Photo of Connie L. Jackson, MEd, LPC, LCDC, Licensed Professional Counselor
Connie L. Jackson
Licensed Professional Counselor, MEd, LPC, LCDC
Verified Verified
Kingsland, TX 78639
There is a beauty that lies within each one of us. We all have gifts to give to this world and to one another. The ability to see various perspectives in a given situation is an essential element in understanding the value that each of us has in this amazing life.
There is a beauty that lies within each one of us. We all have gifts to give to this world and to one another. The ability to see various perspectives in a given situation is an essential element in understanding the value that each of us has in this amazing life.
(830) 499-3744 View (830) 499-3744
Photo of Sandra Galyon, LCSW, Clinical Social Work/Therapist
Sandra Galyon
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Kingsland, TX 78639
Life can be rough, and sometimes we need a little help getting by and coping. I have always been led to help people, and have found my calling in counseling people through their trials. I have worked with individuals of various ages and issues. My goal is to help you build coping skills to get you over the challenges in your daily life and return to a sense of balance and serenity.
Life can be rough, and sometimes we need a little help getting by and coping. I have always been led to help people, and have found my calling in counseling people through their trials. I have worked with individuals of various ages and issues. My goal is to help you build coping skills to get you over the challenges in your daily life and return to a sense of balance and serenity.
(830) 201-3028 View (830) 201-3028
Photo of Earnell McGhaney, LPC, Licensed Professional Counselor
Earnell McGhaney
Licensed Professional Counselor, LPC
Verified Verified
Kingsland, TX 78639  (Online Only)
You are the expert on you." This is a statement that I love sharing with my clients because I feel it emphasizes that you are the most important part of this relationship. Therapy is an opportunity to grow and explore oneself, and I feel that the relationship between a client and therapist is of the utmost importance. I hold this relationship in high regard and look forward to walking alongside you during this journey. I specialize in trauma counseling and marriage counseling. My goal in therapy is not just symptom reduction, but liberation from suffering.
You are the expert on you." This is a statement that I love sharing with my clients because I feel it emphasizes that you are the most important part of this relationship. Therapy is an opportunity to grow and explore oneself, and I feel that the relationship between a client and therapist is of the utmost importance. I hold this relationship in high regard and look forward to walking alongside you during this journey. I specialize in trauma counseling and marriage counseling. My goal in therapy is not just symptom reduction, but liberation from suffering.
(908) 488-5169 View (908) 488-5169
Photo of Cynthia Kemp, LPC, Licensed Professional Counselor
Cynthia Kemp
Licensed Professional Counselor, LPC
Verified Verified
Kingsland, TX 78639
My name is Cynthia Kemp, LPC, currently work as a licensed practitioner of the healing arts at a mental health clinic and have worked there for the last 4 years. My approach is nonjudgmental and accepting of all individuals that I talk with as we build an alliance to work together. I realize that each individual is different, and I need to adjust treatment to fit that unique individual. I practice from several models dependent upon the needs of the client. Listed are the most common approaches that I use for treatment: Cognitive Behavior Therapy, Motivational Interviewing, Solution Focused, Person-Centered, Supportive Therapy.
My name is Cynthia Kemp, LPC, currently work as a licensed practitioner of the healing arts at a mental health clinic and have worked there for the last 4 years. My approach is nonjudgmental and accepting of all individuals that I talk with as we build an alliance to work together. I realize that each individual is different, and I need to adjust treatment to fit that unique individual. I practice from several models dependent upon the needs of the client. Listed are the most common approaches that I use for treatment: Cognitive Behavior Therapy, Motivational Interviewing, Solution Focused, Person-Centered, Supportive Therapy.
(915) 666-3833 View (915) 666-3833
Photo of Annie Marie Reed - Peace of Mind Wellness and Family Counseling, Inc., LCSW, ACM-SW, Clinical Social Work/Therapist
Peace of Mind Wellness and Family Counseling, Inc.
Clinical Social Work/Therapist, LCSW, ACM-SW
Verified Verified
1 Endorsed
Kingsland, TX 78639
My name is Annie, and I am a Licensed Clinical Social Worker in the Texas Hill Country. I have been married for nearly a decade and am the proud mother of three beautiful children. I have a personal understanding of how life can present unexpected challenges and hold a deep empathy for those navigating difficult circumstances. I have worked with both adults and teenagers with a variety of concerns, including stress and anxiety, depression, coping with life changes, and more.
My name is Annie, and I am a Licensed Clinical Social Worker in the Texas Hill Country. I have been married for nearly a decade and am the proud mother of three beautiful children. I have a personal understanding of how life can present unexpected challenges and hold a deep empathy for those navigating difficult circumstances. I have worked with both adults and teenagers with a variety of concerns, including stress and anxiety, depression, coping with life changes, and more.
(737) 387-3267 View (737) 387-3267
Photo of Sara Bushey-Reyes, MA, LPC, Licensed Professional Counselor
Sara Bushey-Reyes
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Kingsland, TX 78639
As people, we all continue to grow and learn throughout our lifetime. Counseling is just that, growing and learning more about yourself and how you relate to others and the world. If you don't know who you are, I would love to explore that with you. I am a strong believer in equality and in affirming who you are; your values and beliefs. I believe in celebrating and honoring our differences. Everyone struggles from time to time and my passion is to walk along side you and offer you the support you need.
As people, we all continue to grow and learn throughout our lifetime. Counseling is just that, growing and learning more about yourself and how you relate to others and the world. If you don't know who you are, I would love to explore that with you. I am a strong believer in equality and in affirming who you are; your values and beliefs. I believe in celebrating and honoring our differences. Everyone struggles from time to time and my passion is to walk along side you and offer you the support you need.
(512) 234-4551 View (512) 234-4551

