Therapists in Elk River, MN

Photo of Alyssa Wentworth, Pre-Licensed Professional in Elk River, MN
Alyssa Wentworth
Pre-Licensed Professional, MA
Verified Verified
Elk River, MN 55330
I specialize in aiding individuals in their twenties navigating from college life to the realities of the adult world. Many individuals become overwhelmed by the process and struggle to find personal clarity and purpose. I offer a new perspective, as well as creative solutions to simplify the confusion. By utilizing existing tools with an inventive approach, I help my clients uncover their objectives and reduce the strain of this transition. Clarity comes with insight and I strive to help you clear up the fog. Counseling is the opportunity to build, connect, and find meaning.
I specialize in aiding individuals in their twenties navigating from college life to the realities of the adult world. Many individuals become overwhelmed by the process and struggle to find personal clarity and purpose. I offer a new perspective, as well as creative solutions to simplify the confusion. By utilizing existing tools with an inventive approach, I help my clients uncover their objectives and reduce the strain of this transition. Clarity comes with insight and I strive to help you clear up the fog. Counseling is the opportunity to build, connect, and find meaning.
(763) 247-7909 View (763) 247-7909
Photo of The Creative Therapy Center, Marriage & Family Therapist in Elk River, MN
The Creative Therapy Center
Marriage & Family Therapist
Verified Verified
Elk River, MN 55330
At The Creative Therapy Center we work side by side with you to provide you therapeutic support on your journey. We believe all individuals deserve to have their voice heard, which includes children. Therapeutic services are provided in a safe space to provide you the best experience.
At The Creative Therapy Center we work side by side with you to provide you therapeutic support on your journey. We believe all individuals deserve to have their voice heard, which includes children. Therapeutic services are provided in a safe space to provide you the best experience.
(763) 710-3871 View (763) 710-3871
Photo of Hilary Greene, Marriage & Family Therapist in Elk River, MN
Hilary Greene
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Elk River, MN 55330
My goal as a therapist is to guide my clients in the exploration of their lives, within a safe and nurturing environment without judgement, to help them create the positive changes they desire. I have experience working with clients of all ages and specialize in working with adolescents and adults. I often work with clients on navigating life changes and challenges, depression, anxiety, emotion regulation, and trauma. I especially enjoy working with those transitioning from adolescence into adulthood. I have a passion for helping clients to identify and change deeply rooted patterns that are creating challenges within their lives.
My goal as a therapist is to guide my clients in the exploration of their lives, within a safe and nurturing environment without judgement, to help them create the positive changes they desire. I have experience working with clients of all ages and specialize in working with adolescents and adults. I often work with clients on navigating life changes and challenges, depression, anxiety, emotion regulation, and trauma. I especially enjoy working with those transitioning from adolescence into adulthood. I have a passion for helping clients to identify and change deeply rooted patterns that are creating challenges within their lives.
(763) 363-3109 View (763) 363-3109
Photo of Tia Dvorak, Marriage & Family Therapist in Elk River, MN
Tia Dvorak
Marriage & Family Therapist, MS, LMFT, S, RPT
Verified Verified
2 Endorsed
Elk River, MN 55330
Not accepting new clients
I work with children and their caregivers who are experiencing challenging behaviors, transitions, family conflict, adjustment issues, attachment concerns, anxiety, depression, anger, grief, self esteem, both individually and in family therapy. My therapy style consists of a two part process with parent consultations along with individual therapy and I encourage parents to be a part of the therapeutic process. I also provide services to adult individuals who are struggling with anxiety, depression, anger, grief, and self esteem.
I work with children and their caregivers who are experiencing challenging behaviors, transitions, family conflict, adjustment issues, attachment concerns, anxiety, depression, anger, grief, self esteem, both individually and in family therapy. My therapy style consists of a two part process with parent consultations along with individual therapy and I encourage parents to be a part of the therapeutic process. I also provide services to adult individuals who are struggling with anxiety, depression, anger, grief, and self esteem.
(763) 284-8580 View (763) 284-8580
Photo of Main Street Family Services, Clinical Social Work/Therapist in Elk River, MN
Main Street Family Services
Clinical Social Work/Therapist
Verified Verified
Elk River, MN 55330
