Therapists in Beckley, WV

Photo of Life Strategies Counseling, Clinical Social Work/Therapist in Beckley, WV
Life Strategies Counseling
Clinical Social Work/Therapist, LCSW, MSW, BSW
Verified Verified
Beckley, WV 25801
It is our goal to help people navigate life challenges in a way that results in the best possible outcome. Our offices have helped thousands of people navigate life challenges on a path to betterment. We have a multi-discipline team spanning a plethora of services including help for the following challenges: Relational, Behavioral, Anxiety, Depression, Addiction, Trauma, Marriage, Grief, Attention Deficit, Adjustment, Stress, Dysphoria, Post Traumatic Stress, Loneliness, Career Development, Job-Related Stress, School Problems, Learning Issues, Autism.
It is our goal to help people navigate life challenges in a way that results in the best possible outcome. Our offices have helped thousands of people navigate life challenges on a path to betterment. We have a multi-discipline team spanning a plethora of services including help for the following challenges: Relational, Behavioral, Anxiety, Depression, Addiction, Trauma, Marriage, Grief, Attention Deficit, Adjustment, Stress, Dysphoria, Post Traumatic Stress, Loneliness, Career Development, Job-Related Stress, School Problems, Learning Issues, Autism.
(304) 451-5271 View (304) 451-5271
Photo of Haile Meadows, Clinical Social Work/Therapist in Beckley, WV
Haile Meadows
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Beckley, WV 25801
I genuinely love people and am so happy to be working in a field where I can aid individuals in achieving their goals and cultivating a life they want for themselves. I understand the challenges of dealing with emotional distress and psychological suffering, and strive to help people overcome challenges they are experiencing with their mental health.
I genuinely love people and am so happy to be working in a field where I can aid individuals in achieving their goals and cultivating a life they want for themselves. I understand the challenges of dealing with emotional distress and psychological suffering, and strive to help people overcome challenges they are experiencing with their mental health.
(304) 427-5562 View (304) 427-5562
Photo of Clifton Adkins, Licensed Professional Counselor in Beckley, WV
Clifton Adkins
Licensed Professional Counselor, LPC
Verified Verified
Beckley, WV 25801
All of life's demands, relationships, expectations, trauma, and change can become mentally confusing, emotionally draining, and spiritually suffocating. As a therapist, I provide a space for conversations free of judgment, focused on your potential for strength, clarity, and peace. Growth, healing, understanding, and hope are possible!
All of life's demands, relationships, expectations, trauma, and change can become mentally confusing, emotionally draining, and spiritually suffocating. As a therapist, I provide a space for conversations free of judgment, focused on your potential for strength, clarity, and peace. Growth, healing, understanding, and hope are possible!
(304) 381-6276 View (304) 381-6276
Photo of Donna Murray, Counselor in Beckley, WV
Donna Murray
Counselor, LPCC
Verified Verified
Beckley, WV 25801  (Online Only)
Hello! My name is Donna Murray and I look forward to connecting with you. I’ve had the joy of working in the counseling field for over 25 years in multiple settings including: private practice, inpatient and outpatient, home-based, school-based and residential detox. I am a Licensed Professional Clinical Counselor in the states of Ohio, West Virginia and North Carolina and have been offering counseling services since 1996. Currently, I also serve on the West Virginia Certification Board for Addiction & Prevention Professionals.
Hello! My name is Donna Murray and I look forward to connecting with you. I’ve had the joy of working in the counseling field for over 25 years in multiple settings including: private practice, inpatient and outpatient, home-based, school-based and residential detox. I am a Licensed Professional Clinical Counselor in the states of Ohio, West Virginia and North Carolina and have been offering counseling services since 1996. Currently, I also serve on the West Virginia Certification Board for Addiction & Prevention Professionals.
(304) 969-7467 View (304) 969-7467
Photo of Dwayne Franklin Masters, Licensed Professional Counselor in Beckley, WV
Dwayne Franklin Masters
Licensed Professional Counselor, MA, LPC, AADC-S, SAP, ALPS
Verified Verified
Beckley, WV 25801
Pyramid Counseling LLC has been providing services to southern WV since 1997. We have 3 locations: Lewisburg, Beckley and Saint Albans. Providing the following services: Individual group, and family/marriage counseling, DOT/SAP Evaluation, MAT services, psychiatric evaluation and medication management, DUI safety/treatment, drug/alcohol testing and EAP services. See our website for full line of services.