More Therapists Nearby

Photo of Amanda Spencer, LCSW, Clinical Social Work/Therapist
Amanda Spencer
Clinical Social Work/Therapist, LCSW
Verified Verified
Marble Falls, TX 78657  (Online Only)
Amanda Spencer, Psy.D, LCSW is Doctor of Psychology and a Licensed Clinical Social Worker with a concentration in Clinical Psychology which focuses on Rurality and Communities. Because of Dr. Amanda Spencer’s love for people, she has a diverse background and experience with Cognitive Behavioral Therapy (CBT), Trauma and Crisis Intervention, Solution Focused, Stress Management, Mood Management, Empowerment, increasing self-worth, Mind/body and connection, and Work life/balance integration.
Amanda Spencer, Psy.D, LCSW is Doctor of Psychology and a Licensed Clinical Social Worker with a concentration in Clinical Psychology which focuses on Rurality and Communities. Because of Dr. Amanda Spencer’s love for people, she has a diverse background and experience with Cognitive Behavioral Therapy (CBT), Trauma and Crisis Intervention, Solution Focused, Stress Management, Mood Management, Empowerment, increasing self-worth, Mind/body and connection, and Work life/balance integration.
(855) 612-7757 View (855) 612-7757
Photo of Janice Herr, LPC-A, LCDC
Janice Herr
Licensed Professional Counselor Associate, LPC-A, LCDC
Verified Verified
Burnet, TX 78611
Are you stuck and not too sure where to go? I believe that in providing therapy there are no one size fits all approaches. Everyone is unique. Everyone has their own individual experiences and challenges that they want to overcome. I feel that a therapeutic relationship is built on trust, communication and compassion. I am able to provide you with the tools you need. I can provide you with individual, couple, or family therapy sessions. For anyone that has a dual diagnosis, I currently have availability for group sessions.
Are you stuck and not too sure where to go? I believe that in providing therapy there are no one size fits all approaches. Everyone is unique. Everyone has their own individual experiences and challenges that they want to overcome. I feel that a therapeutic relationship is built on trust, communication and compassion. I am able to provide you with the tools you need. I can provide you with individual, couple, or family therapy sessions. For anyone that has a dual diagnosis, I currently have availability for group sessions.
(254) 272-5927 View (254) 272-5927
Photo of Ali Corona, LCSW, Clinical Social Work/Therapist
Ali Corona
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Marble Falls, TX 78654
Waitlist for new clients
No one should feel alone when experiencing pain. I am passionate about walking alongside people on their healing journey. I meet you where you are, create a personalized care plan, and encourage you every step of the way as you develop skills that can be used in many seasons of life.
No one should feel alone when experiencing pain. I am passionate about walking alongside people on their healing journey. I meet you where you are, create a personalized care plan, and encourage you every step of the way as you develop skills that can be used in many seasons of life.
(830) 365-0762 View (830) 365-0762
Photo of Martin Patrick Noel, MA, LMFT-A, Marriage & Family Therapist Associate
Martin Patrick Noel
Marriage & Family Therapist Associate, MA, LMFT-A
Verified Verified
Burnet, TX 78611
People have always been my passion. They fascinate me...what makes them tick, what makes them happy, how they fit together. People are defined by their culture, their beliefs, their relationships, connections, communications, structure, and family. All people are connected. Everyone affects everyone they know. When one person has problems, everyone in the family is affected. Sometimes the relationships themselves need work; but everyone needs to tell their story, to feel heard and validated. Everyone deserves to declare their voice, their identity. And sometimes, we all need a little help with telling others our needs and feelings.
People have always been my passion. They fascinate me...what makes them tick, what makes them happy, how they fit together. People are defined by their culture, their beliefs, their relationships, connections, communications, structure, and family. All people are connected. Everyone affects everyone they know. When one person has problems, everyone in the family is affected. Sometimes the relationships themselves need work; but everyone needs to tell their story, to feel heard and validated. Everyone deserves to declare their voice, their identity. And sometimes, we all need a little help with telling others our needs and feelings.
