Therapists in Noblesville, IN

Photo of Nancy Homan, Clinical Social Work/Therapist in Noblesville, IN
Nancy Homan
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Noblesville, IN 46060
Nancy has a master's of social work from Indiana University-Purdue University Indianapolis with a focus in mental health and addictions. She has experience working with clients of all ages in private practice. Nancy is also a former elementary school teacher, who brings an expertise in working with children and adolescents, helping them build self-esteem and confidence in their own individuality.
Nancy has a master's of social work from Indiana University-Purdue University Indianapolis with a focus in mental health and addictions. She has experience working with clients of all ages in private practice. Nancy is also a former elementary school teacher, who brings an expertise in working with children and adolescents, helping them build self-esteem and confidence in their own individuality.
(317) 760-1446 View (317) 760-1446
Photo of Katherine Cooley, Counselor in Noblesville, IN
Katherine Cooley
Counselor, LMHC
Verified Verified
Noblesville, IN 46060  (Online Only)
Hi! I am a Licensed Mental Health Counselor in the state of Indiana. I am also an art therapist. My training is from Herron School of Art and Design, through Indiana University-Purdue University. I have ten years of clinical experience. I have worked with children, adults, families, and the aging population (65+).
Hi! I am a Licensed Mental Health Counselor in the state of Indiana. I am also an art therapist. My training is from Herron School of Art and Design, through Indiana University-Purdue University. I have ten years of clinical experience. I have worked with children, adults, families, and the aging population (65+).
(317) 953-5418 View (317) 953-5418
Photo of Rachel Echelbarger in Noblesville, IN
Rachel Echelbarger
MS, MHC
Verified Verified
Noblesville, IN 46060
Not accepting new clients
The people I work with tend to be navigating life changes and transitions, exploring identity concerns and/or neurodiversity, as well as seeking ways to manage their emotions. Curiosity, openness to new perspectives, and motivation to take action are welcomed. Transition can mean many things: entering the workforce, going to school, beginning/ending a relationship, gender, existential concerns, learning how to "adult" and so much more. I enjoy helping people learn more about themselves and building skills. This helps us know how to take care of ourselves and give us ideas of what to do when life gets messy.
The people I work with tend to be navigating life changes and transitions, exploring identity concerns and/or neurodiversity, as well as seeking ways to manage their emotions. Curiosity, openness to new perspectives, and motivation to take action are welcomed. Transition can mean many things: entering the workforce, going to school, beginning/ending a relationship, gender, existential concerns, learning how to "adult" and so much more. I enjoy helping people learn more about themselves and building skills. This helps us know how to take care of ourselves and give us ideas of what to do when life gets messy.
(463) 300-5734 View (463) 300-5734
Photo of Stacey Morrison, Clinical Social Work/Therapist in Noblesville, IN
Stacey Morrison
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Noblesville, IN 46060
I am a Licensed Clinical Social Worker with over 16 years experience in the mental health field. I have worked with clients of all ages and backgrounds dealing with a variety of issues. Prior to starting in my current practice I worked in Community Mental Health and in a hospital setting doing crisis work. Being a wife and mother, I also feel that I have a true understanding of the stresses of everyday life for families.
I am a Licensed Clinical Social Worker with over 16 years experience in the mental health field. I have worked with clients of all ages and backgrounds dealing with a variety of issues. Prior to starting in my current practice I worked in Community Mental Health and in a hospital setting doing crisis work. Being a wife and mother, I also feel that I have a true understanding of the stresses of everyday life for families.
(317) 653-6648 View (317) 653-6648
Photo of Mallory Gakpo, Clinical Social Work/Therapist in Noblesville, IN
Mallory Gakpo
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Noblesville, IN 46060
Are you on the road of old ways and struggling to open new doors? Let this be the first new door you open. I invite you to pull up a chair to chat and give yourself permission to focus on yourself and your needs. This may be something you do regularly or something you are utterly uncomfortable with due to its unfamiliarity. Change. That's what this is all about. Whether it's us, our situation, our relationships, or our reactions. Something has to change, am I right? The only difference between where we are and where we want to be is the step we have yet to take. Here's that first step, ready to take it?