Our compassionate and trauma-informed therapists can provide individual and family services based on individual mental health needs. We have therapists who specialize in foster care and adoption, early childhood trauma, fetal alcohol exposure, anxiety and depression, chemical use concerns, adolescent identity challenges, and family conflict.
Our compassionate and trauma-informed therapists can provide individual and family services based on individual mental health needs. We have therapists who specialize in foster care and adoption, early childhood trauma, fetal alcohol exposure, anxiety and depression, chemical use concerns, adolescent identity challenges, and family conflict.
(763) 363-6973 View (763) 363-6973
Photo of Amanda Hunter, Clinical Social Work/Therapist in Elk River, MN
Amanda Hunter
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Elk River, MN 55330
Amanda is a dedicated clinical social worker with a wealth of experience in diverse settings. With a deep commitment to promoting and destigmatizing mental health, she is dedicated to making an impact on the lives of individuals and families facing various challenges. Throughout her career, Amanda has honed her skills in providing compassionate counseling and crisis intervention services. She is adept at navigating complex systems and collaborating with interdisciplinary teams to ensure holistic support for her clients.
Amanda is a dedicated clinical social worker with a wealth of experience in diverse settings. With a deep commitment to promoting and destigmatizing mental health, she is dedicated to making an impact on the lives of individuals and families facing various challenges. Throughout her career, Amanda has honed her skills in providing compassionate counseling and crisis intervention services. She is adept at navigating complex systems and collaborating with interdisciplinary teams to ensure holistic support for her clients.
(763) 343-7587 View (763) 343-7587
Photo of Cindy Meyer, Marriage & Family Therapist in Elk River, MN
Cindy Meyer
Marriage & Family Therapist, MA, LMFT, LADC
Verified Verified
3 Endorsed
Elk River, MN 55330
My goal is to provide you a safe, confidential space where you genuinely feel supported and heard as you to navigate through challenges you are currently experiencing. I hold the belief that you are the expert of your life and as a therapist it is my role to support you as you identify problems/goals that you would like to work on in therapy. Since 2005 I have worked with clients struggling with a variety of challenges such as depression, anxiety, relationship struggles, addiction, family strain, low self-esteem/confidence, parenting, grief/loss and life transitions.
My goal is to provide you a safe, confidential space where you genuinely feel supported and heard as you to navigate through challenges you are currently experiencing. I hold the belief that you are the expert of your life and as a therapist it is my role to support you as you identify problems/goals that you would like to work on in therapy. Since 2005 I have worked with clients struggling with a variety of challenges such as depression, anxiety, relationship struggles, addiction, family strain, low self-esteem/confidence, parenting, grief/loss and life transitions.
(763) 292-2426 View (763) 292-2426
Photo of Sheila A. Selinsky, Marriage & Family Therapist in Elk River, MN
Sheila A. Selinsky
Marriage & Family Therapist, MA, LMFT
Verified Verified
Elk River, MN 55330
Not accepting new clients
Hello! I have worked with individuals, families and couples and have provided clinical supervision and mental health program management for 20+ years. In this time, I've had the privilege of working alongside individuals, couples, and families seeking support, clarity, and healing. I compassionately meet clients where they are and together we move toward their desired goals. I believe people are naturally gifted with the tools, wisdom and resilience to reach their greatest potential.
Hello! I have worked with individuals, families and couples and have provided clinical supervision and mental health program management for 20+ years. In this time, I've had the privilege of working alongside individuals, couples, and families seeking support, clarity, and healing. I compassionately meet clients where they are and together we move toward their desired goals. I believe people are naturally gifted with the tools, wisdom and resilience to reach their greatest potential.
(763) 265-6209 x4 View (763) 265-6209 x4
Photo of Bonnett Ottelia Chandler, Licensed Professional Clinical Counselor in Elk River, MN
Bonnett Ottelia Chandler
Licensed Professional Clinical Counselor, MA LPCC
Verified Verified
Elk River, MN 55330  (Online Only)
Waitlist for new clients
Are you looking for an affirming and relatable therapist? Do you feel stuck or overwhelmed in your day-to-day life? Is it difficult for you to move on from past or present pain? Perhaps you feel sadness, failure, anxiety, or a sense of despair. Do these feelings keep you from living the life you want? Disempowering thoughts and feelings of what happened and are currently going through may keep you stuck. You want to go forward but trauma has interfered. I can help you transform painful emotions into renewed wellbeing. How? You will gain a fresh perspective and learn strategies allowing you to discover your true and authentic self.