Pyramid Counseling LLC has been providing services to southern WV since 1997. We have 3 locations: Lewisburg, Beckley and Saint Albans. Providing the following services: Individual group, and family/marriage counseling, DOT/SAP Evaluation, MAT services, psychiatric evaluation and medication management, DUI safety/treatment, drug/alcohol testing and EAP services. See our website for full line of services.
(681) 201-4986 x100 View (681) 201-4986 x100
Photo of Life Strategies Counseling, Licensed Professional Counselor in Beckley, WV
Life Strategies Counseling
Licensed Professional Counselor, LPC, MA
Verified Verified
Beckley, WV 25801
Since 2001 we have helped thousands of people navigate life challenges on a path to betterment. We have a multi-discipline team spanning a plethora of services including help for the following challenges: Relational, Behavioral, Anxiety, Depression, Addiction, Trauma, Marriage, Grief, Attention Deficit, Adjustment, Stress, Dysphoria, Post Traumatic Stress, Loneliness, Career Development, Job-Related Stress, School Problems, Learning Issues, Autism.
Since 2001 we have helped thousands of people navigate life challenges on a path to betterment. We have a multi-discipline team spanning a plethora of services including help for the following challenges: Relational, Behavioral, Anxiety, Depression, Addiction, Trauma, Marriage, Grief, Attention Deficit, Adjustment, Stress, Dysphoria, Post Traumatic Stress, Loneliness, Career Development, Job-Related Stress, School Problems, Learning Issues, Autism.
(304) 878-7340 View (304) 878-7340
Photo of Life Strategies Counseling, Licensed Professional Counselor in Beckley, WV
Life Strategies Counseling
Licensed Professional Counselor, LPC
Verified Verified
Beckley, WV 25801
Since 2001 we have helped thousands of people navigate life challenges on a path to betterment. We have a multi-discipline team spanning a plethora of services including help for the following challenges: Relational, Behavioral, Anxiety, Depression, Addiction, Trauma, Marriage, Grief, Attention Deficit, Adjustment, Stress, Dysphoria, Post Traumatic Stress, Loneliness, Career Development, Job-Related Stress, School Problems, Learning Issues, Autism.
Since 2001 we have helped thousands of people navigate life challenges on a path to betterment. We have a multi-discipline team spanning a plethora of services including help for the following challenges: Relational, Behavioral, Anxiety, Depression, Addiction, Trauma, Marriage, Grief, Attention Deficit, Adjustment, Stress, Dysphoria, Post Traumatic Stress, Loneliness, Career Development, Job-Related Stress, School Problems, Learning Issues, Autism.
(304) 659-6616 View (304) 659-6616
Photo of LifeStrategies Counseling, Clinical Social Work/Therapist in Beckley, WV
LifeStrategies Counseling
Clinical Social Work/Therapist, LICSW
Verified Verified
Beckley, WV 25801
Since 2001 we have helped thousands of people navigate life challenges on a path to betterment. We have a multi-discipline team spanning a plethora of services including help for the following challenges: Relational, Behavioral, Anxiety, Depression, Addiction, Trauma, Marriage, Grief, Attention Deficit, Adjustment, Stress, Dysphoria, Post Traumatic Stress, Loneliness, Career Development, Job-Related Stress, School Problems, Learning Issues, Autism.
Since 2001 we have helped thousands of people navigate life challenges on a path to betterment. We have a multi-discipline team spanning a plethora of services including help for the following challenges: Relational, Behavioral, Anxiety, Depression, Addiction, Trauma, Marriage, Grief, Attention Deficit, Adjustment, Stress, Dysphoria, Post Traumatic Stress, Loneliness, Career Development, Job-Related Stress, School Problems, Learning Issues, Autism.
(304) 451-5315 View (304) 451-5315
Photo of Tasheena Donell, Licensed Professional Counselor in Beckley, WV
Tasheena Donell
Licensed Professional Counselor, MS, LPC
Verified Verified
Beckley, WV 25801  (Online Only)
Not accepting new clients
If you are feeling lonely, overwhelmed, anxious, overworked, depressed, exhausted, or stuck, therapy can help. I have struggled with anxiety myself for most of my life. As a professional counselor, I have learned techniques that allow me to manage my anxiety in all aspects of my life. I can offer the support and the coping skills you need to manage yours. You need to vent, cry, cuss, be angry, or need someone to listen? I will offer you a safe place to express yourself without fear of judgment.
If you are feeling lonely, overwhelmed, anxious, overworked, depressed, exhausted, or stuck, therapy can help. I have struggled with anxiety myself for most of my life. As a professional counselor, I have learned techniques that allow me to manage my anxiety in all aspects of my life. I can offer the support and the coping skills you need to manage yours. You need to vent, cry, cuss, be angry, or need someone to listen? I will offer you a safe place to express yourself without fear of judgment.
(304) 443-5480 View (304) 443-5480
Photo of Beautiful Minds Counseling Center , Licensed Professional Counselor in Beckley, WV