Are you on the road of old ways and struggling to open new doors? Let this be the first new door you open. I invite you to pull up a chair to chat and give yourself permission to focus on yourself and your needs. This may be something you do regularly or something you are utterly uncomfortable with due to its unfamiliarity. Change. That's what this is all about. Whether it's us, our situation, our relationships, or our reactions. Something has to change, am I right? The only difference between where we are and where we want to be is the step we have yet to take. Here's that first step, ready to take it?
(317) 350-8592 View (317) 350-8592
Photo of Cartwright Counseling LLC, Clinical Social Work/Therapist in Noblesville, IN
Cartwright Counseling LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Noblesville, IN 46060
Do you have a felt sense that something profound has yet to change, but you’re not quite sure how to shift all the way into a new experience of yourself with your current therapist? Maybe your demanding schedule makes attending weekly therapy appointments a challenge, but you want to dive in to resolving issues that you have been dealing with for awhile? Do you need help with something and it is affecting you right now but you don’t want to spend months in the traditional weekly model of therapy treatment to feel better? Now more than ever we need flexibility on how we get support in life.
Do you have a felt sense that something profound has yet to change, but you’re not quite sure how to shift all the way into a new experience of yourself with your current therapist? Maybe your demanding schedule makes attending weekly therapy appointments a challenge, but you want to dive in to resolving issues that you have been dealing with for awhile? Do you need help with something and it is affecting you right now but you don’t want to spend months in the traditional weekly model of therapy treatment to feel better? Now more than ever we need flexibility on how we get support in life.
(317) 900-4594 View (317) 900-4594
Photo of Jemardrais M Clark, Marriage & Family Therapist Intern in Noblesville, IN
Jemardrais M Clark
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Noblesville, IN 46060
Today is an opportunity to choose healing over the pain of the past. If you are ready to address any negative cycles in your life. Let's talk. The truth is, we will experience loss, setbacks, disappointments and deep hurts at some point in our lives. We can develop self-regulation skills, proper response to difficulties that arise. You are stronger than you think. As a trauma informed therapist, I am committed to work with you, as you overcome obstacles and achieve healing. My goal is promoting growth, change, creativity, enhance self-esteem, and encourage honest emotion.
Today is an opportunity to choose healing over the pain of the past. If you are ready to address any negative cycles in your life. Let's talk. The truth is, we will experience loss, setbacks, disappointments and deep hurts at some point in our lives. We can develop self-regulation skills, proper response to difficulties that arise. You are stronger than you think. As a trauma informed therapist, I am committed to work with you, as you overcome obstacles and achieve healing. My goal is promoting growth, change, creativity, enhance self-esteem, and encourage honest emotion.
(463) 263-4775 View (463) 263-4775
Photo of Tanya J Garber, Clinical Social Work/Therapist in Noblesville, IN
Tanya J Garber
Clinical Social Work/Therapist, LCSW, LSSW, MSW
Verified Verified
1 Endorsed
Noblesville, IN 46060
Busy schedules, kids, work, family stress and complicated relationships can make us feel out of control. We can lose focus on the important things in life and can be overtaken by our commitments. I know what it’s like to struggle in life. I understand feeling hurt and pain while joy and peace seem out of reach. Finding a good fit with an experienced therapist is important. I offer a safe, confidential, and nonjudgmental space for healing and moving forward in life.
Busy schedules, kids, work, family stress and complicated relationships can make us feel out of control. We can lose focus on the important things in life and can be overtaken by our commitments. I know what it’s like to struggle in life. I understand feeling hurt and pain while joy and peace seem out of reach. Finding a good fit with an experienced therapist is important. I offer a safe, confidential, and nonjudgmental space for healing and moving forward in life.
(317) 449-7793 View (317) 449-7793
Photo of Lisa Duhamell MA, LMHC, Counselor in Noblesville, IN
Lisa Duhamell MA, LMHC
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Noblesville, IN 46060
Lisa Duhamell MA LMHC completed mental health counseling and marriage/family therapy training at Indiana Wesleyan University with a Master of Arts in Counseling. She has developed a passion in offering faith based counseling with children and their families to provide hope, healing, connection and support. Lisa specializes with children and adolescents. She brings over 15 years of professional counseling experience to working with children and teens. Lisa has deepened her love and knowledge to provide counseling for parents through some of their childhood wounds and anxiety.
