Therapists in Hunlock Creek, PA

Photo of Noelle Stewart, Psychologist, LP
Noelle Stewart
Psychologist, LP
Online Only
Dr. Stewart has a warm, friendly, and open presence. She values practicing authentically, sincerely, and respectfully within her practice. She cares deeply about the goals of her clients. As an experienced clinician, she works to help her clients achieve insight, growth, and meaning. Dr. Stewart knows going to therapy is a vulnerable experience, so she creates a safe and inviting environment to allow her clients to express themselves in an honest way. In sessions, she takes a holistic approach to tailor therapeutic tools that best support each client’s needs.
Dr. Stewart has a warm, friendly, and open presence. She values practicing authentically, sincerely, and respectfully within her practice. She cares deeply about the goals of her clients. As an experienced clinician, she works to help her clients achieve insight, growth, and meaning. Dr. Stewart knows going to therapy is a vulnerable experience, so she creates a safe and inviting environment to allow her clients to express themselves in an honest way. In sessions, she takes a holistic approach to tailor therapeutic tools that best support each client’s needs.
(717) 210-4582 View (717) 210-4582
Photo of Jennifer Drager, Licensed Professional Counselor, LPC
Jennifer Drager
Licensed Professional Counselor, LPC
Online Only
Hello, my name is Jennifer Drager, and I am a Licensed Professional counselor, NCC, CFTP who utilizes CBT and motivational interviewing to address anxiety, depression, trauma, and other mental health challenges across the lifespan. I utilize Cognitive Behavioral (CBT)(CBT) and a Solution-Focused form of therapy but will tailor it to the needs of my clients. I enjoy working with various Individuals, Couples, Families, Minors from the ages of 13-17, and Preteens from 8 and 12 who have issues such as anxiety, and ADHD and are adjusting to life challenges/changes.
Hello, my name is Jennifer Drager, and I am a Licensed Professional counselor, NCC, CFTP who utilizes CBT and motivational interviewing to address anxiety, depression, trauma, and other mental health challenges across the lifespan. I utilize Cognitive Behavioral (CBT)(CBT) and a Solution-Focused form of therapy but will tailor it to the needs of my clients. I enjoy working with various Individuals, Couples, Families, Minors from the ages of 13-17, and Preteens from 8 and 12 who have issues such as anxiety, and ADHD and are adjusting to life challenges/changes.
(267) 930-1719 View (267) 930-1719

