Therapists in Norfolk, VA

Photo of Turquoise Rawlings-Perrin - Ascension Counseling Services, LPC, CSAC-S, Licensed Professional Counselor
Ascension Counseling Services
Licensed Professional Counselor, LPC, CSAC-S
Verified Verified
1 Endorsed
Norfolk, VA 23502
No one is exempt from struggle and hardship. In this life we all experience situations and circumstances that are at times beyond our control that cause stress and difficulties. Everyone needs a helping hand at some point in their life. Ascension Counseling is here to act as this helping hand.
No one is exempt from struggle and hardship. In this life we all experience situations and circumstances that are at times beyond our control that cause stress and difficulties. Everyone needs a helping hand at some point in their life. Ascension Counseling is here to act as this helping hand.
(757) 330-4042 View (757) 330-4042
Photo of Holly Tracy, LMFT, LPC, RPT-S, CTTS, ACS, Marriage & Family Therapist
Holly Tracy
Marriage & Family Therapist, LMFT, LPC, RPT-S, CTTS, ACS
Verified Verified
Norfolk, VA 23505
Are you experiencing stress that is impacting your life? Are your relationships struggling? I believe in the importance of creating and maintaining healthy and fulfilling relationships through my work with children, adolescents, families and couples to achieve the relationships they desire. Most of the time things happen and we manage fine, but sometimes things happen that throw us for a loop and we need some additional support. Using Cognitive-Behavior Therapy (thoughts and behaviors), Family Systems Therapy, and Play Therapy as appropriate, I help individuals and families identify and use their strengths to facilitate their goals for growth and change.
Are you experiencing stress that is impacting your life? Are your relationships struggling? I believe in the importance of creating and maintaining healthy and fulfilling relationships through my work with children, adolescents, families and couples to achieve the relationships they desire. Most of the time things happen and we manage fine, but sometimes things happen that throw us for a loop and we need some additional support. Using Cognitive-Behavior Therapy (thoughts and behaviors), Family Systems Therapy, and Play Therapy as appropriate, I help individuals and families identify and use their strengths to facilitate their goals for growth and change.
(757) 769-7040 View (757) 769-7040
Photo of Katie Rhodes, PsyD, Psychologist
Katie Rhodes
Psychologist, PsyD
Verified Verified
1 Endorsed
Norfolk, VA 23507  (Online Only)
Guilt and shame running the show? You wake up wondering if you did enough or maybe even are enough each morning. Do you put your needs at the bottom of the to-do list? You're exhausted most of the time but you're unable to sleep at night due to racing thoughts and worries. You feel demotivated at work and you think to yourself, "What's the point?" Then overwhelm and procrastination sets in. You may be experiencing relational burnout and people pleasing tendencies. If you're ready to start feeling like yourself again, you're in the right place.
Guilt and shame running the show? You wake up wondering if you did enough or maybe even are enough each morning. Do you put your needs at the bottom of the to-do list? You're exhausted most of the time but you're unable to sleep at night due to racing thoughts and worries. You feel demotivated at work and you think to yourself, "What's the point?" Then overwhelm and procrastination sets in. You may be experiencing relational burnout and people pleasing tendencies. If you're ready to start feeling like yourself again, you're in the right place.
(757) 863-1601 View (757) 863-1601
Photo of Shannon 'libby' Cutshall, PhD, LCP, Psychologist
Shannon 'libby' Cutshall
Psychologist, PhD, LCP
Verified Verified
Norfolk, VA 23502
I hold dual licensure in Virginia as a counselor and clinical psychologist. I have extensive experience working with diverse populations in various clinical settings. My clinical experience has encompassed many psychotherapy treatment modalities as well as expertise in psychotherapy and psychological testing assessments for both adolescents and adults. I offer quality, specialized, and in-depth psychological services, in a safe and comfortable setting, to as many individuals as are willing to show up for themselves, roll up their sleeves and dive into the intensive work of healing.
