Therapists in New Hartford, NY

Photo of Jean Murphy Baker, Clinical Social Work/Therapist in New Hartford, NY
Jean Murphy Baker
Clinical Social Work/Therapist, LCSW-R
Verified Verified
New Hartford, NY 13413
Have you been feeling anxious, depressed, isolated, stressed? Do you repeatedly engage in behaviors or relationships that don't help and may be harmful and find you can't stop? Whether these feelings & behaviors have been present for a long time or seemed to develop suddenly, it can be hard to figure out the cause or how to find relief. Sometimes distress is caused by prior trauma or by the coping skills developed early in life that are no longer effective or helpful. Personal growth, relief from emotional pain and discomfort, better relationships, and living a more fulfilled life are all possible.
Have you been feeling anxious, depressed, isolated, stressed? Do you repeatedly engage in behaviors or relationships that don't help and may be harmful and find you can't stop? Whether these feelings & behaviors have been present for a long time or seemed to develop suddenly, it can be hard to figure out the cause or how to find relief. Sometimes distress is caused by prior trauma or by the coping skills developed early in life that are no longer effective or helpful. Personal growth, relief from emotional pain and discomfort, better relationships, and living a more fulfilled life are all possible.
(315) 510-4041 View (315) 510-4041
Photo of Nicole Schrader, Clinical Social Work/Therapist in New Hartford, NY
Nicole Schrader
Clinical Social Work/Therapist, LCSW
Verified Verified
New Hartford, NY 13413
As a Clinical Masters level Social Worker I provide services in a safe, non-judgmental, therapeutic atmosphere. Services consist of assessment, diagnosis, treatment including, but not limited to Psychotherapy, Cognitive Behavioral Therapy, Play Therapy, Talk Therapy, Solution-Focused therapy, Evaluation and management of mental health symptoms. I also work with individuals experiencing emotional, or behavioral disturbances. I work with individuals, families, and groups. I see children ages 8 through 18 and adults 18 and older.
As a Clinical Masters level Social Worker I provide services in a safe, non-judgmental, therapeutic atmosphere. Services consist of assessment, diagnosis, treatment including, but not limited to Psychotherapy, Cognitive Behavioral Therapy, Play Therapy, Talk Therapy, Solution-Focused therapy, Evaluation and management of mental health symptoms. I also work with individuals experiencing emotional, or behavioral disturbances. I work with individuals, families, and groups. I see children ages 8 through 18 and adults 18 and older.
(315) 743-5582 View (315) 743-5582
Photo of Anthony Rotolo in New Hartford, NY
Anthony Rotolo
PhD, CCHt
Verified Verified
New Hartford, NY 13413
If you find yourself feeling stuck, unmotivated, worried, or lost, you are not alone. No matter our age, identity, or background, we all struggle with issues of growth, change, learning, love, and loss. These things are often part of life, but they're not always a matter of psychological conditions. If you're seeking the knowledge, skills, and support to overcome your challenges (but not a diagnosis or prescription), then my holistic coaching services are designed for you.
If you find yourself feeling stuck, unmotivated, worried, or lost, you are not alone. No matter our age, identity, or background, we all struggle with issues of growth, change, learning, love, and loss. These things are often part of life, but they're not always a matter of psychological conditions. If you're seeking the knowledge, skills, and support to overcome your challenges (but not a diagnosis or prescription), then my holistic coaching services are designed for you.
(315) 810-9724 View (315) 810-9724
Photo of Brian P Mulkerne, Clinical Social Work/Therapist in New Hartford, NY
Brian P Mulkerne
Clinical Social Work/Therapist, LCSWR
Verified Verified
New Hartford, NY 13413
My ideal client is someone I can establish a relationship with that allows us to work together. I try to help my clients to discuss and examine their issues and make choices that can help them. I am experienced in treating the emotional and behavioral disorders of children, adolescents, adults, the elderly, and the developmentally disabled. I have been effective in helping adults in emotional crisis, marital conflicts, and parenting issues. I have personal experience in managing the needs of a disabled child or family member, and in coping with severe illness, grief and bereavement.
My ideal client is someone I can establish a relationship with that allows us to work together. I try to help my clients to discuss and examine their issues and make choices that can help them. I am experienced in treating the emotional and behavioral disorders of children, adolescents, adults, the elderly, and the developmentally disabled. I have been effective in helping adults in emotional crisis, marital conflicts, and parenting issues. I have personal experience in managing the needs of a disabled child or family member, and in coping with severe illness, grief and bereavement.
