Therapists in Boonville, NY

Photo of Rhiannon Samantha Hickox - Rhiannon Hickox, LCSW, LCSW, Clinical Social Work/Therapist
Rhiannon Hickox, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Boonville, NY 13309
Taking care of your mental health is essential for having emotional, psychological and social well-being. Finding the right therapist to help guide you through challenges is necessary for change to occur. My name is Rhiannon Hickox, and I am a Licensed Clinical Social Worker with 12 years of experience working as a psychotherapist. My practice is aimed towards helping individuals become their best self and achieve optimal wellness. My approach to therapy will enable you to feel validated, supported and empowered.
Taking care of your mental health is essential for having emotional, psychological and social well-being. Finding the right therapist to help guide you through challenges is necessary for change to occur. My name is Rhiannon Hickox, and I am a Licensed Clinical Social Worker with 12 years of experience working as a psychotherapist. My practice is aimed towards helping individuals become their best self and achieve optimal wellness. My approach to therapy will enable you to feel validated, supported and empowered.
(315) 922-5991 View (315) 922-5991
Photo of Sandra Estimable, LMHC, Counselor
Sandra Estimable
Counselor, LMHC
Verified Verified
Boonville, NY 13309
Hello! I am a licensed therapist with over 13 years of experience working with couples and individuals. I specialize in a wide variety of topics including anxiety, depression, family and marital issues, grief, and more. I take a solution-focused and person-centered approach to therapy. I help guide clients to a new level of self-understanding and acceptance, and have helped many clients overcome self-esteem concerns and relationship insecurities.
Hello! I am a licensed therapist with over 13 years of experience working with couples and individuals. I specialize in a wide variety of topics including anxiety, depression, family and marital issues, grief, and more. I take a solution-focused and person-centered approach to therapy. I help guide clients to a new level of self-understanding and acceptance, and have helped many clients overcome self-esteem concerns and relationship insecurities.
(845) 720-4019 View (845) 720-4019
Photo of Jessica Trucillo, LMHC, Counselor
Jessica Trucillo
Counselor, LMHC
Verified Verified
Boonville, NY 13309
Hello! My name is Jessica and I am a psychotherapist here to help you learn more about yourself and live a more fulfilling life via telehealth therapy. I work primarily with young adults, adults and teenagers. I specialize in anxiety and depression, as well as trauma and women's issues. I primarily work with young adults between the ages of 20-35. I have found that this age group suffers from anxiety, depression, and trauma disorders. Likewise, this age group is going through many life transitions that require insight and big decision-making.
Hello! My name is Jessica and I am a psychotherapist here to help you learn more about yourself and live a more fulfilling life via telehealth therapy. I work primarily with young adults, adults and teenagers. I specialize in anxiety and depression, as well as trauma and women's issues. I primarily work with young adults between the ages of 20-35. I have found that this age group suffers from anxiety, depression, and trauma disorders. Likewise, this age group is going through many life transitions that require insight and big decision-making.
(646) 466-6119 View (646) 466-6119

