Therapists in Birmingham, AL

Photo of Kade Boliek, Associate Licensed Counselor in Birmingham, AL
Kade Boliek
Associate Licensed Counselor, MA, ALC, NCC
Verified Verified
Birmingham, AL 35244
We each have our individual struggles which can prevent us from moving forward in our lives. Do you deal with overwhelming feelings of anxiety, guilt, or shame? Do you struggle with your identity or self-esteem? Are you looking to learn more about yourself and find ways that you can live life more authentically and with less fear? I'm here to assist you in identifying those unique needs and constructing a plan that enhances your strengths while supporting you to make the changes you want in life. I'm a therapist who values transparency. I want my clients to feel they never have to guess what I'm thinking.
We each have our individual struggles which can prevent us from moving forward in our lives. Do you deal with overwhelming feelings of anxiety, guilt, or shame? Do you struggle with your identity or self-esteem? Are you looking to learn more about yourself and find ways that you can live life more authentically and with less fear? I'm here to assist you in identifying those unique needs and constructing a plan that enhances your strengths while supporting you to make the changes you want in life. I'm a therapist who values transparency. I want my clients to feel they never have to guess what I'm thinking.
(205) 751-6756 View (205) 751-6756
Photo of Christina Webb, Licensed Professional Counselor in Birmingham, AL
Christina Webb
Licensed Professional Counselor, LPC, NCC
Verified Verified
Birmingham, AL 35235
Are you feeling lost, or overwhelmed by changes in your life? Life was not delivered with a book of instructions. It can be challenging, disappointing, stressful, and even lonely at times. Each of us has to make sense of our world. When things don't make sense we experience anxiety, depression, anger, confusion, stress, or other difficulties. Therapy is directed at helping each individual or couple become more effective at dealing with and developing coping skills so they can better manage their own unique life situation. Each person is unique; therefore, we will work together to craft a specific plan designed for your needs.
Are you feeling lost, or overwhelmed by changes in your life? Life was not delivered with a book of instructions. It can be challenging, disappointing, stressful, and even lonely at times. Each of us has to make sense of our world. When things don't make sense we experience anxiety, depression, anger, confusion, stress, or other difficulties. Therapy is directed at helping each individual or couple become more effective at dealing with and developing coping skills so they can better manage their own unique life situation. Each person is unique; therefore, we will work together to craft a specific plan designed for your needs.
(205) 751-4010 View (205) 751-4010
Photo of Isabella Ashley, Counselor in Birmingham, AL
Isabella Ashley
Counselor, ALC, NCC
Verified Verified
1 Endorsed
Birmingham, AL 35235  (Online Only)
A famous quote says.... "Life is 10 percent of what happens and 90 percent of how you react to it". What does this mean to you? I believe it means that although some life experiences are out of our control, we hold the power to choose how we navigate through them. As a human being, I understand how life’s challenges can cause doubt, hopelessness, and feeling stuck. As a clinician, I understand the importance of mental wellness, and a safe space to equip you to better handle every aspect of daily living. With 5 years of experience, I've helped empower teens, adults, families and couples to manage and embrace life at its fullness.
A famous quote says.... "Life is 10 percent of what happens and 90 percent of how you react to it". What does this mean to you? I believe it means that although some life experiences are out of our control, we hold the power to choose how we navigate through them. As a human being, I understand how life’s challenges can cause doubt, hopelessness, and feeling stuck. As a clinician, I understand the importance of mental wellness, and a safe space to equip you to better handle every aspect of daily living. With 5 years of experience, I've helped empower teens, adults, families and couples to manage and embrace life at its fullness.
(205) 891-5072 View (205) 891-5072
Photo of Lotus Healing Counseling Services LLC, Counselor in Birmingham, AL
Lotus Healing Counseling Services LLC
Counselor, MS, CRC, LPC
Verified Verified
Birmingham, AL 35226
The lotus flower symbolizes; purity, enlightenment, self-regeneration and rebirth. Here at lotus healing that’s exactly what we will focus on during your healing journey! Lotus specializes working with teens and adults whom experience daily stressful situations including: work stress, marital concerns, anxiety, depression, parenting issues, family dynamics, school stress, bullying, post trauma, self esteem building and communication building.
