Therapists in Talleyville, DE

Photo of Cheryl Wilson, LPCMH, Licensed Professional Counselor
Cheryl Wilson
Licensed Professional Counselor, LPCMH
Verified Verified
Online Only
I provide a supportive and collaborative environment in which my clients can work collaboratively to achieve the desired growth and positive change in their lives. I employ a strengths-based and integrative approach to therapy to best meet teach clients unique needs bringing experience and knowledge from 12 years of experience working in a variety of outpatient settings. My clinical specializations include working with individuals and couples with anxiety, mood and stress related disorders, grief, trauma, and relationship issues.
I provide a supportive and collaborative environment in which my clients can work collaboratively to achieve the desired growth and positive change in their lives. I employ a strengths-based and integrative approach to therapy to best meet teach clients unique needs bringing experience and knowledge from 12 years of experience working in a variety of outpatient settings. My clinical specializations include working with individuals and couples with anxiety, mood and stress related disorders, grief, trauma, and relationship issues.
(302) 240-3108 View (302) 240-3108
Photo of Rachel Millary, LACMH
Rachel Millary
LACMH
Verified Verified
Talleyville, DE 19803
I see my clients as the unique individuals that they are and will take a collaborative approach with you to the therapeutic relationship. I recognize my clients as the expert on their own experiences. In practice I take a humanistic approach to working with a range of concerns. I see adolescents ages 12 and up as well as adults. My practice style is person-centered and integrative oriented to best meet the needs of my clients. My training and experience is in trauma-informed, culturally responsive cognitive behavioral therapy, narrative therapy, dialectical behavior therapy, and narrative therapy,
I see my clients as the unique individuals that they are and will take a collaborative approach with you to the therapeutic relationship. I recognize my clients as the expert on their own experiences. In practice I take a humanistic approach to working with a range of concerns. I see adolescents ages 12 and up as well as adults. My practice style is person-centered and integrative oriented to best meet the needs of my clients. My training and experience is in trauma-informed, culturally responsive cognitive behavioral therapy, narrative therapy, dialectical behavior therapy, and narrative therapy,
(302) 405-4505 View (302) 405-4505
Photo of Tarryn Alston, LACMH, Pre-Licensed Professional
Tarryn Alston
Pre-Licensed Professional, LACMH
Verified Verified
Talleyville, DE 19803
Each individual has the capacity to be the best version of themselves despite natural life stressors and events. I take a client centered approach to encourage and facilitate collaboration helping my clients navigate and overcome challenging life events, or the effects of mental health diagnosis and related concerns. Additionally, I have experience in treatment for Drug & Alcohol abuse and use disorders.
Each individual has the capacity to be the best version of themselves despite natural life stressors and events. I take a client centered approach to encourage and facilitate collaboration helping my clients navigate and overcome challenging life events, or the effects of mental health diagnosis and related concerns. Additionally, I have experience in treatment for Drug & Alcohol abuse and use disorders.
(302) 581-8137 View (302) 581-8137
Photo of Meghan McCoy-Smith, PsyD, Psychologist
Meghan McCoy-Smith
Psychologist, PsyD
Verified Verified
Online Only
I utilize practical evidence-based interventions to help my clients discover their strengths and build the necessary skills to improve their well-being. I am a seasoned professional, dedicated to helping individuals live fulfilling and empowered lives. Together, you and I can work to overcome challenges, find your inner strength, and create a future filled with promise and possibility. Whether you are experiencing a crisis or struggling with issues such as depression, anxiety, or trauma, I have the experience in applying my therapeutic expertise to provide support and guidance to clients with clients like you.
I utilize practical evidence-based interventions to help my clients discover their strengths and build the necessary skills to improve their well-being. I am a seasoned professional, dedicated to helping individuals live fulfilling and empowered lives. Together, you and I can work to overcome challenges, find your inner strength, and create a future filled with promise and possibility. Whether you are experiencing a crisis or struggling with issues such as depression, anxiety, or trauma, I have the experience in applying my therapeutic expertise to provide support and guidance to clients with clients like you.
(302) 281-1047 View (302) 281-1047
Photo of Mariella Roberts, LPCMH , Counselor
Mariella Roberts
Counselor, LPCMH
Verified Verified
1 Endorsed
Online Only
Are you looking for a safe space with a counselor who will help you connect with your body, your inner resources, your values, with nature, and with other people? Are you eager to learn easy techniques that will help you self-regulate and find clarity and agency, to create the life that you want? Are you are ready to embark on deeper personal growth, to develop and sustain a way of living that is more mindful, active, and self-compassionate?
