Therapists in Garner, NC

Photo of Kennedy Pagliari, LCSW, Clinical Social Work/Therapist
Kennedy Pagliari
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Garner, NC 27529  (Online Only)
Waitlist for new clients
Are you struggling with boundaries in your life? Are you feeling overwhelmed and stressed out about everything you have to do? Are you a teenager or young adult entering a new life season/change and have no clue how to navigate this? Are you needing a comfortable space to just process life? Are you looking for a laid back and easygoing therapist who is fun, nonjudgemental and allows you to show up as your full self (ex. cursing is always acceptable here!)? I am here for you, and I am glad you made it here! Life is crazy and bit annoying at times but together we can work to make it more manageable and enjoyable for you!
Are you struggling with boundaries in your life? Are you feeling overwhelmed and stressed out about everything you have to do? Are you a teenager or young adult entering a new life season/change and have no clue how to navigate this? Are you needing a comfortable space to just process life? Are you looking for a laid back and easygoing therapist who is fun, nonjudgemental and allows you to show up as your full self (ex. cursing is always acceptable here!)? I am here for you, and I am glad you made it here! Life is crazy and bit annoying at times but together we can work to make it more manageable and enjoyable for you!
(919) 372-4463 View (919) 372-4463
Photo of You-Turn Counseling - YOU-Turn Counseling, PLLC
YOU-Turn Counseling, PLLC
Verified Verified
Garner, NC 27529
YOU-Turn Counseling is here to help YOU! Our practice has proudly served our community for ten years. Our counselors have extensive training and experience to help treat individuals of all ages: adults, teens, and children. We offer online counseling or in person sessions. Our professional staff are all licensed and excel in treating a variety of mental health issues, including depression, anxiety, phase of life or adjustment difficulties; parenting. We conduct ADHD evaluations. Our counselors are genuine in cultivating authentic therapeutic connections to help promote change. Let us help YOU to be your best version of yourself!
YOU-Turn Counseling is here to help YOU! Our practice has proudly served our community for ten years. Our counselors have extensive training and experience to help treat individuals of all ages: adults, teens, and children. We offer online counseling or in person sessions. Our professional staff are all licensed and excel in treating a variety of mental health issues, including depression, anxiety, phase of life or adjustment difficulties; parenting. We conduct ADHD evaluations. Our counselors are genuine in cultivating authentic therapeutic connections to help promote change. Let us help YOU to be your best version of yourself!
(919) 879-2292 View (919) 879-2292
Photo of Anna-Kate Miller, MSSW, LCSW, Clinical Social Work/Therapist
Anna-Kate Miller
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
Garner, NC 27529
Not accepting new clients
There are many reasons people decide to start therapy. Are you overwhelmed? Having a hard time controlling your emotions? Feel lost or need help with a goal? Are you a mom who constantly feels guilt that you aren't good enough? Are you having relationship issues? Are you dealing with chronic pain or grief? Reaching takes strength and shows a persons desire to heal and improve. We all deserve a time for ourselves to feel heard, understood and supported while we work towards positive changes.
There are many reasons people decide to start therapy. Are you overwhelmed? Having a hard time controlling your emotions? Feel lost or need help with a goal? Are you a mom who constantly feels guilt that you aren't good enough? Are you having relationship issues? Are you dealing with chronic pain or grief? Reaching takes strength and shows a persons desire to heal and improve. We all deserve a time for ourselves to feel heard, understood and supported while we work towards positive changes.
(855) 697-6665 View (855) 697-6665
Photo of Diane Spell, LCSW, Clinical Social Work/Therapist
Diane Spell
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Garner, NC 27529
Hello! In case no one has said this to you today or ever: YOU matter. YOU are worthy of moments of joy. YOU have been strong enough to get through 100% of your worst moments. YOU can conquer what comes next. Thank you for considering me to be a part of your journey! How do we know if we are a good match? Here is a snapshot: If you’re dealing with persistent anxiety or depression that’s impacting your daily life, mood, & relationships, I’m here to help. Maybe you are facing trauma-related stress, mood disorders, or the challenges of major life transitions.
