Therapists in Westerville, OH

Photo of New Heights Counseling Services, Counselor in Westerville, OH
New Heights Counseling Services
Counselor, MS, LPCC
Verified Verified
Westerville, OH 43081
I know when looking for counseling the process can seem daunting. You have to worry about specializations, openings, the time it will take to get to and from the appointment, not to mention the appointment itself. At New Heights we focus on making the process as easy as possible, from helping connect you to the best clinician within the practice to providing the most advanced treatment options we can. You matter and we want to help you achieve not just your mental health goals but making joy a part of your life.
I know when looking for counseling the process can seem daunting. You have to worry about specializations, openings, the time it will take to get to and from the appointment, not to mention the appointment itself. At New Heights we focus on making the process as easy as possible, from helping connect you to the best clinician within the practice to providing the most advanced treatment options we can. You matter and we want to help you achieve not just your mental health goals but making joy a part of your life.
(614) 957-2645 View (614) 957-2645
Photo of Tricia Good, Licensed Professional Clinical Counselor in Westerville, OH
Tricia Good
Licensed Professional Clinical Counselor, MS, LPCC-S
Verified Verified
Westerville, OH 43081
Are you nervous, afraid, feeling that asking for professional help is a sign of weakness, or worried what others will think of you? These thoughts and feelings are more common than you realize. Day-to-day life can feel stressful, overwhelming, and somewhat challenging at times. It is important that you have a safe place to explore the stressors in your life and be able to learn the necessary coping skills for personal growth. I will not only provide a confidential, safe, and calming place for you, but I will also be non-judgmental and empathetic to your needs.
Are you nervous, afraid, feeling that asking for professional help is a sign of weakness, or worried what others will think of you? These thoughts and feelings are more common than you realize. Day-to-day life can feel stressful, overwhelming, and somewhat challenging at times. It is important that you have a safe place to explore the stressors in your life and be able to learn the necessary coping skills for personal growth. I will not only provide a confidential, safe, and calming place for you, but I will also be non-judgmental and empathetic to your needs.
(330) 594-8157 View (330) 594-8157
Photo of Mariah Walters, Clinical Social Work/Therapist in Westerville, OH
Mariah Walters
Clinical Social Work/Therapist, MA, LISW, PsyD
Verified Verified
Westerville, OH 43081
Is your your life so f&*%^ up that you need a therapist to handle your trauma? Congratulations, you're an adult. I specialize in PTSD, working with first responders, correctional officers, firefighters, LGBTQ+, marital therapy and BWC. (I'm also the pied piper of teenage girls. ( It's a calling not a desire.) *Will accept child clients 12years or older. ) I take some insurances. UHC, OPTUM. (Jeez people, I can't do everything for you) Now introducing James Mehl, LSW ...specializing with children, PTSD, chronic pain, BWC and LGBTQ. . Jimmy private pay at 75/hr. Dr. Walters private pay at 250/hr. We do not accept Medicaid.
Is your your life so f&*%^ up that you need a therapist to handle your trauma? Congratulations, you're an adult. I specialize in PTSD, working with first responders, correctional officers, firefighters, LGBTQ+, marital therapy and BWC. (I'm also the pied piper of teenage girls. ( It's a calling not a desire.) *Will accept child clients 12years or older. ) I take some insurances. UHC, OPTUM. (Jeez people, I can't do everything for you) Now introducing James Mehl, LSW ...specializing with children, PTSD, chronic pain, BWC and LGBTQ. . Jimmy private pay at 75/hr. Dr. Walters private pay at 250/hr. We do not accept Medicaid.
(380) 212-3599 View (380) 212-3599
Photo of Kathy Brown, Clinical Social Work/Therapist in Westerville, OH
Kathy Brown
Clinical Social Work/Therapist, LISW-S, ATR
Verified Verified
Westerville, OH 43082
Kathy Brown, LISW-S Kathy Brown is a Licensed Independent Social Worker Supervisor in Ohio who has been practicing since 1989. Kathy is an existential therapist with many years of experience working with people who are struggling with anxiety, grief, trauma, and depression. Kathy is well versed in many therapy techniques and is also an art therapist. Outside of work, Kathy enjoys gardening, spending time with her family and friends, playing with her dog, hiking, and doing art.
