Therapists in West Babylon, NY

Photo of Megan Ryan, Clinical Social Work/Therapist in West Babylon, NY
Megan Ryan
Clinical Social Work/Therapist, LMSW
Verified
1 Endorsed
West Babylon, NY 11704
Is your child suffering from crippling anxiety or struggling to make or maintain friendships? Maybe they are exhibiting undesired behaviors to cope with internal or external stress. You too may be seeking support to help manage your stress. If you or your child are looking for an individualized and empathetic approach to therapy, then we should connect. I believe in providing clients a comfortable and safe environment that encourages them to share their vulnerable thoughts and feelings. Together we can find different ways to accomplish your goals, formulate coping strategies, and help you and/or your child feel in control again.
Is your child suffering from crippling anxiety or struggling to make or maintain friendships? Maybe they are exhibiting undesired behaviors to cope with internal or external stress. You too may be seeking support to help manage your stress. If you or your child are looking for an individualized and empathetic approach to therapy, then we should connect. I believe in providing clients a comfortable and safe environment that encourages them to share their vulnerable thoughts and feelings. Together we can find different ways to accomplish your goals, formulate coping strategies, and help you and/or your child feel in control again.
(631) 614-6356 View (631) 614-6356
Photo of Rachel Kremidas, Art Therapist in West Babylon, NY
Rachel Kremidas
Art Therapist, ATR-BC, LCAT
Verified
West Babylon, NY 11704  (Online Only)
It is a fundamental rule in nature that creatures are born with skills they need to survive: fish are born swimming, caterpillars have the ability to make their cocoon without instruction, and birds have the instinct to escape their shells. And people, we are born with the ability to ask for help. So why does it become harder and harder to ask for help as we grow up? Emotional responses are as complex and natural as you are, but sometimes in that complexity, they can be difficult to navigate on your own.
It is a fundamental rule in nature that creatures are born with skills they need to survive: fish are born swimming, caterpillars have the ability to make their cocoon without instruction, and birds have the instinct to escape their shells. And people, we are born with the ability to ask for help. So why does it become harder and harder to ask for help as we grow up? Emotional responses are as complex and natural as you are, but sometimes in that complexity, they can be difficult to navigate on your own.
(631) 772-0510 View (631) 772-0510
Photo of Vanessa Cruz, Clinical Social Work/Therapist in West Babylon, NY
Vanessa Cruz
Clinical Social Work/Therapist, LCSW
Verified
West Babylon, NY 11704  (Online Only)
Hi, my name is Vanessa Cruz and I am a Licensed Clinical Social worker with over 10 years of experience providing therapeutic services. For me, being a therapist is a calling. I am passionate about what I do and am dedicated to helping individuals with varying issues including depression, anxiety, and trauma. I obtained a Master's Degree in Social Work from Stony Brook University (SUNY) and hold a Bachelor’s of Arts degree, Major in Psychology, from Hunter College (CUNY).
Hi, my name is Vanessa Cruz and I am a Licensed Clinical Social worker with over 10 years of experience providing therapeutic services. For me, being a therapist is a calling. I am passionate about what I do and am dedicated to helping individuals with varying issues including depression, anxiety, and trauma. I obtained a Master's Degree in Social Work from Stony Brook University (SUNY) and hold a Bachelor’s of Arts degree, Major in Psychology, from Hunter College (CUNY).
(631) 519-9103 View (631) 519-9103
Photo of Eugenia E Karahalias, Clinical Social Work/Therapist in West Babylon, NY
Eugenia E Karahalias
Clinical Social Work/Therapist, LCSW-R, CASAC, CCH, RMT
Verified
1 Endorsed
West Babylon, NY 11704
You cannot underestimate the role of stress in any physical or psychological condition. Do you find yourself repeating the same behaviors over and over again expecting different outcomes? Do you have limiting beliefs that block your ability to reach your full potential? Are you sober and still miserable? Are you feeling stuck and don't know which direction to go in? Do your fears run your life? MY Mission and Life Purpose: To empower and inspire individuals to unleash their full potential now! By releasing limiting beliefs, you can create the life you desire and deserve.
