Photo of Anthony Brown, MA, MAPS
Anthony Brown
MA, MAPS
Verified Verified
1 Endorsed
Houston, TX 77035  (Online Only)
Greetings everyone. Teletherapy offers the exceptional opportunity for a therapist or life coach and client to facilitate an environment that encourages understanding, clarity, and growth. In this environment the client and therapist identity areas for work, as well as create a path that leads to understanding and empowerment. What is teletherapy? Teletherapy involves the use of real-time interactive video conferencing between a therapist and client(s) to communicate and provide care remotely with the requirement of being in the same location.
Greetings everyone. Teletherapy offers the exceptional opportunity for a therapist or life coach and client to facilitate an environment that encourages understanding, clarity, and growth. In this environment the client and therapist identity areas for work, as well as create a path that leads to understanding and empowerment. What is teletherapy? Teletherapy involves the use of real-time interactive video conferencing between a therapist and client(s) to communicate and provide care remotely with the requirement of being in the same location.
(832) 532-9060 View (832) 532-9060
Photo of Richard White, MS,  LPC, CSAT-C, Licensed Professional Counselor
Richard White
Licensed Professional Counselor, MS, LPC, CSAT-C
Verified Verified
Houston, TX 77035
Welcome to my page! In recent years, many of us have felt tectonic changes in our world due to advances in technology (social media, AI, automation) and our economy (job loss, outsourcing, inflation), all of which has led to increase levels of mental distress: depression, anxiety, addiction, family issues, loneliness. Chances are you are here for some of these reasons. If so, know that there are healthy, effective ways to cope and gain a deeper level of peace in your life.
Welcome to my page! In recent years, many of us have felt tectonic changes in our world due to advances in technology (social media, AI, automation) and our economy (job loss, outsourcing, inflation), all of which has led to increase levels of mental distress: depression, anxiety, addiction, family issues, loneliness. Chances are you are here for some of these reasons. If so, know that there are healthy, effective ways to cope and gain a deeper level of peace in your life.
(346) 553-1195 View (346) 553-1195
Photo of Mark J Wernick, PhD, CSAT, CMAT, Psychologist
Mark J Wernick
Psychologist, PhD, CSAT, CMAT
Verified Verified
Houston, TX 77035
Special Note: Since the pandemic began, it has developed that communicating with me via email is a faster method for reaching me than by telephone. Different people have different questions about psychology and psychotherapy. Email me with any questions you may have about me or my work and and I will reply as promptly as possible.
Special Note: Since the pandemic began, it has developed that communicating with me via email is a faster method for reaching me than by telephone. Different people have different questions about psychology and psychotherapy. Email me with any questions you may have about me or my work and and I will reply as promptly as possible.
(713) 766-1891 View (713) 766-1891
Photo of Ellen Cooper-Edwards - Love The People Christian Counseling & Teaching Mi, PhD, Pastoral Counselor
Love The People Christian Counseling & Teaching Mi
Pastoral Counselor, PhD
Verified Verified
1 Endorsed
Houston, TX 77035  (Online Only)
LTP Ministry was created Exclusively for Pastors, Physicians their Spouses and Children to provide Christian Counseling. The Bible is the final authority along with Prayer. LTP provides a safe place to express life issues with a Board Certified Pastoral Counselor who was married to a Physician for 34 years who was also a Pastor for 14 years. My ideal client is a Pastor/Physician - individual, married/family who is experiencing relationship issues with self and the expectations of others. Their goal is to learn and understand who God created them to be. They want to have peace with self while being sensitive to the needs of others.
LTP Ministry was created Exclusively for Pastors, Physicians their Spouses and Children to provide Christian Counseling. The Bible is the final authority along with Prayer. LTP provides a safe place to express life issues with a Board Certified Pastoral Counselor who was married to a Physician for 34 years who was also a Pastor for 14 years. My ideal client is a Pastor/Physician - individual, married/family who is experiencing relationship issues with self and the expectations of others. Their goal is to learn and understand who God created them to be. They want to have peace with self while being sensitive to the needs of others.
(346) 536-8677 View (346) 536-8677
Photo of Deborah Myles McGinty - Mylestone Counseling, EdD, LPC-S, NCC, CART, Licensed Professional Counselor
Mylestone Counseling
Licensed Professional Counselor, EdD, LPC-S, NCC, CART
Verified Verified
Houston, TX 77035