Are you looking for an affirming and relatable therapist? Do you feel stuck or overwhelmed in your day-to-day life? Is it difficult for you to move on from past or present pain? Perhaps you feel sadness, failure, anxiety, or a sense of despair. Do these feelings keep you from living the life you want? Disempowering thoughts and feelings of what happened and are currently going through may keep you stuck. You want to go forward but trauma has interfered. I can help you transform painful emotions into renewed wellbeing. How? You will gain a fresh perspective and learn strategies allowing you to discover your true and authentic self.
(763) 325-8730 View (763) 325-8730
Photo of Nancy Craft, Licensed Professional Clinical Counselor in Elk River, MN
Nancy Craft
Licensed Professional Clinical Counselor, MS LPCC
Verified Verified
Elk River, MN 55330
Not accepting new clients
Helping others help themselves has been the focus of my life’s work. I have over 25 years working with a diverse population of children/teens, adults, and families. My goal is to help individuals understand who they are and how their past, along with the patterns they create, impact their present, and then to take that knowledge and figure out how to navigate to where they want to be. The therapy process includes empowering my clients in realizing their inner wisdom, and discovering their innate potential to lead a satisfying, fulfilling life. Whether it feels this way right now or not, you are the expert in your life!
Helping others help themselves has been the focus of my life’s work. I have over 25 years working with a diverse population of children/teens, adults, and families. My goal is to help individuals understand who they are and how their past, along with the patterns they create, impact their present, and then to take that knowledge and figure out how to navigate to where they want to be. The therapy process includes empowering my clients in realizing their inner wisdom, and discovering their innate potential to lead a satisfying, fulfilling life. Whether it feels this way right now or not, you are the expert in your life!
(763) 265-6060 x3 View (763) 265-6060 x3
Photo of Alexandra Schultz, Licensed Professional Counselor in Elk River, MN
Alexandra Schultz
Licensed Professional Counselor, MA, LPCC
Verified Verified
Elk River, MN 55330
I work with a variety of people that are looking to grow and heal. While I work with a variety of issues and needs, most commonly worked with those who have experienced trauma, PTSD, anxiety, and depression. The clients that I see are usually seeking answers, healing, guidance, and some sort of relief from what is troubling them.
I work with a variety of people that are looking to grow and heal. While I work with a variety of issues and needs, most commonly worked with those who have experienced trauma, PTSD, anxiety, and depression. The clients that I see are usually seeking answers, healing, guidance, and some sort of relief from what is troubling them.
(612) 712-3643 View (612) 712-3643
Photo of Liz Iverson, Pre-Licensed Professional in Elk River, MN
Liz Iverson
Pre-Licensed Professional, MS
Verified Verified
Elk River, MN 55330
I have a passion in working with children, adolescents, and their families who are experiencing struggles with transitions, adjustment issues, family conflict, anxiety, self-esteem, depression, anger, grief, and trauma. I also provide services to adult individuals who are struggling with adjustment issues, relationship struggles, anxiety, depression, anger, grief, and self-esteem. I provide a comfortable environment of encouragement, respect, and empowerment to assist clients in acquiring new knowledge and skills to be equipped in reaching their therapeutic goals and strengthen their primary relationships.
I have a passion in working with children, adolescents, and their families who are experiencing struggles with transitions, adjustment issues, family conflict, anxiety, self-esteem, depression, anger, grief, and trauma. I also provide services to adult individuals who are struggling with adjustment issues, relationship struggles, anxiety, depression, anger, grief, and self-esteem. I provide a comfortable environment of encouragement, respect, and empowerment to assist clients in acquiring new knowledge and skills to be equipped in reaching their therapeutic goals and strengthen their primary relationships.
(763) 363-2537 View (763) 363-2537
Photo of Claudia Wood, Counselor in Elk River, MN
Claudia Wood
Counselor, MA, LPCC, PMH-C
Verified Verified
Elk River, MN 55330