The lotus flower symbolizes; purity, enlightenment, self-regeneration and rebirth. Here at lotus healing that’s exactly what we will focus on during your healing journey! Lotus specializes working with teens and adults whom experience daily stressful situations including: work stress, marital concerns, anxiety, depression, parenting issues, family dynamics, school stress, bullying, post trauma, self esteem building and communication building.
(205) 255-1606 View (205) 255-1606
Photo of Keeyana Gaynell McLish, Licensed Professional Counselor in Birmingham, AL
Keeyana Gaynell McLish
Licensed Professional Counselor, LPC, NCC
Verified Verified
Birmingham, AL 35209
Life can be full of challenges and difficult experiences. Sometimes those challenges whether a life change, relationship issue, or taking on a new role can be overwhelming. My role as a counselor is to provide my clients with a safe space to express themselves and provide support that will assist them in utilizing their strengths to overcome their challenges. I am grateful that you are seeking counseling and look forward to working with you!
Life can be full of challenges and difficult experiences. Sometimes those challenges whether a life change, relationship issue, or taking on a new role can be overwhelming. My role as a counselor is to provide my clients with a safe space to express themselves and provide support that will assist them in utilizing their strengths to overcome their challenges. I am grateful that you are seeking counseling and look forward to working with you!
(205) 927-2950 View (205) 927-2950
Photo of Errica Williams, Clinical Social Work/Therapist in Birmingham, AL
Errica Williams
Clinical Social Work/Therapist, MPH, LMSW
Verified Verified
Birmingham, AL 35206
Feeling anxious? Overwhelmed? Sad? Stuck? Betrayed? Would you like to address a new life change, marriage, or other issues? Well, here's a little info about me. I work with individuals & couples who seek therapy to process the "hard stuff" - tragedy, trauma, life transitions or change in professional and personal trajectories. I will not give you advice or tell you what to do. However, you will gain healthy coping tools to navigate your personal/intimate relationship journey to wellness. We will collaborate to develop your treatment plan, processing your concerns & goals at your pace.
Feeling anxious? Overwhelmed? Sad? Stuck? Betrayed? Would you like to address a new life change, marriage, or other issues? Well, here's a little info about me. I work with individuals & couples who seek therapy to process the "hard stuff" - tragedy, trauma, life transitions or change in professional and personal trajectories. I will not give you advice or tell you what to do. However, you will gain healthy coping tools to navigate your personal/intimate relationship journey to wellness. We will collaborate to develop your treatment plan, processing your concerns & goals at your pace.
(205) 430-9190 View (205) 430-9190
Photo of Wil J McAdams, Counselor in Birmingham, AL
Wil J McAdams
Counselor, LPC, ASAT
Verified Verified
Birmingham, AL 35226
We are all on a journey…sometimes it can be difficult, but you don’t have to face that journey alone.  If substance abuse, depression, sexual addiction, (betrayal) trauma, personality disorders, and other life circumstances are weighing you down, I want you to know that things can get better. In my counseling practice, I start from a place of openness and honesty. We will work together to establish a relationship of trust that can help you feel connected as you overcome the obstacles you have been faced with. Recovering from those obstacles requires compassionate support that I hope to provide.
We are all on a journey…sometimes it can be difficult, but you don’t have to face that journey alone.  If substance abuse, depression, sexual addiction, (betrayal) trauma, personality disorders, and other life circumstances are weighing you down, I want you to know that things can get better. In my counseling practice, I start from a place of openness and honesty. We will work together to establish a relationship of trust that can help you feel connected as you overcome the obstacles you have been faced with. Recovering from those obstacles requires compassionate support that I hope to provide.
(205) 259-5094 View (205) 259-5094
Photo of Dr. Jasmine N Burns, Counselor in Birmingham, AL
Dr. Jasmine N Burns
Counselor, DBH, ALC, CRC
Verified Verified
Birmingham, AL 35228  (Online Only)
Not accepting new clients
I have nearly ten years of experience working in behavioral health care. I am skilled in aiding clients in identifying and transforming the biological, psychological, and social impacts of their mental health. I passionately serve clients of various populations seeking to improve their mental health, including but not limited to individuals with intellectual disabilities, college students, and individuals contemplating career decisions. I am proficient in supporting clients in navigating stressful life changes such as work-related problems and relationship issues. I am currently taking new clients on a scholarship basis M-F 6pm-9pm.
