Therapists in Payette, ID

A Restored Life
Pre-Licensed Professional, BA, CADC
Verified Verified
Payette, ID 83661
"Ever struggle with feeling strong emotions like guilt or shame? Emotions are simply road signs on the path of life that indicate you need to make a change - a different choice. YOU have the power to change by simply making better choices.” Hi, my name is Gina Osterloth. I'm a Board Certified Drug & Alcohol Counselor & ICDVVA Approved Domestic Violence Intervention Program Provider and Anger Management Program Provider. We have offices in downtown Meridian and Payette, Idaho. I work with adults, domestic violence offenders, and people who are struggling with addictions due to life stressors and challenges.
"Ever struggle with feeling strong emotions like guilt or shame? Emotions are simply road signs on the path of life that indicate you need to make a change - a different choice. YOU have the power to change by simply making better choices.” Hi, my name is Gina Osterloth. I'm a Board Certified Drug & Alcohol Counselor & ICDVVA Approved Domestic Violence Intervention Program Provider and Anger Management Program Provider. We have offices in downtown Meridian and Payette, Idaho. I work with adults, domestic violence offenders, and people who are struggling with addictions due to life stressors and challenges.
(208) 261-7540 View (208) 261-7540
Photo of Paige Bunker, LMSW, Clinical Social Work/Therapist
Paige Bunker
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Payette, ID 83661
Are you feeling overwhelmed by relationship challenges, past trauma, or the weight of anxiety and depression? You are not alone. Welcome, this is where healing begins. I am here to help you navigate through difficult times. I provide a safe and non-judgmental environment where you can explore your emotions, develop coping strategies, and embark on a journey towards healing and growth. Take the first steps towards a brighter tomorrow by reaching out today.
Are you feeling overwhelmed by relationship challenges, past trauma, or the weight of anxiety and depression? You are not alone. Welcome, this is where healing begins. I am here to help you navigate through difficult times. I provide a safe and non-judgmental environment where you can explore your emotions, develop coping strategies, and embark on a journey towards healing and growth. Take the first steps towards a brighter tomorrow by reaching out today.
(208) 289-0786 View (208) 289-0786
Photo of Alaina L Stroebel, MA, LPC, Licensed Professional Counselor
Alaina L Stroebel
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Payette, ID 83661
Although I have experience working with a wide range of issues and people, I am the most passionate about working with women who are ready to address their trauma, domestic violence, and/or childhood abuse. I specialize in helping address negative self beliefs, low self esteem/self worth, and unhealthy relationship skills. My goal for every client is to help them find peace, safety, security and tranquility. That's why I named my practice Maluhia Wellness, because Maluhia means exactly that! If you're ready to do the work, I'm here for you and excited to take the journey with you.
Although I have experience working with a wide range of issues and people, I am the most passionate about working with women who are ready to address their trauma, domestic violence, and/or childhood abuse. I specialize in helping address negative self beliefs, low self esteem/self worth, and unhealthy relationship skills. My goal for every client is to help them find peace, safety, security and tranquility. That's why I named my practice Maluhia Wellness, because Maluhia means exactly that! If you're ready to do the work, I'm here for you and excited to take the journey with you.
(208) 517-9776 View (208) 517-9776
Photo of Kristine Kemp, LCSW, Clinical Social Work/Therapist
Kristine Kemp
Clinical Social Work/Therapist, LCSW
Verified Verified
Payette, ID 83661  (Online Only)
Stress and anxiety manifest in various ways, from persistent worry and restlessness to physical symptoms like headaches and sleep disturbances. These conditions can significantly impact daily life, making tasks feel insurmountable. I specialize in helping individuals understand these symptoms, offering a supportive space to address their root causes. By acknowledging these experiences, we can work together towards managing their effects, aiming for a more balanced and fulfilling life.
Stress and anxiety manifest in various ways, from persistent worry and restlessness to physical symptoms like headaches and sleep disturbances. These conditions can significantly impact daily life, making tasks feel insurmountable. I specialize in helping individuals understand these symptoms, offering a supportive space to address their root causes. By acknowledging these experiences, we can work together towards managing their effects, aiming for a more balanced and fulfilling life.
(208) 494-9765 View (208) 494-9765

