Therapists in Lafayette, CO

Photo of Joyce Larson, LMFT, Marriage & Family Therapist
Joyce Larson
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Lafayette, CO 80026
I help clients regain vision for their lives through a holistic approach considering their physical, emotional, intellectual, spiritual, and relational well-being. My approach has been described by clients and co-therapists as compassionate as well as practical. I believe that when people are able to live out of their strengths, they will experience a greater sense of purpose in life and in their relationships. My specialities are sexual issues and relational dynamics, life and career coaching, and trauma/grief. I have helped those suffering from sexual addictions, poor body image, anxiety, depression, anger, and attachment issues.
I help clients regain vision for their lives through a holistic approach considering their physical, emotional, intellectual, spiritual, and relational well-being. My approach has been described by clients and co-therapists as compassionate as well as practical. I believe that when people are able to live out of their strengths, they will experience a greater sense of purpose in life and in their relationships. My specialities are sexual issues and relational dynamics, life and career coaching, and trauma/grief. I have helped those suffering from sexual addictions, poor body image, anxiety, depression, anger, and attachment issues.
(720) 706-3638 View (720) 706-3638
Photo of undefined - Embodied Relationships Counseling Center, LPC, CST, R-DMT, Licensed Professional Counselor
Embodied Relationships Counseling Center
Licensed Professional Counselor, LPC, CST, R-DMT
Verified Verified
Lafayette, CO 80026
If you are having difficulty communicating within your intimate relationship, feeling disconnected from each other, or believe that you may misunderstand each others intimacy styles, then you have an opportunity to level up your relationship. Every relationship needs support and continued inspiration to evolve with the natural growth of you as individuals. We can support you to communicate more effectively, to cultivate intentional and meaningful time together, and to understand each others desires and boundaries to create a present moment, fulfilling relationship.
If you are having difficulty communicating within your intimate relationship, feeling disconnected from each other, or believe that you may misunderstand each others intimacy styles, then you have an opportunity to level up your relationship. Every relationship needs support and continued inspiration to evolve with the natural growth of you as individuals. We can support you to communicate more effectively, to cultivate intentional and meaningful time together, and to understand each others desires and boundaries to create a present moment, fulfilling relationship.
(720) 740-8473 View (720) 740-8473
Photo of Bonnie Brown, PsyD, Psychologist
Bonnie Brown
Psychologist, PsyD
Verified Verified
Lafayette, CO 80026
Waitlist for new clients
I'm a licensed clinical psychologist, and I believe that providing a safe and supportive environment fosters alliance and trust within the therapeutic relationship. My goal as a therapist is to help my clients achieve their goals whether that includes easing symptoms of depression or anxiety, working through difficult issues (current or past), increasing coping skills, increasing self-esteem, and/or identifying what's next in life. I am also trained and certified in EMDR.
I'm a licensed clinical psychologist, and I believe that providing a safe and supportive environment fosters alliance and trust within the therapeutic relationship. My goal as a therapist is to help my clients achieve their goals whether that includes easing symptoms of depression or anxiety, working through difficult issues (current or past), increasing coping skills, increasing self-esteem, and/or identifying what's next in life. I am also trained and certified in EMDR.
(805) 774-1624 View (805) 774-1624
Photo of Caroline Scott, MA, LPC, NCC, Licensed Professional Counselor
Caroline Scott
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Lafayette, CO 80026  (Online Only)
Whether you are simply adjusting to a new or difficult situation or have felt trapped in a cycle of difficult emotions for years, it is my belief that each person harbors the tools they need and the ability to heal from within. My goal in working with you or your child is to foster a warm and trusting environment in which you can feel comfortable to identify, explore, and overcome obstacles that may be inhibiting you from living your best life. As a therapist, it is my role to walk alongside you in your unique journey by uncovering your innate strengths, support teaching you tools to better navigate stressors, and thrive.