Hello! In case no one has said this to you today or ever: YOU matter. YOU are worthy of moments of joy. YOU have been strong enough to get through 100% of your worst moments. YOU can conquer what comes next. Thank you for considering me to be a part of your journey! How do we know if we are a good match? Here is a snapshot: If you’re dealing with persistent anxiety or depression that’s impacting your daily life, mood, & relationships, I’m here to help. Maybe you are facing trauma-related stress, mood disorders, or the challenges of major life transitions.
(984) 464-8204 View (984) 464-8204
Photo of Marlo R Watson, LCSW, LCAS, Clinical Social Work/Therapist
Marlo R Watson
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
4 Endorsed
Garner, NC 27529  (Online Only)
Are you worried, fearful or depressed? Is it interfering with your life goals? Would you like guidance, options and a new perspective? I can help you gain clarity through compassionate listening, honest feedback, and a focus on results. My goal is that you learn skills to maintain the changes that satisfy you. If you desire a greater ability to understand and control your emotions and feel content, I can help you. We will focus on getting the results you need to live a more satisfying life.
Are you worried, fearful or depressed? Is it interfering with your life goals? Would you like guidance, options and a new perspective? I can help you gain clarity through compassionate listening, honest feedback, and a focus on results. My goal is that you learn skills to maintain the changes that satisfy you. If you desire a greater ability to understand and control your emotions and feel content, I can help you. We will focus on getting the results you need to live a more satisfying life.
(919) 249-5054 View (919) 249-5054
Photo of Damen Raheem Cromwell, EdD, LPC-S, NCC, Licensed Professional Counselor
Damen Raheem Cromwell
Licensed Professional Counselor, EdD, LPC-S, NCC
Verified Verified
Garner, NC 27529
Dr. Cromwell is committed to "helping people see color when they only see black & white". With over seven years of professional counseling services, I have come to believe that people can overcome life difficulties with professional guidance and a willing attitude to change.
Dr. Cromwell is committed to "helping people see color when they only see black & white". With over seven years of professional counseling services, I have come to believe that people can overcome life difficulties with professional guidance and a willing attitude to change.
(919) 666-6313 View (919) 666-6313
Photo of Zulma Sella Nieves, PhD, HSP-P, Psychologist
Zulma Sella Nieves
Psychologist, PhD, HSP-P
Verified Verified
Garner, NC 27529  (Online Only)
Yes, I speak Spanish. / Sí, hablo Español.
Yes, I speak Spanish. / Sí, hablo Español.
(984) 230-3632 View (984) 230-3632
Photo of Christine Sande - First-Aid Counseling, PLLC, LCMHC, Counselor
First-Aid Counseling, PLLC
Counselor, LCMHC
Verified Verified
1 Endorsed
Garner, NC 27529  (Online Only)
Accepting new clients! EMDR-trained therapists offering virtual sessions. Are you feeling overwhelmed by depression, anxiety, stress, relationship challenges, or struggling with life transitions? Perhaps you're finding it difficult to process past or present trauma. If so, we’re here to support you on your healing journey toward a better, more empowered version of yourself. Therapy provides a safe, supportive space where you can gain encouragement, accountability, and clarity to achieve your goals. We believe that while everyone has a history, we all have the potential to change and rewrite our stories for a brighter future.
Accepting new clients! EMDR-trained therapists offering virtual sessions. Are you feeling overwhelmed by depression, anxiety, stress, relationship challenges, or struggling with life transitions? Perhaps you're finding it difficult to process past or present trauma. If so, we’re here to support you on your healing journey toward a better, more empowered version of yourself. Therapy provides a safe, supportive space where you can gain encouragement, accountability, and clarity to achieve your goals. We believe that while everyone has a history, we all have the potential to change and rewrite our stories for a brighter future.
(919) 887-6104 View (919) 887-6104
Photo of Mackenzie Wrench, LCSWA, MSW, Clinical Social Work/Therapist
Mackenzie Wrench
Clinical Social Work/Therapist, LCSWA, MSW
Verified Verified
Garner, NC 27529
I enjoy working with adolescents, teens, couples, families, & adults. I have a passion for working with client’s who are struggling with eating disorders, body image concerns, addictions, anger management, self harm, anxiety, & depression. I join my clients in their day to day struggles, helping them to regain their sense of self while grieving the loss of who they once were. I also help clients to learn to trust their own judgement again so that together we can move through the healing process, primarily by helping clients get set up with all the resources they need to live a happy and healthy life that they can enjoy.
