Therapists in Decatur, GA

Photo of Rebecca Anne, Clinical Social Work/Therapist, MDiv, MSW, LCSW
Rebecca Anne
Clinical Social Work/Therapist, MDiv, MSW, LCSW
5 Endorsed
Decatur, GA 30030
Hello and thank you for checking out my profile on Psychology Today! I am a psychotherapist in practice near Downtown Decatur. I work with a variety of adults including those who struggle with stress, "being stuck", depression, anxiety, codependency, and relationship struggles. I am an ACT (Acceptance and Commitment Therapy) therapist. What this means in a nutshell is that I help clients to learn and utilize mindfulness to help handle difficult thoughts and feelings more effectively so that they can live into fully being the person they want to be.
Hello and thank you for checking out my profile on Psychology Today! I am a psychotherapist in practice near Downtown Decatur. I work with a variety of adults including those who struggle with stress, "being stuck", depression, anxiety, codependency, and relationship struggles. I am an ACT (Acceptance and Commitment Therapy) therapist. What this means in a nutshell is that I help clients to learn and utilize mindfulness to help handle difficult thoughts and feelings more effectively so that they can live into fully being the person they want to be.
(678) 820-6214 View (678) 820-6214
Photo of Andy Andersen, Psychologist, PsyD
Andy Andersen
Psychologist, PsyD
1 Endorsed
Decatur, GA 30030
I am a licensed psychologist. I complete psychological evaluations on children, adolescents and adults. For children, I specialize in attachment stress in children who have been been adopted or otherwise are being raised by someone other than their biological parents. For adults, I specialize in general personality assessment and parenting capacity.
I am a licensed psychologist. I complete psychological evaluations on children, adolescents and adults. For children, I specialize in attachment stress in children who have been been adopted or otherwise are being raised by someone other than their biological parents. For adults, I specialize in general personality assessment and parenting capacity.
(404) 620-4419 View (404) 620-4419
Photo of Carol Lewis, Licensed Professional Counselor, MA, LPC
Carol Lewis
Licensed Professional Counselor, MA, LPC
1 Endorsed
Decatur, GA 30030
I have been in the mental health field for over 25 years and a licensed professional counselor for 9 years. I believe a person has the answers to whatever it is that concerns them about themselves, but they may not have identified the question. Once the question or the why has been identified a person begins adapting to resolve it. I use tools from Cognitive Behavioral Therapy (CBT) and mindfulness exercises to assist my clients in living an intentional life.
I have been in the mental health field for over 25 years and a licensed professional counselor for 9 years. I believe a person has the answers to whatever it is that concerns them about themselves, but they may not have identified the question. Once the question or the why has been identified a person begins adapting to resolve it. I use tools from Cognitive Behavioral Therapy (CBT) and mindfulness exercises to assist my clients in living an intentional life.
(470) 660-4794 View (470) 660-4794
Photo of Hunter Sandifer, Licensed Professional Counselor, MA, EdS, LPC
Hunter Sandifer
Licensed Professional Counselor, MA, EdS, LPC
1 Endorsed
Decatur, GA 30033
I am a licensed professional counselor specializing in work with adolescents, adults, individuals and families. Some of the most common concerns of my clients include depression, anxiety, loss, divorce, trauma, transition issues, coming out and parenting challenges. I have extensive experience in working with adolescents and their families who are in crisis and need a safe environment to find resolution.
I am a licensed professional counselor specializing in work with adolescents, adults, individuals and families. Some of the most common concerns of my clients include depression, anxiety, loss, divorce, trauma, transition issues, coming out and parenting challenges. I have extensive experience in working with adolescents and their families who are in crisis and need a safe environment to find resolution.
(404) 341-4707 View (404) 341-4707
Photo of Chris Van Dyck, Clinical Social Work/Therapist, LCSW
Chris Van Dyck
Clinical Social Work/Therapist, LCSW
Online Only
Hi, my name is Chris Van Dyck. I am a licensed clinical social worker and therapist who has worked with people suffering with depression, anxiety, addiction, trauma, and other disorders. I have a deep respect for each client's ability to access, cultivate, and utilize their own inherent wisdom in learning how to cope with their presenting symptoms.
Hi, my name is Chris Van Dyck. I am a licensed clinical social worker and therapist who has worked with people suffering with depression, anxiety, addiction, trauma, and other disorders. I have a deep respect for each client's ability to access, cultivate, and utilize their own inherent wisdom in learning how to cope with their presenting symptoms.