Beautiful Minds Counseling Center
Licensed Professional Counselor, LPC, ALPS, NCC, CCMHC, MAC
Verified Verified
Beckley, WV 25801
If you are looking on this website, I get it! You want to feel better! No one wants to be sad, feel stuck, hopeless, stressed, or overwhelmed. No one wants to feel like they are just walking through the motions of life. You want to live your best life! You want to feel happy & empowered! If your past haunts you, you're walking through the motions of day to day life, you can't find your happy, you can't slow down your mind, or you're in a relationship that you desperately want to save but don't know how, I can help!
If you are looking on this website, I get it! You want to feel better! No one wants to be sad, feel stuck, hopeless, stressed, or overwhelmed. No one wants to feel like they are just walking through the motions of life. You want to live your best life! You want to feel happy & empowered! If your past haunts you, you're walking through the motions of day to day life, you can't find your happy, you can't slow down your mind, or you're in a relationship that you desperately want to save but don't know how, I can help!
(304) 913-3404 View (304) 913-3404
Photo of Susan Armentrout, Licensed Professional Counselor in Beckley, WV
Susan Armentrout
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Beckley, WV 25801
Please contact KPCC Counseling for scheduling and let the front desk know you're interested in seeing Susan Armentrout. They will take your information and send it my way and I'll get in touch with you. I am a Licensed Professional Counselor and have been practicing for over 13 years, providing excellence in care, using evidence-based counseling with my clients. I am a strong believer in working collaboratively with my clients to help them reach their goals and to join them in their journey of writing their story of success and healing.
Please contact KPCC Counseling for scheduling and let the front desk know you're interested in seeing Susan Armentrout. They will take your information and send it my way and I'll get in touch with you. I am a Licensed Professional Counselor and have been practicing for over 13 years, providing excellence in care, using evidence-based counseling with my clients. I am a strong believer in working collaboratively with my clients to help them reach their goals and to join them in their journey of writing their story of success and healing.
(304) 316-6430 View (304) 316-6430
Photo of Keli Reams, Clinical Social Work/Therapist in Beckley, WV
Keli Reams
Clinical Social Work/Therapist, LISW
Verified Verified
Beckley, WV 25801
My name is Keli Reams. I am a Licensed Clinical Social Worker. I utilize Cognitive Behavioral Therapy, Solution Focused Therapy, and EMDR. I primarily work with symptoms of Anxiety, Depression, and Trauma. I am most comfortable with treating symptoms of Anxiety. I enjoy working with this population and have found my work in this area to be very effective. I provide an open, safe, and comfortable space for clients to share their experiences with me. I often use humor as well to add to my approaches and normalize feelings.
My name is Keli Reams. I am a Licensed Clinical Social Worker. I utilize Cognitive Behavioral Therapy, Solution Focused Therapy, and EMDR. I primarily work with symptoms of Anxiety, Depression, and Trauma. I am most comfortable with treating symptoms of Anxiety. I enjoy working with this population and have found my work in this area to be very effective. I provide an open, safe, and comfortable space for clients to share their experiences with me. I often use humor as well to add to my approaches and normalize feelings.
(304) 244-1805 View (304) 244-1805
Photo of Tasheena Donell, Licensed Professional Counselor in Beckley, WV
Tasheena Donell
Licensed Professional Counselor, LPC
Verified Verified
Beckley, WV 25801
Hi, my name is Tasheena, I'm a Licensed Professional Counselor, LPC and am licensed in both West Virginia and South Carolina. I have a BA in Psychology from the University of Charleston and an MS in Professional Counseling from Grand Canyon University. I have experience providing therapy services to at-risk youth and their families within the court and corrections settings regarding substance use, behavioral issues, emotion regulation, relationships, communication, process addictions, and a variety of other issues depending on the client's needs.
Hi, my name is Tasheena, I'm a Licensed Professional Counselor, LPC and am licensed in both West Virginia and South Carolina. I have a BA in Psychology from the University of Charleston and an MS in Professional Counseling from Grand Canyon University. I have experience providing therapy services to at-risk youth and their families within the court and corrections settings regarding substance use, behavioral issues, emotion regulation, relationships, communication, process addictions, and a variety of other issues depending on the client's needs.
(304) 427-6128 View (304) 427-6128