(315) 541-4237 View (315) 541-4237
Photo of Johanna L Emrich, Clinical Social Work/Therapist in New Hartford, NY
Johanna L Emrich
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New Hartford, NY 13413
If you are struggling with trauma, anxiety, depression, mood swings, or relationship challenges, know that there's hope and support available. My goal is to empower you with tools and insights to navigate life's ups and downs with resilience and clarity.
If you are struggling with trauma, anxiety, depression, mood swings, or relationship challenges, know that there's hope and support available. My goal is to empower you with tools and insights to navigate life's ups and downs with resilience and clarity.
(315) 954-4577 View (315) 954-4577
Photo of Britton A. Tarris, Marriage & Family Therapist in New Hartford, NY
Britton A. Tarris
Marriage & Family Therapist, LCSW, LMFT
Verified Verified
1 Endorsed
New Hartford, NY 13413
Welcome! Thank you for checking out my page. I hope you will find this information helpful in your search for a potential therapist to meet your needs. I am licensed by the state of New York as a Clinical Social Worker (LCSW) and a Marriage and Family Therapist (LMFT). I completed my graduate education and clinical training in 2018 at Syracuse University. I also hold a B.S. in Business Management from Utica University (formerly known as Utica College). I practice from the theoretical model of family systems that focuses on the client’s experience within the context of their relationships.
Welcome! Thank you for checking out my page. I hope you will find this information helpful in your search for a potential therapist to meet your needs. I am licensed by the state of New York as a Clinical Social Worker (LCSW) and a Marriage and Family Therapist (LMFT). I completed my graduate education and clinical training in 2018 at Syracuse University. I also hold a B.S. in Business Management from Utica University (formerly known as Utica College). I practice from the theoretical model of family systems that focuses on the client’s experience within the context of their relationships.
(315) 306-3481 View (315) 306-3481
Photo of Cari Sans, Marriage & Family Therapist in New Hartford, NY
Cari Sans
Marriage & Family Therapist, MA, LMFT
Verified Verified
New Hartford, NY 13413
Are you tired of feeling disconnected, unhappy, or unfulfilled in your marriage or partnership? Our coaching program is designed to help you achieve the transformation you seek. Our ideal client is someone who recognizes the need for improvement in their relationship and is willing to put in the effort to make things better. We can help you develop the skills and habits necessary for a healthier, more fulfilling relationship, whether you're struggling with communication, intimacy, conflict, infidelity, parenting differences, or other issues.
Are you tired of feeling disconnected, unhappy, or unfulfilled in your marriage or partnership? Our coaching program is designed to help you achieve the transformation you seek. Our ideal client is someone who recognizes the need for improvement in their relationship and is willing to put in the effort to make things better. We can help you develop the skills and habits necessary for a healthier, more fulfilling relationship, whether you're struggling with communication, intimacy, conflict, infidelity, parenting differences, or other issues.
(315) 864-5364 View (315) 864-5364
Photo of Lindsay A Guido, Clinical Social Work/Therapist in New Hartford, NY
Lindsay A Guido
Clinical Social Work/Therapist, LCSW-R, CSSW
Verified Verified
1 Endorsed
New Hartford, NY 13413
In my years as a clinician one thing has always remained a constant, and that is difficulty with transitions and change, which life abundantly throws at us. Regardless of the situation, change or transition is often the cause of unsettling feelings that lead one to engage with a therapist. That being said, many people are more comfortable and able to successfully maneuver adjustments in their daily routine, in their family structure, home life, work, relationships, etc. Others however, may struggle with developing or utilizing ways of coping with such change.
In my years as a clinician one thing has always remained a constant, and that is difficulty with transitions and change, which life abundantly throws at us. Regardless of the situation, change or transition is often the cause of unsettling feelings that lead one to engage with a therapist. That being said, many people are more comfortable and able to successfully maneuver adjustments in their daily routine, in their family structure, home life, work, relationships, etc. Others however, may struggle with developing or utilizing ways of coping with such change.
(315) 752-6403 View (315) 752-6403
Photo of Ray Bepko, Psychologist in New Hartford, NY
Ray Bepko
Psychologist, PhD
Verified Verified
New Hartford, NY 13413
