Therapists in Tupelo, MS

Photo of Stephanie Tubbs, Clinical Social Work/Therapist
Stephanie Tubbs
Clinical Social Work/Therapist
Online Only
Hello, I'm Stephanie Tubbs, a Licensed Clinical Social years of experience. I received my Master's degree from the University of Southern Mississippi, and I've dedicated my career to helping individuals navigate life's challenges and find their path to well-being. My approach to therapy is rooted in empathy, understanding, and a genuine commitment to supporting my clients through their unique journeys.
Hello, I'm Stephanie Tubbs, a Licensed Clinical Social years of experience. I received my Master's degree from the University of Southern Mississippi, and I've dedicated my career to helping individuals navigate life's challenges and find their path to well-being. My approach to therapy is rooted in empathy, understanding, and a genuine commitment to supporting my clients through their unique journeys.
(662) 756-5754 View (662) 756-5754
Photo of Angie B Gillespie, Licensed Professional Counselor, LPC
Angie B Gillespie
Licensed Professional Counselor, LPC
Tupelo, MS 38804
Are you sad? Are you afraid? Are you tired? Is the trauma from your past getting in your way today? I want to help. I want to help you move through the sadness, face your fears, and overcome the trauma of your past, so you can live with joy in the present and renewed hope for your future. I know it can be difficult to share your struggles. It can be difficult to know who to turn to. I want to help.
Are you sad? Are you afraid? Are you tired? Is the trauma from your past getting in your way today? I want to help. I want to help you move through the sadness, face your fears, and overcome the trauma of your past, so you can live with joy in the present and renewed hope for your future. I know it can be difficult to share your struggles. It can be difficult to know who to turn to. I want to help.
(662) 602-1118 View (662) 602-1118
Photo of Jessica M Baskett, Licensed Professional Counselor, MS, LPC
Jessica M Baskett
Licensed Professional Counselor, MS, LPC
1 Endorsed
Tupelo, MS 38804
My ideal client is the one who has always been told they are too sensitive. You will be fully validated & accepted in this safe space to be you. Let’s accept this & love it about ourselves. The type of client who isn’t afraid to hope & believe their lives can be different without needing to make themselves smaller for others. Let’s live boldly & give grace! Ideally- I mostly specialize now in women’s issues of postpartum/hormones, infertility, advocating for your physical & mental needs, spirituality, parenting, relationships, & chronic illnesses. I feel I have come into my own serving this community with a new passion & empathy.
My ideal client is the one who has always been told they are too sensitive. You will be fully validated & accepted in this safe space to be you. Let’s accept this & love it about ourselves. The type of client who isn’t afraid to hope & believe their lives can be different without needing to make themselves smaller for others. Let’s live boldly & give grace! Ideally- I mostly specialize now in women’s issues of postpartum/hormones, infertility, advocating for your physical & mental needs, spirituality, parenting, relationships, & chronic illnesses. I feel I have come into my own serving this community with a new passion & empathy.
(662) 358-2690 View (662) 358-2690
Photo of Brooke Henderson, Licensed Master Social Worker, LMSW
Brooke Henderson
Licensed Master Social Worker, LMSW
Tupelo, MS 38804
Are you feeling overwhelmed, disconnected from yourself or others, or caught in patterns that no longer serve you? I work with teens and adults navigating anxiety, depression, trauma, relationship challenges, addiction recovery, personality disorders, and life transitions. My goal is to create a warm, supportive space where you feel safe to explore your experiences, better understand yourself, expand your emotional intelligence, and develop healthier ways of relating to the world around you. I am passionate about helping teens and adults by creating a safe, expressive environment to process difficult emotions and heal from trauma.
Are you feeling overwhelmed, disconnected from yourself or others, or caught in patterns that no longer serve you? I work with teens and adults navigating anxiety, depression, trauma, relationship challenges, addiction recovery, personality disorders, and life transitions. My goal is to create a warm, supportive space where you feel safe to explore your experiences, better understand yourself, expand your emotional intelligence, and develop healthier ways of relating to the world around you. I am passionate about helping teens and adults by creating a safe, expressive environment to process difficult emotions and heal from trauma.
