Therapists in Boone, NC

Photo of Rebekah Smith, Psychologist in Boone, NC
Rebekah Smith
Psychologist, MA, LPA
Verified Verified
Boone, NC 28607  (Online Only)
Sometimes making it through the day is an uphill battle. Things you used to love no longer seem to be enjoyable, everyday tasks are overwhelming, and existing is starting to feel exhausting. Other times you don't feel terrible, but you don't feel good either. You know you aren't quite your usual self but despite all your effort to fix it things just aren't where you want them to be - you're feeling stuck no matter how much progress you make. If this sounds familiar, I can provide you with support to find a foothold to help you start living your life again.
Sometimes making it through the day is an uphill battle. Things you used to love no longer seem to be enjoyable, everyday tasks are overwhelming, and existing is starting to feel exhausting. Other times you don't feel terrible, but you don't feel good either. You know you aren't quite your usual self but despite all your effort to fix it things just aren't where you want them to be - you're feeling stuck no matter how much progress you make. If this sounds familiar, I can provide you with support to find a foothold to help you start living your life again.
(828) 900-2765 View (828) 900-2765
Photo of Stephanie Swisher, Marriage & Family Therapist in Boone, NC
Stephanie Swisher
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Boone, NC 28607
Not accepting new clients
Unable to accept new clients at this time. Join me in learning the tools and skills to intentionally create the life that you desire. I work with clients who are looking to strengthen trust in themselves. My overarching goal for every client who comes to see me is for them to have a more loving, compassionate relationship to themselves, others, and their past. I use a holistic collaborative approach to counseling that recognizes our unique multidimensional nature, and honors the connection between mind, emotions, energy, and body. I specialize in Brainspotting and Parts work/IFS.
Unable to accept new clients at this time. Join me in learning the tools and skills to intentionally create the life that you desire. I work with clients who are looking to strengthen trust in themselves. My overarching goal for every client who comes to see me is for them to have a more loving, compassionate relationship to themselves, others, and their past. I use a holistic collaborative approach to counseling that recognizes our unique multidimensional nature, and honors the connection between mind, emotions, energy, and body. I specialize in Brainspotting and Parts work/IFS.
(828) 373-2907 View (828) 373-2907
Photo of Dan Icenhour, Clinical Social Work/Therapist in Boone, NC
Dan Icenhour
Clinical Social Work/Therapist, LCSW
Verified Verified
Boone, NC 28607  (Online Only)
***CURRENTLY ACCEPTING NEW CLIENTS*** People seek therapy for all sorts of reasons. Whether you are in a period of change, in crisis or are just having trouble moving through a difficult situation, I am here to help. We all face problems, and they can often feel overwhelming or too complex to solve on your own.
***CURRENTLY ACCEPTING NEW CLIENTS*** People seek therapy for all sorts of reasons. Whether you are in a period of change, in crisis or are just having trouble moving through a difficult situation, I am here to help. We all face problems, and they can often feel overwhelming or too complex to solve on your own.
(828) 360-9874 View (828) 360-9874
Photo of Jackie Belhumeur Wayne, Psychological Associate in Boone, NC
Jackie Belhumeur Wayne
Psychological Associate, MA, LPA
Verified Verified
Boone, NC 28607
Waitlist for new clients
If college is the best four years of your life, then why do you feel like this? Stressed and alone. Surrounded by people, but struggling to connect. Wanting love, but tired of the games and swiping. Scared of the real world, and still stuck with that vape habit and yoyo diet from high school. Or maybe you were so excited for parenthood, but not for this. This is so loud and hard and nothing like the pictures online. Life transitions - my favorites being college and parenthood - can shake you up and reveal cracks you never knew were there, but they can also shake you loose from your old habits so you can grow.
If college is the best four years of your life, then why do you feel like this? Stressed and alone. Surrounded by people, but struggling to connect. Wanting love, but tired of the games and swiping. Scared of the real world, and still stuck with that vape habit and yoyo diet from high school. Or maybe you were so excited for parenthood, but not for this. This is so loud and hard and nothing like the pictures online. Life transitions - my favorites being college and parenthood - can shake you up and reveal cracks you never knew were there, but they can also shake you loose from your old habits so you can grow.
(828) 527-0164 View (828) 527-0164
Photo of Sarah Elizabeth Holmes, Marriage & Family Therapist in Boone, NC
Sarah Elizabeth Holmes