Are you looking for a safe space with a counselor who will help you connect with your body, your inner resources, your values, with nature, and with other people? Are you eager to learn easy techniques that will help you self-regulate and find clarity and agency, to create the life that you want? Are you are ready to embark on deeper personal growth, to develop and sustain a way of living that is more mindful, active, and self-compassionate?
(302) 306-4449 View (302) 306-4449
Photo of Hannah Shevitz, LACMH, NCC
Hannah Shevitz
Associate Mental Health Counselor, LACMH, NCC
Verified Verified
1 Endorsed
Talleyville, DE 19803
The ability to reflect inward, gain self-awareness, and understand how our experiences have shaped our beliefs about ourselves, others, and the world around us, is paramount to our growth as individuals. Understanding oneself and what shapes our behaviors is a key component to deepening self-compassion and living life authentically. I am a client-centered therapist who strives to create a collaborative relationship with my clients. I believe that you are the expert in your own life, and therefore, it is essential that you feel safe to voice your needs, emotions, and thoughts in the therapy space.
The ability to reflect inward, gain self-awareness, and understand how our experiences have shaped our beliefs about ourselves, others, and the world around us, is paramount to our growth as individuals. Understanding oneself and what shapes our behaviors is a key component to deepening self-compassion and living life authentically. I am a client-centered therapist who strives to create a collaborative relationship with my clients. I believe that you are the expert in your own life, and therefore, it is essential that you feel safe to voice your needs, emotions, and thoughts in the therapy space.
(302) 306-6654 View (302) 306-6654
Photo of Heather La Scala, LCSW, Clinical Social Work/Therapist
Heather La Scala
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I offer an empathetic and collaborative space where my clients are able to feel empowered to create positive change in their lives and in our practice. I offer compassionate counseling services for individuals, adolescents, couples, and families to help them change patterns, enhance relationships, and find solutions to live happier lives. I have experience working with clients impacted by anxiety, stress, depression, relationship communication issues, and life changes.
I offer an empathetic and collaborative space where my clients are able to feel empowered to create positive change in their lives and in our practice. I offer compassionate counseling services for individuals, adolescents, couples, and families to help them change patterns, enhance relationships, and find solutions to live happier lives. I have experience working with clients impacted by anxiety, stress, depression, relationship communication issues, and life changes.
(302) 786-7138 View (302) 786-7138
Photo of Katherine Dubois, LCSW, LICSW, Clinical Social Work/Therapist
Katherine Dubois
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Talleyville, DE 19803
My approach to therapy is empathetic and strengths based. I utilize my expertise in practice to allow you to process your concerns and empower you develop an effective plan to address your concerns and define and achieve your treatment goals. I enjoy working with relationship concerns, academic stress and performance , as well as with student athletes. I additionally have several years of direct clinical experience and expertise in acute health care settings supporting individuals and their families with acute and chronic medical concerns.
My approach to therapy is empathetic and strengths based. I utilize my expertise in practice to allow you to process your concerns and empower you develop an effective plan to address your concerns and define and achieve your treatment goals. I enjoy working with relationship concerns, academic stress and performance , as well as with student athletes. I additionally have several years of direct clinical experience and expertise in acute health care settings supporting individuals and their families with acute and chronic medical concerns.
(302) 587-8244 View (302) 587-8244
Photo of Meryl Brownstein, MEd, LPCMH, Licensed Professional Counselor
Meryl Brownstein
Licensed Professional Counselor, MEd, LPCMH
Verified Verified
Talleyville, DE 19803
Welcome to my counseling practice for adults, adolescents, couples and families. I am a Board Certified, Licensed Professional Counselor of Mental Health who has been practicing in Delaware for over 20 years. I treat a broad range of issues including anxiety, depression, post traumatic stress, marriage/relational problems, issues specific to men and women, financial issues, and the everyday struggles of daily life. I believe that the therapeutic relationship is central to healing. I strive to offer a safe, caring,and collaborative environment where you will feel listened to and never judged.
Welcome to my counseling practice for adults, adolescents, couples and families. I am a Board Certified, Licensed Professional Counselor of Mental Health who has been practicing in Delaware for over 20 years. I treat a broad range of issues including anxiety, depression, post traumatic stress, marriage/relational problems, issues specific to men and women, financial issues, and the everyday struggles of daily life. I believe that the therapeutic relationship is central to healing. I strive to offer a safe, caring,and collaborative environment where you will feel listened to and never judged.