I hold dual licensure in Virginia as a counselor and clinical psychologist. I have extensive experience working with diverse populations in various clinical settings. My clinical experience has encompassed many psychotherapy treatment modalities as well as expertise in psychotherapy and psychological testing assessments for both adolescents and adults. I offer quality, specialized, and in-depth psychological services, in a safe and comfortable setting, to as many individuals as are willing to show up for themselves, roll up their sleeves and dive into the intensive work of healing.
(757) 384-1204 View (757) 384-1204
Photo of Dr. Antonio Neal, EdD, MEd, Pre-Licensed Professional
Dr. Antonio Neal
Pre-Licensed Professional, EdD, MEd
Verified Verified
Norfolk, VA 23513  (Online Only)
I help children and adults who struggle with understanding and managing their emotions and often feel overwhelmed in social situations. My clients need guidance in building confidence, improving communication, and forming healthy relationships. Their goal is to feel more in control of their emotions and to connect better with others, seeking a happier, more balanced life. They want this to improve their overall well-being, communication, and relationships.
I help children and adults who struggle with understanding and managing their emotions and often feel overwhelmed in social situations. My clients need guidance in building confidence, improving communication, and forming healthy relationships. Their goal is to feel more in control of their emotions and to connect better with others, seeking a happier, more balanced life. They want this to improve their overall well-being, communication, and relationships.
(757) 290-1334 View (757) 290-1334
Photo of Angel Walcott, MSW, Pre-Licensed Professional
Angel Walcott
Pre-Licensed Professional, MSW
Verified Verified
Norfolk, VA 23504  (Online Only)
Grief and loss, childhood emotional neglect, domestic violence, and many other challenges and transitions in life affect how we see ourselves and the world we live in. It can lead to powerlessness, hopelessness, unspeakable pain and suffering, shame, emotional upheavals, and/or loss of sense of security. Yet all we seek is the ability to find peace, acceptance, and a strong connectivity with ourselves that lead to better connections with others. We want to be able to clear our view to ultimately see our deeper and meaningful purpose in life. I believe we have the innate capacity to achieve these.
Grief and loss, childhood emotional neglect, domestic violence, and many other challenges and transitions in life affect how we see ourselves and the world we live in. It can lead to powerlessness, hopelessness, unspeakable pain and suffering, shame, emotional upheavals, and/or loss of sense of security. Yet all we seek is the ability to find peace, acceptance, and a strong connectivity with ourselves that lead to better connections with others. We want to be able to clear our view to ultimately see our deeper and meaningful purpose in life. I believe we have the innate capacity to achieve these.
(757) 296-1639 View (757) 296-1639
Photo of Dana Dixon, LCSW, Clinical Social Work/Therapist
Dana Dixon
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Norfolk, VA 23510
Not accepting new clients
At Enamour Mental Health & Wellness, LLC, our goal is to provide a safe, therapuetic space for our clients to be heard, to cope, and to heal. Our therapists have a reputation for listening closely, challenging, and inspiring clients to work through their difficulties and make meaningful change in the areas of their lives they would like to see a difference. Our clients come from many different backgrounds, are of all ages, and each have individual goals we hope to assist them in achieving. Our practice provides thoughtfully curated wellness experiences tailored to fit each client’s needs.
At Enamour Mental Health & Wellness, LLC, our goal is to provide a safe, therapuetic space for our clients to be heard, to cope, and to heal. Our therapists have a reputation for listening closely, challenging, and inspiring clients to work through their difficulties and make meaningful change in the areas of their lives they would like to see a difference. Our clients come from many different backgrounds, are of all ages, and each have individual goals we hope to assist them in achieving. Our practice provides thoughtfully curated wellness experiences tailored to fit each client’s needs.
(757) 941-4096 View (757) 941-4096
Photo of Titania Kizer, MSW, Pre-Licensed Professional
Titania Kizer
Pre-Licensed Professional, MSW
Verified Verified
Norfolk, VA 23510  (Online Only)
Hi, my name is Titania Kizer! My approach to therapy is rooted in the belief that empathy and connection have the power to bring about transformation and I take great pride in establishing a trustworthy and open therapeutic relationship, creating a safe space where you feel seen, heard, and validated. I believe that each person's therapy journey is as unique and multidimensional as they are, and my ultimate goal is to help you expand the lens through which you see yourself and with self-compassion and grace not only blossom in your healing journey but also rediscover your own spirit of resilience.