Kathy Brown, LISW-S Kathy Brown is a Licensed Independent Social Worker Supervisor in Ohio who has been practicing since 1989. Kathy is an existential therapist with many years of experience working with people who are struggling with anxiety, grief, trauma, and depression. Kathy is well versed in many therapy techniques and is also an art therapist. Outside of work, Kathy enjoys gardening, spending time with her family and friends, playing with her dog, hiking, and doing art.
(614) 705-2422 View (614) 705-2422
Photo of Taylor Matthews, Licensed Professional Counselor in Westerville, OH
Taylor Matthews
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Westerville, OH 43081
If you are struggling with adjustment disorders, anxiety, depression, life transitions, spiritual issues, and grief/loss - I want to help. Children 11+ and adults are welcome! Especially, if you want to gain awareness around emotions/sensations and learn tools to love yourself better! Additionally, I am working towards developing skills in trauma work, child/adolescent therapy, and polyvagal theory.
If you are struggling with adjustment disorders, anxiety, depression, life transitions, spiritual issues, and grief/loss - I want to help. Children 11+ and adults are welcome! Especially, if you want to gain awareness around emotions/sensations and learn tools to love yourself better! Additionally, I am working towards developing skills in trauma work, child/adolescent therapy, and polyvagal theory.
(614) 482-1816 x5356 View (614) 482-1816 x5356
Photo of Amy Weller, Licensed Professional Counselor in Westerville, OH
Amy Weller
Licensed Professional Counselor, MA , LPC
Verified Verified
Westerville, OH 43081
I am passionate about trauma, depression, anxiety, LGBQT concerns, personality disorders, and neurodivergence. An ideal client is an individual who has a growth mindset and explores their thoughts and feelings and how they impact their behavior. They may not understand how those thoughts derived from past experiences, but they are willing to open old wounds given the right tools. They feel safe and secure and want to heal through hard work and determination.
I am passionate about trauma, depression, anxiety, LGBQT concerns, personality disorders, and neurodivergence. An ideal client is an individual who has a growth mindset and explores their thoughts and feelings and how they impact their behavior. They may not understand how those thoughts derived from past experiences, but they are willing to open old wounds given the right tools. They feel safe and secure and want to heal through hard work and determination.
(380) 600-8835 View (380) 600-8835
Photo of Contessa Bush, Clinical Social Work/Therapist in Westerville, OH
Contessa Bush
Clinical Social Work/Therapist, LSW
Verified Verified
Westerville, OH 43082
Contessa Bush is a Licensed Social Worker, licensed through the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board. Contessa received her master's degree in Social Work from Cleveland State University. Before attending graduate school, she completed a bachelor's degree in Psychology from Wright State University where she started her career working with children and adults with intellectual disabilities. Serving that population, which in some cases consumers happened to be dually diagnosed with mental health barriers, inspired her to further her education and service people from a clinical perspective.
Contessa Bush is a Licensed Social Worker, licensed through the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board. Contessa received her master's degree in Social Work from Cleveland State University. Before attending graduate school, she completed a bachelor's degree in Psychology from Wright State University where she started her career working with children and adults with intellectual disabilities. Serving that population, which in some cases consumers happened to be dually diagnosed with mental health barriers, inspired her to further her education and service people from a clinical perspective.
(614) 963-3033 View (614) 963-3033
Photo of Eva Shinka, Clinical Social Work/Therapist in Westerville, OH
Eva Shinka
Clinical Social Work/Therapist, LISW-S
Verified Verified
1 Endorsed
Westerville, OH 43082
Accepting New Clients: Rapport and a good fit with your therapist are important. I take a holistic approach and start where you want to start. My work centers with teens and adults. My areas of clinical focus include traumatic brain injury (TBI), anxiety, COVID related isolation and stress, depression, grief and loss, managing stress and triggers, parenting, Post-Traumatic Stress Disorder (PTSD), relationships, sleep and trauma, and women's issues. My 20 years of practice includes 12 years with active duty service members, veterans, and their spouses/partners and families.
