Therapists in Glendale, NY

Photo of Cindy Adair-Brodwin, Psychologist in Glendale, NY
Cindy Adair-Brodwin
Psychologist, PhD
Verified Verified
Glendale, NY 11385  (Online Only)
I am a clinical psychologist with 25 years of experience. I focus on assisting my patients becoming happier, healthier and more peaceful. Most of the patients I work with suffer with anxiety, panic disorder, depression, and relationship issues. My goal is to assist you in decreasing your suffering and improve your quality of life. I always try to stay grounded in the present while taking into consideration how you got here and where you are going. It is important to me that you not only feel better but that in addition to that you are actually getting better.
I am a clinical psychologist with 25 years of experience. I focus on assisting my patients becoming happier, healthier and more peaceful. Most of the patients I work with suffer with anxiety, panic disorder, depression, and relationship issues. My goal is to assist you in decreasing your suffering and improve your quality of life. I always try to stay grounded in the present while taking into consideration how you got here and where you are going. It is important to me that you not only feel better but that in addition to that you are actually getting better.
(718) 456-3973 View (718) 456-3973
Photo of Ashley Villacis, Mental Health Counselor in Glendale, NY
Ashley Villacis
Mental Health Counselor, LMHC
Verified Verified
Glendale, NY 11385  (Online Only)
My name is Ashley, I am a Licensed Mental Health Counselor in the state of NY. I hope to help many clients during these difficult times. I have experience working with clients that suffer from depression, anxiety, impulsivity, emotional disturbances and relationship issues/couple problems, etc. I work with clients in helping them meet their goals to gain emotional stability. I have about 11 years of experience working in my field.
My name is Ashley, I am a Licensed Mental Health Counselor in the state of NY. I hope to help many clients during these difficult times. I have experience working with clients that suffer from depression, anxiety, impulsivity, emotional disturbances and relationship issues/couple problems, etc. I work with clients in helping them meet their goals to gain emotional stability. I have about 11 years of experience working in my field.
(929) 374-1284 View (929) 374-1284
Photo of Jelenny Marquez, Pre-Licensed Professional in Glendale, NY
Jelenny Marquez
Pre-Licensed Professional, PhD, LMSW, CTP
Verified Verified
Glendale, NY 11385  (Online Only)
With over 10 years of experience, I'm dedicated to guiding individuals who are navigating the complexities of identity and past traumas, particularly within the LGBTQ+, gender non-conforming spaces, and the Latinx community. Beyond my roles as a psychologist and social worker, my personal journey and deep ties to these communities enrich my understanding and empathy. With a decade of expertise in EMDR, DBT, and CBT, I've supported both adults and youth on their path to healing and self-assurance. My approach is about more than just therapy; it's about offering a hand to hold as you rediscover your strength and confidence.
With over 10 years of experience, I'm dedicated to guiding individuals who are navigating the complexities of identity and past traumas, particularly within the LGBTQ+, gender non-conforming spaces, and the Latinx community. Beyond my roles as a psychologist and social worker, my personal journey and deep ties to these communities enrich my understanding and empathy. With a decade of expertise in EMDR, DBT, and CBT, I've supported both adults and youth on their path to healing and self-assurance. My approach is about more than just therapy; it's about offering a hand to hold as you rediscover your strength and confidence.
(347) 754-3215 View (347) 754-3215
Photo of Alison Miller, Clinical Social Work/Therapist in Glendale, NY
Alison Miller
Clinical Social Work/Therapist, LCSW
Verified Verified
Glendale, NY 11385
Hello! My name is Alison, and I am a Licensed Clinical Social Worker with over 6 years of experience. I specialize in treating adults with anxiety, depression, family conflict, and relationship issues. I combine several approaches for treatment including CBT, psychodynamic, mindfulness, attachment-based, and strengths-based. I tailor my approach to each individual client based on their needs. I will provide a safe, trusting environment to empower you through your healing journey.
Hello! My name is Alison, and I am a Licensed Clinical Social Worker with over 6 years of experience. I specialize in treating adults with anxiety, depression, family conflict, and relationship issues. I combine several approaches for treatment including CBT, psychodynamic, mindfulness, attachment-based, and strengths-based. I tailor my approach to each individual client based on their needs. I will provide a safe, trusting environment to empower you through your healing journey.
(929) 374-2389 View (929) 374-2389
Photo of Amanda Osman, Counselor in Glendale, NY
Amanda Osman
Counselor, MS, LMHC