Lisa Duhamell MA LMHC completed mental health counseling and marriage/family therapy training at Indiana Wesleyan University with a Master of Arts in Counseling. She has developed a passion in offering faith based counseling with children and their families to provide hope, healing, connection and support. Lisa specializes with children and adolescents. She brings over 15 years of professional counseling experience to working with children and teens. Lisa has deepened her love and knowledge to provide counseling for parents through some of their childhood wounds and anxiety.
(317) 451-5159 View (317) 451-5159
Photo of Natasha Anderson, Psychologist in Noblesville, IN
Natasha Anderson
Psychologist, PsyD, HSPP
Verified Verified
Noblesville, IN 46060
My hope is to provide you the necessary tools needed to weather the storms of life. To achieve this, we will work together to identify personal strengths, build upon these strengths, and learn skills to enhance holistic well-being. My interests involve the treatment of anxiety and phobias, helping children that have big feelings manage their emotional reactivity and acting as a support for the parents, mood disorders such as depression, ADHD, and body-focused repetitive behaviors, such as picking at one's skin or pulling hair out.
My hope is to provide you the necessary tools needed to weather the storms of life. To achieve this, we will work together to identify personal strengths, build upon these strengths, and learn skills to enhance holistic well-being. My interests involve the treatment of anxiety and phobias, helping children that have big feelings manage their emotional reactivity and acting as a support for the parents, mood disorders such as depression, ADHD, and body-focused repetitive behaviors, such as picking at one's skin or pulling hair out.
(765) 387-4827 View (765) 387-4827
Photo of Rebecca Cola, Clinical Social Work/Therapist in Noblesville, IN
Rebecca Cola
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Noblesville, IN 46060
Hello, I’m Becky. Im here for you. We all want and need to be validated, supported, encouraged, motivated and above all, heard. Establishing trust and being comfortable in sharing our story with someone can be challenging. I work especially well with those who are first timers or doubters of therapy or who wonder what therapy is or those who have had a “bad” exposure to therapy. I tailor every session to your needs and we set the pace of healing together while also determining how it's done. I have the experience and education but you know your life and how therapy can fit into it; and if you don't, we'll figure that out too.
Hello, I’m Becky. Im here for you. We all want and need to be validated, supported, encouraged, motivated and above all, heard. Establishing trust and being comfortable in sharing our story with someone can be challenging. I work especially well with those who are first timers or doubters of therapy or who wonder what therapy is or those who have had a “bad” exposure to therapy. I tailor every session to your needs and we set the pace of healing together while also determining how it's done. I have the experience and education but you know your life and how therapy can fit into it; and if you don't, we'll figure that out too.
(317) 934-6953 View (317) 934-6953
Photo of Dianna Stringham, Counselor in Noblesville, IN
Dianna Stringham
Counselor, LMHA
Verified Verified
1 Endorsed
Noblesville, IN 46060
If you have made it this far, you are wanting to find some answers. Together, we can come up with a plan to help you come up with a solution. Do you need guidance on guidance on parenting, setting appropriate boundaries, and dealing with behaviors from your children that seem out of control. Maybe your child needs help with emotional regulation and behavior modification or your teen is dealing with anxiety or depression symptoms. You may need help yourself dealing with these challenges or have experienced childhood trauma or struggle with the hustle and bustle of everyday life.
If you have made it this far, you are wanting to find some answers. Together, we can come up with a plan to help you come up with a solution. Do you need guidance on guidance on parenting, setting appropriate boundaries, and dealing with behaviors from your children that seem out of control. Maybe your child needs help with emotional regulation and behavior modification or your teen is dealing with anxiety or depression symptoms. You may need help yourself dealing with these challenges or have experienced childhood trauma or struggle with the hustle and bustle of everyday life.
(317) 659-6154 View (317) 659-6154
Photo of Pete Vischer, Licensed Professional Counselor in Noblesville, IN
Pete Vischer
Licensed Professional Counselor, MA, LMHC
Verified Verified
Noblesville, IN 46060