(678) 892-7275 View (678) 892-7275
Photo of Cassandra Jones, Pre-Licensed Professional, MFT, MSEd
Cassandra Jones
Pre-Licensed Professional, MFT, MSEd
Decatur, GA 30033
I believe both individuals and couples want to become the best versions of themselves, but personal struggles and relational conflicts often get in the way. My ideal clients are those seeking greater self-understanding, emotional balance, and healthier ways to handle life’s challenges, as well as couples facing issues like infidelity, communication difficulties, and relationship stress. Together, we collaborate in a warm, supportive space to explore challenges and work toward meaningful growth, healing, and positive change.
I believe both individuals and couples want to become the best versions of themselves, but personal struggles and relational conflicts often get in the way. My ideal clients are those seeking greater self-understanding, emotional balance, and healthier ways to handle life’s challenges, as well as couples facing issues like infidelity, communication difficulties, and relationship stress. Together, we collaborate in a warm, supportive space to explore challenges and work toward meaningful growth, healing, and positive change.
(470) 470-6904 View (470) 470-6904
Photo of Stella Harney, Marriage & Family Therapist Associate, LAMFT
Stella Harney
Marriage & Family Therapist Associate, LAMFT
Decatur, GA 30033
Are you struggling with transitioning into new roles and overwhelmed with responsibilities as a new parent? Do you find yourself feeling alone or pressured to follow society’s high expectational stigma of what it means to be a good parent? Want to rekindle your relationship and sex life with your partner after the adjustment of having a baby but not sure where to start? Do you experience low desire or sexual struggles when it comes to sex, or even find it a “chore” to check off your list?
Are you struggling with transitioning into new roles and overwhelmed with responsibilities as a new parent? Do you find yourself feeling alone or pressured to follow society’s high expectational stigma of what it means to be a good parent? Want to rekindle your relationship and sex life with your partner after the adjustment of having a baby but not sure where to start? Do you experience low desire or sexual struggles when it comes to sex, or even find it a “chore” to check off your list?
(470) 567-4176 View (470) 567-4176
Photo of Laura Bandrowsky, Clinical Social Work/Therapist, LCSW
Laura Bandrowsky
Clinical Social Work/Therapist, LCSW
Decatur, GA 30033
Pleased to Now Offer Ketamine Assisted Psychotherapy and Integration! Bringing about positive change in our lives is often much harder than we would like. During challenging times, we need care and support from someone who will also challenge us to reach our goals. Growth is a key aspect of being human and as a therapist, it is my role to walk with my clients and support them as they travel down the path they have chosen. Ketamine Assisted Psychotherapy can be a powerful way to access internal struggles and barriers that can often impeded growth.
Pleased to Now Offer Ketamine Assisted Psychotherapy and Integration! Bringing about positive change in our lives is often much harder than we would like. During challenging times, we need care and support from someone who will also challenge us to reach our goals. Growth is a key aspect of being human and as a therapist, it is my role to walk with my clients and support them as they travel down the path they have chosen. Ketamine Assisted Psychotherapy can be a powerful way to access internal struggles and barriers that can often impeded growth.
(470) 235-3604 View (470) 235-3604
Photo of Monique Hunter, Psychologist, PhD, ABPP
Monique Hunter
Psychologist, PhD, ABPP
1 Endorsed
Decatur, GA 30030
Life can be hard, and everyone could benefit from professional help at times. As a licensed and board certified clinical psychologist with more than 17 years of experience, I've spent my career serving clients experiencing depression, anxiety, trauma and PTSD, emotional instability, grief and loss, relationship struggles, reproductive challenges, and stressful life transitions. With the ability to practice telepsychology across most of the US, I aim to provide care that is high-quality and easily accessible. Reach out to me today to discuss how I may be able to support you in reaching your mental health goals.
Life can be hard, and everyone could benefit from professional help at times. As a licensed and board certified clinical psychologist with more than 17 years of experience, I've spent my career serving clients experiencing depression, anxiety, trauma and PTSD, emotional instability, grief and loss, relationship struggles, reproductive challenges, and stressful life transitions. With the ability to practice telepsychology across most of the US, I aim to provide care that is high-quality and easily accessible. Reach out to me today to discuss how I may be able to support you in reaching your mental health goals.