Verified Verified
Glendale, NY 11385
You’re feeling so anxious, overwhelmed and depressed. You are ready to find happiness but you just feel stuck and you don’t know how to get there. You see your relationships suffering and deteriorating. You want to get out of this loop of never-ending anguish. You feel like everyone else has got it all together and that you just don’t have the motivation to keep going. You lack confidence, self-esteem, and a willingness to thrive. You wish things were different, that you could turn your life around, but you don’t know how. You’ve looked for a therapist that understands you, but you feel stressed about the process.
You’re feeling so anxious, overwhelmed and depressed. You are ready to find happiness but you just feel stuck and you don’t know how to get there. You see your relationships suffering and deteriorating. You want to get out of this loop of never-ending anguish. You feel like everyone else has got it all together and that you just don’t have the motivation to keep going. You lack confidence, self-esteem, and a willingness to thrive. You wish things were different, that you could turn your life around, but you don’t know how. You’ve looked for a therapist that understands you, but you feel stressed about the process.
(929) 732-7766 View (929) 732-7766
Photo of Ashley Pecorelli, Counselor in Glendale, NY
Ashley Pecorelli
Counselor, MA, LMHC
Verified Verified
Glendale, NY 11385  (Online Only)
Life is an unpredictable series of transitions, each one bringing unique challenges. You may feel vulnerable and isolated in such moments, doubting you are deserving of support. Perhaps you've struggled to find a therapist that affirms your identity and values your safety as a queer/trans person; but if you're reading this, you might still be open to finding the right counselor. I proudly identify as an LGBTQ+ provider, centering non-judgement, empathy, and trust in this work. As your therapist, I am here to help you grow your inner strength while also navigating the ways in which oppressive forces may have touched your life.
Life is an unpredictable series of transitions, each one bringing unique challenges. You may feel vulnerable and isolated in such moments, doubting you are deserving of support. Perhaps you've struggled to find a therapist that affirms your identity and values your safety as a queer/trans person; but if you're reading this, you might still be open to finding the right counselor. I proudly identify as an LGBTQ+ provider, centering non-judgement, empathy, and trust in this work. As your therapist, I am here to help you grow your inner strength while also navigating the ways in which oppressive forces may have touched your life.
(347) 657-5895 View (347) 657-5895
Photo of Danielle Newmark in Glendale, NY
Danielle Newmark
MA, LCAT-P
Verified Verified
3 Endorsed
Glendale, NY 11385  (Online Only)
Living though a global pandemic, experiencing anxiety in relationships with others, surviving childhood trauma, or feeling lower than you have ever felt can be overwhelming (to say the least). When you prioritize your mental health, you can explore what makes you who you are and who you’d like to be. I understand mental health care in our society, and many cultures, holds stigma. Taking time out of your schedule may seem beyond difficult. If you are curious about therapy, I encourage you to give it a try. If you are a veteran of therapy, I encourage you to continue.
Living though a global pandemic, experiencing anxiety in relationships with others, surviving childhood trauma, or feeling lower than you have ever felt can be overwhelming (to say the least). When you prioritize your mental health, you can explore what makes you who you are and who you’d like to be. I understand mental health care in our society, and many cultures, holds stigma. Taking time out of your schedule may seem beyond difficult. If you are curious about therapy, I encourage you to give it a try. If you are a veteran of therapy, I encourage you to continue.
(347) 765-1240 x1 View (347) 765-1240 x1
Photo of Angelina Monell, Counselor in Glendale, NY
Angelina Monell
Counselor, MS, LMHC
Verified Verified
3 Endorsed
Glendale, NY 11385  (Online Only)
I have been practicing Mental Health therapy in New York since 2013. I have always found myself in the field starting from my time in the U.S. Navy. I have over 18 years working, living and learning internationally as well as domestically. My practice focuses on adults experiencing anxiety, career changes, family dynamics and phases of life. I do not have hospital privileges nor prescribe medications.
I have been practicing Mental Health therapy in New York since 2013. I have always found myself in the field starting from my time in the U.S. Navy. I have over 18 years working, living and learning internationally as well as domestically. My practice focuses on adults experiencing anxiety, career changes, family dynamics and phases of life. I do not have hospital privileges nor prescribe medications.
Photo of Daphne St Valliere, Clinical Social Work/Therapist in Glendale, NY
Daphne St Valliere