(662) 205-0098 View (662) 205-0098
Photo of Melissa Ratliff-Sorrell, Clinical Social Work/Therapist, LCSW, AHCT, CRT, CIMHP
Melissa Ratliff-Sorrell
Clinical Social Work/Therapist, LCSW, AHCT, CRT, CIMHP
3 Endorsed
Online Only
You’re feeling stuck—overwhelmed by stress, held back by past wounds, or struggling to find your way forward. You want more than just coping skills; you want real, lasting change. That’s where I come in. I provide the tools and guidance you need to heal yourself from the inside out. My approach goes beyond surface solutions, empowering you to break through patterns, heal emotional wounds, and reconnect with your inner strength. Together, we’ll create a safe, supportive space to explore your challenges, deepen self-awareness, and uncover your power to transform. If your ready to move from survival to thriving, let's begin.
You’re feeling stuck—overwhelmed by stress, held back by past wounds, or struggling to find your way forward. You want more than just coping skills; you want real, lasting change. That’s where I come in. I provide the tools and guidance you need to heal yourself from the inside out. My approach goes beyond surface solutions, empowering you to break through patterns, heal emotional wounds, and reconnect with your inner strength. Together, we’ll create a safe, supportive space to explore your challenges, deepen self-awareness, and uncover your power to transform. If your ready to move from survival to thriving, let's begin.
(662) 747-5210 View (662) 747-5210
Photo of Dana Tate Bailey, Licensed Professional Counselor, MEd, LPC
Dana Tate Bailey
Licensed Professional Counselor, MEd, LPC
Tupelo, MS 38801
I believe that everything we need in order to heal is within our internal reach. Sometimes we can access this healing on our own, and sometimes we need supportive, non-biased accompaniment so we can go deeper into our healing processes. Consider me your attentive support person. I look forward to working with you.
I believe that everything we need in order to heal is within our internal reach. Sometimes we can access this healing on our own, and sometimes we need supportive, non-biased accompaniment so we can go deeper into our healing processes. Consider me your attentive support person. I look forward to working with you.
(662) 262-8227 View (662) 262-8227
Photo of Hannah Seelen, Licensed Professional Counselor
Hannah Seelen
Licensed Professional Counselor
Tupelo, MS 38804
Are you feeling overwhelmed? Whether it is from watching your child struggle or constantly putting others' needs before your own. Perhaps you are seeking meaningful change: healthier boundaries, relief from depression and anxiety, healing past trauma, or helping your child thrive. You are ready for healing and you do not have to face it alone.
Are you feeling overwhelmed? Whether it is from watching your child struggle or constantly putting others' needs before your own. Perhaps you are seeking meaningful change: healthier boundaries, relief from depression and anxiety, healing past trauma, or helping your child thrive. You are ready for healing and you do not have to face it alone.
(662) 863-3740 View (662) 863-3740
Photo of Melanie Kay Elmore, Licensed Professional Counselor, M Ed, LPC
Melanie Kay Elmore
Licensed Professional Counselor, M Ed, LPC
Tupelo, MS 38804
Since 2013, it has been my honor to walk alongside people on their journey to finding healing and peace. I truly believe in the power of the therapeutic relationship, and it is my goal to create a warm and compassionate space from the very first session. I specialize in working with adults and adolescents facing trauma and anxiety-related concerns, as well as co-occurring issues such as addiction, chronic pain, and mood-related challenges. Additionally, I have extensive experience working with LGBTQIA+ individuals and their families, and I am committed to providing an affirming space for all.
Since 2013, it has been my honor to walk alongside people on their journey to finding healing and peace. I truly believe in the power of the therapeutic relationship, and it is my goal to create a warm and compassionate space from the very first session. I specialize in working with adults and adolescents facing trauma and anxiety-related concerns, as well as co-occurring issues such as addiction, chronic pain, and mood-related challenges. Additionally, I have extensive experience working with LGBTQIA+ individuals and their families, and I am committed to providing an affirming space for all.
(662) 339-4894 View (662) 339-4894