More Therapists Nearby

Photo of Amy Beitia, LCSW, Clinical Social Work/Therapist
Amy Beitia
Clinical Social Work/Therapist, LCSW
Verified Verified
Fruitland, ID 83619  (Online Only)
Telehealth ONLY Provider serving Clients in AZ, ID, and OR - As a therapist my passion is to support you through whatever life event may have brought you to seek counseling. I will guide you through this time and help you continue on your journey. Whether you're struggling with symptoms from trauma, depression, anxiety, life stressors or transitions I will provide a safe space for you to work through your challenges. I enjoy working with children, adolescents, and adults with a goal to help you find balance and wellness.
Telehealth ONLY Provider serving Clients in AZ, ID, and OR - As a therapist my passion is to support you through whatever life event may have brought you to seek counseling. I will guide you through this time and help you continue on your journey. Whether you're struggling with symptoms from trauma, depression, anxiety, life stressors or transitions I will provide a safe space for you to work through your challenges. I enjoy working with children, adolescents, and adults with a goal to help you find balance and wellness.
(208) 607-3869 View (208) 607-3869
Photo of Frankie Diane Larsen - Larsen Counseling (Frankie Larsen, LCSW, RPT), LCSW, RPT, Clinical Social Work/Therapist
Larsen Counseling (Frankie Larsen, LCSW, RPT)
Clinical Social Work/Therapist, LCSW, RPT
Verified Verified
1 Endorsed
Fruitland, ID 83619
As an In-Home Licensed Clinical Social Worker, I understand that the storms of life can impact every one of us at one time or another. Whether you are 1 or 101, life transitions and difficult circumstances can leave you feeling anxious, depressed, scared, isolated, and powerless, robbing you of a hopeful future. Functioning under these circumstances can make it difficult to reach out for help. Whether you have a child who is struggling with major life changes, or you yourself are dealing with the loss of a loved one or another form of complex trauma, you do not need to go through these experiences alone.
As an In-Home Licensed Clinical Social Worker, I understand that the storms of life can impact every one of us at one time or another. Whether you are 1 or 101, life transitions and difficult circumstances can leave you feeling anxious, depressed, scared, isolated, and powerless, robbing you of a hopeful future. Functioning under these circumstances can make it difficult to reach out for help. Whether you have a child who is struggling with major life changes, or you yourself are dealing with the loss of a loved one or another form of complex trauma, you do not need to go through these experiences alone.
(208) 273-8539 View (208) 273-8539

