Therapists in Traverse City, MI

Photo of Kayla Wojda, Psychologist in Traverse City, MI
Kayla Wojda
Psychologist, PsyD, LP
Verified Verified
Traverse City, MI 49686
As a licensed clinical psychologist, I provide individual therapy for teens and adults experiencing anxiety, depression, trauma, grief, relationship issues, stress, and other life challenges. In addition, I conduct ADHD assessments for both teens and adults. I utilize integrative techniques such as cognitive behavioral therapy, acceptance and commitment therapy, and mindfulness. With compassion and empathy, my hope at Good Harbor Therapy is to provide the support and information needed to bring balance to your life. I provide a warm, safe space for you to process what’s weighing on your mind.
As a licensed clinical psychologist, I provide individual therapy for teens and adults experiencing anxiety, depression, trauma, grief, relationship issues, stress, and other life challenges. In addition, I conduct ADHD assessments for both teens and adults. I utilize integrative techniques such as cognitive behavioral therapy, acceptance and commitment therapy, and mindfulness. With compassion and empathy, my hope at Good Harbor Therapy is to provide the support and information needed to bring balance to your life. I provide a warm, safe space for you to process what’s weighing on your mind.
(231) 715-5750 View (231) 715-5750
Photo of Theresa M Carey, Counselor in Traverse City, MI
Theresa M Carey
Counselor, LPC, NCC
Verified Verified
Traverse City, MI 49684
There are many approaches to addressing the state of life we find ourselves living in. I practice holistic integrative care that addresses the whole person - mind, body, spirit. Healing is a journey, in which I offer support by creating, establishing and maintaining open and direct relationships with clients. My goal is to assist in bringing balance, and restoring energy and passions through traditional therapies or energy based interventions. My focus is to help individuals, couples and families acknowledge the strengths they have and to bring relief to defeating beliefs and behaviors.
There are many approaches to addressing the state of life we find ourselves living in. I practice holistic integrative care that addresses the whole person - mind, body, spirit. Healing is a journey, in which I offer support by creating, establishing and maintaining open and direct relationships with clients. My goal is to assist in bringing balance, and restoring energy and passions through traditional therapies or energy based interventions. My focus is to help individuals, couples and families acknowledge the strengths they have and to bring relief to defeating beliefs and behaviors.
(231) 225-9195 View (231) 225-9195
Photo of Kim Manrique, Licensed Professional Counselor in Traverse City, MI
Kim Manrique
Licensed Professional Counselor, LPC, HBCE
Verified Verified
1 Endorsed
Traverse City, MI 49684  (Online Only)
Hi and Welcome! I'm so glad you are here. If you are looking to make a change to your life I can help with that. Whether young, old or in between, we all have the power within us to change our story and welcome healing and wellness into our lives. As Rumi once said, "The dark thought, the shame, the mailce. Meet them at the door laughing and invite them in. Be grateful for whatever comes. Because each has been sent as a guide." I can help assist in this journey, to be a guide for you or your family member in learning the tools to help assist in creating a more peaceful and meaningful life.
Hi and Welcome! I'm so glad you are here. If you are looking to make a change to your life I can help with that. Whether young, old or in between, we all have the power within us to change our story and welcome healing and wellness into our lives. As Rumi once said, "The dark thought, the shame, the mailce. Meet them at the door laughing and invite them in. Be grateful for whatever comes. Because each has been sent as a guide." I can help assist in this journey, to be a guide for you or your family member in learning the tools to help assist in creating a more peaceful and meaningful life.
(231) 227-8316 View (231) 227-8316
Photo of Mental Wellness Counseling, Clinical Social Work/Therapist in Traverse City, MI
Mental Wellness Counseling
Clinical Social Work/Therapist
Verified Verified
Traverse City, MI 49686
Mental Wellness Counseling is a Northern Michigan Counseling Practice. Our counselors use their passion, experience and specialties to help clients heal from traumatic experiences, address symptoms related to anxiety and depression, help strengthen relationships and help guide you through the journey of finding the best version of yourself. When you call we try to make the best fit for you based on your needs and goals. We offer face to face and virtual sessions to best meet your needs. We now have 3 locations! Two in Traverse City and a new office in Manistee!