Whether you are simply adjusting to a new or difficult situation or have felt trapped in a cycle of difficult emotions for years, it is my belief that each person harbors the tools they need and the ability to heal from within. My goal in working with you or your child is to foster a warm and trusting environment in which you can feel comfortable to identify, explore, and overcome obstacles that may be inhibiting you from living your best life. As a therapist, it is my role to walk alongside you in your unique journey by uncovering your innate strengths, support teaching you tools to better navigate stressors, and thrive.
(720) 790-6973 View (720) 790-6973
Photo of Adam Altschuh, PsyD, Counselor
Adam Altschuh
Counselor, PsyD
Verified Verified
3 Endorsed
Lafayette, CO 80026  (Online Only)
I make every effort to ensure your therapy is a positive, life-changing experience. From our first interaction you will feel at ease, supported, and understood. I work most effectively with people who are sorting through major life transitions.
I make every effort to ensure your therapy is a positive, life-changing experience. From our first interaction you will feel at ease, supported, and understood. I work most effectively with people who are sorting through major life transitions.
(857) 466-1332 View (857) 466-1332
Photo of A Boulder Body Mind Spirit Counseling Jayma Jamieson, MA, NCC, LPC, Licensed Professional Counselor
A Boulder Body Mind Spirit Counseling Jayma Jamieson
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
2 Endorsed
Lafayette, CO 80026
Are you in need of a mind-body reset? Discover an approach to wellness that helps you thrive. I provide in person therapy, with emotional support dogs in the office. In my counseling office, you can experience the support you need to feel safe, become your best self, forgive yourself and others, learn mindfulness skills to manage difficult emotions, and reprocess past traumas. You'll gain tools to move through periods of unease with purpose. You'll also develop skills and resilience for living in these uncertain times. I am Licensed (LPC), Nationally Certified, trained in EMDR, Splankna Spiritual Energy work, and Trauma Certified.
Are you in need of a mind-body reset? Discover an approach to wellness that helps you thrive. I provide in person therapy, with emotional support dogs in the office. In my counseling office, you can experience the support you need to feel safe, become your best self, forgive yourself and others, learn mindfulness skills to manage difficult emotions, and reprocess past traumas. You'll gain tools to move through periods of unease with purpose. You'll also develop skills and resilience for living in these uncertain times. I am Licensed (LPC), Nationally Certified, trained in EMDR, Splankna Spiritual Energy work, and Trauma Certified.
(720) 807-1213 View (720) 807-1213
Photo of Christopher DuVernay, MA, LPC, Licensed Professional Counselor
Christopher DuVernay
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Lafayette, CO 80026
Stress is a fixture in all of our lives. Many people are living with trauma. Dealing with stress and trauma alone is hard and I want you to feel good.
Stress is a fixture in all of our lives. Many people are living with trauma. Dealing with stress and trauma alone is hard and I want you to feel good.
(844) 585-0187 View (844) 585-0187
Photo of Kirby Soltis, LPC, Licensed Professional Counselor
Kirby Soltis
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Lafayette, CO 80026
I specialize in working with children, pre-teens, teens and college students who are struggling with stress, anxiety, depression, self-harm, anger and aggression, low self-esteem and trauma experiences. I combine my expertise in Human Development, Synergetic Play Therapy, Somatic Therapy and person centered techniques to help the child, teen or young adult shift their nervous system and find regulation through connection, mindfulness, attunement and play.
I specialize in working with children, pre-teens, teens and college students who are struggling with stress, anxiety, depression, self-harm, anger and aggression, low self-esteem and trauma experiences. I combine my expertise in Human Development, Synergetic Play Therapy, Somatic Therapy and person centered techniques to help the child, teen or young adult shift their nervous system and find regulation through connection, mindfulness, attunement and play.
(720) 640-9756 View (720) 640-9756
Photo of Audra Gallogly, LCSW, Clinical Social Work/Therapist
Audra Gallogly
Clinical Social Work/Therapist, LCSW
Verified Verified
Lafayette, CO 80026
I work with children, adolescents, families, and young adults on a range of issues, including depression, anxiety, behavioral problems, child sexual abuse, trauma related issues, issues related to adulting, divorce and adoption, as well as transitional challenges. I have been practicing since 1992, although I took some time off to raise our four children. I utilize play therapy techniques when working with children, as play is a powerful and therapeutic language for children. Generally, I approach treatment with sincerity, compassion and even humor to promote growth in a synergetic, trusting manner.
