Therapists in Drexel Hill, PA

Photo of Megan Carlin, Licensed Professional Counselor in Drexel Hill, PA
Megan Carlin
Licensed Professional Counselor, MA, LPC
Verified Verified
Drexel Hill, PA 19026  (Online Only)
Making meaningful change in our day to day lives, can be challenging. Negative thought patterns, self-doubt, and fear can contribute to anxiety and depression, leaving us feeling stuck, or unsure what to do next. The good news is, there's relief for these patterns which can yield improvement to overall quality of life.
Making meaningful change in our day to day lives, can be challenging. Negative thought patterns, self-doubt, and fear can contribute to anxiety and depression, leaving us feeling stuck, or unsure what to do next. The good news is, there's relief for these patterns which can yield improvement to overall quality of life.
(484) 603-6827 View (484) 603-6827
Photo of Donna J. Harris, Clinical Social Work/Therapist in Drexel Hill, PA
Donna J. Harris
Clinical Social Work/Therapist, MSW, MA, LCSW, CGP
Verified Verified
Drexel Hill, PA 19026  (Online Only)
Sometimes it's difficult to identify why you're feeling out of sorts. This can be an individual or interpersonal experience. For over 30 years, I've helped adults regain a sense of purpose in their work and personal relationships through individual and group psychotherapy. This is especially true for folks who feel silenced or unheard. I can help you find your voice! But the most helpful thing to do is to talk to a few therapists about their approaches and see if you connect with them. I'm happy to discuss how group or individual therapy can help you achieve more satisfaction in life.
Sometimes it's difficult to identify why you're feeling out of sorts. This can be an individual or interpersonal experience. For over 30 years, I've helped adults regain a sense of purpose in their work and personal relationships through individual and group psychotherapy. This is especially true for folks who feel silenced or unheard. I can help you find your voice! But the most helpful thing to do is to talk to a few therapists about their approaches and see if you connect with them. I'm happy to discuss how group or individual therapy can help you achieve more satisfaction in life.
(484) 895-1180 View (484) 895-1180
Photo of Citrini N Devi, Psychologist in Drexel Hill, PA
Citrini N Devi
Psychologist, PhD, E-RYT, C-IAYT, CCTP-II
Verified Verified
Drexel Hill, PA 19026
Waitlist for new clients
I am a psychologist and yoga instructor. I work with the full range of mental health concerns through outpatient therapy with adults, children, and adolescents, as well as families, couples, and groups. I have strong interests in the connection between mind-body-spirit, in the promotion of well-being, in stress-related concerns, and in complementary approaches to healing. I welcome clients interested in integrating psychotherapy with yoga and meditation practices. I also have particular interest in depression, anxiety, GLBTQ* concerns, sexual orientation, concerns relating to eating, weight, and body image, concerns related to medical and physical difficulties, etc.
I am a psychologist and yoga instructor. I work with the full range of mental health concerns through outpatient therapy with adults, children, and adolescents, as well as families, couples, and groups. I have strong interests in the connection between mind-body-spirit, in the promotion of well-being, in stress-related concerns, and in complementary approaches to healing. I welcome clients interested in integrating psychotherapy with yoga and meditation practices. I also have particular interest in depression, anxiety, GLBTQ* concerns, sexual orientation, concerns relating to eating, weight, and body image, concerns related to medical and physical difficulties, etc.
(610) 638-0466 x1 View (610) 638-0466 x1
Photo of Anna C Giacoponello, Clinical Social Work/Therapist in Drexel Hill, PA
Anna C Giacoponello
Clinical Social Work/Therapist, LCSW
Verified Verified
Drexel Hill, PA 19026  (Online Only)
I typically work with those who have been struggling with any kind of grief or who have suffered a trauma, significant loss, or life change. I pride myself in being able to calmly enter a chaotic situation and diligently work to restore a sense of peace and balance. I know that we all grieve and process emotions in our own unique way no matter what the catalyst, so I am always mindful to take things one step at a time and go at a pace that feels best for you. I am open to adjusting my craft to best fit your needs, in the moment.
I typically work with those who have been struggling with any kind of grief or who have suffered a trauma, significant loss, or life change. I pride myself in being able to calmly enter a chaotic situation and diligently work to restore a sense of peace and balance. I know that we all grieve and process emotions in our own unique way no matter what the catalyst, so I am always mindful to take things one step at a time and go at a pace that feels best for you. I am open to adjusting my craft to best fit your needs, in the moment.