Photo of Jana Scott - The Wellness and Counseling Center of Tupelo, Licensed Professional Counselor, PhD, LPC-S, CCMHC, ACS, BC-TMH
The Wellness and Counseling Center of Tupelo
Licensed Professional Counselor, PhD, LPC-S, CCMHC, ACS, BC-TMH
Tupelo, MS 38804
Tupelo’s most experienced team of therapists. Our dedicated team of therapists offers compassionate talk, somatic and play therapy for people just like you. We support children, teens, young adults, families, couples, and individuals facing life's challenges through a variety of therapeutic modalities. We specialize in areas including anxiety, depression, OCD, ADHD, trauma, PTSD, addiction, recovery, self esteem issues, relationship issues, personal and professional development, grief, life transitions, and concerns related to religious trauma, sex therapy, IFS and LGBTQIA+ matters.
Tupelo’s most experienced team of therapists. Our dedicated team of therapists offers compassionate talk, somatic and play therapy for people just like you. We support children, teens, young adults, families, couples, and individuals facing life's challenges through a variety of therapeutic modalities. We specialize in areas including anxiety, depression, OCD, ADHD, trauma, PTSD, addiction, recovery, self esteem issues, relationship issues, personal and professional development, grief, life transitions, and concerns related to religious trauma, sex therapy, IFS and LGBTQIA+ matters.
(662) 331-4909 View (662) 331-4909
Photo of Janet A Hardy, Licensed Professional Counselor, LPC-S, NCC, BC-TMH
Janet A Hardy
Licensed Professional Counselor, LPC-S, NCC, BC-TMH
1 Endorsed
Online Only
I fully believe people do well when they can. If you are not doing well in some or many areas of your life, it's because there is something holding you back. You WANT to do well, but for some reason you just can't. That's okay. I can help you identify and navigate these barriers so that you can start doing well again.
I fully believe people do well when they can. If you are not doing well in some or many areas of your life, it's because there is something holding you back. You WANT to do well, but for some reason you just can't. That's okay. I can help you identify and navigate these barriers so that you can start doing well again.
(662) 262-5460 View (662) 262-5460
Photo of Belinda Tutor, Licensed Professional Counselor, EdS, NCC, RPT
Belinda Tutor
Licensed Professional Counselor, EdS, NCC, RPT
Tupelo, MS 38804
I am deeply committed to establishing a secure, welcoming, and uplifting atmosphere for children and adolescents. I am dedicated to integrating cutting-edge and captivating techniques from various age-appropriate theories and frameworks, such as Child-Centered Play Therapy, Aut-Play, Sand Tray, and Cognitive Behavioral Therapy. My ultimate aim is to empower clients to accomplish their therapy goals.
I am deeply committed to establishing a secure, welcoming, and uplifting atmosphere for children and adolescents. I am dedicated to integrating cutting-edge and captivating techniques from various age-appropriate theories and frameworks, such as Child-Centered Play Therapy, Aut-Play, Sand Tray, and Cognitive Behavioral Therapy. My ultimate aim is to empower clients to accomplish their therapy goals.
(662) 780-2671 View (662) 780-2671
Photo of Sally Eleanor West - West Counseling Services, LLC, Marriage & Family Therapist, MS, LMFT, NCC
West Counseling Services, LLC
Marriage & Family Therapist, MS, LMFT, NCC
Tupelo, MS 38801
LIFE CAN BE DIFFICULT, ESPECIALLY WHEN SOMETHING UNEXPECTED HAPPENS. FEELINGS OF ANGER, DEPRESSION AND ANXIETY ARE NORMAL FEELINGS FOR ALL OF US. HOWEVER, IF THEY GET OUT OF CONTROL OR INTERFERE WITH OUR DAILY FUNCTIONING...THAT IS A RED FLAG THAT A PERSON NEEDS HELP. COUNSELING OFFERS COPING STRATEGIES TO HELP A PERSON GET THEIR LIFE BACK ON TRACK. I SPECIALIZE IN RATIONALE EMOTIVE BEHAVIORAL THERAPY (REBT) AND COGNITIVE BEHAVIORAL THERAPY AND CAN OFFER YOU THE TOOLS TO START LIVING INSTEAD OF JUST EXISTING.
LIFE CAN BE DIFFICULT, ESPECIALLY WHEN SOMETHING UNEXPECTED HAPPENS. FEELINGS OF ANGER, DEPRESSION AND ANXIETY ARE NORMAL FEELINGS FOR ALL OF US. HOWEVER, IF THEY GET OUT OF CONTROL OR INTERFERE WITH OUR DAILY FUNCTIONING...THAT IS A RED FLAG THAT A PERSON NEEDS HELP. COUNSELING OFFERS COPING STRATEGIES TO HELP A PERSON GET THEIR LIFE BACK ON TRACK. I SPECIALIZE IN RATIONALE EMOTIVE BEHAVIORAL THERAPY (REBT) AND COGNITIVE BEHAVIORAL THERAPY AND CAN OFFER YOU THE TOOLS TO START LIVING INSTEAD OF JUST EXISTING.
(662) 231-6195 View (662) 231-6195
Photo of Colby Cuevas, Licensed Professional Counselor, LPC
Colby Cuevas
Licensed Professional Counselor, LPC
Tupelo, MS 38804