Clinical Social Work/Therapist, LMSW
Verified Verified
Glendale, NY 11385  (Online Only)
If you're struggling with anxiety, depression, PTSD, grief, or traumatic childhood experiences, you're not alone. I believe that every person has a unique story to tell, and I'm here to listen. Together, we can explore changing negative behavior patterns by shifting your perspective towards more positive decision-making. I know that past or current relationships can have a significant impact on your life, and I'm here to help you navigate any challenges that might be hindering the establishment or maintenance of positive relationships.
If you're struggling with anxiety, depression, PTSD, grief, or traumatic childhood experiences, you're not alone. I believe that every person has a unique story to tell, and I'm here to listen. Together, we can explore changing negative behavior patterns by shifting your perspective towards more positive decision-making. I know that past or current relationships can have a significant impact on your life, and I'm here to help you navigate any challenges that might be hindering the establishment or maintenance of positive relationships.
(347) 897-0010 View (347) 897-0010
Photo of Bethly Abreu, Counselor in Glendale, NY
Bethly Abreu
Counselor, LMHC, MSEd
Verified Verified
2 Endorsed
Glendale, NY 11385
Embarking on a journey to self-growth can be uncomfortable and distressing. It can uncover a lot unfamiliar feelings and thoughts. The journey of self-acceptance and growth may be difficult, but it does not have to be done alone. As a licensed mental health counselor, we can work together toward reaching your goals of self-acceptance and personal growth that may be hindered by anxiety, depression, panic, trauma, or stress brought up by significant life changes. Through our therapeutic alliance, we can gain insight into your feelings and reactions to identify relevant goals that facilitate positive change.
Embarking on a journey to self-growth can be uncomfortable and distressing. It can uncover a lot unfamiliar feelings and thoughts. The journey of self-acceptance and growth may be difficult, but it does not have to be done alone. As a licensed mental health counselor, we can work together toward reaching your goals of self-acceptance and personal growth that may be hindered by anxiety, depression, panic, trauma, or stress brought up by significant life changes. Through our therapeutic alliance, we can gain insight into your feelings and reactions to identify relevant goals that facilitate positive change.
(929) 822-6583 View (929) 822-6583
Photo of Catherine Marsh, Psychologist in Glendale, NY
Catherine Marsh
Psychologist, PhD, LCAT, ATR-BC
Verified Verified
3 Endorsed
Glendale, NY 11385  (Online Only)
I have treated Borderline Personality, Anxiety, and PTSD for over 18 years. I can help you make sense of the memories and relationships that gave rise to the way you deal with life. We can look at how old relationships have led to behaviors you are not happy with in the present and then find the best way to feel better. I can also help you learn how to better manage strong reactions and overcome fears about trusting people. I can help you find better ways to deal with conflict, find forgiveness when needed, and learn to stop blaming yourself. I want you to live in this world without shame.
I have treated Borderline Personality, Anxiety, and PTSD for over 18 years. I can help you make sense of the memories and relationships that gave rise to the way you deal with life. We can look at how old relationships have led to behaviors you are not happy with in the present and then find the best way to feel better. I can also help you learn how to better manage strong reactions and overcome fears about trusting people. I can help you find better ways to deal with conflict, find forgiveness when needed, and learn to stop blaming yourself. I want you to live in this world without shame.
(347) 897-0010 View (347) 897-0010
Photo of Emily Williams in Glendale, NY
Emily Williams
Verified Verified
3 Endorsed
Glendale, NY 11385  (Online Only)
I work with clients of all ages across a wide spectrum of symptoms and experiences including anxiety and depression, identity exploration, relational difficulties, and life transitions. Much of my work has been focused within the LGBTQ+ community, including identity exploration and expression. Through this work I've learned that healing and growth require playing to our strengths while honoring our intersecting identities. I help clients recognize what they themselves have to offer, while simultaneously supporting the clarification of their identities, goals, and abilities to navigate relationships.
I work with clients of all ages across a wide spectrum of symptoms and experiences including anxiety and depression, identity exploration, relational difficulties, and life transitions. Much of my work has been focused within the LGBTQ+ community, including identity exploration and expression. Through this work I've learned that healing and growth require playing to our strengths while honoring our intersecting identities. I help clients recognize what they themselves have to offer, while simultaneously supporting the clarification of their identities, goals, and abilities to navigate relationships.
