Therapists in Aurora, CO

View neighborhoods in Aurora
Photo of Megan Cullen, Licensed Professional Counselor, LPC
Megan Cullen
Licensed Professional Counselor, LPC
1 Endorsed
Aurora, CO 80014
In-person option coming Fall 2025! With 15 years of experience in and around the mental health sphere, I've had the opportunity to meet and help a wide variety of genuinely amazing and awesome people navigate their lives in a way that works better for them. I'm of the belief that talking with someone can help anyone and therapy or coaching are often the venues in which to do that - you don't have to be falling apart to need a listening ear or a bit of a guide and I love helping people unpack the beliefs that aren't working for them and find the things that make them feel untethered and amazing.
In-person option coming Fall 2025! With 15 years of experience in and around the mental health sphere, I've had the opportunity to meet and help a wide variety of genuinely amazing and awesome people navigate their lives in a way that works better for them. I'm of the belief that talking with someone can help anyone and therapy or coaching are often the venues in which to do that - you don't have to be falling apart to need a listening ear or a bit of a guide and I love helping people unpack the beliefs that aren't working for them and find the things that make them feel untethered and amazing.
(877) 734-6913 View (877) 734-6913
Photo of Riley Kuehler, Licensed Professional Counselor Candidate, BA, MA
Riley Kuehler
Licensed Professional Counselor Candidate, BA, MA
Online Only
Riley Kuehler is currently completing her Master's in Clinical Mental Health Counseling at Northwestern University and is gaining hands-on experience through her internship at Epione Wellness in Denver, Colorado. Under the supervision of LPC Anne Fogg, Riley specializes in trauma and PTSD but works with clients of all ages and backgrounds on a variety of concerns, including anxiety, ADHD, grief and loss, attachment disorders, family dynamics, and behavioral challenges.
Riley Kuehler is currently completing her Master's in Clinical Mental Health Counseling at Northwestern University and is gaining hands-on experience through her internship at Epione Wellness in Denver, Colorado. Under the supervision of LPC Anne Fogg, Riley specializes in trauma and PTSD but works with clients of all ages and backgrounds on a variety of concerns, including anxiety, ADHD, grief and loss, attachment disorders, family dynamics, and behavioral challenges.
(855) 525-2189 View (855) 525-2189
Photo of Erin Williams, Licensed Professional Counselor, MA, MT-BC, LPC
Erin Williams
Licensed Professional Counselor, MA, MT-BC, LPC
Aurora, CO 80014
Waitlist for new clients
As a therapist, I truly believe in the transformative power of therapy. It’s a courageous step to decide to bring therapy into your life, and I commend you for that. It can feel vulnerable to open up, but taking this step for yourself is incredibly important. My goal is to meet you where you are and create a safe, non-judgmental space where you can feel comfortable exploring what’s on your mind. Building a strong, trusting relationship is key, and I’m here to listen and communicate openly with you.
As a therapist, I truly believe in the transformative power of therapy. It’s a courageous step to decide to bring therapy into your life, and I commend you for that. It can feel vulnerable to open up, but taking this step for yourself is incredibly important. My goal is to meet you where you are and create a safe, non-judgmental space where you can feel comfortable exploring what’s on your mind. Building a strong, trusting relationship is key, and I’m here to listen and communicate openly with you.
(844) 629-6351 View (844) 629-6351
Photo of Stephanie Skanes, Clinical Social Work/Therapist, MSW, LCSW
Stephanie Skanes
Clinical Social Work/Therapist, MSW, LCSW
Aurora, CO 80012
Stephanie understands therapy can be scary especially for those who have experienced trauma. Stephanie takes great care to make her clients feel safe, understood, and validated. Stephanie enjoys a collaborative approach to care and believes her clients are the expert in their own life and need assistance identifying their own strengths they already possess. In her spare time Stephanie enjoys a good laugh with friends, playing with her dog, spending time with family, and has recently been working on seeing cooking as a hobby instead of a chore.
Stephanie understands therapy can be scary especially for those who have experienced trauma. Stephanie takes great care to make her clients feel safe, understood, and validated. Stephanie enjoys a collaborative approach to care and believes her clients are the expert in their own life and need assistance identifying their own strengths they already possess. In her spare time Stephanie enjoys a good laugh with friends, playing with her dog, spending time with family, and has recently been working on seeing cooking as a hobby instead of a chore.
(720) 669-6722 View (720) 669-6722