(844) 590-0109 View (844) 590-0109
Photo of Jordan Jackson - Jordan Jackson Counseling, PLLC, MA, LPC, Licensed Professional Counselor
Jordan Jackson Counseling, PLLC
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Llano, TX 78643  (Online Only)
Waitlist for new clients
Considering therapy? Trauma, anxiety, and depression are my focus. However, I have experience in working with clients who struggle in other areas of life. Having a space where you feel understood is important to me, so I invite you to reach out today.
Considering therapy? Trauma, anxiety, and depression are my focus. However, I have experience in working with clients who struggle in other areas of life. Having a space where you feel understood is important to me, so I invite you to reach out today.
(833) 445-0258 View (833) 445-0258
Photo of Khandyce Pitner, LPC, Licensed Professional Counselor
Khandyce Pitner
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Marble Falls, TX 78654
My name is Khandyce Pitner, and I am a Licensed Professional Counselor with over seven years of experience counseling children, adolescents, adults, couples, and groups. I have worked with many individuals suffering from Anxiety, Depression, Trauma and PTSD, Coping Skills, Life Transitions, Substance Use, Low-SES, Women’s issues, and more. I use a mix of Acceptance and Commitment (ACT), Client-Centered Therapy, Cognitive Behavioral (CBT), Eclectic, and Trauma Focused therapies. I believe that my passion is to guide, assist, and support you in recognizing and utilizing your most significant potential for change.
My name is Khandyce Pitner, and I am a Licensed Professional Counselor with over seven years of experience counseling children, adolescents, adults, couples, and groups. I have worked with many individuals suffering from Anxiety, Depression, Trauma and PTSD, Coping Skills, Life Transitions, Substance Use, Low-SES, Women’s issues, and more. I use a mix of Acceptance and Commitment (ACT), Client-Centered Therapy, Cognitive Behavioral (CBT), Eclectic, and Trauma Focused therapies. I believe that my passion is to guide, assist, and support you in recognizing and utilizing your most significant potential for change.
(682) 297-5732 View (682) 297-5732
Photo of Kristine S. Miller, MA, LMFT, Marriage & Family Therapist
Kristine S. Miller
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Marble Falls, TX 78654
Pssst! Hey there! Yes, YOU! The one feeling stressed, exhausted and beyond overwhelmed! Your life may have been in balance before, with time for family, friends, and a successful career, but now everything has become so chaotic. Your fights are intensifying, infidelity may be present, your workload is insane, and loneliness pervades your days. You are on edge or shut down most of the time. And you're worried because no matter how hard you try, nothing seems to work. You just want it all to stop. This could be a sign of unresolved trauma - I get it, and I'm here to help. Don't give up, I'm here to listen and guide you through.
Pssst! Hey there! Yes, YOU! The one feeling stressed, exhausted and beyond overwhelmed! Your life may have been in balance before, with time for family, friends, and a successful career, but now everything has become so chaotic. Your fights are intensifying, infidelity may be present, your workload is insane, and loneliness pervades your days. You are on edge or shut down most of the time. And you're worried because no matter how hard you try, nothing seems to work. You just want it all to stop. This could be a sign of unresolved trauma - I get it, and I'm here to help. Don't give up, I'm here to listen and guide you through.
(830) 219-4377 View (830) 219-4377
Photo of Melissa E Trevathan-Minnis, Psychologist
Melissa E Trevathan-Minnis
Psychologist
Verified Verified
Marble Falls, TX 78654
Are you and and/or you and your partner struggling through a big life transition? Have you experienced a death, a loss of a loved one, pregnancy, or pet, or are facing a scary health diagnosis? These events can cause a great deal of stress and grief. Having a safe space to talk and feel supported can make a big difference. Times of loss and transition can also present unique opportunities for growth and new ways of living your life. Sometimes, in fact, it can be the catalyst for a deeper and more meaningful life. You might not see that potential now, but you can get there.