I enjoy working with adolescents, teens, couples, families, & adults. I have a passion for working with client’s who are struggling with eating disorders, body image concerns, addictions, anger management, self harm, anxiety, & depression. I join my clients in their day to day struggles, helping them to regain their sense of self while grieving the loss of who they once were. I also help clients to learn to trust their own judgement again so that together we can move through the healing process, primarily by helping clients get set up with all the resources they need to live a happy and healthy life that they can enjoy.
(984) 370-4219 View (984) 370-4219
Photo of Rosa Lee Robinson, NCC, LCMHC, Licensed Professional Counselor
Rosa Lee Robinson
Licensed Professional Counselor, NCC, LCMHC
Verified Verified
Garner, NC 27529  (Online Only)
My passion is helping individuals to reach their true potential throughout their life span. If you find yourself struggling with depression, grief, anxiety, life transition, or trauma. I have created a safe and welcoming space for us to discuss these matters and more. As we go through life sometime the unexpected happens and it can throw us for a loop.
My passion is helping individuals to reach their true potential throughout their life span. If you find yourself struggling with depression, grief, anxiety, life transition, or trauma. I have created a safe and welcoming space for us to discuss these matters and more. As we go through life sometime the unexpected happens and it can throw us for a loop.
(919) 629-9886 View (919) 629-9886
Photo of Bianca Olivares, MSW
Bianca Olivares
LCSW Associate, MSW
Verified Verified
1 Endorsed
Garner, NC 27529
Humans will be human. This can come with worry, pain, joy, and an infinite spectrum of emotions in between. Maybe life has presented challenges to you, your family, or your relationship that feel overwhelming to navigate alone. Maybe there is a generational pattern that you wish to shift. You are not alone! I work with kids (8 and up), teens, adult individuals, and couples around connecting to their identity including racial trauma and stress, self-esteem, life transitions, addressing complex patterns and dynamics, and with those processing childhood trauma. I am accepting weekly and biweekly clients between the hours of 2-7p.
Humans will be human. This can come with worry, pain, joy, and an infinite spectrum of emotions in between. Maybe life has presented challenges to you, your family, or your relationship that feel overwhelming to navigate alone. Maybe there is a generational pattern that you wish to shift. You are not alone! I work with kids (8 and up), teens, adult individuals, and couples around connecting to their identity including racial trauma and stress, self-esteem, life transitions, addressing complex patterns and dynamics, and with those processing childhood trauma. I am accepting weekly and biweekly clients between the hours of 2-7p.
(919) 582-5040 View (919) 582-5040
Photo of Jacqueline Stevens, LCMHC-A
Jacqueline Stevens
Lic Clinical Mental Health Counselor Associate, LCMHC-A
Verified Verified
1 Endorsed
Garner, NC 27529
Hello, I'm Jacqueline Stevens, a Licensed Clinical Mental Health Counselor Associate in North Carolina. Imagine finding a counselor who truly listens, understands your child’s or your struggles, and offers support without judgment. Whether you're a parent concerned about your child’s anxiety, a teen facing school pressures, or a young adult navigating life transitions, I’m here to help. I specialize in working with children, teens, and young adults, addressing anxiety, school-related stress, college challenges, and supporting athletes through emotional and performance issues.
Hello, I'm Jacqueline Stevens, a Licensed Clinical Mental Health Counselor Associate in North Carolina. Imagine finding a counselor who truly listens, understands your child’s or your struggles, and offers support without judgment. Whether you're a parent concerned about your child’s anxiety, a teen facing school pressures, or a young adult navigating life transitions, I’m here to help. I specialize in working with children, teens, and young adults, addressing anxiety, school-related stress, college challenges, and supporting athletes through emotional and performance issues.
(984) 223-9482 View (984) 223-9482
Photo of Kathryn M Bowden, MA, LCMHC
Kathryn M Bowden
MA, LCMHC
Verified Verified
3 Endorsed
Garner, NC 27529