More Therapists Nearby

Photo of Melissa Conaway, LCSW, Clinical Social Work/Therapist
Melissa Conaway
Clinical Social Work/Therapist, LCSW
Verified Verified
Forestport, NY 13338  (Online Only)
My practice assists clients seeking mental health therapy to manage symptoms of; Post Traumatic Stress disorder, anxiety, depression, anger management, and grief. My clients seek guidance in processing complicated emotions; sadness, hopelessness, and worthlessness. My clients may have a history of legal concerns and difficulty maintaining relationships with family or friends.
My practice assists clients seeking mental health therapy to manage symptoms of; Post Traumatic Stress disorder, anxiety, depression, anger management, and grief. My clients seek guidance in processing complicated emotions; sadness, hopelessness, and worthlessness. My clients may have a history of legal concerns and difficulty maintaining relationships with family or friends.
(315) 938-3369 View (315) 938-3369
Photo of Jessica Gelfand, LCSW, Clinical Social Work/Therapist
Jessica Gelfand
Clinical Social Work/Therapist, LCSW
Verified Verified
Constableville, NY 13325  (Online Only)
Hello! I'm Jessica, I'm a Licensed Clinical Social Worker (LCSW) working in New York State. I specialize in working with adults with a range of concerns from serious mental health diagnoses to addiction, to anxiety and relationship concerns. I typically work with adults dealing with depression, anxiety, bipolar disorder, substance use disorders, and/or PTSD. I'm happy to discuss diagnoses and conditions not listed as well. I work with individuals of all gender identities, as well as everyone across the LGBTIQA+ spectrum.
Hello! I'm Jessica, I'm a Licensed Clinical Social Worker (LCSW) working in New York State. I specialize in working with adults with a range of concerns from serious mental health diagnoses to addiction, to anxiety and relationship concerns. I typically work with adults dealing with depression, anxiety, bipolar disorder, substance use disorders, and/or PTSD. I'm happy to discuss diagnoses and conditions not listed as well. I work with individuals of all gender identities, as well as everyone across the LGBTIQA+ spectrum.
(646) 718-0776 View (646) 718-0776
Photo of Jessica Lauro, LMFT, Marriage & Family Therapist
Jessica Lauro
Marriage & Family Therapist, LMFT
Verified Verified
Port Leyden, NY 13433
Hi, I'm Jessica Lauro. I am a Licensed Marriage and Family Therapist with over 4 years of clinical experience. I provide psychotherapy with mindfulness guidance to help clients treat, manage, and work through anxiety, depression, OCD, ADD/ADHD, panic disorder, grief/loss, marriage issues, family issues, reconciliations, divorce, self-esteem issues, and many more. I use a mix of Acceptance and Commitment (ACT), Client-Centered Therapy, Cognitive Behavioral (CBT), Dialectical (DBT), and Experiential Therapy. I believe that respect and care are always thoughtfully maintained as a standard in my therapy practice.
Hi, I'm Jessica Lauro. I am a Licensed Marriage and Family Therapist with over 4 years of clinical experience. I provide psychotherapy with mindfulness guidance to help clients treat, manage, and work through anxiety, depression, OCD, ADD/ADHD, panic disorder, grief/loss, marriage issues, family issues, reconciliations, divorce, self-esteem issues, and many more. I use a mix of Acceptance and Commitment (ACT), Client-Centered Therapy, Cognitive Behavioral (CBT), Dialectical (DBT), and Experiential Therapy. I believe that respect and care are always thoughtfully maintained as a standard in my therapy practice.
(929) 412-2297 View (929) 412-2297
Photo of Maryellen Leger, LMHC, Counselor
Maryellen Leger
Counselor, LMHC
Verified Verified
West Leyden, NY 13489  (Online Only)
Hello, my name is MaryEllen Leger. I am a Licensed Mental Health Counselor. I would love to help you find your answers. Together we can utilize various therapy techniques that are best suited to you so that you can find your peace and happiness. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you, such as stress, anxiety, and self-esteem issues. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
Hello, my name is MaryEllen Leger. I am a Licensed Mental Health Counselor. I would love to help you find your answers. Together we can utilize various therapy techniques that are best suited to you so that you can find your peace and happiness. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you, such as stress, anxiety, and self-esteem issues. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
(646) 791-4050 View (646) 791-4050