More Therapists Nearby

Photo of Brenda S Staerker, Clinical Social Work/Therapist, LCSW, EMDR
Brenda S Staerker
Clinical Social Work/Therapist, LCSW, EMDR
2 Endorsed
Scranton, PA 18504
Waitlist for new clients
I am a Licensed Clinical Social Worker with extensive experience treating individuals, couples and families negatively impacted by generational trauma and serious mental illnesses. My goal is to help you access and understand your emotions, thoughts and behaviors; putting them into a narrative that will help you develop a stronger, healthier sense of self!
I am a Licensed Clinical Social Worker with extensive experience treating individuals, couples and families negatively impacted by generational trauma and serious mental illnesses. My goal is to help you access and understand your emotions, thoughts and behaviors; putting them into a narrative that will help you develop a stronger, healthier sense of self!
(272) 268-7495 View (272) 268-7495
Photo of Dr. Dean Leav - Psychological Testing & Evaluations - Dr. Dean, Psychologist, PsyD, QME, Author
Psychological Testing & Evaluations - Dr. Dean
Psychologist, PsyD, QME, Author
Serves Area
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
(717) 523-9885 View (717) 523-9885
Photo of Janine McFadenn, Licensed Professional Counselor, LPC
Janine McFadenn
Licensed Professional Counselor, LPC
Online Only
Hello, my name is Janine McFadden and I'm a Licensed Professional Counselor in Pennsylvania. I've been in various consulting and counseling roles since 2005. I specialize in Empowering Individuals Through Life and Relationship Transitions. My ideal clients are those who are currently trying to make a decision about a relationship or have decided to end their relationship or marriage. I also assist clients who have had infertility challenges and pregnancy loss.
Hello, my name is Janine McFadden and I'm a Licensed Professional Counselor in Pennsylvania. I've been in various consulting and counseling roles since 2005. I specialize in Empowering Individuals Through Life and Relationship Transitions. My ideal clients are those who are currently trying to make a decision about a relationship or have decided to end their relationship or marriage. I also assist clients who have had infertility challenges and pregnancy loss.
(267) 715-9930 View (267) 715-9930
Photo of Valerie Minnich, Licensed Professional Counselor, LPC
Valerie Minnich
Licensed Professional Counselor, LPC
Online Only
I am Dr. Valerie Minnich, PhD, LPC(PA), NCC, CAADC, ACS. My clinical areas of practice are mental health and addictions. To best serve clients, I use a strength-based, client-centered approach. I follow evidence-based practices to structure each session and incorporate appropriate interventions. I work with Dialect Behavioral Therapy, Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Motivational Interviewing, and Solution-Focused Therapy. I have a background in medicine and help clients with medication management from a mental health perspective.
I am Dr. Valerie Minnich, PhD, LPC(PA), NCC, CAADC, ACS. My clinical areas of practice are mental health and addictions. To best serve clients, I use a strength-based, client-centered approach. I follow evidence-based practices to structure each session and incorporate appropriate interventions. I work with Dialect Behavioral Therapy, Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Motivational Interviewing, and Solution-Focused Therapy. I have a background in medicine and help clients with medication management from a mental health perspective.
(717) 864-6562 View (717) 864-6562
Photo of Brianna Mackenzie Strein, Licensed Social Worker, MSW, LSW
Brianna Mackenzie Strein
Licensed Social Worker, MSW, LSW
Online Only
Starting therapy is a deeply personal decision, and reaching out can be the hardest step. Whether you're navigating anxiety, depression, relationship struggles, family dynamics, self-esteem issues, or life transitions, know that you don’t have to face it alone. I work with individuals who are coping with a wide range of challenges, including self-harm, stress, identity exploration, and emotional overwhelm. My goal is to help you feel heard and empowered as we work toward insight, healing, and growth at your own pace.
Starting therapy is a deeply personal decision, and reaching out can be the hardest step. Whether you're navigating anxiety, depression, relationship struggles, family dynamics, self-esteem issues, or life transitions, know that you don’t have to face it alone. I work with individuals who are coping with a wide range of challenges, including self-harm, stress, identity exploration, and emotional overwhelm. My goal is to help you feel heard and empowered as we work toward insight, healing, and growth at your own pace.
(272) 205-5393 View (272) 205-5393
Photo of Meghan Gilbert, Clinical Social Work/Therapist, LCSW
Meghan Gilbert
Clinical Social Work/Therapist, LCSW
Online Only