Meet Claudia, a sassy boss babe who survives off of memes, froyo, and swimming. She will be straight up with you (no bullshit), but will be gentle about it. She likes using CBT because there is no judgement (thoughts are not good or bad; they are just thoughts). She grew up in the church and has a passion for helping people resolve religious trauma, process purity culture issues, and find their sexual identity. It absolutely makes her day when she gets to help an LGBTQ client find peace and live their truth. She also likes working with new parents who have had traumatic births or postpartum anxiety/OCD.
Meet Claudia, a sassy boss babe who survives off of memes, froyo, and swimming. She will be straight up with you (no bullshit), but will be gentle about it. She likes using CBT because there is no judgement (thoughts are not good or bad; they are just thoughts). She grew up in the church and has a passion for helping people resolve religious trauma, process purity culture issues, and find their sexual identity. It absolutely makes her day when she gets to help an LGBTQ client find peace and live their truth. She also likes working with new parents who have had traumatic births or postpartum anxiety/OCD.
(612) 712-6584 View (612) 712-6584
Photo of Aurora Healing Inc, Counselor in Elk River, MN
Aurora Healing Inc
Counselor, LPCC, LADC, PsyDLP
Verified Verified
Elk River, MN 55330
We work with individuals 14 and older who have a history of trauma, struggle with addiction, depression, anxiety, self-esteem/self worth, relationship issues, or are experiencing stress. We offer talk therapy in the office, or equine assisted psychotherapy (therapy with horses). We believe in trying approaches that work for each individual. Aurora Healing looks forward to providing a healing experience in Elk River, Zimmerman and surrounding areas.
We work with individuals 14 and older who have a history of trauma, struggle with addiction, depression, anxiety, self-esteem/self worth, relationship issues, or are experiencing stress. We offer talk therapy in the office, or equine assisted psychotherapy (therapy with horses). We believe in trying approaches that work for each individual. Aurora Healing looks forward to providing a healing experience in Elk River, Zimmerman and surrounding areas.
(763) 402-8689 View (763) 402-8689
Photo of Ashley Smith, Counselor in Elk River, MN
Ashley Smith
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Elk River, MN 55330
Your story is ever changing, and my goal as a therapist is to help build insight into the life you are currently living, while making sustainable changes to create the life you want to live. I specialize in working with adults and adolescents (12+) who are experiencing life adjustments, changes in mood, relationship conflicts, poor school or work performance, and exploring personal development. I am also a board approved supervisor with the BBHT and am licensed to supervise LPC/LPCC's.
Your story is ever changing, and my goal as a therapist is to help build insight into the life you are currently living, while making sustainable changes to create the life you want to live. I specialize in working with adults and adolescents (12+) who are experiencing life adjustments, changes in mood, relationship conflicts, poor school or work performance, and exploring personal development. I am also a board approved supervisor with the BBHT and am licensed to supervise LPC/LPCC's.
(763) 402-8583 View (763) 402-8583
Photo of Katelyn Norwood, Counselor in Elk River, MN
Katelyn Norwood
Counselor, MS, LPC, NCC
Verified Verified
Elk River, MN 55330
Welcome, I’m so happy you’re here! I enjoy working with individuals struggling with anxiety, self-esteem, and life transitions. Being a recent college graduate myself (in 2022), I know how challenging it can be to try to find your place in the world. It can be overwhelming and confusing which is why my goal is to work alongside you to help establish & accomplish your desired goals/personal growth. I aim to find the right balance between challenging you to achieve your full potential & just meeting you where you’re at. I work with ages 10+, teens, and adults.
Welcome, I’m so happy you’re here! I enjoy working with individuals struggling with anxiety, self-esteem, and life transitions. Being a recent college graduate myself (in 2022), I know how challenging it can be to try to find your place in the world. It can be overwhelming and confusing which is why my goal is to work alongside you to help establish & accomplish your desired goals/personal growth. I aim to find the right balance between challenging you to achieve your full potential & just meeting you where you’re at. I work with ages 10+, teens, and adults.
(320) 238-9568 View (320) 238-9568
Photo of Craig Rice, Counselor in Elk River, MN
Craig Rice
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Elk River, MN 55330  (Online Only)
I am well versed in several counseling techniques and have a compassionate approachable demeanor. My counseling experience is above par and I am also organized with an attention to detail. Clients warm up to me quickly and I enjoy helping them reach goals and learn new thinking patterns to view life in a more positive manner. My therapeutic style incorporates expert listening, positive feedback, direct guidance, and creating an environment where you will feel comfortable to discuss your personal thoughts and feelings. Therapy is a safe place to discuss things that cannot be shared with family, friends, or colleagues.