Therapy should be a safe place where you can open up and speak freely and honestly. My goal is to provide you with the best mental health care possible in a courteous and efficient manner. I understand your need for confidentiality, trust and respect. My therapeutic approach is solution focused and cognitive behavior therapy. I work extensively with women issues, depression (including postpartum depression), anxiety, infertility, miscarriage and self-esteem. I provide help for marriage counseling and individuals with relationship problems.
Therapy should be a safe place where you can open up and speak freely and honestly. My goal is to provide you with the best mental health care possible in a courteous and efficient manner. I understand your need for confidentiality, trust and respect. My therapeutic approach is solution focused and cognitive behavior therapy. I work extensively with women issues, depression (including postpartum depression), anxiety, infertility, miscarriage and self-esteem. I provide help for marriage counseling and individuals with relationship problems.
(281) 751-9321 View (281) 751-9321
Photo of Case Manager - The Menninger Clinic's Navigator Service, LCSW, LCDC, Clinical Social Work/Therapist
The Menninger Clinic's Navigator Service
Clinical Social Work/Therapist, LCSW, LCDC
Verified Verified
Houston, TX 77035
Navigator, Menninger's recovery management service, helps adults who have been treated for addiction or substance use disorder as they transition to a lower level of care. The service is designed to help reduce relapse rates and offer crisis support if that is ever needed. The Navigator team, which includes a case manager and peer recovery specialist, provides collaborative recovery management and monitoring. Together, the care team implements active recovery support, structure and accountability while the client participates in outpatient treatment.
Navigator, Menninger's recovery management service, helps adults who have been treated for addiction or substance use disorder as they transition to a lower level of care. The service is designed to help reduce relapse rates and offer crisis support if that is ever needed. The Navigator team, which includes a case manager and peer recovery specialist, provides collaborative recovery management and monitoring. Together, the care team implements active recovery support, structure and accountability while the client participates in outpatient treatment.
(713) 804-4594 View (713) 804-4594
Photo of Olan Latin, MA, Licensed Professional Counselor
Olan Latin
Licensed Professional Counselor, MA
Verified Verified
2 Endorsed
Houston, TX 77035
Going through challenges in life can be difficult, but going through them by yourself can be confusing and unnerving. You do not have to take this journey alone. Therapy can help you unravel the complexity of a problem and give your mind the clarity that it needs. I place a high value on each client's unique story and experiences. My goal for therapy is to empower my clients and help them acquire the tools and insights that are essential in prevailing over life's obstacles.
Going through challenges in life can be difficult, but going through them by yourself can be confusing and unnerving. You do not have to take this journey alone. Therapy can help you unravel the complexity of a problem and give your mind the clarity that it needs. I place a high value on each client's unique story and experiences. My goal for therapy is to empower my clients and help them acquire the tools and insights that are essential in prevailing over life's obstacles.
(713) 766-1934 View (713) 766-1934
Photo of Jessica M Pates, LPC, Licensed Professional Counselor
Jessica M Pates
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77035  (Online Only)
In a culture where seeking therapy is often misunderstood, I emphasize the importance of embracing vulnerability and acknowledging that everyone needs help at some point in their lives. I specialize in working with a diverse clientele, including children, adults, and couples. My mission is to provide a supportive and nurturing space for those who are ready to embark on the journey to personal growth and mental well-being, helping you or your child find the best version of themselves and live to full potential.
In a culture where seeking therapy is often misunderstood, I emphasize the importance of embracing vulnerability and acknowledging that everyone needs help at some point in their lives. I specialize in working with a diverse clientele, including children, adults, and couples. My mission is to provide a supportive and nurturing space for those who are ready to embark on the journey to personal growth and mental well-being, helping you or your child find the best version of themselves and live to full potential.
(346) 522-4958 View (346) 522-4958
Photo of Anna Maria Tepedino, LCSW, Clinical Social Work/Therapist
Anna Maria Tepedino
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Houston, TX 77035  (Online Only)