(484) 725-6730 View (484) 725-6730
Photo of Fritz Haas, Licensed Professional Counselor in Drexel Hill, PA
Fritz Haas
Licensed Professional Counselor, MA, IATP, NCC, AAPC
Verified Verified
1 Endorsed
Drexel Hill, PA 19026
As a counselor, I have developed a specialty in working with clients who have experienced trauma in their lives. I am a certified Trauma Therapist and I use a variety of techniques including EMDR, CBT and various Mindfulness skills and practices. Professionally, I work hard to continue to develop my skills as a counselor through my work with clients, regularly attending professional development classes and through interactions with colleagues.
As a counselor, I have developed a specialty in working with clients who have experienced trauma in their lives. I am a certified Trauma Therapist and I use a variety of techniques including EMDR, CBT and various Mindfulness skills and practices. Professionally, I work hard to continue to develop my skills as a counselor through my work with clients, regularly attending professional development classes and through interactions with colleagues.
(610) 490-8139 View (610) 490-8139
Photo of Amani Holland, Marriage & Family Therapist Intern in Drexel Hill, PA
Amani Holland
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Drexel Hill, PA 19026  (Online Only)
I am currently an intern therapist at Nyame Counseling & Wellness. I am pursuing my master's degree in Marriage and Family Therapy from Capella University. Marriage and Family Therapy is the art of fostering healthier, more fulfilling relationships. I am passionate about conducting therapy in a way that honors the uniqueness of each family while supporting their goals for positive change.
I am currently an intern therapist at Nyame Counseling & Wellness. I am pursuing my master's degree in Marriage and Family Therapy from Capella University. Marriage and Family Therapy is the art of fostering healthier, more fulfilling relationships. I am passionate about conducting therapy in a way that honors the uniqueness of each family while supporting their goals for positive change.
(610) 557-8393 View (610) 557-8393
Photo of Tasha Petropoulos Knob, Clinical Social Work/Therapist in Drexel Hill, PA
Tasha Petropoulos Knob
Clinical Social Work/Therapist, LCSW, QCSW
Verified Verified
Drexel Hill, PA 19026
I work primarily from a Relational perspective, seeing the relationship between client and therapist as the most significant vehicle for change. If you come willing to work on whatever is troubling you, we will be successful. I include other theoretical perspectives, including Sytems, Psychodynamic, Cognitive Behavioral, Insight-Oriented to name a few. As we get to know each other we will develop a process that will best fit you and your needs. I understand that feeling comfortable with your therapist is essential, so I'll do my best to help you find someone if our fit doesn't feel right.
I work primarily from a Relational perspective, seeing the relationship between client and therapist as the most significant vehicle for change. If you come willing to work on whatever is troubling you, we will be successful. I include other theoretical perspectives, including Sytems, Psychodynamic, Cognitive Behavioral, Insight-Oriented to name a few. As we get to know each other we will develop a process that will best fit you and your needs. I understand that feeling comfortable with your therapist is essential, so I'll do my best to help you find someone if our fit doesn't feel right.
(484) 812-3063 View (484) 812-3063
Photo of Nancy Barton, Licensed Professional Counselor in Drexel Hill, PA
Nancy Barton
Licensed Professional Counselor, MEd, LPC
Verified Verified
Drexel Hill, PA 19026
Life transitions can be tough. Whether you are a young adult transitioning to life on your own, a parent whose child is exerting their independence in the teen years, relationship issues in marriage, divorce, or caring for aging parents; life throws us all curve balls from time to time that can leave us feeling paralyzed, and not knowing what to do or how to respond. I can help you process your situation and give you the confidence to move forward with courage and dignity.
Life transitions can be tough. Whether you are a young adult transitioning to life on your own, a parent whose child is exerting their independence in the teen years, relationship issues in marriage, divorce, or caring for aging parents; life throws us all curve balls from time to time that can leave us feeling paralyzed, and not knowing what to do or how to respond. I can help you process your situation and give you the confidence to move forward with courage and dignity.
(484) 406-3166 View (484) 406-3166
Photo of Autumn Miller, Licensed Professional Counselor in Drexel Hill, PA
Autumn Miller
Licensed Professional Counselor
Verified Verified
Drexel Hill, PA 19026  (Online Only)
