Therapists in Irion County, TX

Photo of Aaron Turner, Licensed Professional Counselor, MA
Aaron Turner
Licensed Professional Counselor, MA
Serves Area
Whatever your story, no situation is without hope. You are not alone. More and more of my of my clients are seeking help following some type of trauma, or maybe they are feeling hurt or damaged in some way. Unfortunately, this is a product of the culture in which we live. I have worked extensively in the area of trauma and abuse, including work with teenage and adult members of the LGBTQ community as well as transgender individuals who may or may not be in transition. Dealing with unresolved stress, hurt, anger, frustration and more can set us on a more stable path toward healthy relationships. This is always the goal.
Whatever your story, no situation is without hope. You are not alone. More and more of my of my clients are seeking help following some type of trauma, or maybe they are feeling hurt or damaged in some way. Unfortunately, this is a product of the culture in which we live. I have worked extensively in the area of trauma and abuse, including work with teenage and adult members of the LGBTQ community as well as transgender individuals who may or may not be in transition. Dealing with unresolved stress, hurt, anger, frustration and more can set us on a more stable path toward healthy relationships. This is always the goal.
(903) 666-4810 View (903) 666-4810

Online Therapists

Photo of Kandis R Snowden, Licensed Professional Counselor Associate, MA
Kandis R Snowden
Licensed Professional Counselor Associate, MA
1 Endorsed
Midland, TX 79701
Kandis Snowden is a Licensed Professional Counselor Associate, being supervised by Cheryl Willoughby LPC-S. lts challenging to go into a fancy office and speak with a stranger in a world with so much stigma regarding help for our mental health. My heart desires to make you feel safe and welcome. I offer a comfortable and relaxed atmosphere, like sitting on the porch. By caring, we allow growth, healing, and change to occur—a place to sit on a porch where anything can be said and not held against you. If you want to understand the past or want to discuss the future; there is nothing that good ol’ porch therapy cannot do.
Kandis Snowden is a Licensed Professional Counselor Associate, being supervised by Cheryl Willoughby LPC-S. lts challenging to go into a fancy office and speak with a stranger in a world with so much stigma regarding help for our mental health. My heart desires to make you feel safe and welcome. I offer a comfortable and relaxed atmosphere, like sitting on the porch. By caring, we allow growth, healing, and change to occur—a place to sit on a porch where anything can be said and not held against you. If you want to understand the past or want to discuss the future; there is nothing that good ol’ porch therapy cannot do.
(432) 287-1184 View (432) 287-1184
Photo of Heather Robinson, Licensed Professional Counselor, M Ed, LPC
Heather Robinson
Licensed Professional Counselor, M Ed, LPC
3 Endorsed
Midland, TX 79701
As a skilled and experienced counselor with a passion for helping individuals of all ages navigate life's challenges, I have devoted my career to providing support and guidance to children, teens, and adults as an educator and counselor. I aim to assist individuals explore their emotions, thoughts, and behaviors in a safe and supportive space. With training in child psychology, adolescent development, and adult concerns, my approach involves utilizing evidence-based techniques tailored to each individual's unique needs and developmental stage.
As a skilled and experienced counselor with a passion for helping individuals of all ages navigate life's challenges, I have devoted my career to providing support and guidance to children, teens, and adults as an educator and counselor. I aim to assist individuals explore their emotions, thoughts, and behaviors in a safe and supportive space. With training in child psychology, adolescent development, and adult concerns, my approach involves utilizing evidence-based techniques tailored to each individual's unique needs and developmental stage.
(432) 389-2391 View (432) 389-2391
Photo of Cristi Thomas, Licensed Professional Counselor, MEd, LPC
Cristi Thomas
Licensed Professional Counselor, MEd, LPC
1 Endorsed
San Angelo, TX 76904
I understand that anxiety and depression can be overwhelming, but you don't have to face them alone! I am here to provide you with warm and caring support on your journey towards healing and wellbeing. As a counselor, I prioritize creating a safe and non-judgmental space where you can freely express your thoughts and feelings. Together, we will explore the roots of your anxiety and depression, helping you gain a deeper understanding of your unique experiences. Using evidence-based approaches, I will guide you in developing coping strategies tailored to your specific needs.