I work with children, adolescents, families, and young adults on a range of issues, including depression, anxiety, behavioral problems, child sexual abuse, trauma related issues, issues related to adulting, divorce and adoption, as well as transitional challenges. I have been practicing since 1992, although I took some time off to raise our four children. I utilize play therapy techniques when working with children, as play is a powerful and therapeutic language for children. Generally, I approach treatment with sincerity, compassion and even humor to promote growth in a synergetic, trusting manner.
(720) 580-4076 View (720) 580-4076
Photo of Heather T. Whittall, PsyD, Psychologist
Heather T. Whittall
Psychologist, PsyD
Verified Verified
1 Endorsed
Lafayette, CO 80026
Waitlist for new clients
I have come to believe that while each person is dealt a certain set of cards in life, we have choice in how to play them. Understanding the cards we are dealt can provide great relief. However, this understanding alone is often not enough for growth. A good therapist can serve as a mirror, allowing us to see ourselves from different angles and consider things about our thoughts, feelings and behaviors that we may have just reacted to in the past. Seeing ourselves in new ways allows us more choice; creating more helpful behaviors, reducing emotional strain and changing difficult relationships.
I have come to believe that while each person is dealt a certain set of cards in life, we have choice in how to play them. Understanding the cards we are dealt can provide great relief. However, this understanding alone is often not enough for growth. A good therapist can serve as a mirror, allowing us to see ourselves from different angles and consider things about our thoughts, feelings and behaviors that we may have just reacted to in the past. Seeing ourselves in new ways allows us more choice; creating more helpful behaviors, reducing emotional strain and changing difficult relationships.
(720) 709-1579 View (720) 709-1579
Photo of Gina Crites, MS, MFTC, OTR/L, Marriage & Family Therapist Associate
Gina Crites
Marriage & Family Therapist Associate, MS, MFTC, OTR/L
Verified Verified
Lafayette, CO 80026
I believe our relational experiences significantly impact our health and wellbeing, including the therapeutic relationship. When we feel less alone in our experiences of pain and distress, we can more easily connect to ourselves and others in a way that supports individual and collective health. Within a safe space, and through an attuned relationship with ourselves and others, we all have the power to tune into our instinct towards healing. I am passionate about walking beside my clients, undoing their aloneness, and have a strong sense of justice, advocating with passion for my clients.
I believe our relational experiences significantly impact our health and wellbeing, including the therapeutic relationship. When we feel less alone in our experiences of pain and distress, we can more easily connect to ourselves and others in a way that supports individual and collective health. Within a safe space, and through an attuned relationship with ourselves and others, we all have the power to tune into our instinct towards healing. I am passionate about walking beside my clients, undoing their aloneness, and have a strong sense of justice, advocating with passion for my clients.
(303) 529-3048 View (303) 529-3048
David Hixon
Licensed Professional Counselor, LPC
Verified Verified
Lafayette, CO 80026  (Online Only)
David R. Hixon is a Licensed Professional Counselor in Colorado who has been practicing since 2018. He has a B.S. from Colorado State University and an M.A. from Colorado Christian University. David’s treatment philosophy is simple, find the ways in which our lives are being lived incongruently with who we are and how we perceive the world, and then begin to realign them.
David R. Hixon is a Licensed Professional Counselor in Colorado who has been practicing since 2018. He has a B.S. from Colorado State University and an M.A. from Colorado Christian University. David’s treatment philosophy is simple, find the ways in which our lives are being lived incongruently with who we are and how we perceive the world, and then begin to realign them.
(720) 807-3676 View (720) 807-3676
Photo of Thea Wessel, LPC, LAC, MAC, NCAAC, ADS, Licensed Professional Counselor
Thea Wessel
Licensed Professional Counselor, LPC, LAC, MAC, NCAAC, ADS
Verified Verified
Lafayette, CO 80026  (Online Only)
I have been working in the mental health and addictions field for nine years and have worked with individuals with trauma, adverse life experiences and the shame these kinds of experiences can have on their day to day experience. I am a Licensed Professional Counselor (LPC), Licensed Addictions Counselor (LAC) and have a Masters Addiction Certificate (MAC) and National Cert. for Adolescent Addiction Counselor (NCAAC). My goal in therapy is to encourage and challenge individuals to become the best they desire to be.