Mental Wellness Counseling is a Northern Michigan Counseling Practice. Our counselors use their passion, experience and specialties to help clients heal from traumatic experiences, address symptoms related to anxiety and depression, help strengthen relationships and help guide you through the journey of finding the best version of yourself. When you call we try to make the best fit for you based on your needs and goals. We offer face to face and virtual sessions to best meet your needs. We now have 3 locations! Two in Traverse City and a new office in Manistee!
(231) 714-0282 View (231) 714-0282
Photo of Karen Andrea Mueller, Licensed Professional Counselor in Traverse City, MI
Karen Andrea Mueller
Licensed Professional Counselor, MA, LPC
Verified Verified
Traverse City, MI 49684  (Online Only)
Hello! My name is Karen and I am a therapist with a passion for helping individuals navigate trauma and LGBTQ-related issues as well as depression, anxiety, parenting and pregnancy concerns. Over my 20+ years of experience in this field, I have witnessed the transformative power of therapy and am committed to being a guiding light on your path to healing and growth. My approach is rooted in empathy and understanding, and I firmly believe in meeting my clients exactly where they are. Creating a safe and non-judgmental space, I encourage you to express your emotions and experiences openly.
Hello! My name is Karen and I am a therapist with a passion for helping individuals navigate trauma and LGBTQ-related issues as well as depression, anxiety, parenting and pregnancy concerns. Over my 20+ years of experience in this field, I have witnessed the transformative power of therapy and am committed to being a guiding light on your path to healing and growth. My approach is rooted in empathy and understanding, and I firmly believe in meeting my clients exactly where they are. Creating a safe and non-judgmental space, I encourage you to express your emotions and experiences openly.
(231) 241-8599 View (231) 241-8599
Photo of Lisa Rutowski, Limited Licensed Psychologist in Traverse City, MI
Lisa Rutowski
Limited Licensed Psychologist, LLP
Verified Verified
1 Endorsed
Traverse City, MI 49684
My goal is to help you live your best life by supporting you in taking control of your life. Depression, anxiety and stress can get in the way of you reaching your personal goals whether that be at work or in your relationships.
My goal is to help you live your best life by supporting you in taking control of your life. Depression, anxiety and stress can get in the way of you reaching your personal goals whether that be at work or in your relationships.
(231) 202-3465 View (231) 202-3465
Photo of Paula Kilcherman, Clinical Social Work/Therapist in Traverse City, MI
Paula Kilcherman
Clinical Social Work/Therapist, LMSW
Verified Verified
Traverse City, MI 49684
I enjoy working with children, teens, adults, and their families. I offer individual, couples, and family therapy. Finding a good "fit" with a therapist can be challenging. I strive to quickly put clients at ease and provide a safe space where we can work together to identify your strengths and skills, process significant life events, communicate your feelings, develop positive coping strategies, and provide support. My passion is to help each client discover their unique strengths in addressing their concerns, no matter their age. If you are seeking services please contact me via email.
I enjoy working with children, teens, adults, and their families. I offer individual, couples, and family therapy. Finding a good "fit" with a therapist can be challenging. I strive to quickly put clients at ease and provide a safe space where we can work together to identify your strengths and skills, process significant life events, communicate your feelings, develop positive coping strategies, and provide support. My passion is to help each client discover their unique strengths in addressing their concerns, no matter their age. If you are seeking services please contact me via email.
(231) 444-4788 x700 View (231) 444-4788 x700
Photo of Michelle M Newman, Clinical Social Work/Therapist in Traverse City, MI
Michelle M Newman
Clinical Social Work/Therapist, LMSW
Verified Verified
Traverse City, MI 49684
In today's world, parenting is challenging. In many cases, we are raising our children with little support from others. And, our children are faced with a great deal of stress and outside influence such as social media, high education standards, and reduced opportunity for success after graduation. As a parent, you want your children to be happy, self-confident, and contributing members of society.
In today's world, parenting is challenging. In many cases, we are raising our children with little support from others. And, our children are faced with a great deal of stress and outside influence such as social media, high education standards, and reduced opportunity for success after graduation. As a parent, you want your children to be happy, self-confident, and contributing members of society.
(231) 518-9237 View (231) 518-9237
Photo of Jenna Genereaux, Clinical Social Work/Therapist in Traverse City, MI
Jenna Genereaux
Clinical Social Work/Therapist, LMSW, CSTIP
Verified Verified
2 Endorsed
Traverse City, MI 49684