(770) 746-9361 View (770) 746-9361
Photo of Alduan Tartt, Psychologist, PhD
Alduan Tartt
Psychologist, PhD
1 Endorsed
Decatur, GA 30030
High-achieving professionals (especially healers—doctors, nurses, and ministry leaders), entrepreneurs, corporate leaders, athletes, and high-profile clients often look successful—but feel overwhelmed, lonely, or emotionally drained. They want relief from stress, depression, grief, and pressure, plus clarity and stronger boundaries so they can lead without burning out. Many also want healthier love: dating with discernment, improving marriage communication, rebuilding trust, and strengthening family life. Young adults want direction, confidence, and stability. Believers want clinical care that honors and integrates faith.
High-achieving professionals (especially healers—doctors, nurses, and ministry leaders), entrepreneurs, corporate leaders, athletes, and high-profile clients often look successful—but feel overwhelmed, lonely, or emotionally drained. They want relief from stress, depression, grief, and pressure, plus clarity and stronger boundaries so they can lead without burning out. Many also want healthier love: dating with discernment, improving marriage communication, rebuilding trust, and strengthening family life. Young adults want direction, confidence, and stability. Believers want clinical care that honors and integrates faith.
(404) 220-8593 View (404) 220-8593
Photo of Kelly Pierce, Licensed Professional Counselor, MA, LPC, NCC
Kelly Pierce
Licensed Professional Counselor, MA, LPC, NCC
6 Endorsed
Decatur, GA 30030
To all the perfectionists & people pleasers out there: No, life does not have to be this hard. Let me paint you a picture: You are overwhelmed by stress and anxiety, but you do everything you can to appear perfectly fine in front of other people. You feel really alone, but you’re afraid to burden others with your pain. You feel like you’re constantly running on empty, but you don’t know how to get back to feeling like yourself again. To make matters worse, that voice in your head won’t shut up about how you can't trust yourself and there must be something wrong with you. Does this sound like you?
To all the perfectionists & people pleasers out there: No, life does not have to be this hard. Let me paint you a picture: You are overwhelmed by stress and anxiety, but you do everything you can to appear perfectly fine in front of other people. You feel really alone, but you’re afraid to burden others with your pain. You feel like you’re constantly running on empty, but you don’t know how to get back to feeling like yourself again. To make matters worse, that voice in your head won’t shut up about how you can't trust yourself and there must be something wrong with you. Does this sound like you?
(678) 673-3462 View (678) 673-3462
Photo of Jocelyn Chen Wise, Clinical Social Work/Therapist
Jocelyn Chen Wise
Clinical Social Work/Therapist
1 Endorsed
Online Only
3/19/26: Unable to accept new clients for now. I truly believe it is never too late to learn about yourself and take steps toward a full, meaningful life. We may be a good match if you are experiencing anxiety, life transitions, grief or loss, or if you want to increase kindness, compassion, and care toward yourself (yes, yourself!) and others. I provide Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT), which integrates mindfulness, personal values, and taking action. My clients find that it is very possible to learn skills to reduce anxiety, improve communication, and change unhelpful life patterns.
3/19/26: Unable to accept new clients for now. I truly believe it is never too late to learn about yourself and take steps toward a full, meaningful life. We may be a good match if you are experiencing anxiety, life transitions, grief or loss, or if you want to increase kindness, compassion, and care toward yourself (yes, yourself!) and others. I provide Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT), which integrates mindfulness, personal values, and taking action. My clients find that it is very possible to learn skills to reduce anxiety, improve communication, and change unhelpful life patterns.
(404) 574-5077 View (404) 574-5077
Photo of Shantel Murice Butler, Licensed Professional Counselor, BA, MS, CMHC
Shantel Murice Butler
Licensed Professional Counselor, BA, MS, CMHC
Online Only
Clients often seek a safe, accessible, and non-judgmental space where they can openly discuss their concerns, gain deeper emotional insight, develop effective coping strategies, and work toward meaningful personal goals. Many are drawn to counseling due to limited access to traditional therapy, comfort with digital platforms, or the need for timely, consistent support.