You cannot underestimate the role of stress in any physical or psychological condition. Do you find yourself repeating the same behaviors over and over again expecting different outcomes? Do you have limiting beliefs that block your ability to reach your full potential? Are you sober and still miserable? Are you feeling stuck and don't know which direction to go in? Do your fears run your life? MY Mission and Life Purpose: To empower and inspire individuals to unleash their full potential now! By releasing limiting beliefs, you can create the life you desire and deserve.
(516) 693-8049 View (516) 693-8049
Photo of Vic Torgrimsen, Clinical Social Work/Therapist in West Babylon, NY
Vic Torgrimsen
Clinical Social Work/Therapist, MA, LCSW-R, DFP
Verified
West Babylon, NY 11704
SPECIAILTIES: Marriage and Couples Counseling. Anxiety and panic Disorders. Stress. Family Relationships. Free 15 minute telephone consultation to discuss if I am able to help you with your needs.
SPECIAILTIES: Marriage and Couples Counseling. Anxiety and panic Disorders. Stress. Family Relationships. Free 15 minute telephone consultation to discuss if I am able to help you with your needs.
(631) 651-1551 View (631) 651-1551
Photo of Heart and Soul Counseling, LCSW, PC, Clinical Social Work/Therapist in West Babylon, NY
Heart and Soul Counseling, LCSW, PC
Clinical Social Work/Therapist
Verified
West Babylon, NY 11704
Heart and Soul Counseling, LCSW, PC is a progressive, comprehensive mental health center that offers psychotherapy, medication management, genetic testing and drama workshops in office. We offer individual, couples and family counseling to all populations including veterans, trauma victims, LGBTQI, older adults, teens and children. We take most insurances, Medicaid managed plans and Medicare. Some providers are Spanish speaking. We are pet friendly. We offer three office locations in Babylon, Wantagh and East Quogue, NY. We have over 30 years experience in the field of mental health.
Heart and Soul Counseling, LCSW, PC is a progressive, comprehensive mental health center that offers psychotherapy, medication management, genetic testing and drama workshops in office. We offer individual, couples and family counseling to all populations including veterans, trauma victims, LGBTQI, older adults, teens and children. We take most insurances, Medicaid managed plans and Medicare. Some providers are Spanish speaking. We are pet friendly. We offer three office locations in Babylon, Wantagh and East Quogue, NY. We have over 30 years experience in the field of mental health.
(631) 392-6107 View (631) 392-6107
Photo of Dawn Manganello, Counselor in West Babylon, NY
Dawn Manganello
Counselor, LMHC, RYT
Verified
West Babylon, NY 11704
Dawn is a LMHC, (CYT) Certified Yoga Teacher, and Usi Ryoho Reiki Level II practitioner who utilizes an eclectic approach to her counseling sessions, tailoring her therapeutic interventions to respond to each individual client's unique needs and goals. This client centered approach, balanced with CBT & mindfulness of various cultural & systemic influences, facilitates and integrated approach to healing & goal attainment. Dawn also provides both group & individually tailored meditation coaching sessions as an adjunct to independent therapy, facilitating relaxation, self-awareness, growth and renewed personal energy.
Dawn is a LMHC, (CYT) Certified Yoga Teacher, and Usi Ryoho Reiki Level II practitioner who utilizes an eclectic approach to her counseling sessions, tailoring her therapeutic interventions to respond to each individual client's unique needs and goals. This client centered approach, balanced with CBT & mindfulness of various cultural & systemic influences, facilitates and integrated approach to healing & goal attainment. Dawn also provides both group & individually tailored meditation coaching sessions as an adjunct to independent therapy, facilitating relaxation, self-awareness, growth and renewed personal energy.
(516) 788-5393 View (516) 788-5393
Photo of Agnes Wolf, Art Therapist in West Babylon, NY
Agnes Wolf
Art Therapist, LCAT, ATR-BC, MA, MS
Verified
West Babylon, NY 11704  (Online Only)
I specialize in techniques that have proven to bring relief to trauma, stroke and Alzheimer's patients. It is my priority to provide a compassionate and nurturing treatment. I am a licensed creative art therapist with a background in neuro-biology. My extensive experience with people from many cultures helps me better understand each person's unique needs and provide individualized care.