Have life's changes ever left you feeling lost or without direction? Whether you're grappling with the loss of a loved one, adapting to a new environment, or simply feeling overwhelmed by anxiety or depression, know that you're not alone in your journey.
Have life's changes ever left you feeling lost or without direction? Whether you're grappling with the loss of a loved one, adapting to a new environment, or simply feeling overwhelmed by anxiety or depression, know that you're not alone in your journey.
(713) 234-6123 View (713) 234-6123
Photo of Mary Rose - The Menninger Clinic Sleep Service, PhD, Psychologist
The Menninger Clinic Sleep Service
Psychologist, PhD
Verified Verified
Houston, TX 77035
The sleep medicine team adapts Menninger’s standards of excellence in assessment, treatment and personalized care to the world of sleep medicine. We provide comprehensive consultation, evaluation and evidence-based management of all issues regarding sleep for ages 3 years and up. Nobody has the same experiences in life during the day; we also do not have the same experience at night. The sleep program was developed with the understanding that sleep is a very personal experience that affects peoples’ entire lives – night and day. Difficulties sleeping can affect 40% or more adults with mental health issues.
The sleep medicine team adapts Menninger’s standards of excellence in assessment, treatment and personalized care to the world of sleep medicine. We provide comprehensive consultation, evaluation and evidence-based management of all issues regarding sleep for ages 3 years and up. Nobody has the same experiences in life during the day; we also do not have the same experience at night. The sleep program was developed with the understanding that sleep is a very personal experience that affects peoples’ entire lives – night and day. Difficulties sleeping can affect 40% or more adults with mental health issues.
(346) 248-4239 View (346) 248-4239
Photo of Marina Erbstoesser - Menninger's Recovery Intensive Outpatient Program, LMFT-S, LCDC, CSAT
Menninger's Recovery Intensive Outpatient Program
LMFT-S, LCDC, CSAT
Verified Verified
Houston, TX 77035
Having the freedom to pursue your life’s goals, be present at work, and have meaningful relationships without problematic substance use requires a transition. No matter what pathway forward you choose, having support from mental health professionals and peers who are managing similar difficulties in life is preparation for a smoother way forward. Menninger offers the Intensive Outpatient Program (IOP) for adults and their family members as a guide for recovery.
Having the freedom to pursue your life’s goals, be present at work, and have meaningful relationships without problematic substance use requires a transition. No matter what pathway forward you choose, having support from mental health professionals and peers who are managing similar difficulties in life is preparation for a smoother way forward. Menninger offers the Intensive Outpatient Program (IOP) for adults and their family members as a guide for recovery.
(346) 517-7954 View (346) 517-7954
Photo of Nettie Louise Jones - Nettie Jones, Psychotherapy for Women, MS, LPC, Licensed Professional Counselor
Nettie Jones, Psychotherapy for Women
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Houston, TX 77035  (Online Only)
Nettie Jones provides psychotherapy services to women who are wanting to find balance, reconnect with intimacy, live out their purpose and passion, and know the value of their voice. Women can learn to embrace the many seasons of life. Depression and anxiety have become the common cold of the mental disorders,learn to identify the signs and symptoms and what to do with them.
Nettie Jones provides psychotherapy services to women who are wanting to find balance, reconnect with intimacy, live out their purpose and passion, and know the value of their voice. Women can learn to embrace the many seasons of life. Depression and anxiety have become the common cold of the mental disorders,learn to identify the signs and symptoms and what to do with them.
(832) 462-7009 View (832) 462-7009
Photo of Candice G Moore - DBT with Candice G. Moore, MA LPC, MA, LPC, Licensed Professional Counselor
DBT with Candice G. Moore, MA LPC
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77035
Originally from Virginia and after moving to Texas, I taught school for 14 years in Houston ISD and at Presbyterian School in the museum district. With increasing desire to help students with emotional and social issues, I returned to the University of Houston--Clear Lake and earned my master's degree in Clinical Psychology. I completed my intensive training in Dialectical Behavior Therapy at Menninger with Shari Manning, PhD and Karyn Hall, PhD. Starting in January of 2013, I worked as a practicum student and LPC-Intern at The DBT Center of Houston.
Originally from Virginia and after moving to Texas, I taught school for 14 years in Houston ISD and at Presbyterian School in the museum district. With increasing desire to help students with emotional and social issues, I returned to the University of Houston--Clear Lake and earned my master's degree in Clinical Psychology. I completed my intensive training in Dialectical Behavior Therapy at Menninger with Shari Manning, PhD and Karyn Hall, PhD. Starting in January of 2013, I worked as a practicum student and LPC-Intern at The DBT Center of Houston.