Do you want to take a partnership role in enhancing your emotional, physical, and behavioral health? I help people to actively recover from depression, anxiety and other mood disorders, manage emotional and behavioral aspects of chronic pain and illness, and develop and practice the specific attitudes, skills, and behaviors central to physical and psychological well-being.
Do you want to take a partnership role in enhancing your emotional, physical, and behavioral health? I help people to actively recover from depression, anxiety and other mood disorders, manage emotional and behavioral aspects of chronic pain and illness, and develop and practice the specific attitudes, skills, and behaviors central to physical and psychological well-being.
(315) 683-3657 View (315) 683-3657
Photo of Suong Vuong, Counselor in New Hartford, NY
Suong Vuong
Counselor, LMHC
Verified Verified
New Hartford, NY 13413  (Online Only)
I enjoy working with motivated-for-change individuals, whose goals involve exploring their areas of strength, and areas needing improvement, in order to live their most fulfilling lives. I work with adults who struggle with complex trauma, relationship concerns, anxiety, grief, life transitions, and identity and existential crises.
I enjoy working with motivated-for-change individuals, whose goals involve exploring their areas of strength, and areas needing improvement, in order to live their most fulfilling lives. I work with adults who struggle with complex trauma, relationship concerns, anxiety, grief, life transitions, and identity and existential crises.
(315) 693-6669 View (315) 693-6669
Photo of Natalie DeTraglia, Counselor in New Hartford, NY
Natalie DeTraglia
Counselor, LMHC
Verified Verified
New Hartford, NY 13413
Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. I am a Licensed Mental Health Counselor who utilizes Cognitive Behavioral Therapy ,allowing me to focus on building a custom approach for each one of my clients. We will begin by exploring where you are currently at in order to determine where you want to end up. Working together, we will establish a plan and celebrate your success along the way! My focus is on Anxiety & Depression, but I also love to help clients navigate their career journey as well as life transitions!
Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. I am a Licensed Mental Health Counselor who utilizes Cognitive Behavioral Therapy ,allowing me to focus on building a custom approach for each one of my clients. We will begin by exploring where you are currently at in order to determine where you want to end up. Working together, we will establish a plan and celebrate your success along the way! My focus is on Anxiety & Depression, but I also love to help clients navigate their career journey as well as life transitions!
(315) 758-5696 View (315) 758-5696
Photo of James Brendan Ryan, Counselor in New Hartford, NY
James Brendan Ryan
Counselor, LMHC, CAS, NCC, DCC
Verified Verified
1 Endorsed
New Hartford, NY 13413
I have over 30 years experience working with children and adolescents. I have worked in adolescent inpatient settings as a therapist and Psychologist. I have also worked with adults in outpatient clinic settings. I have had good success working with clients with anger control issues and ADHD features. I have lots of experience working with clients with depression and suicidal ideation. I have also done family therapy as well. I also have over 20 years experience coaching a variety sports at the high school level.
I have over 30 years experience working with children and adolescents. I have worked in adolescent inpatient settings as a therapist and Psychologist. I have also worked with adults in outpatient clinic settings. I have had good success working with clients with anger control issues and ADHD features. I have lots of experience working with clients with depression and suicidal ideation. I have also done family therapy as well. I also have over 20 years experience coaching a variety sports at the high school level.
(315) 235-1587 View (315) 235-1587
Photo of Carrie Corby, Clinical Social Work/Therapist in New Hartford, NY
Carrie Corby
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New Hartford, NY 13413
Not accepting new clients
Living our best life authentically with our values and principles is possible yet difficult at times. There are challenges in our own potential and sometimes we carry that into relationships we have with ourselves, parents, children, significant others, friends, teachers and/or coworkers. The therapeutic relationship is the foundation to personal growth. The focus in my practice is psychotherapy for children, adolescents, and adults. I work in developing a trusting, safe, supportive environment so you are able to develop strategies to improve your overall quality of life through various therapeutic modalities.
Living our best life authentically with our values and principles is possible yet difficult at times. There are challenges in our own potential and sometimes we carry that into relationships we have with ourselves, parents, children, significant others, friends, teachers and/or coworkers. The therapeutic relationship is the foundation to personal growth. The focus in my practice is psychotherapy for children, adolescents, and adults. I work in developing a trusting, safe, supportive environment so you are able to develop strategies to improve your overall quality of life through various therapeutic modalities.