Hi, my name is Titania Kizer! My approach to therapy is rooted in the belief that empathy and connection have the power to bring about transformation and I take great pride in establishing a trustworthy and open therapeutic relationship, creating a safe space where you feel seen, heard, and validated. I believe that each person's therapy journey is as unique and multidimensional as they are, and my ultimate goal is to help you expand the lens through which you see yourself and with self-compassion and grace not only blossom in your healing journey but also rediscover your own spirit of resilience.
(757) 290-8980 View (757) 290-8980
Photo of Laura J. O'Neal, LCSW, RPT-S, Clinical Social Work/Therapist
Laura J. O'Neal
Clinical Social Work/Therapist, LCSW, RPT-S
Verified Verified
2 Endorsed
Norfolk, VA 23517
Not accepting new clients
My approach is strength-based, client-centered and focused on individuals and families who are experiencing any number of life stressors or difficulties. One of the most important beliefs I hold is that change occurs through a strong therapeutic relationship and developing rapport and trust is my first priority. I have extensive training in the areas of trauma focused treatment, including EMDR, Internal Family Systems (IFS), Cognitive Processing Therapy for Trauma (CPT), mindfulness, attachment, play therapy, sand tray and expressive arts techniques. I work with adults, adolescents, children and families.
My approach is strength-based, client-centered and focused on individuals and families who are experiencing any number of life stressors or difficulties. One of the most important beliefs I hold is that change occurs through a strong therapeutic relationship and developing rapport and trust is my first priority. I have extensive training in the areas of trauma focused treatment, including EMDR, Internal Family Systems (IFS), Cognitive Processing Therapy for Trauma (CPT), mindfulness, attachment, play therapy, sand tray and expressive arts techniques. I work with adults, adolescents, children and families.
(757) 785-9690 View (757) 785-9690
Photo of Amia Taylor, LCSW-S, LISW-S, Clinical Social Work/Therapist
Amia Taylor
Clinical Social Work/Therapist, LCSW-S, LISW-S
Verified Verified
Norfolk, VA 23505  (Online Only)
Welcome to my page! I am Amia Taylor, a seasoned clinician licensed in Ohio, Virginia, and Texas with extensive experience building therapeutic partnerships and collaborative alliances. I would be honored to work with you as you start this transformative journey. In our therapeutic alliance, I specialize in supporting individuals dealing with life transitions, anxiety, depression, grief, and trauma. My approach focuses on holding space for understanding and empowerment where your innermost self is heard and celebrated.
Welcome to my page! I am Amia Taylor, a seasoned clinician licensed in Ohio, Virginia, and Texas with extensive experience building therapeutic partnerships and collaborative alliances. I would be honored to work with you as you start this transformative journey. In our therapeutic alliance, I specialize in supporting individuals dealing with life transitions, anxiety, depression, grief, and trauma. My approach focuses on holding space for understanding and empowerment where your innermost self is heard and celebrated.
(757) 637-1735 View (757) 637-1735
Photo of Laryssa Carden, MSW, LCSW, Clinical Social Work/Therapist
Laryssa Carden
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Norfolk, VA 23518  (Online Only)
All things considered…How have you been lately? Are you being kind to yourself, or is that starting to feel impossible these days? Have you felt moments of loneliness or a desire to isolate? Do you often feel misunderstood and tired of figuring out things on your own? You don’t have to navigate it alone. I help individuals managing various difficult life transitions such as: Career/Academic shifts, Identity Exploration, Divorce, loss of a significant relationship(s), Military-focused challenges, etc. I provide a non-judgmental, warm, and conversational space that allows you to safely process your complex thoughts and feelings.
All things considered…How have you been lately? Are you being kind to yourself, or is that starting to feel impossible these days? Have you felt moments of loneliness or a desire to isolate? Do you often feel misunderstood and tired of figuring out things on your own? You don’t have to navigate it alone. I help individuals managing various difficult life transitions such as: Career/Academic shifts, Identity Exploration, Divorce, loss of a significant relationship(s), Military-focused challenges, etc. I provide a non-judgmental, warm, and conversational space that allows you to safely process your complex thoughts and feelings.