I have nearly ten years of experience working in behavioral health care. I am skilled in aiding clients in identifying and transforming the biological, psychological, and social impacts of their mental health. I passionately serve clients of various populations seeking to improve their mental health, including but not limited to individuals with intellectual disabilities, college students, and individuals contemplating career decisions. I am proficient in supporting clients in navigating stressful life changes such as work-related problems and relationship issues. I am currently taking new clients on a scholarship basis M-F 6pm-9pm.
(205) 614-3104 View (205) 614-3104
Photo of Jasmine Nichols, Licensed Professional Counselor in Birmingham, AL
Jasmine Nichols
Licensed Professional Counselor, NCC
Verified Verified
Birmingham, AL 35244
Have you ever felt that life is just too overwhelming? Like maybe you’re taking 3 steps forward and 2 steps back or as hard as you try things just don’t seem to fall into place? If so then you could benefit from having a professional counselor to help you process what’s going on in your life. My job would be to walk with you on your journey, hold up a mirror for you to help you identify any patterns and obstacles and help come up with possible solutions. My job is to help you not have to walk on your journey alone.
Have you ever felt that life is just too overwhelming? Like maybe you’re taking 3 steps forward and 2 steps back or as hard as you try things just don’t seem to fall into place? If so then you could benefit from having a professional counselor to help you process what’s going on in your life. My job would be to walk with you on your journey, hold up a mirror for you to help you identify any patterns and obstacles and help come up with possible solutions. My job is to help you not have to walk on your journey alone.
(205) 964-9557 View (205) 964-9557
Photo of Liz Childers, Counselor in Birmingham, AL
Liz Childers
Counselor, MEd, LPC
Verified Verified
Birmingham, AL 35209
I enjoy working with individuals struggling with substance use, trauma, homelessness, adjustment issues, and suicidal ideation. I’ve worked with clients in several stages of life including adolescents and adults who come from a variety of different backgrounds. I currently specialize in working with individuals in the LGBTQ+ community with a focus on gender identity.
I enjoy working with individuals struggling with substance use, trauma, homelessness, adjustment issues, and suicidal ideation. I’ve worked with clients in several stages of life including adolescents and adults who come from a variety of different backgrounds. I currently specialize in working with individuals in the LGBTQ+ community with a focus on gender identity.
(205) 891-5351 View (205) 891-5351
Photo of Empower Counseling & Coaching, Counselor in Birmingham, AL
Empower Counseling & Coaching
Counselor, MA, LPC
Verified Verified
Birmingham, AL 35223
***Covid_19 Telehealth appointments available. Secure private HIPPA compliant video or phone counseling. Must live in Alabama. EASY, secure, safe. Accepting new clients. If you are stuck, overwhelmed, or struggling with where your life is headed, I can help. If you are unfulfilled and unsatisfied with your relationships, I can help. Anxiety and depression are treatable. I will listen with compassion and without judgment as you share what is happening in your life.
***Covid_19 Telehealth appointments available. Secure private HIPPA compliant video or phone counseling. Must live in Alabama. EASY, secure, safe. Accepting new clients. If you are stuck, overwhelmed, or struggling with where your life is headed, I can help. If you are unfulfilled and unsatisfied with your relationships, I can help. Anxiety and depression are treatable. I will listen with compassion and without judgment as you share what is happening in your life.
(205) 526-3674 View (205) 526-3674
Photo of Kimberly Marable Winters, Licensed Professional Counselor in Birmingham, AL
Kimberly Marable Winters
Licensed Professional Counselor, LPCS, CEAP, SAP, CRC, NCC
Verified Verified
Birmingham, AL 35226
Therapist passionate about helping you make changes in your life that ultimately improve the quality of your life. Seeking to guide, educate, motivate and support you along the journey of finding the healthiest YOU possible! I seek to help people modify their responses to life experiences, change, pain and trauma. Group support is extremely beneficial so don't overlook the options presented by Coach K's Korner to address relationship issues, stress/ anxiety and spiritual growth. Text 205-960-9150 for more information.