Online Therapists

Photo of Elizabeth E McCarthy, NCC, LMHC
Elizabeth E McCarthy
Mental Health Counselor, NCC, LMHC
Verified Verified
Manlius, NY 13104
As an experienced clinician, I am comfortable supporting clients with a variety of concerns. Working collaboratively, we will address and explore symptoms of depression, anxiety, trauma, overuse of alcohol, women's wellness, life transition, interpersonal relationship challenges, and family support needs. I work with adolescents and adults in a supportive environment, using a cognitive behavioral, solution-focused approach. Thank you for the opportunity to support you in creating the change and personal growth that you're seeking. I look forward to working with you.
As an experienced clinician, I am comfortable supporting clients with a variety of concerns. Working collaboratively, we will address and explore symptoms of depression, anxiety, trauma, overuse of alcohol, women's wellness, life transition, interpersonal relationship challenges, and family support needs. I work with adolescents and adults in a supportive environment, using a cognitive behavioral, solution-focused approach. Thank you for the opportunity to support you in creating the change and personal growth that you're seeking. I look forward to working with you.
(315) 895-8014 View (315) 895-8014
Photo of Deborah R Walach, MA, LPC, LCPC, LMHC, Counselor
Deborah R Walach
Counselor, MA, LPC, LCPC, LMHC
Verified Verified
Walton, NY 13856  (Online Only)
My counseling style is compassionate and direct. I use CBT, solution focused, and mindfulness therapies to help resolve negative thoughts and emotions and work towards more realistic and positive self-assessment. It takes a great deal of courage to ask for help and I honor you for taking the first step! Many of us struggle silently with emotional pain, physical discomfort and racing thoughts related to anxiety, or lack of motivation due to depression. I believe everyone has the potential to learn new skills to manage symptoms, improve communication, self-motivate, and regain a sense of self-control.
My counseling style is compassionate and direct. I use CBT, solution focused, and mindfulness therapies to help resolve negative thoughts and emotions and work towards more realistic and positive self-assessment. It takes a great deal of courage to ask for help and I honor you for taking the first step! Many of us struggle silently with emotional pain, physical discomfort and racing thoughts related to anxiety, or lack of motivation due to depression. I believe everyone has the potential to learn new skills to manage symptoms, improve communication, self-motivate, and regain a sense of self-control.
(607) 307-2837 View (607) 307-2837
Photo of Chenique Boutelle, LCSW, PMH-C, Clinical Social Work/Therapist
Chenique Boutelle
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
1 Endorsed
Albany, NY 12204  (Online Only)
Do you feel overwhelmed by the emotional rollercoaster of parenthood? Are you struggling with anxiety, depression, or trauma during the perinatal period? Do you find yourself working to connect with a "new" you? I understand how challenging this time can be. The perinatal period is a time of not only birth but rebirth—a time of great change and adjustment, both physically and emotionally. I offer grace, validation, and hope, creating a safe, nurturing space where you can explore your experiences and concerns without judgment. Together, we’ll tailor a plan to help you thrive during this transformative journey and beyond.
Do you feel overwhelmed by the emotional rollercoaster of parenthood? Are you struggling with anxiety, depression, or trauma during the perinatal period? Do you find yourself working to connect with a "new" you? I understand how challenging this time can be. The perinatal period is a time of not only birth but rebirth—a time of great change and adjustment, both physically and emotionally. I offer grace, validation, and hope, creating a safe, nurturing space where you can explore your experiences and concerns without judgment. Together, we’ll tailor a plan to help you thrive during this transformative journey and beyond.
(518) 263-0541 View (518) 263-0541
Photo of Vincenza Freeborn, LCSW-R, Clinical Social Work/Therapist
Vincenza Freeborn
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Albany, NY 12203
You may be thinking, " I can't talk about that. I don't have the strength to work through this pain. No one can handle listening to what I've been going through." Whatever it is, no matter how big or how small, I am here to listen and support you in finding YOUR answers, YOUR strengths and YOUR way of meeting life on YOUR own terms.
You may be thinking, " I can't talk about that. I don't have the strength to work through this pain. No one can handle listening to what I've been going through." Whatever it is, no matter how big or how small, I am here to listen and support you in finding YOUR answers, YOUR strengths and YOUR way of meeting life on YOUR own terms.
(845) 481-2037 View (845) 481-2037
Photo of Marian Borgia, LCSW-R, Clinical Social Work/Therapist
Marian Borgia
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Albany, NY 12203