Our lives are made up of stories, stories we tell ourselves, believe about ourselves, and stories others tell us about who we are. But maybe your story is not the one you expected, wanted, or worked towards, and you find yourself stuck. It may be pain from the past or difficult situations in the present that are keeping you from moving forward in life. That’s where I can help.
Our lives are made up of stories, stories we tell ourselves, believe about ourselves, and stories others tell us about who we are. But maybe your story is not the one you expected, wanted, or worked towards, and you find yourself stuck. It may be pain from the past or difficult situations in the present that are keeping you from moving forward in life. That’s where I can help.
(984) 208-2534 View (984) 208-2534
Photo of Natalie Chigozie, MSW, LCSW, Clinical Social Work/Therapist
Natalie Chigozie
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Garner, NC 27529
Are you feeling hopeless, helpless or overwhelmed? As a therapist with many years of experience my goal is to help guide you to recovery. Helping you creating coping skills for depression, anxiety, or trauma are ways I can aid people in their journey. When people find themselves in a dark emotional place, I want to help them find their way to light and again.
Are you feeling hopeless, helpless or overwhelmed? As a therapist with many years of experience my goal is to help guide you to recovery. Helping you creating coping skills for depression, anxiety, or trauma are ways I can aid people in their journey. When people find themselves in a dark emotional place, I want to help them find their way to light and again.
(984) 384-6296 View (984) 384-6296
Photo of Ronnie Ibrahim Rizek, MA, LCMHC, Counselor
Ronnie Ibrahim Rizek
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Garner, NC 27529
Do you and your partner find yourselves constantly arguing, unable to get on the same page? Have you found yourselves in a loveless marriage or relationship lacking an emotional and physical connection? For couple's suffering from relationship conflict, poor communication, broken trust, and a non-existent sex life. I am here to provide Gottman inspired couple's therapy. In addition, I do provide individual services for those suffering from anxiety, depression, PTSD, OCD, and Bipolar Disorder.
Do you and your partner find yourselves constantly arguing, unable to get on the same page? Have you found yourselves in a loveless marriage or relationship lacking an emotional and physical connection? For couple's suffering from relationship conflict, poor communication, broken trust, and a non-existent sex life. I am here to provide Gottman inspired couple's therapy. In addition, I do provide individual services for those suffering from anxiety, depression, PTSD, OCD, and Bipolar Disorder.
(919) 276-8683 View (919) 276-8683
Photo of Susann Navarra, Clinical Social Work/Therapist
Susann Navarra
Clinical Social Work/Therapist
Verified Verified
Garner, NC 27529
I take a holistic, integrative, and integrated approach to therapy. I aim to treat the whole person, and sometimes even the whole family within my group practice. My objective is to partner with each client to support in accessing the resources, both internal and external, needed to achieve their individual goals. This drive is what led me to create Mind & Body Therapeutic Connections. We offer an interdisciplinary treatment team to provide: individual, family, and couples counseling, psychiatric medication management, nutrition counseling, acupuncture, yoga therapy, massage therapy, Reiki, personal training, group fitness & yoga.
I take a holistic, integrative, and integrated approach to therapy. I aim to treat the whole person, and sometimes even the whole family within my group practice. My objective is to partner with each client to support in accessing the resources, both internal and external, needed to achieve their individual goals. This drive is what led me to create Mind & Body Therapeutic Connections. We offer an interdisciplinary treatment team to provide: individual, family, and couples counseling, psychiatric medication management, nutrition counseling, acupuncture, yoga therapy, massage therapy, Reiki, personal training, group fitness & yoga.
(984) 464-7943 x1 View (984) 464-7943 x1
Photo of Kerry Dowd, LCSW, Clinical Social Work/Therapist
Kerry Dowd
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Garner, NC 27529
Kerry helps you heal from the past, build your self-esteem, and find joy in life. Kerry has over 10 years of experience. She uses aspects of Internal Family Systems, Polyvagal Theory, Cognitive Behavioral Therapy (CBT), and Eye Movement Desensitizing and Reprocessing (EMDR). Are you feeling anxious, stuck, or frustrated with your relationships? Are you tired of being overwhelmed and putting everyone else first? She can help.