(302) 240-2857 View (302) 240-2857
Photo of Diane M. Postell, LCSW, CAADC, Clinical Social Work/Therapist
Diane M. Postell
Clinical Social Work/Therapist, LCSW, CAADC
Verified Verified
Talleyville, DE 19803
Is it time for change? For over 20 years, I've helped clients to heal emotionally, repair relationships, and discover their unique paths to personal and professional satisfaction. I use a holistic ("whole person") approach, and will help you find the answers already within you. I'll help you learn to listen to yourself (and your partner or family members), and face your fears. I'll give you objective feedback and specific tools. My office is a safe, peaceful setting in which to explore troubling situations, conflicts and self-defeating patterns, as well as to rediscover and reclaim your strengths.
Is it time for change? For over 20 years, I've helped clients to heal emotionally, repair relationships, and discover their unique paths to personal and professional satisfaction. I use a holistic ("whole person") approach, and will help you find the answers already within you. I'll help you learn to listen to yourself (and your partner or family members), and face your fears. I'll give you objective feedback and specific tools. My office is a safe, peaceful setting in which to explore troubling situations, conflicts and self-defeating patterns, as well as to rediscover and reclaim your strengths.
(302) 956-9953 View (302) 956-9953
Photo of Dr. Amber Testa, PsyD, Psychologist
Dr. Amber Testa
Psychologist, PsyD
Verified Verified
Online Only
Sometimes our emotions can feel overwhelming and interfere with accomplishing our goals. Variations in our emotions are natural and while we cannot always eliminate the triggering situation or feeling, we can work together in a solution-focused approach to help you adapt to your internal experiences while identifying meaningful personal goals to guide our work together.
Sometimes our emotions can feel overwhelming and interfere with accomplishing our goals. Variations in our emotions are natural and while we cannot always eliminate the triggering situation or feeling, we can work together in a solution-focused approach to help you adapt to your internal experiences while identifying meaningful personal goals to guide our work together.
(718) 808-8843 View (718) 808-8843
Photo of Herman Ortez, EdD, LPCMH, NCC, CCMC, CDBT/PD, Licensed Professional Counselor
Herman Ortez
Licensed Professional Counselor, EdD, LPCMH, NCC, CCMC, CDBT/PD
Verified Verified
Talleyville, DE 19803
A Licensed Professional Clinical Mental Health Therapist with an EdD, offering 20 years+ of expertise. Specializing in individual therapy for substance use, mental health conditions, and personality disorders. Proficiently employing diverse treatment approaches and modalities, incorporating techniques from CBT/DBT, Profound, Stylistic, and Focused therapy to address various stages and challenges associated with illness and/or disorders. Whether in-person or via telehealth, these methods empower individuals and their loved ones to develop coping skills and enact behavior changes, fostering healthier lives and relationships.
A Licensed Professional Clinical Mental Health Therapist with an EdD, offering 20 years+ of expertise. Specializing in individual therapy for substance use, mental health conditions, and personality disorders. Proficiently employing diverse treatment approaches and modalities, incorporating techniques from CBT/DBT, Profound, Stylistic, and Focused therapy to address various stages and challenges associated with illness and/or disorders. Whether in-person or via telehealth, these methods empower individuals and their loved ones to develop coping skills and enact behavior changes, fostering healthier lives and relationships.
(302) 600-1705 View (302) 600-1705
Photo of Karen Spring, MSW, LCSW, Clinical Social Work/Therapist
Karen Spring
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Talleyville, DE 19803
At Spring Forward Psychotherapy, LLC, my mission is to provide high-quality, compassionate care to adults and teenagers (14 and older) struggling with mental health issues or who need help processing daily life and routine stressors. I compound the benefits of movement, nature and thought processing by providing therapy as "walk and talks" in local parks (or via teletherapy). Therapy is a safe and confidential space to lay out your first draft of ideas without judgment to allow you to process and refine and edit thoughts before sharing with loved ones and your support network.
At Spring Forward Psychotherapy, LLC, my mission is to provide high-quality, compassionate care to adults and teenagers (14 and older) struggling with mental health issues or who need help processing daily life and routine stressors. I compound the benefits of movement, nature and thought processing by providing therapy as "walk and talks" in local parks (or via teletherapy). Therapy is a safe and confidential space to lay out your first draft of ideas without judgment to allow you to process and refine and edit thoughts before sharing with loved ones and your support network.
(302) 306-3794 View (302) 306-3794