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Boone, NC 28607  (Online Only)
Do you just want to feel closer to your partner yet find yourself in another argument? Even though you love each other, do you find yourself having the same argument over and over - repeating the same unhealthy patterns that may include blame, avoidance, criticism, etc? Are you ready to try something different? I take great joy in helping clients develop healthier ways of connecting with their significant others.
Do you just want to feel closer to your partner yet find yourself in another argument? Even though you love each other, do you find yourself having the same argument over and over - repeating the same unhealthy patterns that may include blame, avoidance, criticism, etc? Are you ready to try something different? I take great joy in helping clients develop healthier ways of connecting with their significant others.
(828) 382-8527 View (828) 382-8527
Photo of John McManus, Lic Clinical Mental Health Counselor Associate in Boone, NC
John McManus
Lic Clinical Mental Health Counselor Associate, LCAS, LCMHCA, NCC
Verified Verified
1 Endorsed
Boone, NC 28607
If you are looking for a relatable, down-to-earth therapist: I'm your person. If you like to laugh and get well at the same time: I'm definitely your person. Humor can be part of healing! Having been in therapy myself since age 10, I understand what it is to be depressed, anxious, and traumatized in ways that drain the color out of life and replace future excitement with a sense of hopelessness. It's an agonizing way to live. I have found ways to restore my passion for life, and I am eager to help you do the same! I'm here to collaborate with you on your path to healing- call me! I want to help people who are motivated to change.
If you are looking for a relatable, down-to-earth therapist: I'm your person. If you like to laugh and get well at the same time: I'm definitely your person. Humor can be part of healing! Having been in therapy myself since age 10, I understand what it is to be depressed, anxious, and traumatized in ways that drain the color out of life and replace future excitement with a sense of hopelessness. It's an agonizing way to live. I have found ways to restore my passion for life, and I am eager to help you do the same! I'm here to collaborate with you on your path to healing- call me! I want to help people who are motivated to change.
(828) 528-6164 View (828) 528-6164
Photo of Amoret S Phillips, Licensed Clinical Mental Health Counselor in Boone, NC
Amoret S Phillips
Licensed Clinical Mental Health Counselor, MA, LCAS
Verified Verified
Boone, NC 28607
I am accepting new clients for in person and remote sessions . My area of expertise is in helping people recover from trauma using Internal family systems, presence psychotherapy and EMDR. Please visit my website for more information.
I am accepting new clients for in person and remote sessions . My area of expertise is in helping people recover from trauma using Internal family systems, presence psychotherapy and EMDR. Please visit my website for more information.
(828) 332-5637 View (828) 332-5637
Photo of Lisa Trahan, Psychologist in Boone, NC
Lisa Trahan
Psychologist, PhD
Verified Verified
Boone, NC 28607
Not accepting new clients
Hello, and welcome. I'm glad you're here. You may be wondering what therapy is like and whether I would be a good fit for your specific needs. Broadly, my specialties include the treatment of anxiety and depression in adults. My clients also seek guidance on coping well with the psychological aspects of living with a chronic health condition, including cancer, chronic pain, and diabetes. Grief and loss may also be a focus of treatment. You can expect an initial evaluation and feedback. We will collaborate on goals for treatment and discuss approaches we can take to meet your goals.
Hello, and welcome. I'm glad you're here. You may be wondering what therapy is like and whether I would be a good fit for your specific needs. Broadly, my specialties include the treatment of anxiety and depression in adults. My clients also seek guidance on coping well with the psychological aspects of living with a chronic health condition, including cancer, chronic pain, and diabetes. Grief and loss may also be a focus of treatment. You can expect an initial evaluation and feedback. We will collaborate on goals for treatment and discuss approaches we can take to meet your goals.
(828) 330-9352 View (828) 330-9352
Photo of Christy Miller, Marriage & Family Therapist in Boone, NC
Christy Miller
Marriage & Family Therapist, MA, LMFT
Verified Verified
Boone, NC 28607
Waitlist for new clients
I am a licensed Marriage and Family Therapist and AAMFT Approved Supervisor. I have extensive experience in working with individuals and their families with complex trauma. I work with individuals, students, couples, families and adolescents to promote strengthening individual and relational health thru a holistic and systemic lense. I firmly believe individuals exist within the context of relationships (e.g. marriage, couple, family, friends, peers, community, etc.) and these relationships influence the individual’s physical, psychological, and emotional health. Jax attends sessions to bring smiles and comfort!