I have been working in the mental health and addictions field for nine years and have worked with individuals with trauma, adverse life experiences and the shame these kinds of experiences can have on their day to day experience. I am a Licensed Professional Counselor (LPC), Licensed Addictions Counselor (LAC) and have a Masters Addiction Certificate (MAC) and National Cert. for Adolescent Addiction Counselor (NCAAC). My goal in therapy is to encourage and challenge individuals to become the best they desire to be.
(781) 819-5234 View (781) 819-5234
Photo of Jeff Hillis, LPCC
Jeff Hillis
Licensed Professional Counselor Candidate, LPCC
Verified Verified
Lafayette, CO 80026
Not currently accepting new clients. I offer a telehealth platform for remote sessions, or in-person sessions at my home office. Is your child in need of support navigating life's challenges like building and sustaining friendships, balancing school and home responsibilities, engaging in learning, self-regulation, managing big emotions, conflict resolution, processing trauma, working through the grief process, or otherwise dealing with life's bumps, hills, and mountains? I think that I may be able to help, as a counselor candidate with an emphasis in play therapy. Please reach out for a free phone consultation to explore further.
Not currently accepting new clients. I offer a telehealth platform for remote sessions, or in-person sessions at my home office. Is your child in need of support navigating life's challenges like building and sustaining friendships, balancing school and home responsibilities, engaging in learning, self-regulation, managing big emotions, conflict resolution, processing trauma, working through the grief process, or otherwise dealing with life's bumps, hills, and mountains? I think that I may be able to help, as a counselor candidate with an emphasis in play therapy. Please reach out for a free phone consultation to explore further.
(970) 965-0396 View (970) 965-0396
Photo of Katelyn Arterburn, LCSW, Clinical Social Work/Therapist
Katelyn Arterburn
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Lafayette, CO 80026
Becoming a mom impacts every area of your life, in some expected ways and many unexpected. The impact of these changes can manifest in various ways, from shifts in your body to transformations within your career, your relationship, and even differences in parenting approaches. You may find yourself feeling lost or confused, constantly overwhelmed, and questioning yourself and your choices. You may be surrounded by others yet still feel completely alone and uncertain of what to do, where to start, and how to move forward. I want you to know that you are not alone.
Becoming a mom impacts every area of your life, in some expected ways and many unexpected. The impact of these changes can manifest in various ways, from shifts in your body to transformations within your career, your relationship, and even differences in parenting approaches. You may find yourself feeling lost or confused, constantly overwhelmed, and questioning yourself and your choices. You may be surrounded by others yet still feel completely alone and uncertain of what to do, where to start, and how to move forward. I want you to know that you are not alone.
View
Photo of Elise Shulman, MA, MFTC
Elise Shulman
Marriage and Family Therapist Candidate, MA, MFTC
Verified Verified
Lafayette, CO 80026
You’re hurting and struggling to find relief. Maybe you’ve been going in circles —in your mind, heart, or in conflict with your loved one(s)— trying to troubleshoot, only to find yourself in the same painful spot. It feels heavy a burden to bear alone, and you wonder whether the understanding and connection you crave is within reach. “This can’t be all there is for me/us.” Hey… I promise, it’s not. There is more, there is different, there is “lighter.” But there’s no need to take my word for it. I'm here to help you experience this growth for yourself, with encouragement, empathy and humor.
You’re hurting and struggling to find relief. Maybe you’ve been going in circles —in your mind, heart, or in conflict with your loved one(s)— trying to troubleshoot, only to find yourself in the same painful spot. It feels heavy a burden to bear alone, and you wonder whether the understanding and connection you crave is within reach. “This can’t be all there is for me/us.” Hey… I promise, it’s not. There is more, there is different, there is “lighter.” But there’s no need to take my word for it. I'm here to help you experience this growth for yourself, with encouragement, empathy and humor.
(720) 927-9651 View (720) 927-9651
Photo of Sonja Hellman, PhD, Psychologist
Sonja Hellman
Psychologist, PhD
Verified Verified
4 Endorsed
Lafayette, CO 80026
Not accepting new clients
Most clients see me three to five times, and leave our first session feeling significantly better already. You aren't choosing to think, act or feel in the way that's brought you here, so how could you possibly choose NOT to? Psychological problems are caused and maintained by forces that, until we expose them, have been beyond your control. It's *normal* to feel angry, anxious, traumatized or depressed, but it's not wonderful. I want your mind to work optimally! "Optimally" means free of preoccupations that have been keeping you down.