I understand that anxiety and depression can be overwhelming, but you don't have to face them alone! I am here to provide you with warm and caring support on your journey towards healing and wellbeing. As a counselor, I prioritize creating a safe and non-judgmental space where you can freely express your thoughts and feelings. Together, we will explore the roots of your anxiety and depression, helping you gain a deeper understanding of your unique experiences. Using evidence-based approaches, I will guide you in developing coping strategies tailored to your specific needs.
(325) 399-3327 View (325) 399-3327
Photo of Connie Garcia-Ball, Licensed Professional Counselor, MA, LPC
Connie Garcia-Ball
Licensed Professional Counselor, MA, LPC
2 Endorsed
Midland, TX 79701
Hi, my name is Connie, I am here to help you help yourself. We often question ourselves and our capabilities as we try to understand life’s obstacles. Whether it is feeling overwhelmed with the present, stuck in the past, or simply attempting to move forward in the future, we must feel to heal. I am prepared to aid you in discovering the path towards your own rescue along with establishing unconditional positive regard within a therapeutic relationship.
Hi, my name is Connie, I am here to help you help yourself. We often question ourselves and our capabilities as we try to understand life’s obstacles. Whether it is feeling overwhelmed with the present, stuck in the past, or simply attempting to move forward in the future, we must feel to heal. I am prepared to aid you in discovering the path towards your own rescue along with establishing unconditional positive regard within a therapeutic relationship.
(432) 888-9302 View (432) 888-9302
Photo of Heather F. Davis, Licensed Professional Counselor Associate, M , Ed
Heather F. Davis
Licensed Professional Counselor Associate, M , Ed
Midland, TX 79705
Life’s challenges can feel overwhelming at times leaving you feeling stuck, disconnected, or unsure where to turn. You may be carrying pain from the past, struggling with relationships, or finding it hard to feel like yourself lately. Whatever brought you here, you don’t have to face it alone. My approach is collaborative and built on empathy, care, and respect for your unique story. Together, we’ll work to understand underlying patterns, build healthy coping strategies, and create meaningful changes. I offer a warm, supportive space where you can talk openly, feel understood, and begin to heal.
Life’s challenges can feel overwhelming at times leaving you feeling stuck, disconnected, or unsure where to turn. You may be carrying pain from the past, struggling with relationships, or finding it hard to feel like yourself lately. Whatever brought you here, you don’t have to face it alone. My approach is collaborative and built on empathy, care, and respect for your unique story. Together, we’ll work to understand underlying patterns, build healthy coping strategies, and create meaningful changes. I offer a warm, supportive space where you can talk openly, feel understood, and begin to heal.
(432) 302-6626 View (432) 302-6626
Photo of David Devereaux, Licensed Professional Counselor, LPC
David Devereaux
Licensed Professional Counselor, LPC
San Angelo, TX 76904
I am a Licensed Professional Counselor and I love what I do. There is a profound sense of purpose- individually and shared- when I engage in this work with my clients. Helping others improve themselves and their relationships, learn strategies to confront life’s challenges, find fulfillment, and gain a sense of meaning is what compels me. Whether you’ve been through therapy before or this is your first time engaging in the therapeutic process, together, with my array of skills gained through diverse modalities and specific training, and your desire to improve, change is possible.
I am a Licensed Professional Counselor and I love what I do. There is a profound sense of purpose- individually and shared- when I engage in this work with my clients. Helping others improve themselves and their relationships, learn strategies to confront life’s challenges, find fulfillment, and gain a sense of meaning is what compels me. Whether you’ve been through therapy before or this is your first time engaging in the therapeutic process, together, with my array of skills gained through diverse modalities and specific training, and your desire to improve, change is possible.
(832) 539-7519 View (832) 539-7519
Photo of Simon T Cross, Drug & Alcohol Counselor, LCDC
Simon T Cross
Drug & Alcohol Counselor, LCDC
Online Only
I am ready to serve someone who is ready to break free from the grip of addiction and embrace the journey toward a new life in recovery. They may feel overwhelmed or uncertain, but they have a willingness to show up, dig deep, and put in the work needed for lasting change. Whether they’re taking their first steps toward sobriety or seeking to strengthen their recovery, they are open to exploring evidence-based strategies and embracing a holistic approach to healing. Most importantly, they are committed to creating a life of purpose, growth, and long-term recovery — one step at a time.