Kerry helps you heal from the past, build your self-esteem, and find joy in life. Kerry has over 10 years of experience. She uses aspects of Internal Family Systems, Polyvagal Theory, Cognitive Behavioral Therapy (CBT), and Eye Movement Desensitizing and Reprocessing (EMDR). Are you feeling anxious, stuck, or frustrated with your relationships? Are you tired of being overwhelmed and putting everyone else first? She can help.
(919) 504-5569 View (919) 504-5569
Photo of Julia Smith, LCSW, Clinical Social Work/Therapist
Julia Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Garner, NC 27529  (Online Only)
My name is Julia Smith. I am a Licensed Clinical Social Worker and full time a tele-health therapist who is dedicated to helping individuals enhance their emotional well-being. My areas of clinical expertise include, trauma, anxiety, and depression. I have a wealth of experience treating emotional and behavioral issues affecting teens, parents, and young adults. I possess specialized training in evidenced based practices including: Brainspotting Phase I & II (pursuing certification), Trauma Focused-CBT, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mindfulness, and Motivational Interviewing (MI).
My name is Julia Smith. I am a Licensed Clinical Social Worker and full time a tele-health therapist who is dedicated to helping individuals enhance their emotional well-being. My areas of clinical expertise include, trauma, anxiety, and depression. I have a wealth of experience treating emotional and behavioral issues affecting teens, parents, and young adults. I possess specialized training in evidenced based practices including: Brainspotting Phase I & II (pursuing certification), Trauma Focused-CBT, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mindfulness, and Motivational Interviewing (MI).
(919) 769-6377 View (919) 769-6377
Photo of Maurice Edward Fairley, MS, NCC, LCMHC
Maurice Edward Fairley
Licensed Clinical Mental Health Counselor, MS, NCC, LCMHC
Verified Verified
Garner, NC 27529
Maurice Fairley is a Licensed Clinical Mental Health Counselor (LCMHC) for the state of North Carolina and National Certified Counselor (NCC). Maurice’s experience includes working with adolescents and adults treating symptoms of trauma, depression, anger and anxiety. Maurice also has over 20 years working with the juvenile justice population at Wake Juvenile Detention Center.
Maurice Fairley is a Licensed Clinical Mental Health Counselor (LCMHC) for the state of North Carolina and National Certified Counselor (NCC). Maurice’s experience includes working with adolescents and adults treating symptoms of trauma, depression, anger and anxiety. Maurice also has over 20 years working with the juvenile justice population at Wake Juvenile Detention Center.
(919) 849-3561 View (919) 849-3561
Photo of Carin Parker, MSW, LCSW, Clinical Social Work/Therapist
Carin Parker
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Garner, NC 27529
I utilize cognitive behavioral therapy (CBT), Solutions-Focused Therapy, and psychotherapy in addition to other treatment modalities in order to assist in decreasing symptoms related to anxiety, depression, trauma, anger, behavioral and emotional dysregulation, poor self-esteem, relationship conflict, poor stress management, and severe and persistent mental illness. I aim to assist patients with building effective coping skills. I believe that my skills and kind personality allow the people I serve to feel supported, hopeful, empowered and more capable of addressing and reducing their symptoms.
I utilize cognitive behavioral therapy (CBT), Solutions-Focused Therapy, and psychotherapy in addition to other treatment modalities in order to assist in decreasing symptoms related to anxiety, depression, trauma, anger, behavioral and emotional dysregulation, poor self-esteem, relationship conflict, poor stress management, and severe and persistent mental illness. I aim to assist patients with building effective coping skills. I believe that my skills and kind personality allow the people I serve to feel supported, hopeful, empowered and more capable of addressing and reducing their symptoms.
(919) 529-5557 View (919) 529-5557
1

How does your Therapist compare?

Number of Therapists in Garner, NC

100+

Average cost per session

$137

Therapists in Garner, NC who prioritize treating:

93% Depression
92% Anxiety
79% Self Esteem
78% Coping Skills
74% Relationship Issues
73% Trauma and PTSD
69% Stress

Average years in practice

9 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
86% Aetna
58% Cigna and Evernorth

How Therapists in Garner, NC see their clients

74% In Person and Online
26% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Garner?

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.