Accepting New Clients: Rapport and a good fit with your therapist are important. I take a holistic approach and start where you want to start. My work centers with teens and adults. My areas of clinical focus include traumatic brain injury (TBI), anxiety, COVID related isolation and stress, depression, grief and loss, managing stress and triggers, parenting, Post-Traumatic Stress Disorder (PTSD), relationships, sleep and trauma, and women's issues. My 20 years of practice includes 12 years with active duty service members, veterans, and their spouses/partners and families.
(614) 418-6958 View (614) 418-6958
Photo of Collin Weekes, Counselor in Westerville, OH
Collin Weekes
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Westerville, OH 43082  (Online Only)
I am a counselor, EMDR Therapist, Certified Forensic Mental Health Evaluator, and a proud graduate of Regent University where I earned a master’s degree in Clinical Mental Health Counseling. I have a Master's in Clinical Psychology from Fielding Graduate University. My focus includes depression, anxiety, PTSD, OCD and I conduct Immigration Evaluations using an integrative approach to therapy that includes various treatment modalities based on your therapeutic and personal needs. Because of my service in ministry, I am uniquely positioned to offer spiritual counseling from a Christian perspective at your request.
I am a counselor, EMDR Therapist, Certified Forensic Mental Health Evaluator, and a proud graduate of Regent University where I earned a master’s degree in Clinical Mental Health Counseling. I have a Master's in Clinical Psychology from Fielding Graduate University. My focus includes depression, anxiety, PTSD, OCD and I conduct Immigration Evaluations using an integrative approach to therapy that includes various treatment modalities based on your therapeutic and personal needs. Because of my service in ministry, I am uniquely positioned to offer spiritual counseling from a Christian perspective at your request.
(380) 207-1462 View (380) 207-1462
Photo of Nikol Bowen, Licensed Professional Clinical Counselor in Westerville, OH
Nikol Bowen
Licensed Professional Clinical Counselor, PhD, LPCC-S
Verified Verified
2 Endorsed
Westerville, OH 43081  (Online Only)
I am prepared to provide clients from diverse backgrounds the space to explore cognitive and emotional traumas in a therapeutic way utilizing evidence-based techniques.
I am prepared to provide clients from diverse backgrounds the space to explore cognitive and emotional traumas in a therapeutic way utilizing evidence-based techniques.
(614) 858-8590 View (614) 858-8590
Photo of Vincent Colecchi, Clinical Social Work/Therapist in Westerville, OH
Vincent Colecchi
Clinical Social Work/Therapist, LSW
Verified Verified
Westerville, OH 43081
Vinnie Colecchi, MSW, LSW is a licensed social worker who has been practicing therapy and substance use disorder counseling since 2016. He graduated from Indiana Wesleyan University in 2016 with a bachelor's degree of science in Addictions Counseling, and later in 2021 from The Ohio State University with a master's degree in Social Work. Vinnie believes in an approach to therapy which he characterizes as learning the skills to live a values-oriented life while confronting and making space for difficult emotions and life circumstances. Vinnie specializes in working with anxiety, addictions, and depressive disorders.
Vinnie Colecchi, MSW, LSW is a licensed social worker who has been practicing therapy and substance use disorder counseling since 2016. He graduated from Indiana Wesleyan University in 2016 with a bachelor's degree of science in Addictions Counseling, and later in 2021 from The Ohio State University with a master's degree in Social Work. Vinnie believes in an approach to therapy which he characterizes as learning the skills to live a values-oriented life while confronting and making space for difficult emotions and life circumstances. Vinnie specializes in working with anxiety, addictions, and depressive disorders.
(614) 683-4566 View (614) 683-4566
Photo of Dayamiaha Ja'nean Jones, Counselor in Westerville, OH
Dayamiaha Ja'nean Jones
Counselor, BA, MS, LPCC
Verified Verified
Westerville, OH 43082  (Online Only)
Dayamiaha Jones is the owner of Day by Day Counseling Group LLC. She is a Licensed Professional Counselor with the State of Ohio. Dayamiaha earned her Bachelor’s in Psychology with a minor in Criminal Justice from Ohio Dominican University. She then studied Marriage, Couple and Family Counseling at Walden University earning a Master of Science in 2019.
Dayamiaha Jones is the owner of Day by Day Counseling Group LLC. She is a Licensed Professional Counselor with the State of Ohio. Dayamiaha earned her Bachelor’s in Psychology with a minor in Criminal Justice from Ohio Dominican University. She then studied Marriage, Couple and Family Counseling at Walden University earning a Master of Science in 2019.
(380) 208-1770 View (380) 208-1770
Photo of Katherine McCullough, Clinical Social Work/Therapist in Westerville, OH
Katherine McCullough
