Therapists in 02769
![Photo of Katie Barnes, MSW , LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0d73e1df-b175-4406-88dc-73cca06e3b2b/9/320x400.png)
Katie Barnes
Clinical Social Work/Therapist, MSW , LCSW
Verified Verified
1 Endorsed
Rehoboth, MA 02769
Welcome! My biggest priority as a therapist is building a relationship based on partnership, empowerment, and client-identified strengths. It is important to me that clients feel safe and free to be their whole selves in sessions. I enjoy working with individuals who are in the LGBTQIA+, neuro-divergent, and/or disability communities and am specialized in mood regulation, stress reduction, focus and attention, social skills, harm-reduction, and self-esteem challenges.
Welcome! My biggest priority as a therapist is building a relationship based on partnership, empowerment, and client-identified strengths. It is important to me that clients feel safe and free to be their whole selves in sessions. I enjoy working with individuals who are in the LGBTQIA+, neuro-divergent, and/or disability communities and am specialized in mood regulation, stress reduction, focus and attention, social skills, harm-reduction, and self-esteem challenges.
![Photo of Michelle Kelly, LMHC, Counselor](https://photos.psychologytoday.com/031ec42f-404e-4ad5-a861-109d0de2a0f7/2/320x400.jpeg)
We all go through transitions. Sometimes they seem as easy as exhaling after holding your breath. Then there are the times when it can be painful, overwhelming, and lonely. Whether you’re going to the next level of education, starting a career, or changing jobs, it can make life feel scary and uncertain (kind of like deciding to explore an eternal abyss). That’s where I come in. I’m here to help you cross whatever proverbial bridge you have in front you. Since 2015, I've worked with folks from 12 to 60 going through some changes using an eclectic but meaningful combination of theories and interventions.
We all go through transitions. Sometimes they seem as easy as exhaling after holding your breath. Then there are the times when it can be painful, overwhelming, and lonely. Whether you’re going to the next level of education, starting a career, or changing jobs, it can make life feel scary and uncertain (kind of like deciding to explore an eternal abyss). That’s where I come in. I’m here to help you cross whatever proverbial bridge you have in front you. Since 2015, I've worked with folks from 12 to 60 going through some changes using an eclectic but meaningful combination of theories and interventions.
![Photo of Caitlin Jesus, MA, LMHC, Counselor](https://photos.psychologytoday.com/4edda9d2-d436-41e5-a7bd-8ca52374cd1a/2/320x400.jpeg)
Caitlin is an LMHC & yoga instructor who has spent most of her career working with clients who've experienced trauma, mood disorders, & behavioral disorders in a variety of settings. Caitlin has also worked with athletes, teams, and coaches as a Sport & Performance Psychology Coach. Caitlin is passionate about using creative techniques & experiences that align with clients' interests & values to ensure that the therapeutic process is tailored to the individual. She also believes that developing self-awareness, self-compassion, & understanding what fosters joy are key components to assisting clients on their path to wellness.
Caitlin is an LMHC & yoga instructor who has spent most of her career working with clients who've experienced trauma, mood disorders, & behavioral disorders in a variety of settings. Caitlin has also worked with athletes, teams, and coaches as a Sport & Performance Psychology Coach. Caitlin is passionate about using creative techniques & experiences that align with clients' interests & values to ensure that the therapeutic process is tailored to the individual. She also believes that developing self-awareness, self-compassion, & understanding what fosters joy are key components to assisting clients on their path to wellness.
![Photo of Amy Mulcahey, MSW, Pre-Licensed Professional](https://photos.psychologytoday.com/686f057d-01c1-4b14-b3bb-2da9cb4872a7/1/320x400.jpeg)
I am passionate about supporting teens and adults in fostering self-empowerment to attain their goals and find peace and meaning in their life journey. I use a collaborative approach with my clients to cultivate a deeper understanding of their self-identity and emotional expression to empower clients to uncover their inner strengths and develop healthy relationships and coping skills. I create an authentic, welcoming, trauma-informed, and non-judgmental environment to talk openly and honestly about your concerns.