Meghan Gilbert is a Licensed Clinical Social Worker who currently holds licensure in the states of PA, DE, and NJ. She has over a decade of experience working with individuals who have been diagnosed with severe mental health disorders and personality disorders. Meghan also provides therapy that treats depression, anxiety, stress, trauma, interpersonal challenges, self-esteem, and grief/loss. I provide individual therapy, and I accept clients ages 14 and older. I only provide therapy remotely. I am most comfortable treating depression, anxiety, stress, mood disorders, trauma, interpersonal challenges, and self-esteem challenges.
Meghan Gilbert is a Licensed Clinical Social Worker who currently holds licensure in the states of PA, DE, and NJ. She has over a decade of experience working with individuals who have been diagnosed with severe mental health disorders and personality disorders. Meghan also provides therapy that treats depression, anxiety, stress, trauma, interpersonal challenges, self-esteem, and grief/loss. I provide individual therapy, and I accept clients ages 14 and older. I only provide therapy remotely. I am most comfortable treating depression, anxiety, stress, mood disorders, trauma, interpersonal challenges, and self-esteem challenges.
(267) 802-2405 View (267) 802-2405
Photo of Meghan Elizabeth Farina, Licensed Professional Counselor, MA, LPC
Meghan Elizabeth Farina
Licensed Professional Counselor, MA, LPC
Serves Area
Are you feeling stuck in patterns you can't break, overwhelmed by anxiety, or recovering from relationships that left lasting scars? My name is Meghan and I am a licensed professional counselor in Pittsburgh, Pennsylvania and founder of Inner Light Counseling & Wellness. I help adults navigate anxiety, depression, ADHD, substance use, difficult life transitions, and recover from narcissistic abuse.
Are you feeling stuck in patterns you can't break, overwhelmed by anxiety, or recovering from relationships that left lasting scars? My name is Meghan and I am a licensed professional counselor in Pittsburgh, Pennsylvania and founder of Inner Light Counseling & Wellness. I help adults navigate anxiety, depression, ADHD, substance use, difficult life transitions, and recover from narcissistic abuse.
(412) 899-2302 View (412) 899-2302
Photo of Barbara Macleod, Licensed Professional Counselor, MA, LPC, CAACD, MAC
Barbara Macleod
Licensed Professional Counselor, MA, LPC, CAACD, MAC
Scranton, PA 18505
As a young adult I sought out counseling to help me navigate my life's issues. It felt most beneficial when a therapist, by listening and understanding me, in a nonjudgmental, supportive and educational way, seemed to meet me where I was at both emotionally and mentally- giving me hope, the tools, the time and the motivation I needed to heal.These healing experiences gave me the desire to help others. Thus following their positive examples, I have approached everyone's treatment on an individual basis- knowing everyone is different emotionally and mentally, and are coming from different life experiences.
As a young adult I sought out counseling to help me navigate my life's issues. It felt most beneficial when a therapist, by listening and understanding me, in a nonjudgmental, supportive and educational way, seemed to meet me where I was at both emotionally and mentally- giving me hope, the tools, the time and the motivation I needed to heal.These healing experiences gave me the desire to help others. Thus following their positive examples, I have approached everyone's treatment on an individual basis- knowing everyone is different emotionally and mentally, and are coming from different life experiences.
(570) 498-6752 View (570) 498-6752
Photo of Hannah Wittman - Lifebulb, Licensed Professional Counselor, LPC
Lifebulb
Licensed Professional Counselor, LPC
Wilkes Barre, PA 18702
Not accepting new clients
Too many therapy practices forget that fulfilled therapists create fulfilled clients. At Lifebulb, we’ve changed that. We’ve built a space where passionate clinicians can thrive, so you get the best care possible—whether face-to-face or online. Every therapist on our team is licensed, highly trained, and deeply committed to helping you achieve your goals.
Too many therapy practices forget that fulfilled therapists create fulfilled clients. At Lifebulb, we’ve changed that. We’ve built a space where passionate clinicians can thrive, so you get the best care possible—whether face-to-face or online. Every therapist on our team is licensed, highly trained, and deeply committed to helping you achieve your goals.
(272) 200-3664 View (272) 200-3664
Photo of William Dougherty, Licensed Professional Counselor, LPC
William Dougherty
Licensed Professional Counselor, LPC
Online Only
My name is William Dougherty and I am a Licensed Professional Counselor (LPC) based in the Lehigh Valley, Pennsylvania, and working with clients statewide via telehealth. I work with adults and specialize in anxiety, stress, and addictions, using Cognitive Behavioral Therapy, Motivational Interviewing, Narrative Therapy, and Mindfulness to help my clients make progress and start feeling better.