I am ready to serve someone who is ready to break free from the grip of addiction and embrace the journey toward a new life in recovery. They may feel overwhelmed or uncertain, but they have a willingness to show up, dig deep, and put in the work needed for lasting change. Whether they’re taking their first steps toward sobriety or seeking to strengthen their recovery, they are open to exploring evidence-based strategies and embracing a holistic approach to healing. Most importantly, they are committed to creating a life of purpose, growth, and long-term recovery — one step at a time.
(432) 547-6731 View (432) 547-6731
Photo of Miranda Shurley, Licensed Professional Counselor Associate, MS, LPC-A
Miranda Shurley
Licensed Professional Counselor Associate, MS, LPC-A
Midland, TX 79701
The couch is comfy, come share your story with me! Your life is your story. Conflicts with others and ourselves can leave us overwhelmed by feelings of stress, anxiety, anger, vulnerability, or despair. The various difficulties you face during times of conflict may require extra help and support from outside of yourself. I am here to help by providing a safe and open environment for individuals seeking some extra support to work through the times of conflict in their story.
The couch is comfy, come share your story with me! Your life is your story. Conflicts with others and ourselves can leave us overwhelmed by feelings of stress, anxiety, anger, vulnerability, or despair. The various difficulties you face during times of conflict may require extra help and support from outside of yourself. I am here to help by providing a safe and open environment for individuals seeking some extra support to work through the times of conflict in their story.
(432) 529-4708 x100 View (432) 529-4708 x100
Photo of Robin A Moseley, Licensed Professional Counselor, MSEd, LPC-S, LPCC, CCTP, EMDR II
Robin A Moseley
Licensed Professional Counselor, MSEd, LPC-S, LPCC, CCTP, EMDR II
3 Endorsed
Ozona, TX 76943
Are you feeling overwhelmed, stuck in survival mode, or like life is just too much lately? Do you find yourself replaying old pain or carrying trauma that others can’t see? You don’t have to keep doing this alone—healing is possible, and I’d be honored to walk with you. I provide a safe, supportive space for adults and teens who are dealing with PTSD, trauma, or performance-related anxiety and injury. Whether life feels unbearable or you simply want to feel stronger and more in control, I’m here to help. My approach is compassionate, grounded, and practical—focused on helping you reconnect with your strength and reclaim your peace.
Are you feeling overwhelmed, stuck in survival mode, or like life is just too much lately? Do you find yourself replaying old pain or carrying trauma that others can’t see? You don’t have to keep doing this alone—healing is possible, and I’d be honored to walk with you. I provide a safe, supportive space for adults and teens who are dealing with PTSD, trauma, or performance-related anxiety and injury. Whether life feels unbearable or you simply want to feel stronger and more in control, I’m here to help. My approach is compassionate, grounded, and practical—focused on helping you reconnect with your strength and reclaim your peace.
(806) 545-8810 View (806) 545-8810
Photo of Rios Waddleton - Starting Point Solutions, Licensed Professional Counselor, MEd, LPC
Starting Point Solutions
Licensed Professional Counselor, MEd, LPC
Midland, TX 79707
Waitlist for new clients
Do you struggle with change in any part of your life? Tough for you to make a decision? Are issues of morality and character at the bottom of your relationship conflicts? Do you have difficulty understanding concepts in religion and spirituality? Can't do any thing right? As a licensed professional counselor, I am committed to being your resource for solutions to help you overcome hardships. I would welcome the opportunity to assist you in developing and implementing a plan for growth.
Do you struggle with change in any part of your life? Tough for you to make a decision? Are issues of morality and character at the bottom of your relationship conflicts? Do you have difficulty understanding concepts in religion and spirituality? Can't do any thing right? As a licensed professional counselor, I am committed to being your resource for solutions to help you overcome hardships. I would welcome the opportunity to assist you in developing and implementing a plan for growth.
(432) 223-0346 View (432) 223-0346
Photo of Marilee Melendez, Licensed Professional Counselor, LPC
Marilee Melendez
Licensed Professional Counselor, LPC
Odessa, TX 79761
My name is Marilee Melendez and I have been practicing for almost 4 years. I received my bachelor's in Psychology from Texas Tech University and my master's in Counseling from the University of Texas Permian Basin. As a first-generation Mexican-American, I deeply connect with how our cultural backgrounds affect our lives. I provide therapy in both Spanish and English. I have experience with trauma, immigration documentation, LGBTQ+, couples, children, adolescents, and adults.