I am a CSTIP(Certified Sex Therapy Informed Professional) and specialize in relationship and couples counseling. I work primarily with those dealing with marital, relationship and sex related concerns. I have experience working with individuals facing anxiety, depression, grief, relationship discrepancy, family disfunction and every day life obstacles. To better serve my clients, I use evidence based practices within a therapeutic setting. It is my goal to provide individual's with counseling they will enjoy, even when the situation is not preferable.
I am a CSTIP(Certified Sex Therapy Informed Professional) and specialize in relationship and couples counseling. I work primarily with those dealing with marital, relationship and sex related concerns. I have experience working with individuals facing anxiety, depression, grief, relationship discrepancy, family disfunction and every day life obstacles. To better serve my clients, I use evidence based practices within a therapeutic setting. It is my goal to provide individual's with counseling they will enjoy, even when the situation is not preferable.
(231) 377-3030 View (231) 377-3030
Photo of Hannah Olson, Licensed Professional Counselor in Traverse City, MI
Hannah Olson
Licensed Professional Counselor, MA, LLPC
Verified Verified
Traverse City, MI 49684
My mission as a therapist is to help heal through relationships. I believe in a holistic approach to mental health and wellness while also prioritizing a person centered approach to counseling. As a trained school counselor, I have experience working with children in kindergarten through twelfth grade, in both independent and public school settings. I have taken this experience and passion for counseling and have created a practice that is focused on helping families on a deeper level.
My mission as a therapist is to help heal through relationships. I believe in a holistic approach to mental health and wellness while also prioritizing a person centered approach to counseling. As a trained school counselor, I have experience working with children in kindergarten through twelfth grade, in both independent and public school settings. I have taken this experience and passion for counseling and have created a practice that is focused on helping families on a deeper level.
(231) 261-2029 View (231) 261-2029
Photo of Ty Curtis, Clinical Social Work/Therapist in Traverse City, MI
Ty Curtis
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
2 Endorsed
Traverse City, MI 49684
You are struggling, and have no one to turn to. You have come here seeking solutions, and I can help you find them. Sometimes life does not go the way we planned, or the way we wanted. Whether it's illness, depression, anxiety, doubt, grief, or shame, the end of a relationship, an engagement or marriage, the loss of a loved one, the birth of a child, or the achievement of a long-term goal, I can help you remove the roadblocks and get back on the path to your best life.
You are struggling, and have no one to turn to. You have come here seeking solutions, and I can help you find them. Sometimes life does not go the way we planned, or the way we wanted. Whether it's illness, depression, anxiety, doubt, grief, or shame, the end of a relationship, an engagement or marriage, the loss of a loved one, the birth of a child, or the achievement of a long-term goal, I can help you remove the roadblocks and get back on the path to your best life.
(231) 928-5147 View (231) 928-5147
Photo of Bainbridge Center for Growth & Development, Licensed Professional Counselor in Traverse City, MI
Bainbridge Center for Growth & Development
Licensed Professional Counselor, MA, LLC
Verified Verified
Traverse City, MI 49684
You have been sitting with your thoughts and seem to recycle your memories. You are excellent at suppressing your hurt and stay busy with work and life as a distraction. You no longer connect with others the way you used to and keep friends and family at a distance. The Pandemic may have increased your anxiety and depression and you are uncertain where to begin. Your worry and fear come out as; anger, sadness and controlling behaviors, due to questioning your worth and self esteem. Will I ever feel truly happy? Will I feel truly loved? Will I find my life path and the career that makes my soul soar? Will I learn to forgive?
You have been sitting with your thoughts and seem to recycle your memories. You are excellent at suppressing your hurt and stay busy with work and life as a distraction. You no longer connect with others the way you used to and keep friends and family at a distance. The Pandemic may have increased your anxiety and depression and you are uncertain where to begin. Your worry and fear come out as; anger, sadness and controlling behaviors, due to questioning your worth and self esteem. Will I ever feel truly happy? Will I feel truly loved? Will I find my life path and the career that makes my soul soar? Will I learn to forgive?
(231) 674-1536 View (231) 674-1536
Photo of Arielle Saracinello, Clinical Social Work/Therapist in Traverse City, MI
Arielle Saracinello
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Traverse City, MI 49696  (Online Only)