Are you and and/or you and your partner struggling through a big life transition? Have you experienced a death, a loss of a loved one, pregnancy, or pet, or are facing a scary health diagnosis? These events can cause a great deal of stress and grief. Having a safe space to talk and feel supported can make a big difference. Times of loss and transition can also present unique opportunities for growth and new ways of living your life. Sometimes, in fact, it can be the catalyst for a deeper and more meaningful life. You might not see that potential now, but you can get there.
(512) 580-7416 View (512) 580-7416
Photo of Charles Michael King, MA, LPC, LMFT, LCDC, Licensed Professional Counselor
Charles Michael King
Licensed Professional Counselor, MA, LPC, LMFT, LCDC
Verified Verified
Sunrise Beach, TX 78643  (Online Only)
Using a holistic approach to therapy, Charlie integrates mindfulness and meditation with traditional therapy methods to help people create lasting change in their lives. He has training and experience using Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy (CBT), Gottman couples therapy, Emotionally Focused Therapy (EFT), Acceptance and Commitment Therapy (ACT), and various modalities of group therapy.
Using a holistic approach to therapy, Charlie integrates mindfulness and meditation with traditional therapy methods to help people create lasting change in their lives. He has training and experience using Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy (CBT), Gottman couples therapy, Emotionally Focused Therapy (EFT), Acceptance and Commitment Therapy (ACT), and various modalities of group therapy.
(832) 402-7483 View (832) 402-7483
Photo of Pamela Morales Garcia, PhD, LPC, Licensed Professional Counselor
Pamela Morales Garcia
Licensed Professional Counselor, PhD, LPC
Verified Verified
Marble Falls, TX 78654
My therapeutic approach focuses on assisting you to explore, understand, and develop effective strategies to change life situations that cause trauma, stress, anxiety, depression, and addictions. I assist clients to be heard in safe, emotionally secure setting with a personal therapeutic connection. Improving your quality of Life is the goal. I specialize in identifying the inappropriate stress coping techniques we use in dealing with daily life stress. Understanding and changing these behaviors results in a healthier, positive, and growth oriented life.
My therapeutic approach focuses on assisting you to explore, understand, and develop effective strategies to change life situations that cause trauma, stress, anxiety, depression, and addictions. I assist clients to be heard in safe, emotionally secure setting with a personal therapeutic connection. Improving your quality of Life is the goal. I specialize in identifying the inappropriate stress coping techniques we use in dealing with daily life stress. Understanding and changing these behaviors results in a healthier, positive, and growth oriented life.
(361) 386-2601 View (361) 386-2601
Photo of Randall L Parsons - Christian Counseling Infinite Agape Ministries, RN, DMin, Pastoral Counselor
Christian Counseling Infinite Agape Ministries
Pastoral Counselor, RN, DMin
Verified Verified
Marble Falls, TX 78654
"We provide a "safe place" by remaining strictly confidential and non-judgemental." We genuinely love and care for you. Our pastoral/discipleship counselors provide you with the tools, education and training to help you understand and appropriate the fact that peace comes from the inside regardless of your circumstances. Everyone comes into this world with the God given need to feel secure, be loved, feel adequate, accepted and valued (self-worth). Member of Grace Life Institute/International, Network220, Exchanged Life Ministries and the National Christian Counselors Association.
"We provide a "safe place" by remaining strictly confidential and non-judgemental." We genuinely love and care for you. Our pastoral/discipleship counselors provide you with the tools, education and training to help you understand and appropriate the fact that peace comes from the inside regardless of your circumstances. Everyone comes into this world with the God given need to feel secure, be loved, feel adequate, accepted and valued (self-worth). Member of Grace Life Institute/International, Network220, Exchanged Life Ministries and the National Christian Counselors Association.