I am a licensed Marriage and Family Therapist and AAMFT Approved Supervisor. I have extensive experience in working with individuals and their families with complex trauma. I work with individuals, students, couples, families and adolescents to promote strengthening individual and relational health thru a holistic and systemic lense. I firmly believe individuals exist within the context of relationships (e.g. marriage, couple, family, friends, peers, community, etc.) and these relationships influence the individual’s physical, psychological, and emotional health. Jax attends sessions to bring smiles and comfort!
(828) 490-1986 View (828) 490-1986
Photo of Jake Keller, Marriage & Family Therapist in Boone, NC
Jake Keller
Marriage & Family Therapist, MA MMT, LMFT, MT-BC
Verified Verified
2 Endorsed
Boone, NC 28607
Sometimes we can feel as if on a mountaintop with a sense of clarity and other times in a valley unable to see the next step. Life is a journey with experiences and seasons where we can all use some help along the way. Whether it be marriage, dating, work, friendships, or family dynamics, relationships can be complex. Through life's complexities we can learn and grow. I believe everyone deserves to experience joy and live an abundant life. By living authentically to ourselves and others we can become the best version of ourselves. My desire is to meet you where you are and collaboratively work with you to reach your full potential.
Sometimes we can feel as if on a mountaintop with a sense of clarity and other times in a valley unable to see the next step. Life is a journey with experiences and seasons where we can all use some help along the way. Whether it be marriage, dating, work, friendships, or family dynamics, relationships can be complex. Through life's complexities we can learn and grow. I believe everyone deserves to experience joy and live an abundant life. By living authentically to ourselves and others we can become the best version of ourselves. My desire is to meet you where you are and collaboratively work with you to reach your full potential.
(828) 537-1457 View (828) 537-1457
Photo of Nichole Merritt Mcfarland, Marriage & Family Therapist in Boone, NC
Nichole Merritt Mcfarland
Marriage & Family Therapist, MA, LMFT
Verified Verified
Boone, NC 28607
Over the past 9 years, I have provided counseling for individuals, students, families and couples. My licensure is in Marriage and Family Therapy, so I not only love to work with individuals, but with couples and families as well. I have a passion for helping couples strengthen and improve their marriages, as well as learn to work together as a team. I also enjoy working with individuals who are facing difficult or transitional times in their lives. I maintain an encouraging and supportive approach to help individuals identify their struggles and anxieties, as well as develop coping mechanisms to overcome the difficulties they are facing.
Over the past 9 years, I have provided counseling for individuals, students, families and couples. My licensure is in Marriage and Family Therapy, so I not only love to work with individuals, but with couples and families as well. I have a passion for helping couples strengthen and improve their marriages, as well as learn to work together as a team. I also enjoy working with individuals who are facing difficult or transitional times in their lives. I maintain an encouraging and supportive approach to help individuals identify their struggles and anxieties, as well as develop coping mechanisms to overcome the difficulties they are facing.
(919) 533-4719 View (919) 533-4719
Photo of Broken Angel Counseling, Licensed Professional Counselor in Boone, NC
Broken Angel Counseling
Licensed Professional Counselor, LCMHCS, LCAS, CCS
Verified Verified
Boone, NC 28607
I believe there is no true beginning or end to Healing, working on ourselves, or trying to have forward motion in our lives (but that it DOES get better!), so any entry point into counseling as a tool in those processes is the right one. /"This is heart work, and you can't think your way around this; you've gotta feel your way through it." / /"The soul always knows what to do to heal itself. The challenge is to silence the mind."/
I believe there is no true beginning or end to Healing, working on ourselves, or trying to have forward motion in our lives (but that it DOES get better!), so any entry point into counseling as a tool in those processes is the right one. /"This is heart work, and you can't think your way around this; you've gotta feel your way through it." / /"The soul always knows what to do to heal itself. The challenge is to silence the mind."/
(828) 882-2904 View (828) 882-2904
Photo of Craig B McKinney, Clinical Social Work/Therapist in Boone, NC
Craig B McKinney
Clinical Social Work/Therapist, LCSW