(713) 766-5359 View (713) 766-5359
Photo of Angela Koreth - Menninger's Adolescent IOP & Day Treatment Program, Licensed Professional Counselor
Menninger's Adolescent IOP & Day Treatment Program
Licensed Professional Counselor
Verified Verified
Houston, TX 77035
Menninger offers an intensive outpatient program and day treatment program for adolescents working on managing their mental health, social skills, substance use recovery, and/or adjustments at home or school where they can get peer and professional support in. The goal is to engage the adolescent, along with the family in the process of healing, learn how to cope, and embrace positive change. The two programs are for ages 12 to 17 who may be transitioning from a hospital or residential treatment or who need more structure and focus than typical outpatient therapy.
Menninger offers an intensive outpatient program and day treatment program for adolescents working on managing their mental health, social skills, substance use recovery, and/or adjustments at home or school where they can get peer and professional support in. The goal is to engage the adolescent, along with the family in the process of healing, learn how to cope, and embrace positive change. The two programs are for ages 12 to 17 who may be transitioning from a hospital or residential treatment or who need more structure and focus than typical outpatient therapy.
(346) 209-1133 View (346) 209-1133
Photo of Alton Bozeman, PsyD, Psychologist
Alton Bozeman
Psychologist, PsyD
Verified Verified
Houston, TX 77035
As an experienced psychologist, I've come to believe that change is most likely to happen when a client and therapist can form a strong therapeutic alliance. Throughout my career, I've seen such alliances produce remarkable results for patients and their families.
As an experienced psychologist, I've come to believe that change is most likely to happen when a client and therapist can form a strong therapeutic alliance. Throughout my career, I've seen such alliances produce remarkable results for patients and their families.
(281) 937-8850 View (281) 937-8850
Photo of Orion Mosko - Dr. Orion Mosko, PhD, LP, Psychologist
Dr. Orion Mosko
Psychologist, PhD, LP
Verified Verified
Houston, TX 77035
Psychotherapy Services: I provide outpatient psychotherapy services to adolescents, adults, and couples. My areas of specialty include: depth psychotherapy utilizing Mentalization-Based Treatment, Spiritually Integrated Psychotherapy, men's issues, recovery from marital infidelity, and psychotherapy for members of the "helping professions" (i.e., psychotherapists, educators, administrators, etc.). I offer help addressing important problems (e.g., clinically significant anxiety, depression, marital conflict, and professional performance challenges), and facilitating clients' personal growth and spiritual development (e.g., achieving greater levels of work-life balance, intimacy in interpersonal relationships, and personal and relational fulfillment and meaning in life).
Psychotherapy Services: I provide outpatient psychotherapy services to adolescents, adults, and couples. My areas of specialty include: depth psychotherapy utilizing Mentalization-Based Treatment, Spiritually Integrated Psychotherapy, men's issues, recovery from marital infidelity, and psychotherapy for members of the "helping professions" (i.e., psychotherapists, educators, administrators, etc.). I offer help addressing important problems (e.g., clinically significant anxiety, depression, marital conflict, and professional performance challenges), and facilitating clients' personal growth and spiritual development (e.g., achieving greater levels of work-life balance, intimacy in interpersonal relationships, and personal and relational fulfillment and meaning in life).
(832) 626-2354 View (832) 626-2354
Photo of Nancy Wilson - Wilson Counseling, LPC, Licensed Professional Counselor
Wilson Counseling
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Houston, TX 77035
Despite trying your best, you just don't feel like things are getting better. Imagine a life without anxiety, depression, and without conflict in your relationships. Imagine the weight that would be lifted off your chest! If you are stuck ruminating about the problems in your life and are having trouble sleeping, therapy can teach you powerful techniques to help you go from stressed to calm and teach you how to have peace in your relationships. If you're not sure if therapy or Wilson Counseling is right for you, call to schedule a free 10 minute phone consultation. You can change your life with just a little help.