(830) 215-8778 View (830) 215-8778
Photo of Katherine Allen - Katherine Allen B.S., M.S. Masters in Counseling, BS, MS
Seeking guidance in navigating life's complexities? I offer personalized coaching services to adult individuals and couples. With a warm and empathetic approach, I am able to help individuals address personal struggles, enhance relationships, and achieve your goals. I provide a safe and supportive environment for personal growth and transformation. I listen. You will finally feel heard.
Seeking guidance in navigating life's complexities? I offer personalized coaching services to adult individuals and couples. With a warm and empathetic approach, I am able to help individuals address personal struggles, enhance relationships, and achieve your goals. I provide a safe and supportive environment for personal growth and transformation. I listen. You will finally feel heard.
(737) 302-6167 View (737) 302-6167
Photo of Anna Baldwin, LPC, Licensed Professional Counselor
Anna Baldwin
Licensed Professional Counselor, LPC
Verified Verified
Burnet, TX 78611
Hello, I am Anna Baldwin, and I have six years of experience as a Licensed Professional Counselor working with individuals and families who have survived trauma. I have worked with clients with a wide range of concerns such as Anxiety, Depression, Trauma, PTSD, and Grief, including those who have experienced physical or sexual trauma or emotional abuse. I use a mix of Christian Counseling, Client-Centered Therapy, EMDR, Play Therapy, and Trauma Focused therapies. I believe a collaborative and positive relationship between client and counselor proves to benefit the journey to healing.
Hello, I am Anna Baldwin, and I have six years of experience as a Licensed Professional Counselor working with individuals and families who have survived trauma. I have worked with clients with a wide range of concerns such as Anxiety, Depression, Trauma, PTSD, and Grief, including those who have experienced physical or sexual trauma or emotional abuse. I use a mix of Christian Counseling, Client-Centered Therapy, EMDR, Play Therapy, and Trauma Focused therapies. I believe a collaborative and positive relationship between client and counselor proves to benefit the journey to healing.
(956) 303-3969 View (956) 303-3969
Photo of Eva Herriman, MS, LPC, Licensed Professional Counselor
Eva Herriman
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Burnet, TX 78611  (Online Only)
I take a holistic, eclectic approach to mental health by adapting to the needs of each individual. As a clinician, I've had the privilege of working with both children and adults in various treatment settings including alternative education, residential care, non-profit, community mental health, and mobile crisis intervention. These experiences have shaped my compassionate and non-directive style. I believe that you are the expert on your lived experience. As we work together, I promise to provide a safe, confidential, and non-judgmental space where your will be heard, validated, and unconditionally regarded. Feel free to reach out!
I take a holistic, eclectic approach to mental health by adapting to the needs of each individual. As a clinician, I've had the privilege of working with both children and adults in various treatment settings including alternative education, residential care, non-profit, community mental health, and mobile crisis intervention. These experiences have shaped my compassionate and non-directive style. I believe that you are the expert on your lived experience. As we work together, I promise to provide a safe, confidential, and non-judgmental space where your will be heard, validated, and unconditionally regarded. Feel free to reach out!
(512) 894-8468 View (512) 894-8468

See more therapy options for 78639

How does your Therapist compare?

Number of Therapists in 78639

< 10

Therapists in 78639 who prioritize treating:

83% Depression
83% Anxiety
83% Grief
83% Trauma and PTSD
83% Coping Skills
67% Relationship Issues
67% Parenting

Average years in practice

8 Years

Top 3 insurances accepted

83% Aetna
83% BlueCross and BlueShield
83% Cigna and Evernorth

How Therapists in 78639 see their clients

84% In Person and Online
16% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 78639?

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.