Clients often seek a safe, accessible, and non-judgmental space where they can openly discuss their concerns, gain deeper emotional insight, develop effective coping strategies, and work toward meaningful personal goals. Many are drawn to counseling due to limited access to traditional therapy, comfort with digital platforms, or the need for timely, consistent support.
(470) 828-5520 View (470) 828-5520
Photo of Alyssa Morrison, Clinical Social Work/Therapist, LCSW
Alyssa Morrison
Clinical Social Work/Therapist, LCSW
Decatur, GA 30030
I am licensed in Georgia & Utah and have over ten years of experience working with children, adults, and families. My primary focuses include grief and loss, life stage changes, depression/anxiety, relationship issues, and trauma & abuse. I enjoy working with a wide variety of clients and have experience with diversity in regards to gender, race, culture, religion, and sexual orientation. I find that people who feel that I am a good match for them have a desire to begin to strengthen their internal sense of self and strength and are eager to begin their journey to a higher level of self-actualization.
I am licensed in Georgia & Utah and have over ten years of experience working with children, adults, and families. My primary focuses include grief and loss, life stage changes, depression/anxiety, relationship issues, and trauma & abuse. I enjoy working with a wide variety of clients and have experience with diversity in regards to gender, race, culture, religion, and sexual orientation. I find that people who feel that I am a good match for them have a desire to begin to strengthen their internal sense of self and strength and are eager to begin their journey to a higher level of self-actualization.
(470) 594-2654 View (470) 594-2654
Photo of Katy Miller, Clinical Social Work/Therapist, LCSW
Katy Miller
Clinical Social Work/Therapist, LCSW
Decatur, GA 30030
Do you find yourself wishing your relationships with others were deeper? Do you crave intimacy, to feel known, listened to, and valued? In our world today, this deep sense of connection can be difficult to attain. As a therapist, I prioritize relationship, offer therapeutic connection, and facilitate intrapersonal and relational growth. I work with individuals to explore identity, sexuality, and the difficulties that may come along with attempting to know one’s self deeply and live authentically, such as anxiety, depression, grief, and family conflict. I particularly enjoy and specialize in working with queer experience.
Do you find yourself wishing your relationships with others were deeper? Do you crave intimacy, to feel known, listened to, and valued? In our world today, this deep sense of connection can be difficult to attain. As a therapist, I prioritize relationship, offer therapeutic connection, and facilitate intrapersonal and relational growth. I work with individuals to explore identity, sexuality, and the difficulties that may come along with attempting to know one’s self deeply and live authentically, such as anxiety, depression, grief, and family conflict. I particularly enjoy and specialize in working with queer experience.
(770) 691-2543 View (770) 691-2543
Photo of Mari I Mars, Licensed Professional Counselor, MS, LPC, CST
Mari I Mars
Licensed Professional Counselor, MS, LPC, CST
8 Endorsed
Decatur, GA 30030
Therapy for Perfectionists, Super Couples, Neurodiverse Folks, and Anyone Tired of “Add to Cart” Coping: Ever catch yourself doom-scrolling and “adding to cart” when life gets overwhelming? You’re not alone. If you’re reading this, you’re probably a high-achieving individual or one half of a “super couple”—successful, driven, but sometimes feeling disconnected or misunderstood. Maybe you’re navigating the beautiful chaos of neurodiversity (ADHD, AuDHD, Autism Spectrum, or just your own unique wiring), wrestling with intimacy, or facing the pain of chronic sexual issues. If so, you’ve found your port in the storm
Therapy for Perfectionists, Super Couples, Neurodiverse Folks, and Anyone Tired of “Add to Cart” Coping: Ever catch yourself doom-scrolling and “adding to cart” when life gets overwhelming? You’re not alone. If you’re reading this, you’re probably a high-achieving individual or one half of a “super couple”—successful, driven, but sometimes feeling disconnected or misunderstood. Maybe you’re navigating the beautiful chaos of neurodiversity (ADHD, AuDHD, Autism Spectrum, or just your own unique wiring), wrestling with intimacy, or facing the pain of chronic sexual issues. If so, you’ve found your port in the storm
(706) 819-5053 View (706) 819-5053
Photo of Laura Hoskins, Psychologist, PsyD
Laura Hoskins
Psychologist, PsyD
1 Endorsed
Decatur, GA 30030
Pain and uncertainty are part of life—but you don’t have to face them alone. My goal is to create a safe, compassionate space where you feel understood and supported as we work toward clarity, balance, and relief. I integrate CBT, ACT, DBT, and mindfulness-based practices to foster resilience and meaningful change. You can expect warmth, humor, and collaboration in every session. My approach is individualized—there’s no one-size-fits-all formula, only what works best for you.