Clinical Social Work/Therapist, LSW
Verified Verified
Westerville, OH 43082
Katie McCullough is a Licensed Social Work Trainee through the State of Ohio, Counselor, Social Worker, and Marriage and Family Therapist Board. She earned her Bachelor of Arts degree in Psychology with a minor in Education from The Ohio State University in May 2021. She is currently a graduate student in The Ohio State University's Master of Social Work Program and plans to graduate with her MSW in May 2024. Katie is currently interested in utilizing holistic, mind-body-spirit, strengths-based, and client-centered therapy frameworks to treat a wide range of client populations.
Katie McCullough is a Licensed Social Work Trainee through the State of Ohio, Counselor, Social Worker, and Marriage and Family Therapist Board. She earned her Bachelor of Arts degree in Psychology with a minor in Education from The Ohio State University in May 2021. She is currently a graduate student in The Ohio State University's Master of Social Work Program and plans to graduate with her MSW in May 2024. Katie is currently interested in utilizing holistic, mind-body-spirit, strengths-based, and client-centered therapy frameworks to treat a wide range of client populations.
(614) 968-8924 View (614) 968-8924
Photo of Cassidy Keller, Counselor in Westerville, OH
Cassidy Keller
Counselor, LPCC
Verified Verified
Westerville, OH 43081
Cassidy Keller is a Licensed Professional Clinical Counselor Supervisor (LPCC-S) through the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board and a National Certified Counselor (NCC) through the National Board for Certified Counselors, Inc. She received her Bachelor of Arts in Psychology, with a minor in Communications, and her Master of Arts in Counseling from West Virginia University. While in West Virginia, Cassidy worked in an intensive outpatient program for substance abuse and a comprehensive opioid addiction treatment program for pregnant women.
Cassidy Keller is a Licensed Professional Clinical Counselor Supervisor (LPCC-S) through the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board and a National Certified Counselor (NCC) through the National Board for Certified Counselors, Inc. She received her Bachelor of Arts in Psychology, with a minor in Communications, and her Master of Arts in Counseling from West Virginia University. While in West Virginia, Cassidy worked in an intensive outpatient program for substance abuse and a comprehensive opioid addiction treatment program for pregnant women.
(614) 860-5817 View (614) 860-5817
Photo of Patricia Ringold, Counselor in Westerville, OH
Patricia Ringold
Counselor, LPCC-S, NCC
Verified Verified
Westerville, OH 43081
As a clinician, I highly respect the courage and honesty that my clients bring to the counseling relationship. It is an honor for me to engage with others in this work of expanding into the person we wish to be. In my years of practice, I have consistently witnessed our capacity to progress and grow. While I acknowledge that we each do the best our situation, I welcome people to my office so that they can transcend their current experience and have a more fulfilling and enjoyable life. Relationships are a key to healing. When we feel authentic safety within our relationships, we create a framework in which we can move forward.
As a clinician, I highly respect the courage and honesty that my clients bring to the counseling relationship. It is an honor for me to engage with others in this work of expanding into the person we wish to be. In my years of practice, I have consistently witnessed our capacity to progress and grow. While I acknowledge that we each do the best our situation, I welcome people to my office so that they can transcend their current experience and have a more fulfilling and enjoyable life. Relationships are a key to healing. When we feel authentic safety within our relationships, we create a framework in which we can move forward.
(614) 957-2845 View (614) 957-2845
Photo of Spader Psychological Services, LLC, Psychologist in Westerville, OH
Spader Psychological Services, LLC
Psychologist, PsyD, BCBA-D, COBA
Verified Verified
Westerville, OH 43081
I am a licensed psychologist specializing in Psychological Testing/Evaluation services for children, adolescents, and adults. If you are concerned about learning/school problems (including dyslexia), attention/focus difficulties (ADHD), anxiety, and/or developmental delays in yourself or your child, I welcome you to contact me. I also offer testing for giftedness, school admissions procedures, and County Board of Developmental Disabilities eligibility.
I am a licensed psychologist specializing in Psychological Testing/Evaluation services for children, adolescents, and adults. If you are concerned about learning/school problems (including dyslexia), attention/focus difficulties (ADHD), anxiety, and/or developmental delays in yourself or your child, I welcome you to contact me. I also offer testing for giftedness, school admissions procedures, and County Board of Developmental Disabilities eligibility.