Just as the chrysalis holds the quiet mystery of metamorphosis, Chrysalis Therapy & Counseling is a place where change is nurtured in safety & stillness. Whether you're navigating grief, anxiety, trauma, or the complexities of life’s transitions, our work together honors the deep process of becoming—becoming whole, becoming free, becoming more fully yourself. Here, healing is not rushed. It unfolds with care, guided by the belief that within every struggle lies the seed of growth. I will walk alongside you with compassion, helping you reconnect to your inner wisdom, embrace your story, & move forward with renewed hope.
Just as the chrysalis holds the quiet mystery of metamorphosis, Chrysalis Therapy & Counseling is a place where change is nurtured in safety & stillness. Whether you're navigating grief, anxiety, trauma, or the complexities of life’s transitions, our work together honors the deep process of becoming—becoming whole, becoming free, becoming more fully yourself. Here, healing is not rushed. It unfolds with care, guided by the belief that within every struggle lies the seed of growth. I will walk alongside you with compassion, helping you reconnect to your inner wisdom, embrace your story, & move forward with renewed hope.
(662) 262-5957 View (662) 262-5957
Photo of Mae Grace Arrington, Clinical Social Work/Therapist, LCSW
Mae Grace Arrington
Clinical Social Work/Therapist, LCSW
1 Endorsed
Tupelo, MS 38801
Accepting New Patients. Have you found it difficult to get the help you need quickly and easily? Have you ever struggled to find the best mental-health treatment for you or someone you love? We understand that it’s difficult to get the help you need quickly in North Mississippi, and that’s why here at Right Track Medical Group, we strive to be there for you when you or a loved one needs help. We aim to give you the best personalized care plan as swiftly as possible without sacrificing quality care.
Accepting New Patients. Have you found it difficult to get the help you need quickly and easily? Have you ever struggled to find the best mental-health treatment for you or someone you love? We understand that it’s difficult to get the help you need quickly in North Mississippi, and that’s why here at Right Track Medical Group, we strive to be there for you when you or a loved one needs help. We aim to give you the best personalized care plan as swiftly as possible without sacrificing quality care.
(662) 985-7204 View (662) 985-7204
Photo of Leslie Chrestman, Licensed Professional Counselor, LPC
Leslie Chrestman
Licensed Professional Counselor, LPC
Tupelo, MS 38804
I am a Licensed Professional Counselor, specializing in helping those who struggle with anxiety, obsessive compulsive disorder, depression, and trauma. I have a Master's Degree from The University of Mississippi in Counselor Education with a focus on Community Mental Health Counseling, and received my Bachelor's Degree in History from Mississippi State University. Outside of the counseling setting I enjoy exercising, reading, and spending time with my family.
I am a Licensed Professional Counselor, specializing in helping those who struggle with anxiety, obsessive compulsive disorder, depression, and trauma. I have a Master's Degree from The University of Mississippi in Counselor Education with a focus on Community Mental Health Counseling, and received my Bachelor's Degree in History from Mississippi State University. Outside of the counseling setting I enjoy exercising, reading, and spending time with my family.
(662) 337-7729 View (662) 337-7729
Photo of Nicole Kilman, Licensed Professional Counselor, LPC
Nicole Kilman
Licensed Professional Counselor, LPC
Tupelo, MS 38804
I provide counseling for individuals, couples, and families. My practice offers a safe, supportive and confidential environment where you can address the issues affecting your life. I can help facilitate change and healing in common issues including anxiety, depression, marital conflict, divorce, grief, eating disorders, and trauma. I value the unique needs of each individual, couple, and family. I use a variety of evidence-based approaches to help accomplish your goals. I strive to be a supportive resource through the unique challenges in your life.
I provide counseling for individuals, couples, and families. My practice offers a safe, supportive and confidential environment where you can address the issues affecting your life. I can help facilitate change and healing in common issues including anxiety, depression, marital conflict, divorce, grief, eating disorders, and trauma. I value the unique needs of each individual, couple, and family. I use a variety of evidence-based approaches to help accomplish your goals. I strive to be a supportive resource through the unique challenges in your life.