(347) 744-9623 View (347) 744-9623
Photo of Stefan Stanjevic, Licensed Master Social Worker in Glendale, NY
Stefan Stanjevic
Licensed Master Social Worker, LMSW
Verified Verified
Glendale, NY 11385  (Online Only)
In working with couples I understand the importance of creating a therapeutic space that allows couples to express their thoughts, feelings, concerns and challenges, both openly and honestly. Through therapy, I strive to support couples in better understanding how they experience each other.
In working with couples I understand the importance of creating a therapeutic space that allows couples to express their thoughts, feelings, concerns and challenges, both openly and honestly. Through therapy, I strive to support couples in better understanding how they experience each other.
(929) 810-2366 View (929) 810-2366
Photo of Patrick Howard, Marriage & Family Therapist in Glendale, NY
Patrick Howard
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Glendale, NY 11385  (Online Only)
Congratulations! You’ve taken the first step to reclaiming yourself and/or your relationships. Sometimes, the first step is the hardest, and you did it! One of the main goals of therapy that I hold in the highest regard is creating a safe and non-judgmental space for you. I aim to help my clients figure out what their next step is. Whether this is as an individual, a couple, or a family. Sometimes in life, we get stuck. Let’s work together to help figure out how to get you unstuck.
Congratulations! You’ve taken the first step to reclaiming yourself and/or your relationships. Sometimes, the first step is the hardest, and you did it! One of the main goals of therapy that I hold in the highest regard is creating a safe and non-judgmental space for you. I aim to help my clients figure out what their next step is. Whether this is as an individual, a couple, or a family. Sometimes in life, we get stuck. Let’s work together to help figure out how to get you unstuck.
(347) 263-8868 View (347) 263-8868
Photo of Breanna Marie Economos in Glendale, NY
Breanna Marie Economos
MA, MFT-LP
Verified Verified
Glendale, NY 11385  (Online Only)
I’m a compassionate Marriage and Family Therapist dedicated to supporting you on your unique journey. I specialize in helping individuals, couples, and families navigate through anxiety, depression, trauma, significant life changes or challenges, and relationship issues. My approach is entirely client-centered, meaning that I tailor my methods to fit your specific needs. I draw from a toolbox of therapeutic modalities, including Solution-Focused Therapy, Cognitive Behavioral Therapy, Emotionally-Focused Therapy, and Narrative Therapy, to provide a holistic and personalized experience.
I’m a compassionate Marriage and Family Therapist dedicated to supporting you on your unique journey. I specialize in helping individuals, couples, and families navigate through anxiety, depression, trauma, significant life changes or challenges, and relationship issues. My approach is entirely client-centered, meaning that I tailor my methods to fit your specific needs. I draw from a toolbox of therapeutic modalities, including Solution-Focused Therapy, Cognitive Behavioral Therapy, Emotionally-Focused Therapy, and Narrative Therapy, to provide a holistic and personalized experience.
(347) 263-8868 View (347) 263-8868
Photo of Melissa Ann Selph, Counselor in Glendale, NY
Melissa Ann Selph
Counselor, LMHC, MS, RYT-200
Verified Verified
3 Endorsed
Glendale, NY 11385  (Online Only)
Life is full of ups and downs. There are times when it may feel like it's all too much to handle on your own. If you have suffered enough you are not alone, I am here to hold space for you. I work with clients who may be struggling with general mental health struggles such as depression, anxiety, and trauma-related issues. During our initial sessions, we will delve deeply into the concerns at hand, and collaborate to create a plan for addressing them in a way that helps you get your life back. Most of my clients see a gradual lifting of symptoms within the first month and sustained improvement thereafter.
Life is full of ups and downs. There are times when it may feel like it's all too much to handle on your own. If you have suffered enough you are not alone, I am here to hold space for you. I work with clients who may be struggling with general mental health struggles such as depression, anxiety, and trauma-related issues. During our initial sessions, we will delve deeply into the concerns at hand, and collaborate to create a plan for addressing them in a way that helps you get your life back. Most of my clients see a gradual lifting of symptoms within the first month and sustained improvement thereafter.
(929) 581-8372 View (929) 581-8372
Photo of Turning Point Marriage and Family Therapy, PC, Marriage & Family Therapist in Glendale, NY
Turning Point Marriage and Family Therapy, PC