Online Therapists

Photo of Valerie Waterland, MS, LMFT, Marriage & Family Therapist
Valerie Waterland
Marriage & Family Therapist, MS, LMFT
Not Verified Not Verified
Boise, ID 83716
I help individuals and couples improve their relationships. I am a licensed marriage family therapist that employs fast paced, goal directed short term solutions for busy professionals looking to change their relationship dynamics. Specific areas of focus include, healing trauma and attachment, healing anger and codependence and healing anxiety and depression.
I help individuals and couples improve their relationships. I am a licensed marriage family therapist that employs fast paced, goal directed short term solutions for busy professionals looking to change their relationship dynamics. Specific areas of focus include, healing trauma and attachment, healing anger and codependence and healing anxiety and depression.
(208) 328-4283 View (208) 328-4283
Photo of Thomas Putnam, LPC, Licensed Professional Counselor
Thomas Putnam
Licensed Professional Counselor, LPC
Verified Verified
Boise, ID 83704
Hello, my name is Tom Putnam and I'm a licensed professional counselor (LPC). I have been licensed as a professional counselor for over 10 years and have a passion for helping others to make positive change in their lives and to overcome challenges and barriers. As a counselor, I help to empower my clients to gain insight into their emotional challenges, develop practical coping skills, and foster a greater sense of self-awareness and resilience. My client-focus is on cultivating a strong therapeutic relationship characterized by trust, comfort, and security.
Hello, my name is Tom Putnam and I'm a licensed professional counselor (LPC). I have been licensed as a professional counselor for over 10 years and have a passion for helping others to make positive change in their lives and to overcome challenges and barriers. As a counselor, I help to empower my clients to gain insight into their emotional challenges, develop practical coping skills, and foster a greater sense of self-awareness and resilience. My client-focus is on cultivating a strong therapeutic relationship characterized by trust, comfort, and security.
(208) 486-5908 View (208) 486-5908
Photo of David Dodge, LCSW, Clinical Social Work/Therapist
David Dodge
Clinical Social Work/Therapist, LCSW
Verified Verified
Boise, ID 83704  (Online Only)
My name is David Dodge, and I am a master's level Clinical Social Worker (LCSW) who focuses on making authentic connection and lasting change in people's lives through a practical approach that builds from where people are at currently. I connect with others using unconditional positive regard, authenticity, and accurate empathy to create a therapeutic relationship that promotes hope and healing. I draw from many different therapeutic approaches and use what works best for you.
My name is David Dodge, and I am a master's level Clinical Social Worker (LCSW) who focuses on making authentic connection and lasting change in people's lives through a practical approach that builds from where people are at currently. I connect with others using unconditional positive regard, authenticity, and accurate empathy to create a therapeutic relationship that promotes hope and healing. I draw from many different therapeutic approaches and use what works best for you.
(323) 643-8569 View (323) 643-8569
Photo of Trent R Gray - Soaring Heights Counseling, MRC, LCPC
Soaring Heights Counseling
Licensed Clinical Professional Counselor, MRC, LCPC
Verified Verified
Meridian, ID 83646  (Online Only)
I have over 20 years of counseling experience specializing in life adjustment and transition issues, grief and loss, divorce and relationships issues, work problems, and major acute life crises events. I prefer working short-term brief counseling utilizing your EAP benefits or private pay. I am passionate about my work as a counselor. I truly love being able to facilitate change in people's life through using my wealth of experience and training in a variety of evidenced-based counseling techniques.
I have over 20 years of counseling experience specializing in life adjustment and transition issues, grief and loss, divorce and relationships issues, work problems, and major acute life crises events. I prefer working short-term brief counseling utilizing your EAP benefits or private pay. I am passionate about my work as a counselor. I truly love being able to facilitate change in people's life through using my wealth of experience and training in a variety of evidenced-based counseling techniques.
(208) 401-8229 View (208) 401-8229
Photo of Matt Barrus, LCSW, Clinical Social Work/Therapist
Matt Barrus
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Meridian, ID 83642
Are you struggling through a recent traumatic event? Or maybe something difficult that you went through years ago? Perhaps you find it difficult to control how much you drink, or you can't stop looking at pornography? If you are experiencing any of these things, or the commonly-experienced shame that comes along for the ride, I would love to take the time to help you find effective solutions to these issues. I work primarily with adults and older teens, so if you or your teenager have been thinking about trying counseling, today might be the day.
Are you struggling through a recent traumatic event? Or maybe something difficult that you went through years ago? Perhaps you find it difficult to control how much you drink, or you can't stop looking at pornography? If you are experiencing any of these things, or the commonly-experienced shame that comes along for the ride, I would love to take the time to help you find effective solutions to these issues. I work primarily with adults and older teens, so if you or your teenager have been thinking about trying counseling, today might be the day.