(662) 262-9484 View (662) 262-9484
Photo of Laura Ann Moore - Faith Christian Counseling, LLC, Licensed Professional Counselor, MA, LPC, BC-TMH
Faith Christian Counseling, LLC
Licensed Professional Counselor, MA, LPC, BC-TMH
1 Endorsed
Tupelo, MS 38804
We all want to be heard, accepted, loved, and understood regardless of the issues or life circumstances we are facing. Whether you struggle with anxiety/depression or you have a diagnosed disorder that causes impairment in your daily function, I can help with a renewed perspective, coping skills, and safe place to talk. My Mission statement is Restore, Renew, Refresh. Ephesians 6:16 “In all circumstances take up the shield of faith...". Counseling is a process, not a one and done deal. Healing and growth require a person to work 100% of the time emotionally, mentally, and physically.
We all want to be heard, accepted, loved, and understood regardless of the issues or life circumstances we are facing. Whether you struggle with anxiety/depression or you have a diagnosed disorder that causes impairment in your daily function, I can help with a renewed perspective, coping skills, and safe place to talk. My Mission statement is Restore, Renew, Refresh. Ephesians 6:16 “In all circumstances take up the shield of faith...". Counseling is a process, not a one and done deal. Healing and growth require a person to work 100% of the time emotionally, mentally, and physically.
(662) 235-8874 View (662) 235-8874
Photo of Joy Johnson, Licensed Professional Counselor, MEd, LPC
Joy Johnson
Licensed Professional Counselor, MEd, LPC
Tupelo, MS 38804
"There are two primary choices in life: to accept conditions as they exist, or accept the responsibility for changing them."- Denis Waitley. Change gets a jump start in a supportive environment. I believe with understanding, acceptance and commitment an individual thrives. Counseling encourages these things and more.
"There are two primary choices in life: to accept conditions as they exist, or accept the responsibility for changing them."- Denis Waitley. Change gets a jump start in a supportive environment. I believe with understanding, acceptance and commitment an individual thrives. Counseling encourages these things and more.
(662) 762-0224 View (662) 762-0224
Photo of Kaylee Strickland, Licensed Professional Counselor, EdS, MEd, P-LPC
Kaylee Strickland
Licensed Professional Counselor, EdS, MEd, P-LPC
Tupelo, MS 38804
I work primarily with children and youth between the ages of three years old to adulthood, as well as with their immediate family members. These children may struggle with issues such as anxiety, depression, behavioral issues, difficulty expressing their thoughts and emotions, family relationships, or more severe psychological disorders. In their therapy sessions with me, goals often include improving communication skills, strengthening family relationships, establishing and practicing coping skills, and building self-confidence and self-esteem.
I work primarily with children and youth between the ages of three years old to adulthood, as well as with their immediate family members. These children may struggle with issues such as anxiety, depression, behavioral issues, difficulty expressing their thoughts and emotions, family relationships, or more severe psychological disorders. In their therapy sessions with me, goals often include improving communication skills, strengthening family relationships, establishing and practicing coping skills, and building self-confidence and self-esteem.
(662) 262-9026 View (662) 262-9026
Photo of Talia Webster, Pre-Licensed Professional, BA
Talia Webster
Pre-Licensed Professional, BA
1 Endorsed
Tupelo, MS 38804
Life can feel heavy—whether you’re a teen struggling with anxiety, an adult carrying the weight of stress or past trauma, or someone simply trying to feel “normal” again. You don’t have to face it alone.
Life can feel heavy—whether you’re a teen struggling with anxiety, an adult carrying the weight of stress or past trauma, or someone simply trying to feel “normal” again. You don’t have to face it alone.
(662) 508-3389 View (662) 508-3389

See more therapy options for Tupelo

How does your Therapist compare?

Number of Therapists in Tupelo, MS

90+

Average cost per session

$150

Therapists in Tupelo, MS who prioritize treating:

90% Depression
89% Anxiety
72% Trauma and PTSD
68% Self Esteem
67% Stress
66% Grief
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
51% UnitedHealthcare UHC | UBH
43% Aetna

How Therapists in Tupelo, MS see their clients

83% In Person and Online
17% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Tupelo?

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.