Pain and uncertainty are part of life—but you don’t have to face them alone. My goal is to create a safe, compassionate space where you feel understood and supported as we work toward clarity, balance, and relief. I integrate CBT, ACT, DBT, and mindfulness-based practices to foster resilience and meaningful change. You can expect warmth, humor, and collaboration in every session. My approach is individualized—there’s no one-size-fits-all formula, only what works best for you.
(404) 737-9693 View (404) 737-9693
Photo of Lissa Davis, Psychologist, PhD
Lissa Davis
Psychologist, PhD
Decatur, GA 30030
Not accepting new clients
Finding a therapist that you "click" with can make a huge difference. I work primarily with adults with anxiety, depression, and difficulty managing stress. My strength is my ability to blend a genuine caring with the science of personal change. I value being down to earth and using humor when appropriate. I work at the level of thoughts and actions, and also at the level of deeper insights and feelings. I put a large focus on building coping skills including emotion regulation and distress tolerance.
Finding a therapist that you "click" with can make a huge difference. I work primarily with adults with anxiety, depression, and difficulty managing stress. My strength is my ability to blend a genuine caring with the science of personal change. I value being down to earth and using humor when appropriate. I work at the level of thoughts and actions, and also at the level of deeper insights and feelings. I put a large focus on building coping skills including emotion regulation and distress tolerance.
(678) 952-7078 View (678) 952-7078
Photo of Kate Christman, Clinical Social Work/Therapist, LCSW, PMH-C
Kate Christman
Clinical Social Work/Therapist, LCSW, PMH-C
Decatur, GA 30030
Not accepting new clients
I'm passionate about supporting individuals through the transitions of pregnancy, birth, and parenthood. Pregnancy and parenthood can be a complex time, and you may find yourself overwhelmed by feelings that are preventing you from experiencing life as you would like. Some of these feelings may be new, while others are old feelings and struggles that have returned in a new light. Asking for help can be hard, but your feelings are valid, and you deserve support. I offer a safe and nonjudgemental space for you to feel heard, respected, and understood.
I'm passionate about supporting individuals through the transitions of pregnancy, birth, and parenthood. Pregnancy and parenthood can be a complex time, and you may find yourself overwhelmed by feelings that are preventing you from experiencing life as you would like. Some of these feelings may be new, while others are old feelings and struggles that have returned in a new light. Asking for help can be hard, but your feelings are valid, and you deserve support. I offer a safe and nonjudgemental space for you to feel heard, respected, and understood.
(470) 468-5493 View (470) 468-5493
Photo of Rashida Whitley, Licensed Professional Counselor, LPC
Rashida Whitley
Licensed Professional Counselor, LPC
Online Only
Life can feel overwhelming, especially when past experiences, anxiety, or self-doubt make it hard to move forward. As a warm and grounding therapist (who isn’t afraid to add a little humor when it helps), I create a space where you don’t have to have everything figured out. You just need to show up as you are. I help adults, teens, couples, BIPOC clients, LGBTQIA+ individuals, and those navigating spiritual or religious trauma reconnect with themselves, find clarity, and build healthier patterns.
Life can feel overwhelming, especially when past experiences, anxiety, or self-doubt make it hard to move forward. As a warm and grounding therapist (who isn’t afraid to add a little humor when it helps), I create a space where you don’t have to have everything figured out. You just need to show up as you are. I help adults, teens, couples, BIPOC clients, LGBTQIA+ individuals, and those navigating spiritual or religious trauma reconnect with themselves, find clarity, and build healthier patterns.
(470) 613-6676 View (470) 613-6676

See more therapy options for Decatur

How does your Therapist compare?

Number of Therapists in Decatur, GA

900+

Average cost per session

$150

Therapists in Decatur, GA who prioritize treating:

91% Anxiety
85% Depression
73% Relationship Issues
72% Self Esteem
66% Trauma and PTSD
66% Stress
61% Grief

Average years in practice

11 Years

Top 3 insurances accepted

87% Aetna
71% Cigna and Evernorth
68% BlueCross and BlueShield

How Therapists in Decatur, GA see their clients

64% In Person and Online
36% Online Only

Gender breakdown

83% Female
14% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Decatur?

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.