(315) 302-1473 View (315) 302-1473
Photo of Bianca Petrilli, Counselor in New Hartford, NY
Bianca Petrilli
Counselor, LMHC
Verified Verified
1 Endorsed
New Hartford, NY 13413
I understand that a person is more than a compilation of symptoms, and take into account a person’s history, current life experience and future goals to provide comprehensive treatment. I focus on issues relating to depression, role transitions and self-esteem. I provide a mostly psychodynamic approach to therapy, which allows a person to gain insight into their life experience. I believe psychotherapy is not a passive experience, and requires active participation by you. I am here to guide and help you realize your potential to live a more fulfilling life.
I understand that a person is more than a compilation of symptoms, and take into account a person’s history, current life experience and future goals to provide comprehensive treatment. I focus on issues relating to depression, role transitions and self-esteem. I provide a mostly psychodynamic approach to therapy, which allows a person to gain insight into their life experience. I believe psychotherapy is not a passive experience, and requires active participation by you. I am here to guide and help you realize your potential to live a more fulfilling life.
(680) 206-2180 View (680) 206-2180
Photo of Joanna Rigoli, Clinical Social Work/Therapist in New Hartford, NY
Joanna Rigoli
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
New Hartford, NY 13413
I have over 20 years experience providing individual and couples therapy in the New York Metro area and now here in the Central NY area. I treat adolescents, adults and the elderly using cognitive behavioral and insight oriented therapeutic techniques. These approaches allow me to help my clients identify the cause of the issues, gain specific techniques to alleviate stress while maintaining a solution focused approach. I teach my clients to build upon their current strengths, develop new skills, increase awareness and create positive growth to improve their relationships,communication styles, self-worth and to increase their overall coping skills for long term results.
I have over 20 years experience providing individual and couples therapy in the New York Metro area and now here in the Central NY area. I treat adolescents, adults and the elderly using cognitive behavioral and insight oriented therapeutic techniques. These approaches allow me to help my clients identify the cause of the issues, gain specific techniques to alleviate stress while maintaining a solution focused approach. I teach my clients to build upon their current strengths, develop new skills, increase awareness and create positive growth to improve their relationships,communication styles, self-worth and to increase their overall coping skills for long term results.
(315) 794-2163 View (315) 794-2163
Photo of Lynn Tomaino, Clinical Social Work/Therapist in New Hartford, NY
Lynn Tomaino
Clinical Social Work/Therapist, LCSW
Verified Verified
New Hartford, NY 13413
Most people contact me overwhelmed by feelings, symptoms or in a life crisis. Using Cognitive Behavioral Therapy (CBT) we will explore your thoughts, feelings and behavior and identify those that are not rational, but whose messages control how you feel and behave By learning more rational ways of thinking, you will be in control of the messages you give yourself, not the ones you have been barely conscious of and often come from negative past experiences. Behavior is also explored. Do you repeat the same actions that create problems at work, in relationships? You can change that too, through thinking differently.
Most people contact me overwhelmed by feelings, symptoms or in a life crisis. Using Cognitive Behavioral Therapy (CBT) we will explore your thoughts, feelings and behavior and identify those that are not rational, but whose messages control how you feel and behave By learning more rational ways of thinking, you will be in control of the messages you give yourself, not the ones you have been barely conscious of and often come from negative past experiences. Behavior is also explored. Do you repeat the same actions that create problems at work, in relationships? You can change that too, through thinking differently.
(315) 605-2069 View (315) 605-2069
Photo of Kelly Virkler, LMHC, NCC, Counselor in New Hartford, NY
Kelly Virkler, LMHC, NCC
Counselor, LMHC, NCC
Verified Verified
New Hartford, NY 13413
My counseling style leans toward a person-centered, solution focused approach. This approach remains eclectic in nature as each individual brings unique issues to the table and should be treated with the type of therapy most beneficial to their recovery. Over the last 15 years, I have worked with individuals of all ages, with a multitude of reasons in which to seek therapeutic resolve.