My name is William Dougherty and I am a Licensed Professional Counselor (LPC) based in the Lehigh Valley, Pennsylvania, and working with clients statewide via telehealth. I work with adults and specialize in anxiety, stress, and addictions, using Cognitive Behavioral Therapy, Motivational Interviewing, Narrative Therapy, and Mindfulness to help my clients make progress and start feeling better.
(717) 837-3996 View (717) 837-3996
Photo of Bram Wilusz, Licensed Professional Counselor, BS, MA, LPC
Bram Wilusz
Licensed Professional Counselor, BS, MA, LPC
Online Only
Do you have difficulty regulating thoughts, feelings, or behaviors? If so you have come to the right place. I am dedicated to providing compassionate, personalized care in a safe and supportive environment. I believe that everyone deserves to feel heard, understood, and empowered on their journey toward healing and growth.
Do you have difficulty regulating thoughts, feelings, or behaviors? If so you have come to the right place. I am dedicated to providing compassionate, personalized care in a safe and supportive environment. I believe that everyone deserves to feel heard, understood, and empowered on their journey toward healing and growth.
(267) 619-7064 View (267) 619-7064
Photo of Nicole Gloria Williams, Clinical Social Work/Therapist, LCSW
Nicole Gloria Williams
Clinical Social Work/Therapist, LCSW
Online Only
Grounded in strengths-based, client-centered techniques, I collaborate with clients to identify and build upon their existing resilience and insight. Employing modalities such as Cognitive Behavioral Therapy and mindfulness-informed interventions, helps clients feel heard, safe, and seen—positioning individuals as experts in their own healing journey. My approach is both compassionate and practical. By guiding clients towards understanding their emotional experiences and recurring patterns, I offer concrete strategies to cultivate presence, self-compassion, and adaptive responses to stress.
Grounded in strengths-based, client-centered techniques, I collaborate with clients to identify and build upon their existing resilience and insight. Employing modalities such as Cognitive Behavioral Therapy and mindfulness-informed interventions, helps clients feel heard, safe, and seen—positioning individuals as experts in their own healing journey. My approach is both compassionate and practical. By guiding clients towards understanding their emotional experiences and recurring patterns, I offer concrete strategies to cultivate presence, self-compassion, and adaptive responses to stress.
(215) 607-8008 View (215) 607-8008
Photo of Lisa Kossuth - Peace of Mind NEPA, Licensed Professional Counselor, LPC, NCC, MA
Peace of Mind NEPA
Licensed Professional Counselor, LPC, NCC, MA
Old Forge, PA 18518
When others can’t control you, they try to control what others think about you. Many people feel stuck in toxic cycles—trapped by self-doubt, anxiety, or relationships that drain them. They strive for perfection, fearing they’ll never be enough, or stay silent to avoid conflict. They’re people-pleasers, overthinkers, and caught in patterns of manipulation, constantly questioning themselves instead of trusting their instincts. They long for confidence, boundaries, and the freedom to live life on their own terms but feel paralyzed by fear and uncertainty. I help them break free, recognize their worth, and step into their power.
When others can’t control you, they try to control what others think about you. Many people feel stuck in toxic cycles—trapped by self-doubt, anxiety, or relationships that drain them. They strive for perfection, fearing they’ll never be enough, or stay silent to avoid conflict. They’re people-pleasers, overthinkers, and caught in patterns of manipulation, constantly questioning themselves instead of trusting their instincts. They long for confidence, boundaries, and the freedom to live life on their own terms but feel paralyzed by fear and uncertainty. I help them break free, recognize their worth, and step into their power.
(570) 536-8105 View (570) 536-8105
Photo of Emily Dwyer, Associate Professional Counselor, MS, LAPC, NCC
Emily Dwyer
Associate Professional Counselor, MS, LAPC, NCC
2 Endorsed
Tired of anxiety, relationship hurdles, or living someone else's life? Join a warm space where you can finally exhale. My therapy approach helps children, parents, and adults move through difficult situations, recognizing external challenges without internalizing blame. For adults, we'll dive deep into your inner world, uncovering your authentic self by exploring how past experiences and unconscious patterns impact your present, so you can live a life that genuinely aligns with who you are. With kids, I use play to build crucial emotional intelligence, equipping them with tools for healthier communication and stronger social bonds.
Tired of anxiety, relationship hurdles, or living someone else's life? Join a warm space where you can finally exhale. My therapy approach helps children, parents, and adults move through difficult situations, recognizing external challenges without internalizing blame. For adults, we'll dive deep into your inner world, uncovering your authentic self by exploring how past experiences and unconscious patterns impact your present, so you can live a life that genuinely aligns with who you are. With kids, I use play to build crucial emotional intelligence, equipping them with tools for healthier communication and stronger social bonds.