Willow Therapy Collective provides comprehensive therapy, counseling, and consulting services. We want to help eliminate barriers that people face when seeking help. We strive to provide a safe space for individuals, couples and families to receive the tools, education, and services needed in effort to establish and maintain healthier lives.
Willow Therapy Collective provides comprehensive therapy, counseling, and consulting services. We want to help eliminate barriers that people face when seeking help. We strive to provide a safe space for individuals, couples and families to receive the tools, education, and services needed in effort to establish and maintain healthier lives.
(610) 890-3758 View (610) 890-3758
Photo of Focliva Mental Health Services (Folake Oniyide), Licensed Professional Counselor in Drexel Hill, PA
Focliva Mental Health Services (Folake Oniyide)
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Drexel Hill, PA 19026  (Online Only)
I am licensed in Pennsylvania with 13 years of professional work experience. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. It takes courage to seek out a more fulfilling and happier life and to take the first step towards a change. I am here to support & empower you.
I am licensed in Pennsylvania with 13 years of professional work experience. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. It takes courage to seek out a more fulfilling and happier life and to take the first step towards a change. I am here to support & empower you.
(484) 603-3204 View (484) 603-3204
Photo of Allyson Sproul, Clinical Social Work/Therapist in Drexel Hill, PA
Allyson Sproul
Clinical Social Work/Therapist, LCSW, CAADC
Verified Verified
Drexel Hill, PA 19026
I work with people needing support for substance use disorder, anxiety, and depression. Not sure if you fall into those categories, but still feel like counseling could help? No problem! Call or email for a free consultation and get one step closer to creating the healthier life you deserve. Together we can develop your treatment plan and help you get on track to feeling better and accomplishing your goals. Treatment plans are created together, include evidence based interventions and mindfulness skills. You can create change in your life and I am honored for the opportunity to join you on your journey.
I work with people needing support for substance use disorder, anxiety, and depression. Not sure if you fall into those categories, but still feel like counseling could help? No problem! Call or email for a free consultation and get one step closer to creating the healthier life you deserve. Together we can develop your treatment plan and help you get on track to feeling better and accomplishing your goals. Treatment plans are created together, include evidence based interventions and mindfulness skills. You can create change in your life and I am honored for the opportunity to join you on your journey.
(610) 632-5036 View (610) 632-5036
Photo of Nyame Counseling & Wellness, Licensed Professional Counselor in Drexel Hill, PA
Nyame Counseling & Wellness
Licensed Professional Counselor, LPC, MSEd
Verified Verified
1 Endorsed
Drexel Hill, PA 19026  (Online Only)
Please visit nyamecounseling.com for more information or to schedule a free consultation. We are a practice of culturally and ethnically diverse practitioners. NCW is dedicated to providing quality mental health counseling and wellness services that are informed by the latest innovations in psychotherapy. The mission of this dynamics practice is to help clients achieve their goals by providing individualized, compassionate, and culturally responsive services by enacting the values of self-awareness, self-care, professional development, cultural competency, transparency, and social justice/advocacy.
Please visit nyamecounseling.com for more information or to schedule a free consultation. We are a practice of culturally and ethnically diverse practitioners. NCW is dedicated to providing quality mental health counseling and wellness services that are informed by the latest innovations in psychotherapy. The mission of this dynamics practice is to help clients achieve their goals by providing individualized, compassionate, and culturally responsive services by enacting the values of self-awareness, self-care, professional development, cultural competency, transparency, and social justice/advocacy.
(610) 936-8727 View (610) 936-8727
Photo of Julianna Pierre, Licensed Professional Counselor in Drexel Hill, PA
Julianna Pierre
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Drexel Hill, PA 19026  (Online Only)
Willow Therapy Collective provides comprehensive online therapy, counseling, and consulting services. We, at Willow Therapy Collective assist individuals, couples and families to receive the tools, support, and services needed in effort to establish and maintain healthier lives. As a person of color I recognize how important it is to be able to feel safe and receive quality care. My approach is collaborative in assisting with reducing symptoms, managing stress, and working toward client's goals. My priority is to empower and support clients while providing a safe environment for processing.