More Therapists Nearby

Photo of Shawmell Delores Johnson, MA, Pre-Licensed Professional
Shawmell Delores Johnson
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Newark, DE 19702
“Healing starts with acceptance—of yourself, your journey, and the process.” As a therapist, I believe that true growth happens when we honor our authentic selves. I specialize in working with adults navigating anxiety, depression, PTSD, and those within the LGBTQ+ community, helping them embrace balance in life while confronting life’s challenges head-on. My approach is compassionate, collaborative, and down-to-earth because healing doesn’t have to be intimidating.
“Healing starts with acceptance—of yourself, your journey, and the process.” As a therapist, I believe that true growth happens when we honor our authentic selves. I specialize in working with adults navigating anxiety, depression, PTSD, and those within the LGBTQ+ community, helping them embrace balance in life while confronting life’s challenges head-on. My approach is compassionate, collaborative, and down-to-earth because healing doesn’t have to be intimidating.
(302) 406-2724 View (302) 406-2724
Photo of Dr. Karen Stallings, DA, LSW, Clinical Social Work/Therapist
Dr. Karen Stallings
Clinical Social Work/Therapist, DA, LSW
Verified Verified
Online Only
Everyone deserves a safe space where they can heal and grow. It takes courage to ask for help. Dr.K is committed to empowering people to heal the wounds they cannot see. Life can be hard and challenging. Whether it's depression or anxiety, you deserve the space of healing. Sometimes we feel burnt out, need a soft space to fall, or tools and strategies to get to the other side of a thing. You deserve to show up as your best self physically, emotionally, and spiritually. Let's schedule a consultation and discuss what that looks like for you. Individuals, families, or couples, it's your time to begin the journey of healing.
Everyone deserves a safe space where they can heal and grow. It takes courage to ask for help. Dr.K is committed to empowering people to heal the wounds they cannot see. Life can be hard and challenging. Whether it's depression or anxiety, you deserve the space of healing. Sometimes we feel burnt out, need a soft space to fall, or tools and strategies to get to the other side of a thing. You deserve to show up as your best self physically, emotionally, and spiritually. Let's schedule a consultation and discuss what that looks like for you. Individuals, families, or couples, it's your time to begin the journey of healing.
(302) 240-9267 View (302) 240-9267
Photo of Tiara Fryer Harris, MA, Pre-Licensed Professional
Tiara Fryer Harris
Pre-Licensed Professional, MA
Verified Verified
Newark, DE 19711
It's nice to meet you! I am Tiara, and I am passionate about helping people navigate challenging life experiences. Life can throw you curveballs, and although reaching out for support can be difficult, I strive to make it a little easier. Therapy is a place for you to talk to someone about how you feel and what you think. It is also a place for you to feel safe and empowered to tackle life stressors. I know that therapy can be challenging at times, but my goal is to provide a safe space where you can feel comfortable and able to express yourself.
It's nice to meet you! I am Tiara, and I am passionate about helping people navigate challenging life experiences. Life can throw you curveballs, and although reaching out for support can be difficult, I strive to make it a little easier. Therapy is a place for you to talk to someone about how you feel and what you think. It is also a place for you to feel safe and empowered to tackle life stressors. I know that therapy can be challenging at times, but my goal is to provide a safe space where you can feel comfortable and able to express yourself.
(302) 405-3060 View (302) 405-3060
Photo of Charles B Wasserman, PhD, Psychologist
Charles B Wasserman
Psychologist, PhD
Verified Verified
Wilmington, DE 19810
My name is Dr. Charles Wasserman. I am a licensed psychologist in Pennsylvania, New Jersey and Delaware with almost 40 years of experience providing psychotherapy to individuals and couples, 17 years and older. I have worked with people with a variety of concerns and issues including depression, anxiety and panic, feelings of being overwhelmed by the stresses related to home, family, work, school and relationships. In addition, I provide services to senior living facilities and work with clients and families related to the issues of coping with aging and chronic medical illnesses