Not accepting new clients
As a queer therapist, I am exceedingly passionate about creating space for clients in underserved populations and understand firsthand just how crucial that type of support can be. I am sex positive, kink knowledgeable and kink affirming. I meet every client where they are at, and see them as a person, not a set of symptoms to be "solved" or "fixed". I am incredibly excited to be a human who gets to empower other humans to be their best selves. I enjoy working with clients of all backgrounds and walks of life, and am part of the communities I serve.
As a queer therapist, I am exceedingly passionate about creating space for clients in underserved populations and understand firsthand just how crucial that type of support can be. I am sex positive, kink knowledgeable and kink affirming. I meet every client where they are at, and see them as a person, not a set of symptoms to be "solved" or "fixed". I am incredibly excited to be a human who gets to empower other humans to be their best selves. I enjoy working with clients of all backgrounds and walks of life, and am part of the communities I serve.
Photo of Janet Hughes, Clinical Social Work/Therapist in Traverse City, MI
Janet Hughes
Clinical Social Work/Therapist, LMSW, ACSW
Verified Verified
Traverse City, MI 49684
It's easy to start thinking we can never be happy again. My goal is helping you find your capacity for meaningful change. Having the support system of a therapist is a powerful tool. My approach is direct and engaging (and it is okay for us to use humor). I work with adults and am an active participant in the session. Life transitions can really throw us, and it is not because we are weak, it is because we are normal. I will help you use adversity to become resilient. Immediate Openings for adult Blue Cross/Blue Shield.
It's easy to start thinking we can never be happy again. My goal is helping you find your capacity for meaningful change. Having the support system of a therapist is a powerful tool. My approach is direct and engaging (and it is okay for us to use humor). I work with adults and am an active participant in the session. Life transitions can really throw us, and it is not because we are weak, it is because we are normal. I will help you use adversity to become resilient. Immediate Openings for adult Blue Cross/Blue Shield.
(231) 266-0830 x104 View (231) 266-0830 x104
Photo of Amy Jane Loeb, Clinical Social Work/Therapist in Traverse City, MI
Amy Jane Loeb
Clinical Social Work/Therapist, LMSW
Verified Verified
Traverse City, MI 49686
I believe in the transformative power of understanding one's emotional responses in order to create lasting and meaningful change. I hope to provide my clients with a foundation of knowledge to help them understand the mechanisms behind their responses and how, with time and intention, they can be changed. I pride myself on my communication skills and seek to provide objective and relatable feedback that clients find easy to understand and implement. Because of this, I find I work well with clients who value learning as a catalyst for change.
I believe in the transformative power of understanding one's emotional responses in order to create lasting and meaningful change. I hope to provide my clients with a foundation of knowledge to help them understand the mechanisms behind their responses and how, with time and intention, they can be changed. I pride myself on my communication skills and seek to provide objective and relatable feedback that clients find easy to understand and implement. Because of this, I find I work well with clients who value learning as a catalyst for change.
(231) 525-3056 View (231) 525-3056
Photo of Trisha A Novak, Clinical Social Work/Therapist in Traverse City, MI
Trisha A Novak
Clinical Social Work/Therapist, LMSW
Verified Verified
Traverse City, MI 49686
Embarking on counseling takes courage as you take proactive steps towards change. Courage to recognize your life isn’t the way you want it and that it can be different, that you can feel different. Life presents us with challenges, and at times, we all need help in navigating them. Whether it’s coping with a loss of dream, managing anxiety, processing grief, or facing feelings of overwhelm or burnout, seeking help is a valuable step. When challenges accumulate, support can be crucial to navigate complex relationships, disappointments, and address mental health issues through building resilience and cultivating self-awareness.
Embarking on counseling takes courage as you take proactive steps towards change. Courage to recognize your life isn’t the way you want it and that it can be different, that you can feel different. Life presents us with challenges, and at times, we all need help in navigating them. Whether it’s coping with a loss of dream, managing anxiety, processing grief, or facing feelings of overwhelm or burnout, seeking help is a valuable step. When challenges accumulate, support can be crucial to navigate complex relationships, disappointments, and address mental health issues through building resilience and cultivating self-awareness.