Verified Verified
Boone, NC 28607
***NOW ACCEPTING NEW CLIENTS**** I am a licensed clinical social worker with 20 years in the field with experience treating a wide range of psychological issues. I have experience working with people of all ages including college students . I enjoy helping those who are experiencing anxiety, depression, and trauma. Additionally, I have enjoyed working with people experiencing the more severe symptoms of mental health so that they may live a more stable and fulfilling life. I am located in Boone NC but can offer Telehealth services to those in need anywhere in North Carolina
***NOW ACCEPTING NEW CLIENTS**** I am a licensed clinical social worker with 20 years in the field with experience treating a wide range of psychological issues. I have experience working with people of all ages including college students . I enjoy helping those who are experiencing anxiety, depression, and trauma. Additionally, I have enjoyed working with people experiencing the more severe symptoms of mental health so that they may live a more stable and fulfilling life. I am located in Boone NC but can offer Telehealth services to those in need anywhere in North Carolina
(828) 268-3692 View (828) 268-3692
Photo of Ellie DeVere, Licensed Clinical Mental Health Counselor in Boone, NC
Ellie DeVere
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
1 Endorsed
Boone, NC 28607
Currently accepting new clients via telehealth! Are you feeling depressed, anxious, overwhelmed, or simply stuck? Maybe your goal is to procrastinate less, to cope with feeling worried, or maybe you just want to do something differently. Part of being human is experiencing challenge, be it with mental health or life in general, and so is wanting to make a change to live to the fullest of your potential. Together, we will explore the challenges that you are experiencing and collaborate to ensure that you feel heard and are able to meaningfully meet your goals
Currently accepting new clients via telehealth! Are you feeling depressed, anxious, overwhelmed, or simply stuck? Maybe your goal is to procrastinate less, to cope with feeling worried, or maybe you just want to do something differently. Part of being human is experiencing challenge, be it with mental health or life in general, and so is wanting to make a change to live to the fullest of your potential. Together, we will explore the challenges that you are experiencing and collaborate to ensure that you feel heard and are able to meaningfully meet your goals
(828) 392-5175 View (828) 392-5175
Photo of Mike Vannoy, Licensed Professional Counselor in Boone, NC
Mike Vannoy
Licensed Professional Counselor, MA, LCMHCS, LCAS, CCS
Verified Verified
7 Endorsed
Boone, NC 28607
I am well versed in a number of theoretical approaches, utilizing an integrated strategy designed to meet your needs best. I treat adults, and families. I am very well suited to work with a wide spectrum of populations including both mental health and addiction issues. Most of my patients find that I am a good listener with empathic and genuine qualities. I am dedicated to my work and believe in meeting my patients where they are in relation to our work together. If you are looking for a therapist who is versatile, experienced, and open to a variety of issues I might be a good fit for you.
I am well versed in a number of theoretical approaches, utilizing an integrated strategy designed to meet your needs best. I treat adults, and families. I am very well suited to work with a wide spectrum of populations including both mental health and addiction issues. Most of my patients find that I am a good listener with empathic and genuine qualities. I am dedicated to my work and believe in meeting my patients where they are in relation to our work together. If you are looking for a therapist who is versatile, experienced, and open to a variety of issues I might be a good fit for you.
(828) 471-6810 View (828) 471-6810
Photo of Lisbette R Lundgren, Marriage & Family Therapist in Boone, NC
Lisbette R Lundgren
Marriage & Family Therapist, MA, LMFT
Verified Verified
Boone, NC 28608
Over 15 years of practice. Working with people is a privilege & a humbling experience. I work with individuals of all ages and backgrounds, couples, and families. I concentrate on clients' strengths, and addressing dysfunctional thinking and behaviors that creates mental unrest. A great percentage of our happiness is felt in response to having healthy relationships. When we experience distress in relationships with others we feel a sense of betrayal and loss. In therapy, you will learn to identify and regulate feelings to communicate your needs in a non-defensive manner. It is my privilege to walk that journey with you.
Over 15 years of practice. Working with people is a privilege & a humbling experience. I work with individuals of all ages and backgrounds, couples, and families. I concentrate on clients' strengths, and addressing dysfunctional thinking and behaviors that creates mental unrest. A great percentage of our happiness is felt in response to having healthy relationships. When we experience distress in relationships with others we feel a sense of betrayal and loss. In therapy, you will learn to identify and regulate feelings to communicate your needs in a non-defensive manner. It is my privilege to walk that journey with you.