Photo of Morgan Rudd, Clinical Social Work/Therapist in Beckley, WV
Morgan Rudd
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Beckley, WV 25801  (Online Only)
My counseling style is warm, empathetic, integrative, and person-centered. I believe that a therapeutic relationship should be a collaborative one in which you and I work together to discover creative strategies, solutions and, even humorous insights to help you reach your goals. My role is to be there to guide you, encourage you, maybe even challenge you if I feel you are unknowingly allowing obstacles to stand in your way. I draw on multiple treatment modalities to guide clients in identifying strengths and developing treatment plans that accomplish their goals.
My counseling style is warm, empathetic, integrative, and person-centered. I believe that a therapeutic relationship should be a collaborative one in which you and I work together to discover creative strategies, solutions and, even humorous insights to help you reach your goals. My role is to be there to guide you, encourage you, maybe even challenge you if I feel you are unknowingly allowing obstacles to stand in your way. I draw on multiple treatment modalities to guide clients in identifying strengths and developing treatment plans that accomplish their goals.
(681) 207-9538 View (681) 207-9538
Photo of Faith R Hanshew, Clinical Social Work/Therapist in Beckley, WV
Faith R Hanshew
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Beckley, WV 25801  (Online Only)
Presently, due to community need, I am only accepting clients that would like to receive individual counseling via EMDR Therapy. EMDR is the most effective therapy for a myriad of mental health challenges. I use a landscaping analogy to explain just how effective EMDR therapy is: traditional talk therapy is like mowing your lawn every week, the problems keep coming back. However receiving EMDR is getting to the root of your problems so that the “maintenance” is no longer required. If you are new to therapy or have tried therapy in the past only to find that it was ineffective, this is the treatment for you.
Presently, due to community need, I am only accepting clients that would like to receive individual counseling via EMDR Therapy. EMDR is the most effective therapy for a myriad of mental health challenges. I use a landscaping analogy to explain just how effective EMDR therapy is: traditional talk therapy is like mowing your lawn every week, the problems keep coming back. However receiving EMDR is getting to the root of your problems so that the “maintenance” is no longer required. If you are new to therapy or have tried therapy in the past only to find that it was ineffective, this is the treatment for you.
(304) 396-6602 View (304) 396-6602
Photo of Jack Alan Copley, Marriage & Family Therapist in Beckley, WV
Jack Alan Copley
Marriage & Family Therapist, DMin, LMFT, CST
Verified Verified
Beckley, WV 25801  (Online Only)
Not accepting new clients
I am a Licensed Marriage and Family Therapist and an AASECT Certified Sex Therapist who provides Telehealth appointments to people living in Charleston and throughout WV. I am open and affirming of all persons-regardless of sexual orientation, gender, age, race, faith, or marital status. People see me for a variety of needs, such as couples therapy, individual therapy, recovery after an affair, grief, or a traumatic personal history.
I am a Licensed Marriage and Family Therapist and an AASECT Certified Sex Therapist who provides Telehealth appointments to people living in Charleston and throughout WV. I am open and affirming of all persons-regardless of sexual orientation, gender, age, race, faith, or marital status. People see me for a variety of needs, such as couples therapy, individual therapy, recovery after an affair, grief, or a traumatic personal history.
(304) 205-0695 View (304) 205-0695
Photo of Laura Eagle, Clinical Social Work/Therapist in Beckley, WV
Laura Eagle
Clinical Social Work/Therapist, MSW, LICSW, AADC
Verified Verified
Beckley, WV 25801
Hello! Whether you are interested in online tele-therapy or face to face sessions, I offer a warm, accepting, and confidential space to explore your problems and concerns, and a partnership where we can work together to address them whether you are here for yourself, your child, or your family, I approach therapy and counseling as a collaborative and relational endeavor where we put together my expertise with the strengths and the strivings that have gotten you (or your child) this far.
Hello! Whether you are interested in online tele-therapy or face to face sessions, I offer a warm, accepting, and confidential space to explore your problems and concerns, and a partnership where we can work together to address them whether you are here for yourself, your child, or your family, I approach therapy and counseling as a collaborative and relational endeavor where we put together my expertise with the strengths and the strivings that have gotten you (or your child) this far.
(304) 244-4742 View (304) 244-4742