(231) 535-9161 View (231) 535-9161
Rachael T Lee
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Traverse City, MI 49684
I am licensed in Michigan with 20 years of counseling experience. I have worked to help people cope with stress, anxiety, depression, PTSD, C-PTSD, trauma and abuse as well as attachment and intimacy related issues. I have had the privilege of working with a wide variety of people with various racial and ethnic backgrounds, as well as those in the LGBTQ+ community. I believe in a strength-based and resilience-informed approach to therapy.
I am licensed in Michigan with 20 years of counseling experience. I have worked to help people cope with stress, anxiety, depression, PTSD, C-PTSD, trauma and abuse as well as attachment and intimacy related issues. I have had the privilege of working with a wide variety of people with various racial and ethnic backgrounds, as well as those in the LGBTQ+ community. I believe in a strength-based and resilience-informed approach to therapy.
(231) 399-8507 View (231) 399-8507
Photo of Ali Fitzgibbon, Clinical Social Work/Therapist in Traverse City, MI
Ali Fitzgibbon
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Traverse City, MI 49684  (Online Only)
What have you been noticing that you would like to change? Perhaps you are struggling with heightened levels of anxiety or stress. Maybe you are not feeling connected with your friends or family or maybe it is too hard to put into words exactly how you feel? Together we can navigate those emotions within a safe space and create a plan for positive change. I am here to help you find your strengths, challenge unhelpful thoughts and process past issues that are impacting your ability to live the life you want.
What have you been noticing that you would like to change? Perhaps you are struggling with heightened levels of anxiety or stress. Maybe you are not feeling connected with your friends or family or maybe it is too hard to put into words exactly how you feel? Together we can navigate those emotions within a safe space and create a plan for positive change. I am here to help you find your strengths, challenge unhelpful thoughts and process past issues that are impacting your ability to live the life you want.
(231) 422-3949 View (231) 422-3949
Photo of Cindy Jones, Marriage & Family Therapist in Traverse City, MI
Cindy Jones
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Traverse City, MI 49696  (Online Only)
I believe that counseling is a collaboration between client and therapist. I combine both traditional therapy techniques (CBT, DBT, etc.) with the knowledge that each member brings about themselves to help them create the best rest of their lives. Humor, feedback, support, skill building and education are all used in this collaboration. Warning: I give homework! I use lots of humor in therapy. Some of the issues I am adept at working with are: Pet Loss/Grief, People Loss/Grief, Native American Issues, Menopause, Neurodiversity and Introvert issues, Self Esteem and Confidence, Caregiver issues, Isolation and Loneliness, and much more
I believe that counseling is a collaboration between client and therapist. I combine both traditional therapy techniques (CBT, DBT, etc.) with the knowledge that each member brings about themselves to help them create the best rest of their lives. Humor, feedback, support, skill building and education are all used in this collaboration. Warning: I give homework! I use lots of humor in therapy. Some of the issues I am adept at working with are: Pet Loss/Grief, People Loss/Grief, Native American Issues, Menopause, Neurodiversity and Introvert issues, Self Esteem and Confidence, Caregiver issues, Isolation and Loneliness, and much more
(231) 261-2764 View (231) 261-2764
Photo of Bridget M Callaghan, Clinical Social Work/Therapist in Traverse City, MI
Bridget M Callaghan
Clinical Social Work/Therapist, LMSW
Verified Verified
Traverse City, MI 49684
I am dedicated to helping others navigate their complex and uncomfortable emotions and behaviors. At the core of therapy is change. Change itself can be scary, exciting and challenging. We will get through it together.
I am dedicated to helping others navigate their complex and uncomfortable emotions and behaviors. At the core of therapy is change. Change itself can be scary, exciting and challenging. We will get through it together.
(231) 244-9672 View (231) 244-9672

See more therapy options for Traverse City

How does your Therapist compare?

Number of Therapists in Traverse City, MI

200+

Average cost per session

$150

Therapists in Traverse City, MI who prioritize treating:

94% Anxiety
88% Depression
82% Relationship Issues
77% Trauma and PTSD
77% Self Esteem
76% Stress
75% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
58% Priority Health
57% Blue Care Network

How Therapists in Traverse City, MI see their clients

71% In Person and Online
29% Online Only

Gender breakdown

85% Female
13% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Traverse City?

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.