Are you feeling overwhelmed, anxious, depressed or confused? Do you find yourself asking "Why do I feel this way? What's wrong with me? Why can't I get over it?" Are you experiencing flashbacks, feelings of shame and guilt? Whatever you are experiencing, there is hope.
Are you feeling overwhelmed, anxious, depressed or confused? Do you find yourself asking "Why do I feel this way? What's wrong with me? Why can't I get over it?" Are you experiencing flashbacks, feelings of shame and guilt? Whatever you are experiencing, there is hope.
(518) 963-6926 View (518) 963-6926
Photo of Angela Ramil, LMSW, Clinical Social Work/Therapist
Angela Ramil
Clinical Social Work/Therapist, LMSW
Verified Verified
Watertown, NY 13601  (Online Only)
Have you ever thought to yourself, "I shouldn't feel this way, it doesn't make sense?" You are not alone. Often, we try to use rational thinking to understand emotional distress. My clients' goals are often to understand the feelings that are not logical or rational. Many have survived specific traumatic events or those that accumulate over the course of a life. I specialize in trauma, substance use disorders and obsessive-compulsive disorders; working with teens and adults.
Have you ever thought to yourself, "I shouldn't feel this way, it doesn't make sense?" You are not alone. Often, we try to use rational thinking to understand emotional distress. My clients' goals are often to understand the feelings that are not logical or rational. Many have survived specific traumatic events or those that accumulate over the course of a life. I specialize in trauma, substance use disorders and obsessive-compulsive disorders; working with teens and adults.
(315) 757-1785 View (315) 757-1785
Photo of Nicole S Brown, LMHC, Counselor
Nicole S Brown
Counselor, LMHC
Verified Verified
1 Endorsed
Syracuse, NY 13219
Dealing with stress, confusion and facing daily challenges, at times, can feel overwhelming. I am here to help. I focus on individuals and families who are feeling stressed, needing to enhance quality of life and experiencing adjustment at home, work and school. I work with individuals of all ages (6+) and some of my specialties include trauma, school issues, self esteem building, emotional regulation, managing social relationships and healthy communication. Building a safe, trusting relationship to explore thoughts and feelings in a comfortable setting is ideal to start making positive changes.
Dealing with stress, confusion and facing daily challenges, at times, can feel overwhelming. I am here to help. I focus on individuals and families who are feeling stressed, needing to enhance quality of life and experiencing adjustment at home, work and school. I work with individuals of all ages (6+) and some of my specialties include trauma, school issues, self esteem building, emotional regulation, managing social relationships and healthy communication. Building a safe, trusting relationship to explore thoughts and feelings in a comfortable setting is ideal to start making positive changes.
(315) 543-6684 View (315) 543-6684
Photo of Ruth Dubon, LCSW, Clinical Social Work/Therapist
Ruth Dubon
Clinical Social Work/Therapist, LCSW
Verified Verified
Albany, NY 12203  (Online Only)
My name is Ruth Dubon. I am a board-licensed psychotherapist with over 15 years of experience in the mental health field. I graduated from Silberman School of Social Work at Hunter College with a Masters degree in Social Work specializing in clinical work. I specialize in psychodynamic psychotherapy, inner-child work, and cognitive behavioral therapy. I enjoy working with teenagers and adults. I’m known to have a high success rate in getting my patients to achieve their goals in therapy. I am also bilingual and can offer sessions in Spanish.
My name is Ruth Dubon. I am a board-licensed psychotherapist with over 15 years of experience in the mental health field. I graduated from Silberman School of Social Work at Hunter College with a Masters degree in Social Work specializing in clinical work. I specialize in psychodynamic psychotherapy, inner-child work, and cognitive behavioral therapy. I enjoy working with teenagers and adults. I’m known to have a high success rate in getting my patients to achieve their goals in therapy. I am also bilingual and can offer sessions in Spanish.
(347) 586-5276 View (347) 586-5276
Photo of Carrie Anne N. Milham, LCSW-R, Clinical Social Work/Therapist
Carrie Anne N. Milham
Clinical Social Work/Therapist, LCSW-R
Verified Verified
2 Endorsed
Clifton Park, NY 12065
Feelings can be hard to sort through on your own and also confusing. Having a special therapeutic relationship to address, identify and process unresolved emotions, unpleasant memories, intrusive thoughts and chronic feelings of hopelessness can make a huge difference in ones' life. A specialized plan tailored to meet your own needs and goals is first and foremost.
Feelings can be hard to sort through on your own and also confusing. Having a special therapeutic relationship to address, identify and process unresolved emotions, unpleasant memories, intrusive thoughts and chronic feelings of hopelessness can make a huge difference in ones' life. A specialized plan tailored to meet your own needs and goals is first and foremost.
