
I am passionate about helping individuals discover their passion by empowering them to overcome obstacles that hinder their personal growth and prevent them from living life to the fullest. My focus is on supporting personal and professional development, with a specialization in guiding women through life transitions. Life transitions can arise from various stages of personal development, such as welcoming a new baby, navigating marriage or divorce, re entering the world of dating, or experiencing aging or menopause. In all these situations, I am dedicated to providing unwavering support, empowerment, healing, and guidance.
(980) 372-8895 View (980) 372-8895
Photo of Lindsay Lopina, Marriage & Family Therapist in Statesville, NC
Lindsay Lopina
Marriage & Family Therapist, MA, LMFT
Verified Verified
Statesville, NC 28677
People come to therapy for validation, acceptance, and answers to the questions that seem unknown. You may be feeling hurt, lost, unheard, invalidated, and you are seeking answers. I can meet you where you are in your journey and help you navigate your way to your truth through my years of education and experience.
People come to therapy for validation, acceptance, and answers to the questions that seem unknown. You may be feeling hurt, lost, unheard, invalidated, and you are seeking answers. I can meet you where you are in your journey and help you navigate your way to your truth through my years of education and experience.
(704) 419-8815 View (704) 419-8815
Photo of GARD Therapeutic Services , Counselor in Statesville, NC
GARD Therapeutic Services
Counselor, LCMHC-A, LCAS-A, CTP
Verified Verified
Statesville, NC 28625  (Online Only)
I strive to meet my clients where they are in their life journey. I have a passion to help guide and encourage them to reach their ultimate goals. I work with clients facing various challenges including but not limited to substance abuse, depression, anxiety, and trauma. I am a US Navy Veteran, so working with other Veterans is a passion of mine and something I am grateful to be able to do. Building motivation, managing depressive or anxious symptoms, setting life goals, developing boundaries, overcoming trauma or addiction and more, if that is what you desire, I can help.
I strive to meet my clients where they are in their life journey. I have a passion to help guide and encourage them to reach their ultimate goals. I work with clients facing various challenges including but not limited to substance abuse, depression, anxiety, and trauma. I am a US Navy Veteran, so working with other Veterans is a passion of mine and something I am grateful to be able to do. Building motivation, managing depressive or anxious symptoms, setting life goals, developing boundaries, overcoming trauma or addiction and more, if that is what you desire, I can help.
(980) 246-4172 View (980) 246-4172
Photo of Chris Mann Phd, Licensed Clinical Mental Health Counselor in Statesville, NC
Chris Mann Phd
Licensed Clinical Mental Health Counselor, LCMHC, CRC, BCBA-D, NCC, LBA
Verified Verified
1 Endorsed
Statesville, NC 28687
I am a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina and have been practicing for over 22 years with individuals who have been going through a broad range of concerns including excessive worry, depression, stress management, trauma, career development, behavioral concerns, impulsivity, child-parent interactions, grief and loss, relationship issues, life/work balance, and overall wellness.
I am a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina and have been practicing for over 22 years with individuals who have been going through a broad range of concerns including excessive worry, depression, stress management, trauma, career development, behavioral concerns, impulsivity, child-parent interactions, grief and loss, relationship issues, life/work balance, and overall wellness.
(704) 396-8651 View (704) 396-8651

How does your Therapist compare?

Number of Therapists in Statesville, NC

80+

Average cost per session

$120

Therapists in Statesville, NC who prioritize treating:

95% Anxiety
88% Depression
69% Grief
69% Self Esteem
66% Relationship Issues
66% Trauma and PTSD
65% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
76% Aetna
71% Cigna and Evernorth

How Therapists in Statesville, NC see their clients

88% In Person and Online
12% Online Only

Gender breakdown

74% Female
25% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Statesville?

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.