My counseling style leans toward a person-centered, solution focused approach. This approach remains eclectic in nature as each individual brings unique issues to the table and should be treated with the type of therapy most beneficial to their recovery. Over the last 15 years, I have worked with individuals of all ages, with a multitude of reasons in which to seek therapeutic resolve.
(315) 915-2741 View (315) 915-2741
Photo of View Point Clinical Therapy Services, LCSW, PLLC, Clinical Social Work/Therapist in New Hartford, NY
View Point Clinical Therapy Services, LCSW, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New Hartford, NY 13413
View Point Clinical Therapy was formed in March 2023 by its owner Brooke Lewis, LCSW. View Point was established with a goal of integrating accessible mental health treatment into our communities across New York State- while refusing to compromise quality of care. View Point insists on remaining true to our identified values with every facet of the organization, never deviating from our mission. View Point will uphold our high standards of practice by utilizing our therapist derived value system in every level of care.
View Point Clinical Therapy was formed in March 2023 by its owner Brooke Lewis, LCSW. View Point was established with a goal of integrating accessible mental health treatment into our communities across New York State- while refusing to compromise quality of care. View Point insists on remaining true to our identified values with every facet of the organization, never deviating from our mission. View Point will uphold our high standards of practice by utilizing our therapist derived value system in every level of care.
(315) 538-6854 View (315) 538-6854
Photo of Adaya Counseling Services in New Hartford, NY
Adaya Counseling Services
LPMFT
Not Verified Not Verified
New Hartford, NY 13413
I am Cathy Alston and I am currently working towards my license in Marriage and Family Therapy. I have experience working with families, couples, individuals dealing with communication, emotional intimacy, grief, anxiety, and interpersonal issues. I am trained from a systemic perspective and believe that often times people feel stuck because they think they have no choices. One of my strengths is to map out possible choices with clients and encourage them to be the author of their own life. My academic background in human services allows me to be able to examine and uncover one’s underlying assumptions, feelings, and emotions. I a
I am Cathy Alston and I am currently working towards my license in Marriage and Family Therapy. I have experience working with families, couples, individuals dealing with communication, emotional intimacy, grief, anxiety, and interpersonal issues. I am trained from a systemic perspective and believe that often times people feel stuck because they think they have no choices. One of my strengths is to map out possible choices with clients and encourage them to be the author of their own life. My academic background in human services allows me to be able to examine and uncover one’s underlying assumptions, feelings, and emotions. I a
(315) 306-3641 View (315) 306-3641
Photo of Sandra A Mizerak, Counselor in New Hartford, NY
Sandra A Mizerak
Counselor, NCC, LMHC
Verified Verified
New Hartford, NY 13413
I have been working as a licensed mental health counselor and a national certified counselor for over 25 years. My clinical orientation is eclectic, ranging from a variety of techniques including Motivational Interviewing, Cognitive-Behavioral Therapy, Positive Psychology and Solution Focused Therapy. I have extensive experience working with survivors of childhood sexual abuse, depression, anxiety, relationship issues, partner abuse, sexual violence, self-esteem, LGBTQ issues, empowerment and grief/loss.
I have been working as a licensed mental health counselor and a national certified counselor for over 25 years. My clinical orientation is eclectic, ranging from a variety of techniques including Motivational Interviewing, Cognitive-Behavioral Therapy, Positive Psychology and Solution Focused Therapy. I have extensive experience working with survivors of childhood sexual abuse, depression, anxiety, relationship issues, partner abuse, sexual violence, self-esteem, LGBTQ issues, empowerment and grief/loss.
(315) 401-7869 View (315) 401-7869

See more therapy options for New Hartford

How does your Therapist compare?

Number of Therapists in New Hartford, NY

40+

Average cost per session

$125

Therapists in New Hartford, NY who prioritize treating:

90% Anxiety
78% Depression
76% Relationship Issues
68% Self Esteem
61% Coping Skills
59% Life Transitions
56% Stress

Average years in practice

11 Years

Top 3 insurances accepted

65% UnitedHealthcare UHC | UBH
62% Excellus BlueCross BlueShield
58% BlueCross and BlueShield

How Therapists in New Hartford, NY see their clients

86% In Person and Online
14% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in New Hartford?

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.