Marriage & Family Therapist, MA, LMFT
Verified Verified
Glendale, NY 11385  (Online Only)
My approach to therapy is a holistic and systemic approach. I work with individuals from the understanding that we are all impacted greatly by our families and the environment in which we live. I also focus on working with families and couples to improve a healthy relationship that is mutually beneficial. I work with my clients on enhancing their strengths and working through challenges to live the life that they deserve.
My approach to therapy is a holistic and systemic approach. I work with individuals from the understanding that we are all impacted greatly by our families and the environment in which we live. I also focus on working with families and couples to improve a healthy relationship that is mutually beneficial. I work with my clients on enhancing their strengths and working through challenges to live the life that they deserve.
(347) 263-8868 View (347) 263-8868
Photo of Michael Roche, Marriage & Family Therapist in Glendale, NY
Michael Roche
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Glendale, NY 11385  (Online Only)
Waitlist for new clients
I believe one of the bravest things you can do is begin to understand your own story. By searching for a therapist you have taken the first step to exploring your story. My approach to therapy is a wholistic and systemic approach. I work with individuals from the understanding that we are all impacted greatly by our families and the environment in which we live. I also focus on working with families and couples to improve a healthy relationship that is mutually beneficial. I work with my clients on enhancing their strengths and working through challenges to live the life that they deserve.
I believe one of the bravest things you can do is begin to understand your own story. By searching for a therapist you have taken the first step to exploring your story. My approach to therapy is a wholistic and systemic approach. I work with individuals from the understanding that we are all impacted greatly by our families and the environment in which we live. I also focus on working with families and couples to improve a healthy relationship that is mutually beneficial. I work with my clients on enhancing their strengths and working through challenges to live the life that they deserve.
(347) 263-8868 View (347) 263-8868
Photo of Lisa R Lerner, Clinical Social Work/Therapist in Glendale, NY
Lisa R Lerner
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Glendale, NY 11385  (Online Only)
Not accepting new clients
Everyone feels sad, nervous, or overwhelmed at one time or another. Maybe it's due to a crisis, change, or loss. Maybe you're dealing with stress at work or conflict in a relationship. Or maybe you're troubled by a serious health issue or memories of a painful past. No matter what the reason is for your discomfort, feeling better is possible.
Everyone feels sad, nervous, or overwhelmed at one time or another. Maybe it's due to a crisis, change, or loss. Maybe you're dealing with stress at work or conflict in a relationship. Or maybe you're troubled by a serious health issue or memories of a painful past. No matter what the reason is for your discomfort, feeling better is possible.
(917) 714-6713 View (917) 714-6713
Photo of Melissa Lynyak (Ferrantello), Clinical Social Work/Therapist in Glendale, NY
Melissa Lynyak (Ferrantello)
Clinical Social Work/Therapist, LCSW
Verified Verified
Glendale, NY 11385  (Online Only)
Melissa believes in providing a comfortable and accepting environment where you can expect to receive unwavering empathy, warmth, and kindness. She truly values individual experiences and perspectives. She strives to offer a personalized and collaborative approach to promote healing and growth. Melissa maintains a focus on strengths-based practices to encourage clients to feel empowered and confident in effectively managing many of life’s greatest challenges.
Melissa believes in providing a comfortable and accepting environment where you can expect to receive unwavering empathy, warmth, and kindness. She truly values individual experiences and perspectives. She strives to offer a personalized and collaborative approach to promote healing and growth. Melissa maintains a focus on strengths-based practices to encourage clients to feel empowered and confident in effectively managing many of life’s greatest challenges.
(929) 346-4772 View (929) 346-4772

See more therapy options for Glendale

How does your Therapist compare?

Number of Therapists in Glendale, NY

20+

Average cost per session

$150

Therapists in Glendale, NY who prioritize treating:

82% Anxiety
77% Depression
77% Coping Skills
73% Relationship Issues
73% Stress
68% Self Esteem
59% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

89% Aetna
89% Oxford
89% UnitedHealthcare UHC | UBH

How Therapists in Glendale, NY see their clients

77% Online Only
23% In Person and Online

Gender breakdown

74% Female
26% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Glendale?

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.