I am passionate about supporting teens and adults in fostering self-empowerment to attain their goals and find peace and meaning in their life journey. I use a collaborative approach with my clients to cultivate a deeper understanding of their self-identity and emotional expression to empower clients to uncover their inner strengths and develop healthy relationships and coping skills. I create an authentic, welcoming, trauma-informed, and non-judgmental environment to talk openly and honestly about your concerns.
![Photo of Alyia Pothemont, Pre-Licensed Professional](https://photos.psychologytoday.com/3e602c55-f3f7-4642-8bc7-c8234c919d92/1/320x400.png)
Life can come with a lot of curveballs some that we can handle others can be more difficult. Life can start to become a rollercoaster that never ends. Having that one person you can speak to about life without judgement can help alleviate some of those curveballs. As a pre-licensed professional my purpose is to meet others where they are and help them discover themselves without feeling restricted. While helping them heal from their past. I am trained in numerous forms of therapy, including motivational interviewing, cognitive behavioral therapy, behavioral therapy, psychodynamic therapy, and person-centered therapy.
Life can come with a lot of curveballs some that we can handle others can be more difficult. Life can start to become a rollercoaster that never ends. Having that one person you can speak to about life without judgement can help alleviate some of those curveballs. As a pre-licensed professional my purpose is to meet others where they are and help them discover themselves without feeling restricted. While helping them heal from their past. I am trained in numerous forms of therapy, including motivational interviewing, cognitive behavioral therapy, behavioral therapy, psychodynamic therapy, and person-centered therapy.
![Photo of Amanda Page, MA, LMHC, LPC, Counselor](https://photos.psychologytoday.com/b29c860d-69d4-4740-883a-e3a82388783c/1/320x400.jpeg)
At Aviv, our mission is to create healing spaces where true emotional growth can happen. I will empower you to share your story, and will support you as you navigate your way in the world. In the context of a safe environment, we will work together to process through any current challenges that you may be facing and explore ways to move towards healing.
At Aviv, our mission is to create healing spaces where true emotional growth can happen. I will empower you to share your story, and will support you as you navigate your way in the world. In the context of a safe environment, we will work together to process through any current challenges that you may be facing and explore ways to move towards healing.
![Photo of Dylan Kurczak, MS, LMHC, Counselor](https://photos.psychologytoday.com/6c076c6c-3d2b-4116-96e4-d0707ef2e55b/1/320x400.png)
I am a Licensed Mental Health Counselor with a passion for helping others heal and discover their resilience and sources of joy in this world from a person-centered, strengths-based perspective. While my primary focus is building a genuine connection and individualizing my approach to each person’s specific needs, I am trained in numerous forms of therapy, including but not limited to Cognitive Behavioral Therapy, Motivational Interviewing, Solution-Focused Therapy, and Exposure and Response Prevention Therapy.
I am a Licensed Mental Health Counselor with a passion for helping others heal and discover their resilience and sources of joy in this world from a person-centered, strengths-based perspective. While my primary focus is building a genuine connection and individualizing my approach to each person’s specific needs, I am trained in numerous forms of therapy, including but not limited to Cognitive Behavioral Therapy, Motivational Interviewing, Solution-Focused Therapy, and Exposure and Response Prevention Therapy.
![Photo of Kate Hodges, MSW, Pre-Licensed Professional](https://photos.psychologytoday.com/e8193697-7abb-40bf-b668-3e9bb6370e84/1/320x400.jpeg)
Kate Hodges
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Rehoboth, MA 02769 (Online Only)
I am a Licensed Social Worker (LSW) in the state of Ohio and completed a Master’s of Social Work (MSW) at the University of West Florida. I enjoy working with clients from diverse backgrounds and spiritual traditions, and have experience working with those who have co-occurring disorders.
I am a Licensed Social Worker (LSW) in the state of Ohio and completed a Master’s of Social Work (MSW) at the University of West Florida. I enjoy working with clients from diverse backgrounds and spiritual traditions, and have experience working with those who have co-occurring disorders.