Online Therapists

Photo of Peace Valley Counseling Center, LLC, Licensed Professional Counselor in Beckley, WV
Peace Valley Counseling Center, LLC
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
South Charleston, WV 25303  (Online Only)
I am a WV native and have been working with children/adolescents/adults for over 17 years. Helping others is my passion. I am an advocate for the families receiving my services. I am a graduate of West Virginia State University with a B.A. in Psychology and Liberty University with an M.A. Professional Counseling. I am trained in EMDR therapy, which is a model of therapy used to treat trauma and other disorders. I am currently taking courses in American Sign Language and hope to eventually offer services to the deaf community. If I may leave one thought with you it is that what I do is a PASSION and not a POSITION. Take care
I am a WV native and have been working with children/adolescents/adults for over 17 years. Helping others is my passion. I am an advocate for the families receiving my services. I am a graduate of West Virginia State University with a B.A. in Psychology and Liberty University with an M.A. Professional Counseling. I am trained in EMDR therapy, which is a model of therapy used to treat trauma and other disorders. I am currently taking courses in American Sign Language and hope to eventually offer services to the deaf community. If I may leave one thought with you it is that what I do is a PASSION and not a POSITION. Take care
(681) 201-0215 View (681) 201-0215
Photo of Dana Strom, Clinical Social Work/Therapist in Beckley, WV
Dana Strom
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Williamson, WV 25661  (Online Only)
As an adult life hands you challenges, overcoming them can seem like an obstacle. Feelings and emotions can stir up an overwhelming sense of frustration which can cause a lack of motivation. This lack of motivation can cause a feeling of being stuck with proceeding towards our goals. By overcoming the challenges that life presents us, we can gain our motivation and the ability to return to the present and continue towards achieving our goals.
As an adult life hands you challenges, overcoming them can seem like an obstacle. Feelings and emotions can stir up an overwhelming sense of frustration which can cause a lack of motivation. This lack of motivation can cause a feeling of being stuck with proceeding towards our goals. By overcoming the challenges that life presents us, we can gain our motivation and the ability to return to the present and continue towards achieving our goals.
(304) 969-7524 View (304) 969-7524
Photo of Michelle LeGault, Clinical Social Work/Therapist in Beckley, WV
Michelle LeGault
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Saint Albans, WV 25177
We, as human beings, share common ground in that living is full of both joys and sorrows, challenges and changes. Sometimes things happen in life that you would have preferred not happen. As a result, you may feel scared and confused, either because of the events themselves or perhaps because of how you view these events.
We, as human beings, share common ground in that living is full of both joys and sorrows, challenges and changes. Sometimes things happen in life that you would have preferred not happen. As a result, you may feel scared and confused, either because of the events themselves or perhaps because of how you view these events.
(304) 760-9945 View (304) 760-9945

How does your Therapist compare?

Number of Therapists in Beckley, WV

10+

Average cost per session

$162

Therapists in Beckley, WV who prioritize treating:

76% Anxiety
71% Depression
71% Self Esteem
65% Trauma and PTSD
65% Coping Skills
59% Relationship Issues
59% Stress

Average years in practice

10 Years

Top 3 insurances accepted

69% Aetna
69% BlueCross and BlueShield
69% Cigna and Evernorth

How Therapists in Beckley, WV see their clients

71% In Person and Online
29% Online Only

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Beckley?

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.