My name is Marilee Melendez and I have been practicing for almost 4 years. I received my bachelor's in Psychology from Texas Tech University and my master's in Counseling from the University of Texas Permian Basin. As a first-generation Mexican-American, I deeply connect with how our cultural backgrounds affect our lives. I provide therapy in both Spanish and English. I have experience with trauma, immigration documentation, LGBTQ+, couples, children, adolescents, and adults.
(346) 553-0936 View (346) 553-0936
Photo of Genevia R Slate, Licensed Professional Counselor, MA, LPC, LCDC
Genevia R Slate
Licensed Professional Counselor, MA, LPC, LCDC
Odessa, TX 79762
Waitlist for new clients
Whether it's life challenges, obstacles or transitions that are prompting you to seek counseling, today you are one step closer to your personal journey of growth and healing. Fear of change is natural, but can prevent us from letting go of old beliefs, behaviors, and ways of being and situations that are no longer beneficial to our wellbeing.
Whether it's life challenges, obstacles or transitions that are prompting you to seek counseling, today you are one step closer to your personal journey of growth and healing. Fear of change is natural, but can prevent us from letting go of old beliefs, behaviors, and ways of being and situations that are no longer beneficial to our wellbeing.
(432) 287-1373 View (432) 287-1373
Photo of Jessica Cody, Licensed Professional Counselor, Jessica, MA, LPC
Jessica Cody
Licensed Professional Counselor, Jessica, MA, LPC
2 Endorsed
Midland, TX 79701
Are you grieving the loss of a relationship, struggling with forgiveness, or navigating the challenges of coparenting or blending families? You may feel stuck in pain, guilt, or frustration—wanting peace and healthy connections for yourself and your children. I help individuals and couples heal from broken trust, release resentment, and rebuild with compassion so you can move forward with confidence and create a home where everyone feels safe and loved.
Are you grieving the loss of a relationship, struggling with forgiveness, or navigating the challenges of coparenting or blending families? You may feel stuck in pain, guilt, or frustration—wanting peace and healthy connections for yourself and your children. I help individuals and couples heal from broken trust, release resentment, and rebuild with compassion so you can move forward with confidence and create a home where everyone feels safe and loved.
(432) 239-7595 View (432) 239-7595
Photo of Megan Medina, Licensed Professional Counselor, MA, LPC
Megan Medina
Licensed Professional Counselor, MA, LPC
5 Endorsed
Online Only
Life and relationships are especially difficult when crisis or stress get in the way. Maybe you find yourself overreacting to things, overwhelmed by emotions, or fighting the same battles with the people you love. If you've lost touch with who you are, your loved ones are concerned, or you feel ashamed about your behavior, it can add even more pressure to an already stressful life. We never learned how to cope with these things in school, so why should we be expected to do it in a healthy way without any support?
Life and relationships are especially difficult when crisis or stress get in the way. Maybe you find yourself overreacting to things, overwhelmed by emotions, or fighting the same battles with the people you love. If you've lost touch with who you are, your loved ones are concerned, or you feel ashamed about your behavior, it can add even more pressure to an already stressful life. We never learned how to cope with these things in school, so why should we be expected to do it in a healthy way without any support?
(432) 278-1617 View (432) 278-1617
Photo of Joseph Silva, Licensed Professional Counselor, LPC
Joseph Silva
Licensed Professional Counselor, LPC
2 Endorsed
Online Only
Naturally, we gravitate towards what's most comfortable but often what's most comfortable is what keeps us "stuck." Life can feel unmanageable without clear direction, guidance or support. Whether you're dealing with the lingering stress from our historical pandemic, relationship stress, substance abuse issues, general stress, or other past traumatic events, I'm here to help and support you with overcoming life's obstacles.
Naturally, we gravitate towards what's most comfortable but often what's most comfortable is what keeps us "stuck." Life can feel unmanageable without clear direction, guidance or support. Whether you're dealing with the lingering stress from our historical pandemic, relationship stress, substance abuse issues, general stress, or other past traumatic events, I'm here to help and support you with overcoming life's obstacles.
(214) 216-6453 View (214) 216-6453
Photo of Dawn Westby Garcia, Licensed Professional Counselor, LPC
Dawn Westby Garcia
Licensed Professional Counselor, LPC
Midland, TX 79703
I have always been passionate about helping people through difficult times in life. We all have our own struggles and sometimes we need help to walk through them. I have several years' experience in working with clients in a safe and non-judgmental style. My therapeutic approach is eclectic, yet very rooted in evidence-based practices. This allows me to tailor interventions to each client's unique needs.