![Photo of Caitlin Rattigan, LMHC, Counselor](https://photos.psychologytoday.com/ece299b0-aeac-4f21-80bf-b1118ceab9a8/1/320x400.jpeg)
Caitlin has experience working with children, adolescents, and adults with various mental health struggles, including but not limited to depression, anxiety, substance use, and personality disorders. She believes that it is also always important to work with a trauma informed and strength based approach. With client collaboration Caitlin is passionate about helping clients find their own potential.
Caitlin has experience working with children, adolescents, and adults with various mental health struggles, including but not limited to depression, anxiety, substance use, and personality disorders. She believes that it is also always important to work with a trauma informed and strength based approach. With client collaboration Caitlin is passionate about helping clients find their own potential.
![Photo of Greg Carpenter, MDiv, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/276ac6e7-20f5-4ebd-8cfe-5a86813966d8/2/320x400.jpeg)
Greg Carpenter
Marriage & Family Therapist, MDiv, LMFT
Verified Verified
Rehoboth, MA 02769 (Online Only)
My counseling work focuses on helping you to strengthen your relationships, get unstuck and discover new possibilities. I see therapy as three-phase process: pain and symptom relief; discovering the source of painful patterns and releasing them, coaching to further transformation. Your goals will guide whether counseling is one to one, couples, or small group sessions. My spiritual and psychological background allows me to be sensitive to the whole person as we work together. Clients have received positive results on a variety of issues; life transitions, performance issues, stress/anxiety and relationship struggles.
My counseling work focuses on helping you to strengthen your relationships, get unstuck and discover new possibilities. I see therapy as three-phase process: pain and symptom relief; discovering the source of painful patterns and releasing them, coaching to further transformation. Your goals will guide whether counseling is one to one, couples, or small group sessions. My spiritual and psychological background allows me to be sensitive to the whole person as we work together. Clients have received positive results on a variety of issues; life transitions, performance issues, stress/anxiety and relationship struggles.
![Photo of Alexa Zippin, MSW, Pre-Licensed Professional](https://photos.psychologytoday.com/86434ce3-f7e2-4713-af37-1a1b2455b947/1/320x400.jpeg)
Alexa Zippin
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Rehoboth, MA 02769 (Online Only)
I utilize many different treatment approaches in my work with kids, teens, adolescents, young adults, and adults. I strive to create an open and safe environment for my clients, to help them feel comfortable feeling and expressing their emotions. Together we can work on any challenges that may come your way.
I utilize many different treatment approaches in my work with kids, teens, adolescents, young adults, and adults. I strive to create an open and safe environment for my clients, to help them feel comfortable feeling and expressing their emotions. Together we can work on any challenges that may come your way.
![Photo of Allison Giuliano, MA, LMHC, PMH-C, Counselor](https://photos.psychologytoday.com/e85338c8-875e-4a35-b39c-2161554d44fe/2/320x400.jpeg)
You landed here today for a reason. Maybe you're facing a looming transition, struggling to adjust to new parenthood (or a new parental stage), maybe you're a creative person who is looking for someone who understands your uniqueness, or maybe you're feeling overwhelmed with anxiety or sadness and can't seem to get out of your own way. Whatever wrench that's been thrown into your plans, know that you deserve to live a fulfilling life. As a seasoned therapist who knew early on in life that this work was my calling, I wholeheartedly believe that therapy is one way to help get you there.
You landed here today for a reason. Maybe you're facing a looming transition, struggling to adjust to new parenthood (or a new parental stage), maybe you're a creative person who is looking for someone who understands your uniqueness, or maybe you're feeling overwhelmed with anxiety or sadness and can't seem to get out of your own way. Whatever wrench that's been thrown into your plans, know that you deserve to live a fulfilling life. As a seasoned therapist who knew early on in life that this work was my calling, I wholeheartedly believe that therapy is one way to help get you there.
![Photo of Kim Sanel, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/8a59ebf8-787a-471e-817f-b9524ee7e3c6/2/320x400.jpeg)
There are countless ways to feel peace, joy and purpose in each and every day; within ourselves and in connection to the people, places and things that surround us. As a holistic mental health practitioner with several years of experience across settings, I have developed a clear understanding of the important role of open-heartedness and persistence as guiding principles in my client-centered approach to growth and healing.