I specialize in techniques that have proven to bring relief to trauma, stroke and Alzheimer's patients. It is my priority to provide a compassionate and nurturing treatment. I am a licensed creative art therapist with a background in neuro-biology. My extensive experience with people from many cultures helps me better understand each person's unique needs and provide individualized care.
(631) 898-4690 View (631) 898-4690
Photo of Jennifer Hairston-Davis, Clinical Social Work/Therapist in West Babylon, NY
Jennifer Hairston-Davis
Clinical Social Work/Therapist, LCSW, BCD, PC
Verified
2 Endorsed
West Babylon, NY 11704
I'm Licensed Clinical Social Worker a Board Certified Diplomate, who has been practicing since 2004. I use an eclectic approach to meet each person where they are and identify what they need to bring their life to the next level of happiness and wholeness. I tend to rely heavily on Cognitive Behavioral Therapy and Mind/Body approaches to move people away from destructive negative patterns and help them to create healthy ones. I work collaboratively with all my clients and together we figure out the plan of action when it comes to symptom alleviation and quality of life improvement.
I'm Licensed Clinical Social Worker a Board Certified Diplomate, who has been practicing since 2004. I use an eclectic approach to meet each person where they are and identify what they need to bring their life to the next level of happiness and wholeness. I tend to rely heavily on Cognitive Behavioral Therapy and Mind/Body approaches to move people away from destructive negative patterns and help them to create healthy ones. I work collaboratively with all my clients and together we figure out the plan of action when it comes to symptom alleviation and quality of life improvement.
(516) 243-8134 View (516) 243-8134
Photo of Kristen Belevich, Clinical Social Work/Therapist in West Babylon, NY
Kristen Belevich
Clinical Social Work/Therapist, LCSW
Verified
2 Endorsed
West Babylon, NY 11704
After starting my own family I became passionate about supporting sensitive, people-pleasing women who are trying to maintain a healthy work/life balance and still leave room for self-care and boundary management. My expertise lies in helping women debunk harmful messages from society that keep us trapped in perfectionism and comparison. The focus of my work with clients centers around exploring and setting goals, assertive communication training and self-esteem building. I’m on a mission to help my clients feel empowered and connected to their authentic selves.
After starting my own family I became passionate about supporting sensitive, people-pleasing women who are trying to maintain a healthy work/life balance and still leave room for self-care and boundary management. My expertise lies in helping women debunk harmful messages from society that keep us trapped in perfectionism and comparison. The focus of my work with clients centers around exploring and setting goals, assertive communication training and self-esteem building. I’m on a mission to help my clients feel empowered and connected to their authentic selves.
(516) 289-9892 View (516) 289-9892
Photo of Elizabeth Cianchetti, Clinical Social Work/Therapist in West Babylon, NY
Elizabeth Cianchetti
Clinical Social Work/Therapist, LCSW-R
Verified
West Babylon, NY 11704  (Online Only)
Are you happy? Is your life the way you want it to be or do you always feel stressed out, overwhelmed, worried, irritable or angry? Is your life feeling disorganized or up-side-down? Do you have bothersome thoughts that despite your attempts, are just getting worse? Are you doing something repeatedly, but don't know why? Are you sad or just not as happy as you want to be? Do you know what's bothering you? It is time for a change. I can help you identify the problem, learn coping strategies to resolve the problem & feel better. Let's talk.
Are you happy? Is your life the way you want it to be or do you always feel stressed out, overwhelmed, worried, irritable or angry? Is your life feeling disorganized or up-side-down? Do you have bothersome thoughts that despite your attempts, are just getting worse? Are you doing something repeatedly, but don't know why? Are you sad or just not as happy as you want to be? Do you know what's bothering you? It is time for a change. I can help you identify the problem, learn coping strategies to resolve the problem & feel better. Let's talk.
(631) 835-9631 View (631) 835-9631
Photo of Lori Rose Muscara, Clinical Social Work/Therapist in West Babylon, NY
Lori Rose Muscara
Clinical Social Work/Therapist, LCSW
Verified
West Babylon, NY 11704