(828) 604-6569 View (828) 604-6569
Photo of Lexie Danner Counseling, Licensed Professional Counselor in Boone, NC
Lexie Danner Counseling
Licensed Professional Counselor, MA, LCMHC, NCC
Verified Verified
Boone, NC 28607
Not accepting new clients
I believe we each possess the resources necessary to meet the challenges we are presented in life. Resources are those things, actions, qualities, faculties, and relationships we can draw upon for aid in times of need. Through a mutual relationship built on trust and transparency, we will explore where you are now, where you want to go, and how you might get there.
I believe we each possess the resources necessary to meet the challenges we are presented in life. Resources are those things, actions, qualities, faculties, and relationships we can draw upon for aid in times of need. Through a mutual relationship built on trust and transparency, we will explore where you are now, where you want to go, and how you might get there.
(336) 715-5244 View (336) 715-5244
Photo of Melanie Keyes Frierson, Clinical Social Work/Therapist in Boone, NC
Melanie Keyes Frierson
Clinical Social Work/Therapist, MSW, LCSW-A
Verified Verified
Boone, NC 28607
Currently Accepting New Clients! Are you feeling stuck, unsure how to move forward in life? Do you see yourself following the same unhealthy patterns with the same negative results? Are you ready to take the first step in creating a new, healthier life? If you answered “yes” to any of these questions, I would like to have the opportunity to work with you.
Currently Accepting New Clients! Are you feeling stuck, unsure how to move forward in life? Do you see yourself following the same unhealthy patterns with the same negative results? Are you ready to take the first step in creating a new, healthier life? If you answered “yes” to any of these questions, I would like to have the opportunity to work with you.
(828) 332-5696 View (828) 332-5696
Photo of Whitney Van Sant, Psychological Associate in Boone, NC
Whitney Van Sant
Psychological Associate, MA, LPA, HSP
Verified Verified
2 Endorsed
Boone, NC 28607
Your mind has been pushing you around with negative thoughts. You have tried to "be more positive" but that hasn't worked. You are having problems in your relationships and some days feel like a ride on an emotional rollercoaster. You know something needs to change but you aren't sure what. You are feeling stuck.
Your mind has been pushing you around with negative thoughts. You have tried to "be more positive" but that hasn't worked. You are having problems in your relationships and some days feel like a ride on an emotional rollercoaster. You know something needs to change but you aren't sure what. You are feeling stuck.
(828) 523-9428 View (828) 523-9428
Photo of Christina M Howell, Licensed Professional Counselor in Boone, NC
Christina M Howell
Licensed Professional Counselor, LCMHC, MA, E-RYT
Verified Verified
Boone, NC 28607
Not accepting new clients
I believe we have the innate ability to heal our selves. We all have times when we feel separate, disconnected and unworthy. This can cause stress, frustration, anger, vulnerability, isolation, confusion, and being overwhelmed by life. We often need a light at the end of the tunnel to navigate through the confusion and gain perspective. My role is a guide on this personal journey to assist with that perspective and gain self acceptance. My work is an integration of my background in yoga, Buddhist practices and somatic movement that I call "Integrative Yoga Counseling".
I believe we have the innate ability to heal our selves. We all have times when we feel separate, disconnected and unworthy. This can cause stress, frustration, anger, vulnerability, isolation, confusion, and being overwhelmed by life. We often need a light at the end of the tunnel to navigate through the confusion and gain perspective. My role is a guide on this personal journey to assist with that perspective and gain self acceptance. My work is an integration of my background in yoga, Buddhist practices and somatic movement that I call "Integrative Yoga Counseling".
(828) 536-4068 View (828) 536-4068

See more therapy options for Boone

How does your Therapist compare?

Number of Therapists in Boone, NC

100+

Average cost per session

$135

Therapists in Boone, NC who prioritize treating:

94% Anxiety
87% Depression
78% Relationship Issues
76% Coping Skills
75% Self Esteem
73% Stress
71% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
63% Aetna
47% UnitedHealthcare UHC | UBH

How Therapists in Boone, NC see their clients

76% In Person and Online
24% Online Only

Gender breakdown

75% Female
23% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Boone?

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.