It’s so easy in this day and age to lose sight of one’s self and wake up one day and not recognize the person in the mirror. It’s my passion to come alongside those individuals or couples that have lost their way in life and need a listening ear or a fresh perspective. I firmly believe that every dry and painful season of life can be a springboard into hope for the next. It does not matter who you are, what’s been done or what you have done, there is hope.
It’s so easy in this day and age to lose sight of one’s self and wake up one day and not recognize the person in the mirror. It’s my passion to come alongside those individuals or couples that have lost their way in life and need a listening ear or a fresh perspective. I firmly believe that every dry and painful season of life can be a springboard into hope for the next. It does not matter who you are, what’s been done or what you have done, there is hope.
(317) 316-3414 View (317) 316-3414
Photo of Rovena Sondhaus, Counselor in Noblesville, IN
Rovena Sondhaus
Counselor, MA, LMCHA, CTP
Verified Verified
Noblesville, IN 46060
I believe all people have the capacity for change, and that even the smallest change can have a positive impact on a person’s life. I work with adolescents, adults and older adults. I support individuals experiencing a variety of issues including: career stress, life transitions, debilitating illness, and marginalization for a variety of reasons. I offer counseling in Spanish as well as English.
I believe all people have the capacity for change, and that even the smallest change can have a positive impact on a person’s life. I work with adolescents, adults and older adults. I support individuals experiencing a variety of issues including: career stress, life transitions, debilitating illness, and marginalization for a variety of reasons. I offer counseling in Spanish as well as English.
(463) 218-6531 View (463) 218-6531
Photo of Leslie Inlow, Clinical Social Work/Therapist in Noblesville, IN
Leslie Inlow
Clinical Social Work/Therapist, LCSW, LCAC
Verified Verified
5 Endorsed
Noblesville, IN 46060
You and your partner can’t seem to stop fighting. It seems like things are going along fine, and then something small happens. You may be on a walk or in the car, and all of a sudden there’s a shift and you’re arguing again. Most of the time, you don’t even know what you’re arguing about! Perhaps there has even been a deep pain of some kind, infidelity or another betrayal or rupture to your bond. You realize you need some help to work through it if you don't want to lose your relationship.
You and your partner can’t seem to stop fighting. It seems like things are going along fine, and then something small happens. You may be on a walk or in the car, and all of a sudden there’s a shift and you’re arguing again. Most of the time, you don’t even know what you’re arguing about! Perhaps there has even been a deep pain of some kind, infidelity or another betrayal or rupture to your bond. You realize you need some help to work through it if you don't want to lose your relationship.
(317) 674-1124 View (317) 674-1124
Photo of Valarie Anderson, Clinical Social Work/Therapist in Noblesville, IN
Valarie Anderson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Noblesville, IN 46060  (Online Only)
Hello! I’m Valarie, a clinical social worker licensed in Indiana. I received my Bachelors degree at Purdue and my Masters degree from IU. I have worked in the behavioral health field for 25 years treating people with a variety of needs and conditions. I am an empathetic and genuine therapist who believes in the importance of maintaining a positive mindset. We all need someone to listen to us without judgement about our feelings, emotions, and past decisions. Life offers us a variety of challenges and we will work together on moving through them and understanding how our past experiences have affected us.
Hello! I’m Valarie, a clinical social worker licensed in Indiana. I received my Bachelors degree at Purdue and my Masters degree from IU. I have worked in the behavioral health field for 25 years treating people with a variety of needs and conditions. I am an empathetic and genuine therapist who believes in the importance of maintaining a positive mindset. We all need someone to listen to us without judgement about our feelings, emotions, and past decisions. Life offers us a variety of challenges and we will work together on moving through them and understanding how our past experiences have affected us.
(463) 583-8030 View (463) 583-8030
Photo of Tammi Imel, Counselor in Noblesville, IN
Tammi Imel
Counselor, MA, LMHC
Verified Verified
Noblesville, IN 46060
I welcome you, with warmth, to my practice! I help clients to be at ease in therapy, and offer compassionate care crafted by 25 years of private practice experience with individual adults, couples, families, adolescents— including experience in working with multicultural persons, ethnic minority clients, and LGBTQ clients. Creating a space of care and respect for you and your unique journey, I carefully match your needs and personality style to evidence-based practice. ​My passion is helping you move forward. Often, we need to reclaim a healthy space after suffering from depression, anxiety or trauma.