I am well versed in several counseling techniques and have a compassionate approachable demeanor. My counseling experience is above par and I am also organized with an attention to detail. Clients warm up to me quickly and I enjoy helping them reach goals and learn new thinking patterns to view life in a more positive manner. My therapeutic style incorporates expert listening, positive feedback, direct guidance, and creating an environment where you will feel comfortable to discuss your personal thoughts and feelings. Therapy is a safe place to discuss things that cannot be shared with family, friends, or colleagues.
(763) 760-1175 View (763) 760-1175
Photo of Nicole R.h. Baker, Marriage & Family Therapist in Elk River, MN
Nicole R.h. Baker
Marriage & Family Therapist, PhD, LMFT, RPT
Verified Verified
Elk River, MN 55330
Not accepting new clients
For 20 years I have worked with children, teens and adults to find their voice and empower themselves. I ensure my clients are treated with the utmost respect and honored for their individuality and uniqueness. The comfortable and caring environment of my office puts client's at ease. Integration of play and alternative methods of therapy provide client's the opportunity to work in a manner that best fits their needs during their healing journey.
For 20 years I have worked with children, teens and adults to find their voice and empower themselves. I ensure my clients are treated with the utmost respect and honored for their individuality and uniqueness. The comfortable and caring environment of my office puts client's at ease. Integration of play and alternative methods of therapy provide client's the opportunity to work in a manner that best fits their needs during their healing journey.
(763) 251-9263 View (763) 251-9263
Photo of Jenn Geryol, Marriage & Family Therapist in Elk River, MN
Jenn Geryol
Marriage & Family Therapist, LMFT, CCTP
Verified Verified
Elk River, MN 55330
Sometimes life is hard! Balancing busy lives, demanding jobs, parenting, and relationships can wear us down and make us feel like we've lost touch with our happiest and most authentic self. Anxiety, depression, past traumas, or a lack of skills and support from our own families of origin can leave us feeling disconnected, lonely, and without hope. When this happens, and you feel like you've lost yourself, where do you turn for help finding your way back to you?
Sometimes life is hard! Balancing busy lives, demanding jobs, parenting, and relationships can wear us down and make us feel like we've lost touch with our happiest and most authentic self. Anxiety, depression, past traumas, or a lack of skills and support from our own families of origin can leave us feeling disconnected, lonely, and without hope. When this happens, and you feel like you've lost yourself, where do you turn for help finding your way back to you?
(763) 373-6265 View (763) 373-6265
Photo of Sarah Sumner, Clinical Social Work/Therapist in Elk River, MN
Sarah Sumner
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Elk River, MN 55330
You are doing your best to just keep it together. You feel disconnected and lonely even in a room filled with people. You’re stressed out and irritated by stupidity every day. Most days you are exhausted because sleeping isn’t an option while anxious and self-defeating thoughts run circles in your mind. You never feel good enough and you try to get through each day without telling someone to “f” off, but once in a while you can’t hold it back and some unfortunate bystander (an idiot driver, of course) gets the brunt of your frustrations with life. This isn’t how it has to be anymore. It’s time for things to change.
You are doing your best to just keep it together. You feel disconnected and lonely even in a room filled with people. You’re stressed out and irritated by stupidity every day. Most days you are exhausted because sleeping isn’t an option while anxious and self-defeating thoughts run circles in your mind. You never feel good enough and you try to get through each day without telling someone to “f” off, but once in a while you can’t hold it back and some unfortunate bystander (an idiot driver, of course) gets the brunt of your frustrations with life. This isn’t how it has to be anymore. It’s time for things to change.
(763) 402-9446 View (763) 402-9446

How does your Therapist compare?

Number of Therapists in Elk River, MN

50+

Average cost per session

$175

Therapists in Elk River, MN who prioritize treating:

93% Anxiety
91% Depression
84% Trauma and PTSD
84% Self Esteem
81% Relationship Issues
75% Coping Skills
75% Stress

Average years in practice

11 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
88% HealthPartners of MN and WI
82% PreferredOne

How Therapists in Elk River, MN see their clients

86% In Person and Online
14% Online Only

Gender breakdown

90% Female
10% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Elk River?

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.