(208) 314-1478 View (208) 314-1478
Photo of Emily Pedersen Barnett - Emily Pedersen Barnett LCSW, MSW, LCSW, Clinical Social Work/Therapist
Emily Pedersen Barnett LCSW
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Boise, ID 83714
Seeking therapy is a form of wisdom and self-love. It allows you to connect within yourself so you can grow, accept and find peace. Therapy should be hopeful and positive. It should help you move forward from feeling “stuck”. I hope to empower you and your story and to assist you in forming positive self-talk. At times our thoughts can be negative and can create inner discord. I want to help support you in pausing and redirecting negative self-talk to a positive self-talk. My goal is to provide a judgement-free and inclusive space so you can build the skills to lead a healthy and happy life.
Seeking therapy is a form of wisdom and self-love. It allows you to connect within yourself so you can grow, accept and find peace. Therapy should be hopeful and positive. It should help you move forward from feeling “stuck”. I hope to empower you and your story and to assist you in forming positive self-talk. At times our thoughts can be negative and can create inner discord. I want to help support you in pausing and redirecting negative self-talk to a positive self-talk. My goal is to provide a judgement-free and inclusive space so you can build the skills to lead a healthy and happy life.
(208) 271-8704 View (208) 271-8704
Photo of Lisa Simonson, LCPC, EMDR, MS
Lisa Simonson
Licensed Clinical Professional Counselor, LCPC, EMDR, MS
Verified Verified
2 Endorsed
Boise, ID 83702
In my 11 years of experience as a counselor, I understand how challenging it can be to ask for help. My goal is to create a safe and warm environment for clients who are going through challenges. My office is a very private space that provides privacy and confidentiality. I enjoy working with different kinds of people and have facilitated support groups for women and LBGTQ communities. My focus is on wellness and hope for a healthier life.
In my 11 years of experience as a counselor, I understand how challenging it can be to ask for help. My goal is to create a safe and warm environment for clients who are going through challenges. My office is a very private space that provides privacy and confidentiality. I enjoy working with different kinds of people and have facilitated support groups for women and LBGTQ communities. My focus is on wellness and hope for a healthier life.
(208) 505-9732 View (208) 505-9732
Photo of Jessica Bullwinkle, MA, LMFT, Marriage & Family Therapist
Jessica Bullwinkle
Marriage & Family Therapist, MA, LMFT
Verified Verified
Boise, ID 83703  (Online Only)
Are you feeling overwhelmed, stressed, or frustrated with current relationships or situations in your life? Are you wanting to make changes, but don’t know where to start? Feelings of depression, anxiety, guilt, doubt, or other difficulties can affect the quality of your life and relationships others, as well as the relationship with yourself. I can help you discover what you truly want to achieve from therapy and then begin working on your goals together in a setting where you are heard.
Are you feeling overwhelmed, stressed, or frustrated with current relationships or situations in your life? Are you wanting to make changes, but don’t know where to start? Feelings of depression, anxiety, guilt, doubt, or other difficulties can affect the quality of your life and relationships others, as well as the relationship with yourself. I can help you discover what you truly want to achieve from therapy and then begin working on your goals together in a setting where you are heard.
(208) 547-5263 View (208) 547-5263
Photo of Heather L. Meyer, MA, LMFT, Marriage & Family Therapist
Heather L. Meyer
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Boise, ID 83725  (Online Only)
Feeling stuck, overwhelmed or frustrated and don't know why? Is worry keeping you up at night? Feeling so down it's difficult to follow through with plans? Struggling with getting or staying clean and sober? Are past experiences affecting your current relationships? Whether you are going through a transition in your life, struggling with depression, anxiety, trauma or substance abuse, or looking to improve relationships, I can help you. Together we will determine goals, enhance your strengths and explore areas you wish to improve.
Feeling stuck, overwhelmed or frustrated and don't know why? Is worry keeping you up at night? Feeling so down it's difficult to follow through with plans? Struggling with getting or staying clean and sober? Are past experiences affecting your current relationships? Whether you are going through a transition in your life, struggling with depression, anxiety, trauma or substance abuse, or looking to improve relationships, I can help you. Together we will determine goals, enhance your strengths and explore areas you wish to improve.
(530) 461-5148 View (530) 461-5148
Photo of Jorge Domigo Reyes - Adaptive Counseling, LLC, LCPC-S, MS, EMDR, Counselor
Adaptive Counseling, LLC
Counselor, LCPC-S, MS, EMDR
Verified Verified
Boise, ID 83713
Hello, I am a Licensed Clinical Professional Counselor who believes that we all possess the tools to adapt and overcome the many challenges in this journey called “Life.” My mission for my clients is to address their concerns by providing an atmosphere of unconditional acceptance, empathy, honesty, genuineness, and compassion. My focus is developing a strong therapeutic alliance, by fostering a trusting relationship between client and therapist to explore client's inner strengths, decrease negative symptoms, promote personal growth, expanding their emotional awareness, and arouse empowerment to unleash their limitless potential.