I welcome you, with warmth, to my practice! I help clients to be at ease in therapy, and offer compassionate care crafted by 25 years of private practice experience with individual adults, couples, families, adolescents— including experience in working with multicultural persons, ethnic minority clients, and LGBTQ clients. Creating a space of care and respect for you and your unique journey, I carefully match your needs and personality style to evidence-based practice. ​My passion is helping you move forward. Often, we need to reclaim a healthy space after suffering from depression, anxiety or trauma.
(317) 743-2295 View (317) 743-2295
Photo of Ruby Smith, Clinical Social Work/Therapist in Noblesville, IN
Ruby Smith
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Noblesville, IN 46060
Hi. I’m Ruby, and I would be honored to work with you as your therapist. When we meet, you’ll experience someone who genuinely cares and is dedicated to helping you confront the problems in your life as you make your way towards positive, lasting change. We will identify your potential for growth and challenge the beliefs and behaviors that keep you from experiencing happiness, harmony, and health.
Hi. I’m Ruby, and I would be honored to work with you as your therapist. When we meet, you’ll experience someone who genuinely cares and is dedicated to helping you confront the problems in your life as you make your way towards positive, lasting change. We will identify your potential for growth and challenge the beliefs and behaviors that keep you from experiencing happiness, harmony, and health.
(317) 548-6925 View (317) 548-6925
Photo of Bill Becker, Counselor in Noblesville, IN
Bill Becker
Counselor, LMHC, LCAC, CEAP
Verified Verified
1 Endorsed
Noblesville, IN 46060
I have been a licensed counselor for 14 years and have worked in a variety of clinical settings and roles. I am solution-focused and utilize evidence-based modalities such as cognitive behavioral therapy, motivational interviewing/enhancement, and acceptance and commitment therapy. Areas of clinical expertise include substance use disorder, including opioid use disorder, and medication assisted treatment. Grief work, anxiety, depression, marital concerns, problem-solving, parenting skills, and adapting to change are all within my wheelhouse and I enjoy helping clients to process and resolve ambivalence around change.
I have been a licensed counselor for 14 years and have worked in a variety of clinical settings and roles. I am solution-focused and utilize evidence-based modalities such as cognitive behavioral therapy, motivational interviewing/enhancement, and acceptance and commitment therapy. Areas of clinical expertise include substance use disorder, including opioid use disorder, and medication assisted treatment. Grief work, anxiety, depression, marital concerns, problem-solving, parenting skills, and adapting to change are all within my wheelhouse and I enjoy helping clients to process and resolve ambivalence around change.
(317) 900-4261 View (317) 900-4261
Photo of Cala Ochs, Clinical Social Work/Therapist in Noblesville, IN
Cala Ochs
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Noblesville, IN 46060
I earned my bachelor’s and master’s degree in Social Work from Indiana University-Purdue University and I'm a licensed clinical social worker (LCSW). I have worked in multiple school districts and home-based settings with children, adolescents, and families. Additionally, I have experience working with a variety of clients, specializing in working with individuals struggling with anxiety, depression, self-esteem, self-harm, trauma, executive functioning skills, relational issues, and personal growth.
I earned my bachelor’s and master’s degree in Social Work from Indiana University-Purdue University and I'm a licensed clinical social worker (LCSW). I have worked in multiple school districts and home-based settings with children, adolescents, and families. Additionally, I have experience working with a variety of clients, specializing in working with individuals struggling with anxiety, depression, self-esteem, self-harm, trauma, executive functioning skills, relational issues, and personal growth.
(317) 434-0085 View (317) 434-0085

How does your Therapist compare?

Number of Therapists in Noblesville, IN

200+

Average cost per session

$125

Therapists in Noblesville, IN who prioritize treating:

94% Anxiety
91% Depression
78% Trauma and PTSD
77% Relationship Issues
76% Self Esteem
74% Coping Skills
73% Stress

Average years in practice

11 Years

Top 3 insurances accepted

75% Anthem | Elevance
72% BlueCross and BlueShield
60% Aetna

How Therapists in Noblesville, IN see their clients

89% In Person and Online
11% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Noblesville?

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.