Despite trying your best, you just don't feel like things are getting better. Imagine a life without anxiety, depression, and without conflict in your relationships. Imagine the weight that would be lifted off your chest! If you are stuck ruminating about the problems in your life and are having trouble sleeping, therapy can teach you powerful techniques to help you go from stressed to calm and teach you how to have peace in your relationships. If you're not sure if therapy or Wilson Counseling is right for you, call to schedule a free 10 minute phone consultation. You can change your life with just a little help.
(713) 766-6290 View (713) 766-6290
Photo of Kristi Morrison - All Things Work Incorporated, NCC, LPC-S, CART, PSC, Licensed Professional Counselor
All Things Work Incorporated
Licensed Professional Counselor, NCC, LPC-S, CART, PSC
Verified Verified
Houston, TX 77035  (Online Only)
My philosophy as a Mental Health Professional involves the client centered approach to (1) foster increased independent thinking and stabilized mood, (2) progress towards healthier lifestyles (3) achievement of desired goals/ outcomes from therapy; including (a) improved interpersonal relationships, (b) development/ improvement of acceptable and appropriate social interaction, (c) improved self-image, self worth, and self perception, (d) positive interaction between the client, the therapist &others and (e) increased level of daily and global functioning.
My philosophy as a Mental Health Professional involves the client centered approach to (1) foster increased independent thinking and stabilized mood, (2) progress towards healthier lifestyles (3) achievement of desired goals/ outcomes from therapy; including (a) improved interpersonal relationships, (b) development/ improvement of acceptable and appropriate social interaction, (c) improved self-image, self worth, and self perception, (d) positive interaction between the client, the therapist &others and (e) increased level of daily and global functioning.
(281) 915-4249 View (281) 915-4249
Photo of Tiffany Nasso'arjona, MS, LPC-A, LPC Intern
Tiffany Nasso'arjona
LPC Intern, MS, LPC-A
Verified Verified
1 Endorsed
Houston, TX 77035
I am a graduate of the Texas A&M – Central Texas Clinical Mental Health Counseling program. I am a Licensed Professional Counselor- Associate with an eclectic background. Having experience serving in the miliary and working as a paramedic, I bring a varied and deep knowledge base relating to traumatic and other chronic disorders. I have worked in the managed care system with both acute and chronic illnesses and focuses on how overall wellness and physiological well-being play a role in how we feel mentally. I have experience working with clients of all ages and from various cultural and ethnic backgrounds.
I am a graduate of the Texas A&M – Central Texas Clinical Mental Health Counseling program. I am a Licensed Professional Counselor- Associate with an eclectic background. Having experience serving in the miliary and working as a paramedic, I bring a varied and deep knowledge base relating to traumatic and other chronic disorders. I have worked in the managed care system with both acute and chronic illnesses and focuses on how overall wellness and physiological well-being play a role in how we feel mentally. I have experience working with clients of all ages and from various cultural and ethnic backgrounds.
(346) 522-4148 View (346) 522-4148
Photo of Linda Jefferson, LPC, LCDC, Licensed Professional Counselor
Linda Jefferson
Licensed Professional Counselor, LPC, LCDC
Verified Verified
Houston, TX 77035  (Online Only)
**Click the "website" tab on the left to book a tele-therapy appointment online.** "Every Accomplishment Begins With The Decision To Try"- JFK. My intention is to help my clients identify hurts and habits that keep them from living their full potential and work through them. My goal is to provide a helping hand to clients in need and help them discover peace and purpose. I have over eight years of experience as a professional counselor serving children, adolescents, adults and families through a range of challenges.
**Click the "website" tab on the left to book a tele-therapy appointment online.** "Every Accomplishment Begins With The Decision To Try"- JFK. My intention is to help my clients identify hurts and habits that keep them from living their full potential and work through them. My goal is to provide a helping hand to clients in need and help them discover peace and purpose. I have over eight years of experience as a professional counselor serving children, adolescents, adults and families through a range of challenges.
(832) 637-5948 View (832) 637-5948
1

See more therapy options for 77035

How does your Therapist compare?

Number of Therapists in 77035

20+

Average cost per session

$130

Therapists in 77035 who prioritize treating:

88% Anxiety
83% Depression
67% Self Esteem
63% Relationship Issues
58% Family Conflict
58% Coping Skills
54% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

67% Aetna
67% Cigna and Evernorth
67% UnitedHealthcare UHC | UBH

How Therapists in 77035 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 77035?

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.