Photo of Christian E Galvan Jasso, Clinical Social Work Candidate, MSW, SWC, ACC
Christian E Galvan Jasso
Clinical Social Work Candidate, MSW, SWC, ACC
3 Endorsed
Aurora, CO 80014
As a bilingual (English and Spanish) LGBTQ+ first-generation Latino/Mexican male, my life experiences have shaped my passion for helping others. I’ve learned to navigate hardships on my own, and I use that resilience to motivate and guide others toward achieving their personal goals. Cultural competence is central to my work, and I strive to understand and honor the diverse experiences within our communities. I know that finding ways to unwind and manage stress can be challenging, and I aim to provide tools and strategies that make that process more approachable.
As a bilingual (English and Spanish) LGBTQ+ first-generation Latino/Mexican male, my life experiences have shaped my passion for helping others. I’ve learned to navigate hardships on my own, and I use that resilience to motivate and guide others toward achieving their personal goals. Cultural competence is central to my work, and I strive to understand and honor the diverse experiences within our communities. I know that finding ways to unwind and manage stress can be challenging, and I aim to provide tools and strategies that make that process more approachable.
(720) 260-4115 View (720) 260-4115
Photo of Tyler Moon, Licensed Professional Counselor, LPC
Tyler Moon
Licensed Professional Counselor, LPC
2 Endorsed
Online Only
I’m a neurodivergent therapist, and in facing my own challenges related to ADHD and ASD, I’ve come to see how much of an impact specialized support has in addressing these sorts of challenges. Not all brains work the same, and so trying to treat them all the same way tends to hinder the progress that we can make. Having an understanding of what makes your brain tick and providing tailored support to meet your individual needs goes a long way towards helping us reach our goals. My goal is to help you to a point of feeling like you're on the same team as your brain, rather than feeling like you have to "win" against your brain.
I’m a neurodivergent therapist, and in facing my own challenges related to ADHD and ASD, I’ve come to see how much of an impact specialized support has in addressing these sorts of challenges. Not all brains work the same, and so trying to treat them all the same way tends to hinder the progress that we can make. Having an understanding of what makes your brain tick and providing tailored support to meet your individual needs goes a long way towards helping us reach our goals. My goal is to help you to a point of feeling like you're on the same team as your brain, rather than feeling like you have to "win" against your brain.
(720) 738-6213 View (720) 738-6213
Photo of Kristina Paulsen, Licensed Professional Counselor Candidate, MA, LPCC
Kristina Paulsen
Licensed Professional Counselor Candidate, MA, LPCC
1 Endorsed
Aurora, CO 80013
My practice is open to adults navigating a wide range of concerns, including anxiety, depression, stress, grief, and life transitions. Healing and change are possible, and together we can explore a path forward that feels supportive and meaningful. I offer a warm, empathetic space that honors your pace, helps unpack what feels heavy or unresolved, and supports lasting change toward a more fulfilling life.
My practice is open to adults navigating a wide range of concerns, including anxiety, depression, stress, grief, and life transitions. Healing and change are possible, and together we can explore a path forward that feels supportive and meaningful. I offer a warm, empathetic space that honors your pace, helps unpack what feels heavy or unresolved, and supports lasting change toward a more fulfilling life.
(720) 782-8078 View (720) 782-8078
Photo of Dayron Blackwell, Pre-Licensed Professional, LPCC
Dayron Blackwell
Pre-Licensed Professional, LPCC
Aurora, CO 80012
Dayron attained his Master of Arts in Counseling from Colorado Christian University. Dayron approaches all individuals, understanding that their circumstances are unique to every individual.
Dayron attained his Master of Arts in Counseling from Colorado Christian University. Dayron approaches all individuals, understanding that their circumstances are unique to every individual.
(720) 706-6813 View (720) 706-6813
Photo of Taejin Kim - Taejin Kim , Licensed Professional Counselor, MA, NCC, LPC
Taejin Kim
Licensed Professional Counselor, MA, NCC, LPC
1 Endorsed
Online Only
Sometimes life can bring us unexpected challenges that cause anxiety and worry that interfere with everyday life. Have you been feeling overwhelmed by constant nagging worries or lingering thoughts that are taking over your life? It may be time to seek help from someone who can guide you through this time in your life so that you can come back to the real you and move past any such obstacles. It is time to enjoy your life to the fullest, so let's work together to prepare you to achieve your life goals!