Most clients see me three to five times, and leave our first session feeling significantly better already. You aren't choosing to think, act or feel in the way that's brought you here, so how could you possibly choose NOT to? Psychological problems are caused and maintained by forces that, until we expose them, have been beyond your control. It's *normal* to feel angry, anxious, traumatized or depressed, but it's not wonderful. I want your mind to work optimally! "Optimally" means free of preoccupations that have been keeping you down.
(720) 789-8890 View (720) 789-8890
Photo of Jayme Richards, LCSW, Clinical Social Work/Therapist
Jayme Richards
Clinical Social Work/Therapist, LCSW
Verified Verified
Lafayette, CO 80026
Every person has the inherent ability to grow, heal and transform their lives. My name is Jayme Richards and I provide therapy for individuals and couples using a mindfulness lens. My areas of expertise include trauma, anxiety, and depression. I work with all forms of trauma including: complex, sexual, verbal abuse, physical abuse, bullying, religious, medical, institutional and race/ethnicity based. Other areas of knowledge include working with shame, body image issues, life transitions, self-acceptance, and ADHD management. I mostly work with individuals but also see couples with alternative relationship structures.
Every person has the inherent ability to grow, heal and transform their lives. My name is Jayme Richards and I provide therapy for individuals and couples using a mindfulness lens. My areas of expertise include trauma, anxiety, and depression. I work with all forms of trauma including: complex, sexual, verbal abuse, physical abuse, bullying, religious, medical, institutional and race/ethnicity based. Other areas of knowledge include working with shame, body image issues, life transitions, self-acceptance, and ADHD management. I mostly work with individuals but also see couples with alternative relationship structures.
(720) 504-5235 View (720) 504-5235
Photo of Sarah Kennedy, MA, LPC, NCC, Counselor
Sarah Kennedy
Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Lafayette, CO 80026  (Online Only)
For anyone feeling like life is not aligning, I work as a guide and companion to help move through these moments in life. My passion is helping women and couples create deeper connection, and navigate through grief, mood disorders, anxiety, or life transitions by seamlessly integrating nature-based techniques and an integrative therapeutic approach.
For anyone feeling like life is not aligning, I work as a guide and companion to help move through these moments in life. My passion is helping women and couples create deeper connection, and navigate through grief, mood disorders, anxiety, or life transitions by seamlessly integrating nature-based techniques and an integrative therapeutic approach.
(720) 735-3287 View (720) 735-3287
Photo of undefined - Dang Good Therapy, EMDR, TRE, Licensed Professional Counselor
Dang Good Therapy
Licensed Professional Counselor, EMDR, TRE
Verified Verified
Lafayette, CO 80026
Hi! My name is Anya Garvey. And I offer my clients Dang Good Therapy For a Damn Good Life. My clients are ready for big shifts in their lives. They are motivated to take action and make change. They want more from a therapist than someone who simply nods, repeats back and parrots what you said. I will be your cheerleader, but I will also be your guide; moving you, step-by-step, toward the greater life you want to be living. I push my clients. I challenge my clients. And they are inspired and supported in effectively evolving themselves and their lives toward a better future.
Hi! My name is Anya Garvey. And I offer my clients Dang Good Therapy For a Damn Good Life. My clients are ready for big shifts in their lives. They are motivated to take action and make change. They want more from a therapist than someone who simply nods, repeats back and parrots what you said. I will be your cheerleader, but I will also be your guide; moving you, step-by-step, toward the greater life you want to be living. I push my clients. I challenge my clients. And they are inspired and supported in effectively evolving themselves and their lives toward a better future.
(720) 924-7294 View (720) 924-7294

How does your Therapist compare?

Number of Therapists in Lafayette, CO

300+

Average cost per session

$150

Therapists in Lafayette, CO who prioritize treating:

91% Anxiety
85% Depression
84% Relationship Issues
79% Trauma and PTSD
78% Self Esteem
71% Grief
69% Stress

Average years in practice

12 Years

Top 3 insurances accepted

66% Aetna
60% Cigna and Evernorth
58% UnitedHealthcare UHC | UBH

How Therapists in Lafayette, CO see their clients

83% In Person and Online
17% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lafayette?

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.