There are countless ways to feel peace, joy and purpose in each and every day; within ourselves and in connection to the people, places and things that surround us. As a holistic mental health practitioner with several years of experience across settings, I have developed a clear understanding of the important role of open-heartedness and persistence as guiding principles in my client-centered approach to growth and healing.
Aimee Grace Mitchell
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Rehoboth, MA 02769 (Online Only)
I support people struggling with Traumatic Experiences and complex PTSD, depression, anxiety and emotion regulation. I have extensive experience working with adolescents and adults, as well as the LGBTQIA community, and people on journeys of forced displacement. I define journeys of forced displacement broadly, both in time and location. These journeys are inherently filled with trauma and reverberate across generations.
I support people struggling with Traumatic Experiences and complex PTSD, depression, anxiety and emotion regulation. I have extensive experience working with adolescents and adults, as well as the LGBTQIA community, and people on journeys of forced displacement. I define journeys of forced displacement broadly, both in time and location. These journeys are inherently filled with trauma and reverberate across generations.
![Photo of Sabine Bright, LCSW, Pre-Licensed Professional](https://photos.psychologytoday.com/7167c332-7102-47ce-85ae-b7bc19b9e0f5/1/320x400.jpeg)
With over a decade of experience in the field of social work, I have had the privilege of working with diverse populations, all age ranges, and a wide variety of mental health diagnoses. I'm an LGBTQ+ identifying therapist and I support my clients through various challenges surrounding gender identity, depression, substance use, and anxiety. I strive to create a client-centered, strength-based, compassionate, trauma-informed, culturally sensitive, and inclusive atmosphere. -If you are interested in scheduling an intake with me, please go to www.aviv.life and fill out the "Contact Us" form.
With over a decade of experience in the field of social work, I have had the privilege of working with diverse populations, all age ranges, and a wide variety of mental health diagnoses. I'm an LGBTQ+ identifying therapist and I support my clients through various challenges surrounding gender identity, depression, substance use, and anxiety. I strive to create a client-centered, strength-based, compassionate, trauma-informed, culturally sensitive, and inclusive atmosphere. -If you are interested in scheduling an intake with me, please go to www.aviv.life and fill out the "Contact Us" form.
![Photo of Melanie Carrasco-Santos, LMHC, MS, MPA, Counselor](https://photos.psychologytoday.com/66301e9c-0821-4210-9a6f-46aa6b0c0210/1/320x400.jpeg)
Melanie (they/them) is a Mental Health Counselor from Puerto Rico with a diverse set of experiences across settings who strives to build trusting relationships and create a warm caring environment where you are invited to challenge ideas of judgement and critique, instead seeking to embrace self-compassion and build upon your strengths to help achieve satisfaction and fulfillment in day-to-day life. As well as supporting individuals and families with repair in relationships, building resiliency, and addressing the impact of systems issues, such as school support (IEP/504/CRA), hospitalizations, discrimination, among others.
Melanie (they/them) is a Mental Health Counselor from Puerto Rico with a diverse set of experiences across settings who strives to build trusting relationships and create a warm caring environment where you are invited to challenge ideas of judgement and critique, instead seeking to embrace self-compassion and build upon your strengths to help achieve satisfaction and fulfillment in day-to-day life. As well as supporting individuals and families with repair in relationships, building resiliency, and addressing the impact of systems issues, such as school support (IEP/504/CRA), hospitalizations, discrimination, among others.
![Photo of Stephanie Saleh, MA, Pre-Licensed Professional](https://photos.psychologytoday.com/6c4b5347-d5d9-4b7c-9afc-46771edc99a4/2/320x400.jpeg)
Whether you need help overcoming a wide range of issues, including anxiety, depression, trauma, relationship conflicts, and life transitions, we can work together to begin the process of healing. I have an interest in multicultural counseling and understand the importance of cultural sensitivity in therapy. I am fluent in Arabic and English, enabling me to provide counseling services to diverse populations. I take pride in offering culturally attuned therapy that respects and values each client's unique background and experiences.