(272) 217-3421 View (272) 217-3421
Photo of Megan Ryman, Licensed Professional Counselor, MA, LPC, NCC, CADC
Megan Ryman
Licensed Professional Counselor, MA, LPC, NCC, CADC
2 Endorsed
Dickson City, PA 18519
Waitlist for new clients
Whether you are entering into counseling for the first time or returning, my goal is to provide a safe and trusting environment to help you work towards being your authentic self. I will help you to discover and utilize your strengths as well as provide a sounding board for any issues you'd like to discuss in therapy. I utilize Cognitive Behavioral Therapy and Motivational Interviewing as well as other evidence based practices to meet you where you are at and encourage you towards further growth. I will collaborate with you to help you achieve greater overall wellness and life satisfaction.
Whether you are entering into counseling for the first time or returning, my goal is to provide a safe and trusting environment to help you work towards being your authentic self. I will help you to discover and utilize your strengths as well as provide a sounding board for any issues you'd like to discuss in therapy. I utilize Cognitive Behavioral Therapy and Motivational Interviewing as well as other evidence based practices to meet you where you are at and encourage you towards further growth. I will collaborate with you to help you achieve greater overall wellness and life satisfaction.
(272) 268-7476 View (272) 268-7476
Photo of Madeline Grant, Clinical Social Work/Therapist, LSW, LMSW
Madeline Grant
Clinical Social Work/Therapist, LSW, LMSW
2 Endorsed
Dunmore, PA 18509
Greetings! I specialize in working with children, adolescents, adults, and families in counseling. I works to build a strong, empathetic therapeutic relationship with my clients to help them achieve their goals. I enjoy working with clients to assist them with anxiety, depression, PTSD, OCD, life transitions, and behavioral concerns.
Greetings! I specialize in working with children, adolescents, adults, and families in counseling. I works to build a strong, empathetic therapeutic relationship with my clients to help them achieve their goals. I enjoy working with clients to assist them with anxiety, depression, PTSD, OCD, life transitions, and behavioral concerns.
(570) 483-8956 View (570) 483-8956
Photo of Dr. Andrea Genello - Lasting Wellness LLC--Reproductive Psychologist, Psychologist, PsyD
Welcome! Lasting Wellness is a small private practice in Pennsylvania with extensive experience treating a variety of issues such as depression, anxiety, grief, relationship changes, and struggles with work life balance. We frequently work with adults experiencing maternal mental health concerns including perinatal mood disorders, birth trauma, fertility concerns, and pregnancy or infant loss.
Welcome! Lasting Wellness is a small private practice in Pennsylvania with extensive experience treating a variety of issues such as depression, anxiety, grief, relationship changes, and struggles with work life balance. We frequently work with adults experiencing maternal mental health concerns including perinatal mood disorders, birth trauma, fertility concerns, and pregnancy or infant loss.
Photo of Evelyn Mejias, Clinical Social Work/Therapist, LCSW
Evelyn Mejias
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Congratulations on taking this exciting step! I'm looking forward to making this journey meaningful for you. I specialize in working with people who are going through life transitions, dealing with anxiety, depression, or trauma. My approach to therapy is all about you—it's client-centered and collaborative. Each session will be tailored to fit your unique needs and goals, so feel free to reach out whenever you’re ready to start. I’m here to provide a warm and supportive space where you can truly be yourself.
Congratulations on taking this exciting step! I'm looking forward to making this journey meaningful for you. I specialize in working with people who are going through life transitions, dealing with anxiety, depression, or trauma. My approach to therapy is all about you—it's client-centered and collaborative. Each session will be tailored to fit your unique needs and goals, so feel free to reach out whenever you’re ready to start. I’m here to provide a warm and supportive space where you can truly be yourself.
(717) 970-5384 View (717) 970-5384

See more therapy options for Hunlock Creek

How does your Therapist compare?

Number of Therapists in Hunlock Creek, PA

< 10

Therapists in Hunlock Creek, PA who prioritize treating:

100% Anxiety
100% ADHD
100% Family Conflict
50% Child
50% Chronic Pain
50% Domestic Abuse
50% Life Coaching

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Hunlock Creek, PA see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Hunlock Creek?

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.