(614) 532-4197 View (614) 532-4197
Photo of Jennifer Kimpan, Drug & Alcohol Counselor in Westerville, OH
Jennifer Kimpan
Drug & Alcohol Counselor, MS, LICDC, ICADC, LADC
Verified Verified
Westerville, OH 43082
Change is Possible, Recovery Works. When you or someone you know is struggling with Addiction, it is difficult to know what to do. Make New Beginnings Counseling Center your first step. We provide comprehensive drug, alcohol, and addiction recovery services for those struggling and for those who want to support their recovery. Hope starts here. Recovery works, take the first step toward yours.
Change is Possible, Recovery Works. When you or someone you know is struggling with Addiction, it is difficult to know what to do. Make New Beginnings Counseling Center your first step. We provide comprehensive drug, alcohol, and addiction recovery services for those struggling and for those who want to support their recovery. Hope starts here. Recovery works, take the first step toward yours.
(937) 583-4022 View (937) 583-4022
Photo of Doug Bennett, Psychologist in Westerville, OH
Doug Bennett
Psychologist, PhD
Verified Verified
1 Endorsed
Westerville, OH 43081
I believe that each client that seeks out psychotherapy has strengths. These strengths may be untapped, unrecognized, or underutilized. But they exist. I assist in connecting my clients to their internal resources. My clients also present with challenges for which they have an investment to change. Change, both immediate and long-lasting, are at the heart of psychotherapy.
I believe that each client that seeks out psychotherapy has strengths. These strengths may be untapped, unrecognized, or underutilized. But they exist. I assist in connecting my clients to their internal resources. My clients also present with challenges for which they have an investment to change. Change, both immediate and long-lasting, are at the heart of psychotherapy.
(614) 682-2124 View (614) 682-2124
Photo of Sophie Hans, Clinical Social Work/Therapist in Westerville, OH
Sophie Hans
Clinical Social Work/Therapist, LSW
Verified Verified
Westerville, OH 43081
My ideal client is someone who comes to therapy in a time of need. They might be experiencing anxiety due to life changes and transitions or they might be experiencing symptoms of anxiety for the first time and be concerned as to where the anxiety came from. The client might be processing loss or grief from a loved one or past friendships and or relationships. My ideal client will have needs such as needing to identify coping skills to get through life stressors, assistance with reaching goals. As a therapist I would be able to provide the client with a objective perspective to bounce their ideas and situations off of.
My ideal client is someone who comes to therapy in a time of need. They might be experiencing anxiety due to life changes and transitions or they might be experiencing symptoms of anxiety for the first time and be concerned as to where the anxiety came from. The client might be processing loss or grief from a loved one or past friendships and or relationships. My ideal client will have needs such as needing to identify coping skills to get through life stressors, assistance with reaching goals. As a therapist I would be able to provide the client with a objective perspective to bounce their ideas and situations off of.
(380) 201-9945 View (380) 201-9945
Photo of Kimberly Gray, Licensed Professional Counselor in Westerville, OH
Kimberly Gray
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Westerville, OH 43081  (Online Only)
We all go through times when stress or life circumstances become overwhelming. I want you to know, you are not alone. I seek to provide a safe, judgement free space for you to unburden yourself and move towards a place of peace and wellbeing.
We all go through times when stress or life circumstances become overwhelming. I want you to know, you are not alone. I seek to provide a safe, judgement free space for you to unburden yourself and move towards a place of peace and wellbeing.
(380) 207-1570 View (380) 207-1570

How does your Therapist compare?

Number of Therapists in Westerville, OH

200+

Average cost per session

$125

Therapists in Westerville, OH who prioritize treating:

90% Anxiety
88% Depression
72% Trauma and PTSD
71% Relationship Issues
68% Self Esteem
66% Grief
64% Stress

Average years in practice

10 Years

Top 3 insurances accepted

83% Aetna
75% Optum
70% Medical Mutual

How Therapists in Westerville, OH see their clients

82% In Person and Online
18% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Westerville?

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.