My name is Dr. Charles Wasserman. I am a licensed psychologist in Pennsylvania, New Jersey and Delaware with almost 40 years of experience providing psychotherapy to individuals and couples, 17 years and older. I have worked with people with a variety of concerns and issues including depression, anxiety and panic, feelings of being overwhelmed by the stresses related to home, family, work, school and relationships. In addition, I provide services to senior living facilities and work with clients and families related to the issues of coping with aging and chronic medical illnesses
(484) 994-2988 View (484) 994-2988
Photo of Tiffany Williams, LCSW, Clinical Social Work/Therapist
Tiffany Williams
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Newark, DE 19702
Are you ready to embark on a journey of profound self-discovery and healing? I a dedicated Licensed Clinical Social Worker who offers holistic counseling, and specialize in childhood trauma, anxiety, depression, PTSD and life transitions.I have extensive experience working with individuals who have faced trauma and are struggling with developing an identity after the trauma. I am passionate about empowering clients to unapologetically choose themselves, and reevaluate relationships that may hinder personal growth. I focus on client's unique life pressures and work to help navigate these challenges and thrive as your authentic self.
Are you ready to embark on a journey of profound self-discovery and healing? I a dedicated Licensed Clinical Social Worker who offers holistic counseling, and specialize in childhood trauma, anxiety, depression, PTSD and life transitions.I have extensive experience working with individuals who have faced trauma and are struggling with developing an identity after the trauma. I am passionate about empowering clients to unapologetically choose themselves, and reevaluate relationships that may hinder personal growth. I focus on client's unique life pressures and work to help navigate these challenges and thrive as your authentic self.
(302) 303-5870 View (302) 303-5870
Photo of Alyson Nuno, MSEd, Licensed Professional Counselor
Alyson Nuno
Licensed Professional Counselor, MSEd
Verified Verified
1 Endorsed
Wilmington, DE 19806
I specialize in the treatment of mood disorders, anxiety disorders, personality disorders, self-injury, and suicidality. She has provided treatment to adolescents and adults in both individual, family and group settings. I utilize evidence-based treatments such as Cognitive Behavioral Therapy (CBT) and am intensively trained in Dialectical Behavior Therapy (DBT).
I specialize in the treatment of mood disorders, anxiety disorders, personality disorders, self-injury, and suicidality. She has provided treatment to adolescents and adults in both individual, family and group settings. I utilize evidence-based treatments such as Cognitive Behavioral Therapy (CBT) and am intensively trained in Dialectical Behavior Therapy (DBT).
(571) 493-3722 View (571) 493-3722
Photo of Marcus Scarfo, LPCMH, NCC, ATR-P, CT, Counselor
Marcus Scarfo
Counselor, LPCMH, NCC, ATR-P, CT
Verified Verified
2 Endorsed
Wilmington, DE 19808
Not accepting new clients
As a counselor and an art therapist, I offer both talk therapy and art therapy services. Sometimes, words aren't enough, and that's where the art comes in. The creative process can promote calm, focus, release of energy, conflict resolution, confidence, and self-awareness. If you would prefer not to make art, and just want to talk, that's fine too!
As a counselor and an art therapist, I offer both talk therapy and art therapy services. Sometimes, words aren't enough, and that's where the art comes in. The creative process can promote calm, focus, release of energy, conflict resolution, confidence, and self-awareness. If you would prefer not to make art, and just want to talk, that's fine too!
(302) 722-5342 View (302) 722-5342

See more therapy options for Talleyville

How does your Therapist compare?

Number of Therapists in Talleyville, DE

10+

Average cost per session

$180

Therapists in Talleyville, DE who prioritize treating:

92% Anxiety
92% Life Transitions
85% Relationship Issues
85% Depression
85% Trauma and PTSD
77% Grief
77% Coping Skills

Average years in practice

15 Years

Top 3 insurances accepted

82% Aetna
82% BlueCross and BlueShield
82% UnitedHealthcare UHC | UBH

How Therapists in Talleyville, DE see their clients

62% In Person and Online
38% Online Only

Gender breakdown

93% Female
7% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Talleyville?

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.