Whether you need help overcoming a wide range of issues, including anxiety, depression, trauma, relationship conflicts, and life transitions, we can work together to begin the process of healing. I have an interest in multicultural counseling and understand the importance of cultural sensitivity in therapy. I am fluent in Arabic and English, enabling me to provide counseling services to diverse populations. I take pride in offering culturally attuned therapy that respects and values each client's unique background and experiences.
![Photo of Alyssa Champion, MS, Pre-Licensed Professional](https://photos.psychologytoday.com/6be803bc-9724-4e4a-b449-19fdcfec36fc/1/320x400.jpeg)
Alyssa Champion
Pre-Licensed Professional, MS
Verified Verified
1 Endorsed
Rehoboth, MA 02769 (Online Only)
“A comfort zone is a beautiful place, but nothing ever grows there”. As a person and a therapist, I believe that growth can, at times, be very uncomfortable. How else would you know that change is happening though? My goal is to be there to help offer a space of comfort to guide you through those uncomfortable moments along your journey. I have worked with individuals who have experienced depression, anxiety, trauma, personality disorders, conflict in interpersonal relationships, and sexual issues/addiction. Finding your authentic self can be difficult, but not impossible.
“A comfort zone is a beautiful place, but nothing ever grows there”. As a person and a therapist, I believe that growth can, at times, be very uncomfortable. How else would you know that change is happening though? My goal is to be there to help offer a space of comfort to guide you through those uncomfortable moments along your journey. I have worked with individuals who have experienced depression, anxiety, trauma, personality disorders, conflict in interpersonal relationships, and sexual issues/addiction. Finding your authentic self can be difficult, but not impossible.
![Photo of Brandon Rollins, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4408665d-d35b-42f6-8bd5-c3fb5cc16621/1/320x400.jpeg)
Brandon Rollins
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Rehoboth, MA 02769 (Online Only)
As a therapist who was born blind, I recognize that coping with discrimination negatively impacts our mental health, and that naming and challenging these outside forces in therapy can lead to self-empowerment and healing. I focus on addressing diagnoses such as post-traumatic stress, anxiety, and depression with particular focus on teens, young adults, and first responders.
As a therapist who was born blind, I recognize that coping with discrimination negatively impacts our mental health, and that naming and challenging these outside forces in therapy can lead to self-empowerment and healing. I focus on addressing diagnoses such as post-traumatic stress, anxiety, and depression with particular focus on teens, young adults, and first responders.
![Photo of Brittany Brickus, MA, Pre-Licensed Professional](https://photos.psychologytoday.com/1ce7bf05-5c21-48fb-99bf-a5edc4954623/2/320x400.jpeg)
Brittany Brickus
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Rehoboth, MA 02769 (Online Only)
Hello and welcome to taking the first step towards seeking support! My name is Brittany, and I am a professional with a Master's in Psychology and a certification in American Sign Language. With over 10 years of experience, I have dedicated my career to working with children and young adults, utilizing trauma-informed interventions. I have experience working with neurodivergent clients, mood disorders and life transitions. My style is casual and compassionate, creating a warm and welcoming environment for my clients.
Hello and welcome to taking the first step towards seeking support! My name is Brittany, and I am a professional with a Master's in Psychology and a certification in American Sign Language. With over 10 years of experience, I have dedicated my career to working with children and young adults, utilizing trauma-informed interventions. I have experience working with neurodivergent clients, mood disorders and life transitions. My style is casual and compassionate, creating a warm and welcoming environment for my clients.
See more therapy options for 02769
How does your Therapist compare?
Number of Therapists in 02769
50+
Average cost per session
$125
Therapists in 02769 who prioritize treating:
89% | Anxiety |
87% | Depression |
76% | Trauma and PTSD |
70% | Life Transitions |
63% | Relationship Issues |
63% | Self Esteem |
61% | Stress |
Average years in practice
7 Years
Top 3 insurances accepted
90% | BlueCross and BlueShield |
88% | Aetna |
86% | UnitedHealthcare UHC | UBH |
How Therapists in 02769 see their clients
75% | In Person and Online | |
25% | Online Only |
Gender breakdown
83% | Female | |
14% | Male | |
3% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in 02769?
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
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.
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.
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.