I have always been passionate about helping people through difficult times in life. We all have our own struggles and sometimes we need help to walk through them. I have several years' experience in working with clients in a safe and non-judgmental style. My therapeutic approach is eclectic, yet very rooted in evidence-based practices. This allows me to tailor interventions to each client's unique needs.
(432) 255-2824 View (432) 255-2824
Photo of Ansley Murphy, Licensed Professional Counselor Associate, MEd
Ansley Murphy
Licensed Professional Counselor Associate, MEd
2 Endorsed
Midland, TX 79701
Healing isn’t always easy, but you don’t have to do it alone. My goal is to create a space where you can slow down, feel seen, and begin making sense of the experiences that have shaped you. I offer trauma-informed care and work with individuals navigating the lasting effects of trauma, anxiety, ADHD, and the weight of daily life. Maybe you've found yourself carrying a hole in your heart and wondering if that's just how it'll always be. At Hole Hearted Healing, I meet each client with authenticity, curiosity, and warmth as we work toward understanding your story, finding balance, and creating space for growth.
Healing isn’t always easy, but you don’t have to do it alone. My goal is to create a space where you can slow down, feel seen, and begin making sense of the experiences that have shaped you. I offer trauma-informed care and work with individuals navigating the lasting effects of trauma, anxiety, ADHD, and the weight of daily life. Maybe you've found yourself carrying a hole in your heart and wondering if that's just how it'll always be. At Hole Hearted Healing, I meet each client with authenticity, curiosity, and warmth as we work toward understanding your story, finding balance, and creating space for growth.
(432) 999-5809 View (432) 999-5809
Photo of Amy Garman - Balance Counseling , Licensed Professional Counselor, LPC-S, RPT-S
Balance Counseling
Licensed Professional Counselor, LPC-S, RPT-S
Odessa, TX 79762
At Balance Counseling, we are invested in healing. Our team of licensed professional counselors and licensed professional counselor associates stay current on the most trauma-informed and attachment-based methods so that we can help you get to the root of your struggles. We are committed to meet clients where they are, and we take a highly individualized, holistic approach to counseling. We treat children, teens and adults experiencing a variety of challenges to their mental health
At Balance Counseling, we are invested in healing. Our team of licensed professional counselors and licensed professional counselor associates stay current on the most trauma-informed and attachment-based methods so that we can help you get to the root of your struggles. We are committed to meet clients where they are, and we take a highly individualized, holistic approach to counseling. We treat children, teens and adults experiencing a variety of challenges to their mental health
(432) 226-7981 View (432) 226-7981
Photo of Stephanie R Tran, Licensed Professional Counselor, MS, LPC
Stephanie R Tran
Licensed Professional Counselor, MS, LPC
Online Only
I feel that therapy shouldn't be scary or too formal, but instead easy like casual conversation. A session can be a fun, safe place where it's ok to laugh. There is sometimes a stigma surrounding therapy because of the idea that one must have something "wrong" to need therapy. Sometimes goals or ideas or feelings that seem like mountains to overcome or attain are most easily traversed by simply talking things out with someone who has an outside view of the situation. As a counselor, my ultimate goal is to assist every individual with becoming their own best advocates and working towards self-accountability.
I feel that therapy shouldn't be scary or too formal, but instead easy like casual conversation. A session can be a fun, safe place where it's ok to laugh. There is sometimes a stigma surrounding therapy because of the idea that one must have something "wrong" to need therapy. Sometimes goals or ideas or feelings that seem like mountains to overcome or attain are most easily traversed by simply talking things out with someone who has an outside view of the situation. As a counselor, my ultimate goal is to assist every individual with becoming their own best advocates and working towards self-accountability.
(432) 666-3049 View (432) 666-3049

How does your Therapist compare?

Number of Therapists in Irion County, TX

< 10

Therapists in Irion County, TX who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% ADHD
100% Obsessive-Compulsive (OCD)
100% Spirituality
100% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

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

How Therapists in Irion County, TX see their clients

100% In Person and Online

Gender breakdown

100% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Irion County?

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.