Hello, I am a Licensed Clinical Professional Counselor who believes that we all possess the tools to adapt and overcome the many challenges in this journey called “Life.” My mission for my clients is to address their concerns by providing an atmosphere of unconditional acceptance, empathy, honesty, genuineness, and compassion. My focus is developing a strong therapeutic alliance, by fostering a trusting relationship between client and therapist to explore client's inner strengths, decrease negative symptoms, promote personal growth, expanding their emotional awareness, and arouse empowerment to unleash their limitless potential.
(208) 502-2304 View (208) 502-2304
Photo of Kristen Kessler, Pre-Licensed Professional
Kristen Kessler
Pre-Licensed Professional
Verified Verified
Boise, ID 83704
Now you’re a mom and suddenly your life has flipped upside down. You are feeling rundown and not like yourself. You have frequent moments of sadness and tears. Or maybe you worry constantly that you’re doing it all wrong. You dreamed of how this would all look for you, but now the hard often overshadows the joy. You’re not sure if what you are feeling is normal but you know that this is not what you thought being a mom would feel like.
Now you’re a mom and suddenly your life has flipped upside down. You are feeling rundown and not like yourself. You have frequent moments of sadness and tears. Or maybe you worry constantly that you’re doing it all wrong. You dreamed of how this would all look for you, but now the hard often overshadows the joy. You’re not sure if what you are feeling is normal but you know that this is not what you thought being a mom would feel like.
(208) 875-5941 View (208) 875-5941
Photo of Cheryl A Baker, MS, LCPC, RS, Counselor
Cheryl A Baker
Counselor, MS, LCPC, RS
Verified Verified
Boise, ID 83709
Sometimes you may feel all alone and that no one understands. Or you may even be unsure as to what is happening inside of yourself, or how to handle what you are experiencing in life.
Sometimes you may feel all alone and that no one understands. Or you may even be unsure as to what is happening inside of yourself, or how to handle what you are experiencing in life.
(208) 225-6098 View (208) 225-6098
Photo of Chelise King, LPC, Licensed Professional Counselor
Chelise King
Licensed Professional Counselor, LPC
Verified Verified
Meridian, ID 83646
I hold a Master’s degree in Clinical Mental Health Counseling from Idaho State University. I am a Licensed Professional Counselor (LPC) and National Certified Counselor (NCC). I believe that mental health challenges are personal and coming to counseling elicits vulnerability. I am eager to provide a nurturing environment which encourages honesty and authenticity. There is no judgement in our space together. Your voice is crucial to the healing process and our work together will be collaborative. I understand that it takes courage to start counseling and I acknowledge that step towards healing and growth.
I hold a Master’s degree in Clinical Mental Health Counseling from Idaho State University. I am a Licensed Professional Counselor (LPC) and National Certified Counselor (NCC). I believe that mental health challenges are personal and coming to counseling elicits vulnerability. I am eager to provide a nurturing environment which encourages honesty and authenticity. There is no judgement in our space together. Your voice is crucial to the healing process and our work together will be collaborative. I understand that it takes courage to start counseling and I acknowledge that step towards healing and growth.
(208) 285-3478 View (208) 285-3478
Photo of Avalon Derlacki Prentiss, MS, LPC, Licensed Professional Counselor
Avalon Derlacki Prentiss
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Boise, ID 83702
I have availability! I enjoy working with people who are stuck, experiencing overwhelming emotional distress and who have experienced a loss of sorts. Sometimes experiencing emotional distress may manifest as feeling worn out, hopeless, or may also be masked as physical discomfort (think racing heart, shallow breathing, tense muscles). Major life transitions also impact our ability to regulate emotions in a helpful and adaptive way. If you find yourself experiencing emotional ups and downs and physical manifestations of emotional disturbances, know that there is a path towards healing. I also focus on nervous system regulation.
I have availability! I enjoy working with people who are stuck, experiencing overwhelming emotional distress and who have experienced a loss of sorts. Sometimes experiencing emotional distress may manifest as feeling worn out, hopeless, or may also be masked as physical discomfort (think racing heart, shallow breathing, tense muscles). Major life transitions also impact our ability to regulate emotions in a helpful and adaptive way. If you find yourself experiencing emotional ups and downs and physical manifestations of emotional disturbances, know that there is a path towards healing. I also focus on nervous system regulation.
(208) 269-9755 View (208) 269-9755

See more therapy options for Payette

How does your Therapist compare?

Number of Therapists in Payette, ID

< 10

Therapists in Payette, ID who prioritize treating:

100% Domestic Violence
75% Depression
75% Anxiety
75% Trauma and PTSD
75% Coping Skills
75% Self Esteem
75% Women's Issues

Average years in practice

5 Years

Top 3 insurances accepted

100% Aetna
100% PacificSource
100% Regence

How Therapists in Payette, ID see their clients

75% In Person and Online
25% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Payette?

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.