Sometimes life can bring us unexpected challenges that cause anxiety and worry that interfere with everyday life. Have you been feeling overwhelmed by constant nagging worries or lingering thoughts that are taking over your life? It may be time to seek help from someone who can guide you through this time in your life so that you can come back to the real you and move past any such obstacles. It is time to enjoy your life to the fullest, so let's work together to prepare you to achieve your life goals!
(720) 457-3619 View (720) 457-3619
Photo of Tom Hill, Licensed Professional Counselor, LPC
Tom Hill
Licensed Professional Counselor, LPC
2 Endorsed
Aurora, CO 80015
Specializing in trauma and attachment wounding, I have over two decades of experience in the mental health field and devoted the past 15 years to developing competency in therapeutic trauma treatment. My unparalleled passion lies in helping individuals recover from life experiences. With expertise in treating post-traumatic stress, complex trauma, and attachment wounding, I possess a knack for guiding those in distress, whether it's related to the past or present.
Specializing in trauma and attachment wounding, I have over two decades of experience in the mental health field and devoted the past 15 years to developing competency in therapeutic trauma treatment. My unparalleled passion lies in helping individuals recover from life experiences. With expertise in treating post-traumatic stress, complex trauma, and attachment wounding, I possess a knack for guiding those in distress, whether it's related to the past or present.
(720) 687-3091 View (720) 687-3091
Photo of Jessica T Frazier, Clinical Social Work/Therapist, LCSW
Jessica T Frazier
Clinical Social Work/Therapist, LCSW
1 Endorsed
Aurora, CO 80012
I believe the central purpose of counseling is to assist the clients I work with in identifying their own unique abilities and tools to cope with the hurdles and challenges that life brings. Each individual has the capacity to make change happen to support well being; heal from trauma and identify new coping skills. My goal is to provide a safe space for individuals to work through traumatic or difficult life experiences while helping to cultivate new avenues to overcome the things that can keep one feeling "stuck". My approach in counseling is collaborative, holistic, strength based and client centered.
I believe the central purpose of counseling is to assist the clients I work with in identifying their own unique abilities and tools to cope with the hurdles and challenges that life brings. Each individual has the capacity to make change happen to support well being; heal from trauma and identify new coping skills. My goal is to provide a safe space for individuals to work through traumatic or difficult life experiences while helping to cultivate new avenues to overcome the things that can keep one feeling "stuck". My approach in counseling is collaborative, holistic, strength based and client centered.
(720) 432-1509 View (720) 432-1509
Photo of Emma Monsky Williams, Psychologist, PsyD
Emma Monsky Williams
Psychologist, PsyD
1 Endorsed
Aurora, CO 80014
Welcome! As a bilingual licensed clinical psychologist with over a decade of experience in medical and community-based settings, I have supported people coping with chronic medical conditions, aging-related changes, and intimate partner violence. Having lived, traveled, and worked in a diversity of regions throughout my early adulthood and career, I have built strong relationships with people from all walks of life. These experiences have informed my perspective and values as a professional and a human. I approach each session and therapeutic relationship with curiosity, realness, and a healthy dose of playfulness and humor.
Welcome! As a bilingual licensed clinical psychologist with over a decade of experience in medical and community-based settings, I have supported people coping with chronic medical conditions, aging-related changes, and intimate partner violence. Having lived, traveled, and worked in a diversity of regions throughout my early adulthood and career, I have built strong relationships with people from all walks of life. These experiences have informed my perspective and values as a professional and a human. I approach each session and therapeutic relationship with curiosity, realness, and a healthy dose of playfulness and humor.
(720) 741-6557 View (720) 741-6557
Photo of Audrey Williams, Clinical Social Work/Therapist, LCSW, LAC
Audrey Williams
Clinical Social Work/Therapist, LCSW, LAC
2 Endorsed
Aurora, CO 80011
Waitlist for new clients
It’s easy to get overwhelmed with the variety of challenges that life throws at us. I’m here to help you navigate through these challenges in a way that allows you to be authentically you. It takes courage to make the decision to begin your path to healing, reflection and acceptance and I aim to walk alongside you and empower you to keep moving forward. With that partnership comes the importance of gaining trust, which I know can be easier said than done. I come from a place of understanding and personal warmth, and I value the use of humor in my therapeutic relationships.