Willow Therapy Collective provides comprehensive online therapy, counseling, and consulting services. We, at Willow Therapy Collective assist individuals, couples and families to receive the tools, support, and services needed in effort to establish and maintain healthier lives. As a person of color I recognize how important it is to be able to feel safe and receive quality care. My approach is collaborative in assisting with reducing symptoms, managing stress, and working toward client's goals. My priority is to empower and support clients while providing a safe environment for processing.
(610) 890-5113 View (610) 890-5113
Photo of Jenna Scampton, Licensed Professional Counselor in Drexel Hill, PA
Jenna Scampton
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Drexel Hill, PA 19026  (Online Only)
I specialize in trauma treatment. I believe that we are all destined to do great things if we have the appropriate support behind us. I am here to provide that support! I have about 4 years of experience so far in trauma, addictions and family/relationship systems. I also offer Prolonged Exposure therapy which is clinically proven to process traumatic memories in as little as 8-14 weeks!
I specialize in trauma treatment. I believe that we are all destined to do great things if we have the appropriate support behind us. I am here to provide that support! I have about 4 years of experience so far in trauma, addictions and family/relationship systems. I also offer Prolonged Exposure therapy which is clinically proven to process traumatic memories in as little as 8-14 weeks!
(484) 218-4940 View (484) 218-4940
Photo of Maureen Graham, Pre-Licensed Professional in Drexel Hill, PA
Maureen Graham
Pre-Licensed Professional, NCC, MS
Verified Verified
Drexel Hill, PA 19026  (Online Only)
Not accepting new clients
The unknowns of therapy are sometimes daunting, so congratulations to you for making it here. Whether you are new to therapy or you're familiar with the process, I invite you to reach out so we can collaborate on what therapeutic success means to you. Together we can work to develop skills and strategies to help you live the life you want. While we may not be able to avoid hardships that are a part of living, we can work to increase our capacity to thrive and live a fulfilling life despite our experiences.
The unknowns of therapy are sometimes daunting, so congratulations to you for making it here. Whether you are new to therapy or you're familiar with the process, I invite you to reach out so we can collaborate on what therapeutic success means to you. Together we can work to develop skills and strategies to help you live the life you want. While we may not be able to avoid hardships that are a part of living, we can work to increase our capacity to thrive and live a fulfilling life despite our experiences.
(610) 756-9579 View (610) 756-9579
Photo of Vanessa L Walker, Clinical Social Work/Therapist in Drexel Hill, PA
Vanessa L Walker
Clinical Social Work/Therapist, LCSW
Verified Verified
Drexel Hill, PA 19026
Are you and your significant other constantly arguing? Is your teenager going down the wrong path? Do you feel like everyone is always depending on you? Do you struggle to get out of bed sometimes? Are you afraid of losing your relationship? If the answer to any of these questions is yes, I am here to help. I have experience helping distressed families, working with couples who are breaking up, and improving parent-child relationships. I believe it's important to guide families even-handedly, not taking sides or making people feel guilty.
Are you and your significant other constantly arguing? Is your teenager going down the wrong path? Do you feel like everyone is always depending on you? Do you struggle to get out of bed sometimes? Are you afraid of losing your relationship? If the answer to any of these questions is yes, I am here to help. I have experience helping distressed families, working with couples who are breaking up, and improving parent-child relationships. I believe it's important to guide families even-handedly, not taking sides or making people feel guilty.
(484) 376-5729 View (484) 376-5729
Photo of Sacred Sojourner Counseling, LLC, Clinical Social Work/Therapist in Drexel Hill, PA
Sacred Sojourner Counseling, LLC
Clinical Social Work/Therapist, LCSW, MBA
Verified Verified
Drexel Hill, PA 19026  (Online Only)
Tuera Holland (she/her), founder of Sacred Sojourner Counseling, LLC, is a master’s level clinician licensed in the state of Pennsylvania providing individual, relationship, marriage, premarital, pre-engagement, family, and group counseling. She acquired her Master of Social Work degree from the University of Pennsylvania’s School of Social Policy & Practice with the goal of providing psychotherapy to populations experiencing complex and ambient trauma as a result of marginalization. Tuera is trained in trauma-informed care and especially cognizant of the ways in which one’s social environment impacts their health and development.