Therapist passionate about helping you make changes in your life that ultimately improve the quality of your life. Seeking to guide, educate, motivate and support you along the journey of finding the healthiest YOU possible! I seek to help people modify their responses to life experiences, change, pain and trauma. Group support is extremely beneficial so don't overlook the options presented by Coach K's Korner to address relationship issues, stress/ anxiety and spiritual growth. Text 205-960-9150 for more information.
(205) 518-9643 View (205) 518-9643
Tom McLure Red Mountain Counseling Llc
Licensed Professional Counselor, LPC, MAEd, MA
Verified Verified
Birmingham, AL 35223
Waitlist for new clients
Anxiety, Depression, Relationships, Addictions, Trauma. Counseling/Therapy is investment in quality of life. People seek help when frustrated, confused, overwhelmed. Does addiction (substance/behavior) control your life? Does a challenging relationship frustrate you? Are you tired of trying to change your partner? or trying to change yourself for your partner? Have you experienced painful loss? Do you frequently feel tense and uneasy? Does the life you live differ from the life you want?
Anxiety, Depression, Relationships, Addictions, Trauma. Counseling/Therapy is investment in quality of life. People seek help when frustrated, confused, overwhelmed. Does addiction (substance/behavior) control your life? Does a challenging relationship frustrate you? Are you tired of trying to change your partner? or trying to change yourself for your partner? Have you experienced painful loss? Do you frequently feel tense and uneasy? Does the life you live differ from the life you want?
(205) 618-8840 View (205) 618-8840
Photo of Whitney Jefferson, Clinical Social Work/Therapist in Birmingham, AL
Whitney Jefferson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Birmingham, AL 35209  (Online Only)
Hello! Are you new mom and overwhelmed? Are you a college student or new graduate anxious about the future? Do you simply just need someone to be a helpful sound board as you sort through your feelings about life and relationships? Let’s talk! I am a dedicated therapist committed to supporting adults navigate the complexities of relationships.
Hello! Are you new mom and overwhelmed? Are you a college student or new graduate anxious about the future? Do you simply just need someone to be a helpful sound board as you sort through your feelings about life and relationships? Let’s talk! I am a dedicated therapist committed to supporting adults navigate the complexities of relationships.
(659) 222-5776 View (659) 222-5776
Photo of Broken To Art Counseling, LLC, Licensed Professional Counselor in Birmingham, AL
Broken To Art Counseling, LLC
Licensed Professional Counselor, MS, LPC-S, NCC
Verified Verified
Birmingham, AL 35209  (Online Only)
As a counselor, I believe meeting an individual where they are is a vital part of providing best practice. With over seven years of experience assisting individuals, families, child/adolescents, and teens with a wide range of socials/personal relationships, emotional/trauma, behavioral/crisis, substance abuse, mental health issues, and many other concerns. I think that every person has the skills, abilities, and strengths to overcome and or learn to cope with any problem they may be experiencing, with a little help.
As a counselor, I believe meeting an individual where they are is a vital part of providing best practice. With over seven years of experience assisting individuals, families, child/adolescents, and teens with a wide range of socials/personal relationships, emotional/trauma, behavioral/crisis, substance abuse, mental health issues, and many other concerns. I think that every person has the skills, abilities, and strengths to overcome and or learn to cope with any problem they may be experiencing, with a little help.
(205) 224-0690 View (205) 224-0690
Photo of Caroline Baker, Licensed Professional Counselor in Birmingham, AL
Caroline Baker
Licensed Professional Counselor, PhD, LPC
Verified Verified
Birmingham, AL 35209  (Online Only)
My ideal client is one who is ready to talk about their difficulties and problems and accept therapeutic relationship building, unconditional positive regard, feedback and reframing. I enjoy working with clients across the life continuum starting at age 4.
My ideal client is one who is ready to talk about their difficulties and problems and accept therapeutic relationship building, unconditional positive regard, feedback and reframing. I enjoy working with clients across the life continuum starting at age 4.
(205) 519-3873 View (205) 519-3873
Photo of Mollie Kelly Thomas, Psychologist in Birmingham, AL
Mollie Kelly Thomas
Psychologist, PhD, LLC
Verified Verified
4 Endorsed
Birmingham, AL 35244
I am a licensed clinical psychologist with a B.A. from Auburn University and M.A. and Ph.D. from the University of Arkansas. I completed my internship at the University of Alabama at Birmingham (UAB) Medical School. I also completed a fellowship at the UAB Center for Psychiatric Medicine. I am a member of the American Academy of Experts in Traumatic Stress and Board Member of the National Register of Health Providers in Psychology. My areas of expertise include assessment and treatment of addiction, trauma, impulsivity, personality disorders, and mood disorders. I provide individual, marital, family, and group therapy.