It’s easy to get overwhelmed with the variety of challenges that life throws at us. I’m here to help you navigate through these challenges in a way that allows you to be authentically you. It takes courage to make the decision to begin your path to healing, reflection and acceptance and I aim to walk alongside you and empower you to keep moving forward. With that partnership comes the importance of gaining trust, which I know can be easier said than done. I come from a place of understanding and personal warmth, and I value the use of humor in my therapeutic relationships.
(720) 637-4794 View (720) 637-4794
Photo of Erica Harris, Clinical Social Work/Therapist, LCSW
Erica Harris
Clinical Social Work/Therapist, LCSW
Online Only
I am Licensed Clinician Social Worker with over 19 years of experience helping people to repair their relationship with God and learn how to better deal with the troubles we face in this world. I received my Masters in Social Work from the University of Texas at Arlington in 2005; I also received my Doctor of Education in Community Care and Counseling with a Pastoral Ministry Focus in 2023. I gained experience working with adults with severe mental, spiritual, emotional, and substance abuse issues. I am also a certified Personality Disorders therapist, and a certified Trauma informed therapist.
I am Licensed Clinician Social Worker with over 19 years of experience helping people to repair their relationship with God and learn how to better deal with the troubles we face in this world. I received my Masters in Social Work from the University of Texas at Arlington in 2005; I also received my Doctor of Education in Community Care and Counseling with a Pastoral Ministry Focus in 2023. I gained experience working with adults with severe mental, spiritual, emotional, and substance abuse issues. I am also a certified Personality Disorders therapist, and a certified Trauma informed therapist.
(520) 436-2755 View (520) 436-2755
Photo of Kyle Moreno, Licensed Professional Counselor Candidate, MA, MEd, LPCC
Kyle Moreno
Licensed Professional Counselor Candidate, MA, MEd, LPCC
1 Endorsed
Aurora, CO 80014
Schedule instantly through my website link in my profile! Kyle Moreno, M.Ed., MA, LPCC, owns Sparking Hope Therapy LLC. Kyle is a Licensed Professional Counseling Candidate who earned her bachelor's degree from the University of New Mexico and her master's in education and clinical counseling from Regis University. She has over 20 years of experience working extensively with individuals in the LGBTQIA+ and Autism communities, individuals facing ADD and ADHD, and a diverse array of clients.
Schedule instantly through my website link in my profile! Kyle Moreno, M.Ed., MA, LPCC, owns Sparking Hope Therapy LLC. Kyle is a Licensed Professional Counseling Candidate who earned her bachelor's degree from the University of New Mexico and her master's in education and clinical counseling from Regis University. She has over 20 years of experience working extensively with individuals in the LGBTQIA+ and Autism communities, individuals facing ADD and ADHD, and a diverse array of clients.
(855) 601-2906 View (855) 601-2906
Photo of Kathleen Oyama, Licensed Professional Counselor, EdS, LPC
Kathleen Oyama
Licensed Professional Counselor, EdS, LPC
Online Only
In my practice, I am passionate about supporting people in recovering who they truly are beneath the wounding they’ve experienced. Together, we’ll work on healing limiting self-beliefs, dissolving the feeling of stuckness, restoring healthy patterns, and nurturing secure and authentic relationships in your life. Let’s help you find a clear and deep knowing of what you desire, explore the barriers, and build on the strengths that will support you. I believe in treating the whole person – mind, body, and spirit – and will warmly welcome all identities and parts of who you are.
In my practice, I am passionate about supporting people in recovering who they truly are beneath the wounding they’ve experienced. Together, we’ll work on healing limiting self-beliefs, dissolving the feeling of stuckness, restoring healthy patterns, and nurturing secure and authentic relationships in your life. Let’s help you find a clear and deep knowing of what you desire, explore the barriers, and build on the strengths that will support you. I believe in treating the whole person – mind, body, and spirit – and will warmly welcome all identities and parts of who you are.
(720) 594-5325 View (720) 594-5325
Photo of Amber Havekost, Licensed Professional Counselor, MA, LPC
Amber Havekost
Licensed Professional Counselor, MA, LPC
1 Endorsed
Aurora, CO 80011