When a person decides to seek counseling, they often feel vulnerable and overwhelmed by their emotions. My office provides a safe and comfortable setting to begin the healing process. I am a non-judgmental, compassionate listener with a proven record of engaging clients in a supportive, goal-oriented therapeutic relationship. Sessions are tailored to the specific needs of each client while utilizing various therapeutic approaches to treatment.
When a person decides to seek counseling, they often feel vulnerable and overwhelmed by their emotions. My office provides a safe and comfortable setting to begin the healing process. I am a non-judgmental, compassionate listener with a proven record of engaging clients in a supportive, goal-oriented therapeutic relationship. Sessions are tailored to the specific needs of each client while utilizing various therapeutic approaches to treatment.
(631) 998-6512 View (631) 998-6512
Photo of Dr. Mitch and Lisa Marriages/Couples Workshops in West Babylon, NY
Dr. Mitch and Lisa Marriages/Couples Workshops
PsyD, MSW, Life, Coach
West Babylon, NY 11704
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
(516) 774-5232 View (516) 774-5232
Photo of Nicole Auer, Clinical Social Work/Therapist in West Babylon, NY
Nicole Auer
Clinical Social Work/Therapist, LCSW, CASAC
Verified
West Babylon, NY 11704  (Online Only)
No one came into this world alone and there is no reason why you should continue to allow yourself to address your feelings alone. As your therapist I'd offer you an opportunity where understanding, care and compassion can help you to make progress toward living the life you desire. My name is Nicole and I have been a Social Worker for 15 years. I work with people who have anxiety disorders and who experience depression. I work with individuals that want to feel better and explore solutions by providing perspective to what they may be going through. I have assisted many in processing their trauma history.
No one came into this world alone and there is no reason why you should continue to allow yourself to address your feelings alone. As your therapist I'd offer you an opportunity where understanding, care and compassion can help you to make progress toward living the life you desire. My name is Nicole and I have been a Social Worker for 15 years. I work with people who have anxiety disorders and who experience depression. I work with individuals that want to feel better and explore solutions by providing perspective to what they may be going through. I have assisted many in processing their trauma history.
(516) 928-4434 View (516) 928-4434
Photo of Melissa Reyes Martinez, Licensed Master Social Worker in West Babylon, NY
Melissa Reyes Martinez
Licensed Master Social Worker, LMSW
Verified
1 Endorsed
West Babylon, NY 11704
Parenting isn't easy and it's not uncommon to struggle with your child's behavior. I strive to make the client and family feel safe and comfortable as we work through issues like irritability, anxiety, depression, or general behavioral struggles through a proactive and realistic approach.
Parenting isn't easy and it's not uncommon to struggle with your child's behavior. I strive to make the client and family feel safe and comfortable as we work through issues like irritability, anxiety, depression, or general behavioral struggles through a proactive and realistic approach.
(631) 250-6561 View (631) 250-6561
Photo of Theresa Hughes, Counselor in West Babylon, NY
Theresa Hughes
Counselor, CRC, LMHC
Verified
West Babylon, NY 11704  (Online Only)
It is not selfish to take care of yourself and although you may be good with assisting others, what are doing to take care of you? Through personal experience and professional experience of thirty years, I have acquired skills that are helpful to those dealing with daily challenges related to anxiety, career challenges and day to day obstacles. I have extensive experience working with young adults, as well as adults that need some support and guidance to gain tools that will assist them.
It is not selfish to take care of yourself and although you may be good with assisting others, what are doing to take care of you? Through personal experience and professional experience of thirty years, I have acquired skills that are helpful to those dealing with daily challenges related to anxiety, career challenges and day to day obstacles. I have extensive experience working with young adults, as well as adults that need some support and guidance to gain tools that will assist them.
(516) 494-4324 View (516) 494-4324
Photo of Donna Dolan, Clinical Social Work/Therapist in West Babylon, NY
Donna Dolan
Clinical Social Work/Therapist, LCSW-R
Verified
1 Endorsed
West Babylon, NY 11704  (Online Only)