I am a licensed clinical psychologist with a B.A. from Auburn University and M.A. and Ph.D. from the University of Arkansas. I completed my internship at the University of Alabama at Birmingham (UAB) Medical School. I also completed a fellowship at the UAB Center for Psychiatric Medicine. I am a member of the American Academy of Experts in Traumatic Stress and Board Member of the National Register of Health Providers in Psychology. My areas of expertise include assessment and treatment of addiction, trauma, impulsivity, personality disorders, and mood disorders. I provide individual, marital, family, and group therapy.
(205) 690-0926 View (205) 690-0926
Photo of Erin McAdams, Counselor in Birmingham, AL
Erin McAdams
Counselor, ALC
Verified Verified
Birmingham, AL 35236
Hi! My name is Erin and I am an Associate Licensed Counselor who graduated from the University of Alabama, Birmingham with a degree in Clinical Mental Health Counseling. I currently work primarily with children, adolescents, and young adults who may experience anxiety, anger issues, or have a diagnosis of autism spectrum disorder or ADHD. I love using play therapy, CBT, and Solutions-Focused Therapy to help clients achieve their goals and work with families and other support systems to accomplish all outlined needs.
Hi! My name is Erin and I am an Associate Licensed Counselor who graduated from the University of Alabama, Birmingham with a degree in Clinical Mental Health Counseling. I currently work primarily with children, adolescents, and young adults who may experience anxiety, anger issues, or have a diagnosis of autism spectrum disorder or ADHD. I love using play therapy, CBT, and Solutions-Focused Therapy to help clients achieve their goals and work with families and other support systems to accomplish all outlined needs.
(205) 797-7698 x4752 View (205) 797-7698 x4752
Photo of Luke Durham, Clinical Social Work/Therapist in Birmingham, AL
Luke Durham
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Birmingham, AL 35226
I believe one of the bravest things you can do is begin to understand your own story. With over 13 years of experience in the field, I understand the benefit of connection over anything else. Every clinician will not be your cup of tea, so let me help you decide if I am the right fit for YOU. You really can have a life of abundance, peace, happiness, and joy!
I believe one of the bravest things you can do is begin to understand your own story. With over 13 years of experience in the field, I understand the benefit of connection over anything else. Every clinician will not be your cup of tea, so let me help you decide if I am the right fit for YOU. You really can have a life of abundance, peace, happiness, and joy!
(205) 941-8332 View (205) 941-8332
Photo of Larkin Lowry, Marriage & Family Therapist in Birmingham, AL
Larkin Lowry
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Birmingham, AL 35243
Hey, I'm Larkin and I'm genuinely glad you're here! The idea that we or our loved ones are struggling and need help can stir up a number of uncomfortable emotions that we often try to ignore. If there is one thing I believe holds true, it is that having feelings makes us human. Feelings help us understand the world, they guide our thoughts and behaviors, they impact our relationships, and when we learn to listen to what they are trying to tell us, they can help us grow. When our lives have been impacted by trauma or adverse experiences, tuning back in to our mind and body can feel daunting and that is where I come in!
Hey, I'm Larkin and I'm genuinely glad you're here! The idea that we or our loved ones are struggling and need help can stir up a number of uncomfortable emotions that we often try to ignore. If there is one thing I believe holds true, it is that having feelings makes us human. Feelings help us understand the world, they guide our thoughts and behaviors, they impact our relationships, and when we learn to listen to what they are trying to tell us, they can help us grow. When our lives have been impacted by trauma or adverse experiences, tuning back in to our mind and body can feel daunting and that is where I come in!
(659) 234-2289 View (659) 234-2289

How does your Therapist compare?

Number of Therapists in Birmingham, AL

600+

Average cost per session

$136

Therapists in Birmingham, AL who prioritize treating:

92% Anxiety
88% Depression
78% Self Esteem
76% Relationship Issues
76% Coping Skills
72% Stress
67% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
50% New Directions | Lucet
45% Cigna and Evernorth

How Therapists in Birmingham, AL see their clients

75% In Person and Online
25% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Birmingham?

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.