Tuera Holland (she/her), founder of Sacred Sojourner Counseling, LLC, is a master’s level clinician licensed in the state of Pennsylvania providing individual, relationship, marriage, premarital, pre-engagement, family, and group counseling. She acquired her Master of Social Work degree from the University of Pennsylvania’s School of Social Policy & Practice with the goal of providing psychotherapy to populations experiencing complex and ambient trauma as a result of marginalization. Tuera is trained in trauma-informed care and especially cognizant of the ways in which one’s social environment impacts their health and development.
(610) 379-3529 View (610) 379-3529
Photo of Dakota Barrow, Clinical Social Work/Therapist in Drexel Hill, PA
Dakota Barrow
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
Drexel Hill, PA 19026  (Online Only)
As a trans individual and member of the LGBTQ+ community, my ideal client is anyone who is looking for a non-judgemental, safe space to be themselves. I believe we thrive when we experience belonging & acceptance. I came to this profession with the mission to connect the gap between LGBTQ+ persons who are interested in counseling and mental health professionals who can affirm their identity.
As a trans individual and member of the LGBTQ+ community, my ideal client is anyone who is looking for a non-judgemental, safe space to be themselves. I believe we thrive when we experience belonging & acceptance. I came to this profession with the mission to connect the gap between LGBTQ+ persons who are interested in counseling and mental health professionals who can affirm their identity.
(484) 310-6558 View (484) 310-6558
Photo of Kat Nicholson, Pre-Licensed Professional in Drexel Hill, PA
Kat Nicholson
Pre-Licensed Professional, MS, NBCC
Verified Verified
1 Endorsed
Drexel Hill, PA 19026  (Online Only)
My therapeutic approach focuses on addressing the ways external factors, namely the client’s environment, experiences, relationships and prior traumas have contributed to their current state. Given the world we live in I bring considerable attention to the ways that systems of oppression play a role in the client’s wellbeing. I believe that having an understanding of how these factors are impacting our mental health is integral to healing. As we work on building this awareness we can start making intentional choices more in line with the lives we would like to be living.
My therapeutic approach focuses on addressing the ways external factors, namely the client’s environment, experiences, relationships and prior traumas have contributed to their current state. Given the world we live in I bring considerable attention to the ways that systems of oppression play a role in the client’s wellbeing. I believe that having an understanding of how these factors are impacting our mental health is integral to healing. As we work on building this awareness we can start making intentional choices more in line with the lives we would like to be living.
(412) 534-6037 View (412) 534-6037
Photo of Chelsea S Andrews, Counselor in Drexel Hill, PA
Chelsea S Andrews
Counselor, LPCMH, MS
Verified Verified
1 Endorsed
Drexel Hill, PA 19026  (Online Only)
Does managing and working through life’s challenges feel impossible at times? Is it a challenge believing you're worthy? Maybe you are feeling stuck or stagnant and sense that you need a change, however are unsure just what that is. Past and current life experiences can shape thoughts and feeling about the self, impacts relationships with others, and influences future events in sometimes unhelpful, or even harmful ways. It is my commitment to ‘meet you where you are’ when you come into my office, and build a trusting therapeutic relationship together.
Does managing and working through life’s challenges feel impossible at times? Is it a challenge believing you're worthy? Maybe you are feeling stuck or stagnant and sense that you need a change, however are unsure just what that is. Past and current life experiences can shape thoughts and feeling about the self, impacts relationships with others, and influences future events in sometimes unhelpful, or even harmful ways. It is my commitment to ‘meet you where you are’ when you come into my office, and build a trusting therapeutic relationship together.
(302) 316-3346 View (302) 316-3346

How does your Therapist compare?

Number of Therapists in Drexel Hill, PA

40+

Average cost per session

$125

Therapists in Drexel Hill, PA who prioritize treating:

95% Anxiety
88% Depression
81% Relationship Issues
79% Trauma and PTSD
67% Self Esteem
65% Grief
60% Coping Skills

Average years in practice

14 Years

Top 3 insurances accepted

80% Aetna
76% Highmark
72% BlueCross and BlueShield

How Therapists in Drexel Hill, PA see their clients

61% In Person and Online
39% Online Only

Gender breakdown

77% Female
19% Male
4% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Drexel Hill?

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.