I am a licensed clinical social worker with 19 years of experience dedicated to helping adults on their path to emotional well-being. I specialize in creating a safe and empathetic space for individuals of all ages. My therapeutic approach combines evidence-based methods, including cognitive behavioral therapy (CBT) and mindfulness techniques, alongside teaching coping skills.
I am a licensed clinical social worker with 19 years of experience dedicated to helping adults on their path to emotional well-being. I specialize in creating a safe and empathetic space for individuals of all ages. My therapeutic approach combines evidence-based methods, including cognitive behavioral therapy (CBT) and mindfulness techniques, alongside teaching coping skills.
(646) 991-0331 View (646) 991-0331
Photo of Kontos Psychotherapy LCSW PC , Clinical Social Work/Therapist in West Babylon, NY
Kontos Psychotherapy LCSW PC
Clinical Social Work/Therapist, LCSWR, CASAC, BCD, CAMS-II, EMDR
Verified
2 Endorsed
West Babylon, NY 11704
Not accepting new clients
Are you overwhelmed? Anxious? Are you medicating to not feel? Are you not sleeping well? Have you lost interest in your daily pleasures? Life can be very fulfilling and prosperous but can also have its trials and tribulations that may result in emotional instability. You can find that internal peace that you desire.
Are you overwhelmed? Anxious? Are you medicating to not feel? Are you not sleeping well? Have you lost interest in your daily pleasures? Life can be very fulfilling and prosperous but can also have its trials and tribulations that may result in emotional instability. You can find that internal peace that you desire.
(631) 250-5322 View (631) 250-5322
Photo of Bhrett Gorrasi, Clinical Social Work/Therapist in West Babylon, NY
Bhrett Gorrasi
Clinical Social Work/Therapist, LCSW
Verified
West Babylon, NY 11704  (Online Only)
I think one of the bravest things you can do is speak out loud, the things that scare and confuse you. Navigating anxiety, depression, low self-esteem, and trauma can be challenging when dealt with alone. In a non-judgmental but curious way let’s unpack emotions, challenge thinking patterns/behaviors, and learn to live authentically and not be in survival mode.
I think one of the bravest things you can do is speak out loud, the things that scare and confuse you. Navigating anxiety, depression, low self-esteem, and trauma can be challenging when dealt with alone. In a non-judgmental but curious way let’s unpack emotions, challenge thinking patterns/behaviors, and learn to live authentically and not be in survival mode.
(516) 418-8921 View (516) 418-8921
Photo of Michael T Gaito, Clinical Social Work/Therapist in West Babylon, NY
Michael T Gaito
Clinical Social Work/Therapist, LCSW
Verified
West Babylon, NY 11704  (Online Only)
Working with a therapist or counselor in a therapeutic setting can give you the opportunity to explore your thoughts, feelings and patterns of behavior. For many, seeking therapy can be one of the most difficult steps on the journey of managing life’s varied challenges. Empathy, compassion and integrity are the core values which guide my practice towards developing a person-centered, professional and therapeutic relationship with each client I meet. I specialize in working with adults, young adults, and adolescence who are experiencing emotional and behavioral related difficulties.
Working with a therapist or counselor in a therapeutic setting can give you the opportunity to explore your thoughts, feelings and patterns of behavior. For many, seeking therapy can be one of the most difficult steps on the journey of managing life’s varied challenges. Empathy, compassion and integrity are the core values which guide my practice towards developing a person-centered, professional and therapeutic relationship with each client I meet. I specialize in working with adults, young adults, and adolescence who are experiencing emotional and behavioral related difficulties.
(516) 980-4701 View (516) 980-4701

See more therapy options for West Babylon

How does your Therapist compare?

Number of Therapists in West Babylon, NY

40+

Average cost per session

$150

Therapists in West Babylon, NY who prioritize treating:

98% Anxiety
91% Self Esteem
88% Depression
88% Coping Skills
81% Stress
74% Relationship Issues
65% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

81% Cigna and Evernorth
75% Aetna
72% UnitedHealthcare UHC | UBH

How Therapists in West Babylon, NY see their clients

63% In Person and Online
37% Online Only

Gender breakdown

88% Female
12% Male

FAQs - About Therapy and Counseling

How can I find a therapist in West Babylon?

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.