(518) 425-9098 View (518) 425-9098
Photo of Dr. Stephanie Rabin Scherr, PhD, Psychologist
Dr. Stephanie Rabin Scherr
Psychologist, PhD
Verified Verified
1 Endorsed
Manlius, NY 13104
Anxiety disorders and OCD can present in many different ways, including avoidance, irritability, severe shyness, panic attacks, uncontrollable worries, phobias, and repetitive thoughts and behaviors. Many of my clients find themselves avoiding work, school, and social interactions because of their anxiety. Others have no option to avoid, but struggle immensely and feel exhausted afterward. The family members of my patients often feel helpless or frustrated, but find themselves unsure of how to help.
Anxiety disorders and OCD can present in many different ways, including avoidance, irritability, severe shyness, panic attacks, uncontrollable worries, phobias, and repetitive thoughts and behaviors. Many of my clients find themselves avoiding work, school, and social interactions because of their anxiety. Others have no option to avoid, but struggle immensely and feel exhausted afterward. The family members of my patients often feel helpless or frustrated, but find themselves unsure of how to help.
(315) 509-6254 View (315) 509-6254
Photo of Victoria Anne McElligott, LCSWR, Clinical Social Work/Therapist
Victoria Anne McElligott
Clinical Social Work/Therapist, LCSWR
Verified Verified
1 Endorsed
Cooperstown, NY 13326  (Online Only)
You are resilient and capable of working through life’s toughest challenges- and talking with an empathetic, active listener can help you through them. Whether you are living with chronic stress, anxiety, or depression, relationship issues we can take steps together toward the life you want to be living. Together, we will identify your thoughts ,feelings, and improve your mood and personal relationships. We will work together to establish goals, identify strategies and support more balanced thinking.
You are resilient and capable of working through life’s toughest challenges- and talking with an empathetic, active listener can help you through them. Whether you are living with chronic stress, anxiety, or depression, relationship issues we can take steps together toward the life you want to be living. Together, we will identify your thoughts ,feelings, and improve your mood and personal relationships. We will work together to establish goals, identify strategies and support more balanced thinking.
(607) 284-6375 View (607) 284-6375
Photo of Marcus Lacey Smith, MS, LMHC, CH, Counselor
Marcus Lacey Smith
Counselor, MS, LMHC, CH
Verified Verified
1 Endorsed
Fayetteville, NY 13066
“You cannot swim for new horizons, until you have courage to lose sight of the shore” - William Faulkner. Life can offer many challenges, there is nothing to be said that these need to be experienced without support. My name is Marcus Smith and I am a New York State Licensed Mental Health Counselor. I offer therapy for those ready for change. My mission is to offer an environment to outline the areas you are challenged by, and work collaboratively on solutions together. The treatment I offer will be tailored to your needs. The emphasis will be on your goals and how you wish to accomplish them.
“You cannot swim for new horizons, until you have courage to lose sight of the shore” - William Faulkner. Life can offer many challenges, there is nothing to be said that these need to be experienced without support. My name is Marcus Smith and I am a New York State Licensed Mental Health Counselor. I offer therapy for those ready for change. My mission is to offer an environment to outline the areas you are challenged by, and work collaboratively on solutions together. The treatment I offer will be tailored to your needs. The emphasis will be on your goals and how you wish to accomplish them.
(315) 873-3681 View (315) 873-3681
Photo of Kelly O'Brien, LCSW, Clinical Social Work/Therapist
Kelly O'Brien
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
East Syracuse, NY 13057  (Online Only)
Life can be stressful and overwhelming. Having a skilled therapist to help clarify your thoughts and feelings can be helpful to break down the barriers between where you are and where you want to be. As Licensed Clinical Social Worker, I’m here for you to do just that by providing a safe-non-judgmental environment for self-exploration.
Life can be stressful and overwhelming. Having a skilled therapist to help clarify your thoughts and feelings can be helpful to break down the barriers between where you are and where you want to be. As Licensed Clinical Social Worker, I’m here for you to do just that by providing a safe-non-judgmental environment for self-exploration.
(315) 325-8619 View (315) 325-8619

See more therapy options for Boonville

How does your Therapist compare?

Number of Therapists in Boonville, NY

< 10

Therapists in Boonville, NY who prioritize treating:

100% Depression
100% Anxiety
100% Grief
100% Trauma and PTSD
100% Family Conflict
100% Stress
100% Life Transitions

Average years in practice

13 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
67% Coventry

How Therapists in Boonville, NY see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Boonville?

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.