You matter and it's very important to me that I foster an environment of belonging and equity so that everyone I serve can also believe, or start to believe, this truth. I am a safe, trustworthy, open-minded, and non-shaming counselor specializing in grief, trauma, identity uncertainties, and anxiety. (In that, I have specific expertise in after-abortion and miscarriage counseling; relational, sexual, and health/medical-related traumas; and navigating cancer.) As a fellow human with my own very painful story, I KNOW the power of authentic connection. Welcome. I can't wait to meet you.
You matter and it's very important to me that I foster an environment of belonging and equity so that everyone I serve can also believe, or start to believe, this truth. I am a safe, trustworthy, open-minded, and non-shaming counselor specializing in grief, trauma, identity uncertainties, and anxiety. (In that, I have specific expertise in after-abortion and miscarriage counseling; relational, sexual, and health/medical-related traumas; and navigating cancer.) As a fellow human with my own very painful story, I KNOW the power of authentic connection. Welcome. I can't wait to meet you.
(720) 549-8095 View (720) 549-8095
Photo of Colin Baker, Licensed Professional Counselor, LPC
Colin Baker
Licensed Professional Counselor, LPC
10 Endorsed
Aurora, CO 80015
Now welcoming new patients. Call our office or schedule online today. I am Colin, a Licensed Professional Counselor who works with adults experiencing anxiety, identity concerns, relationship stress, and emotional overwhelm. I offer a calm and supportive space where you can explore what you are feeling at a pace that feels right for you. My approach is collaborative and flexible so our work centers on what matters most to you and supports clarity, balance, and personal growth.
Now welcoming new patients. Call our office or schedule online today. I am Colin, a Licensed Professional Counselor who works with adults experiencing anxiety, identity concerns, relationship stress, and emotional overwhelm. I offer a calm and supportive space where you can explore what you are feeling at a pace that feels right for you. My approach is collaborative and flexible so our work centers on what matters most to you and supports clarity, balance, and personal growth.
(720) 605-9238 View (720) 605-9238
Caitlin Cave (Alago)
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
I work best with clients who are looking for an informal, supportive setting where they can learn skills that help them manage their lives more effectively, whether the problem is big feelings, a disconnect in relationships with those close to you, ADHD symptoms, trouble with boundaries and assertiveness, or anger and controlling behavior--anything that makes you feel like you've somehow gotten away from the person you'd like to be.
I work best with clients who are looking for an informal, supportive setting where they can learn skills that help them manage their lives more effectively, whether the problem is big feelings, a disconnect in relationships with those close to you, ADHD symptoms, trouble with boundaries and assertiveness, or anger and controlling behavior--anything that makes you feel like you've somehow gotten away from the person you'd like to be.
(720) 506-5446 View (720) 506-5446
Photo of Grant Kobayashi-Hinds, Counselor, LPC, MA, EMDR-T, NCC
Grant Kobayashi-Hinds
Counselor, LPC, MA, EMDR-T, NCC
Aurora, CO 80014
My passion for counseling stems from my belief in the resiliency and strength of the human spirit and the possibility for meaningful change. As your counselor, I feel my purpose is to meet you where you are at right here and right now. I work to achieve this with clients by providing an safe, open, supportive atmosphere to work with you in. Let’s collaborate through a proper therapeutic alliance to find the tools necessary to achieve your goals and a better quality of life. I work with 18+ adult individuals in a variety of areas including trauma, anxiety and depression.
My passion for counseling stems from my belief in the resiliency and strength of the human spirit and the possibility for meaningful change. As your counselor, I feel my purpose is to meet you where you are at right here and right now. I work to achieve this with clients by providing an safe, open, supportive atmosphere to work with you in. Let’s collaborate through a proper therapeutic alliance to find the tools necessary to achieve your goals and a better quality of life. I work with 18+ adult individuals in a variety of areas including trauma, anxiety and depression.
(740) 217-4702 View (740) 217-4702

See more therapy options for Aurora

How does your Therapist compare?

Number of Therapists in Aurora, CO

1,000+

Average cost per session

$133

Therapists in Aurora, CO who prioritize treating:

93% Anxiety
88% Depression
78% Trauma and PTSD
73% Stress
71% Relationship Issues
67% Self Esteem
66% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

87% Aetna
83% Cigna and Evernorth
75% UnitedHealthcare UHC | UBH

How Therapists in Aurora, CO see their clients

55% In Person and Online
45% Online Only

Gender breakdown

79% Female
18% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Aurora?

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.