(757) 960-1640 View (757) 960-1640
Photo of Matthew Mark Albright - Brightside Counseling LLC, LPC, Licensed Professional Counselor
Brightside Counseling LLC
Licensed Professional Counselor, LPC
Verified Verified
Norfolk, VA 23510
Brightside Counseling LLC is a community based therapeutic service dedicated to helping families, parents, couples, children, and adolescents suffering from behavioral health disabilities. Our services also include group therapy, parenting support, advocacy, home-based support, conflict management skills, social skills training, life coaching, bereavement, stress management, divorce mediation, and intensive family therapy.
Brightside Counseling LLC is a community based therapeutic service dedicated to helping families, parents, couples, children, and adolescents suffering from behavioral health disabilities. Our services also include group therapy, parenting support, advocacy, home-based support, conflict management skills, social skills training, life coaching, bereavement, stress management, divorce mediation, and intensive family therapy.
(757) 418-6179 View (757) 418-6179
Photo of Samantha-Ann Hagger, MA, QMHP-C, QMHP-A
Samantha-Ann Hagger
Resident in Marriage and Family Therapy, MA, QMHP-C, QMHP-A
Verified Verified
Norfolk, VA 23502
Waitlist for new clients
Everyone should have a comfortable place and be a judgment-free zone to feel free to talk. I hope I can provide you with that level of comfort to engage in services. Just about everything in this new world we live in has been stressful for everyone in some way, even children. I'm here to help guide your family members or you through the path you need.
Everyone should have a comfortable place and be a judgment-free zone to feel free to talk. I hope I can provide you with that level of comfort to engage in services. Just about everything in this new world we live in has been stressful for everyone in some way, even children. I'm here to help guide your family members or you through the path you need.
(757) 919-9251 View (757) 919-9251
Photo of Anitra Holloway, LPC, Licensed Professional Counselor
Anitra Holloway
Licensed Professional Counselor, LPC
Verified Verified
Norfolk, VA 23510
Warm Greetings! Are you struggling with finding meaning, joy, or peace in your life? Do you feel as if you are carrying the world on your shoulders? Are you finding it difficult to manage your life or do you constantly worry about things that you can’t control? Deciding to come to therapy can be overwhelming and I applaud you for taking a courageous first step. I believe therapy is a place where you can come and unload all of your, as well as develop the strength to embrace small changes to create a life of balance and strength.
Warm Greetings! Are you struggling with finding meaning, joy, or peace in your life? Do you feel as if you are carrying the world on your shoulders? Are you finding it difficult to manage your life or do you constantly worry about things that you can’t control? Deciding to come to therapy can be overwhelming and I applaud you for taking a courageous first step. I believe therapy is a place where you can come and unload all of your, as well as develop the strength to embrace small changes to create a life of balance and strength.
(757) 856-6103 View (757) 856-6103
Photo of Cynthia Mewborn, Pre-Licensed Professional
Cynthia Mewborn
Pre-Licensed Professional
Verified Verified
1 Endorsed
Norfolk, VA 23502
I am a resident in counseling from Norfolk, Virginia and I graduated from Norfolk State University. What introduce me to the world of counseling was my family; I started counseling them at a very young age giving them advice and analyzing their behaviors. I also was a troubled teenager who had issues with processing my own emotions and I remember not being able to get help from anyone, yet I was helping others which just happens to be a talent of mine.
I am a resident in counseling from Norfolk, Virginia and I graduated from Norfolk State University. What introduce me to the world of counseling was my family; I started counseling them at a very young age giving them advice and analyzing their behaviors. I also was a troubled teenager who had issues with processing my own emotions and I remember not being able to get help from anyone, yet I was helping others which just happens to be a talent of mine.
(757) 210-6866 View (757) 210-6866
Photo of Kelly Manser, PhD, Pre-Licensed Professional
Kelly Manser
Pre-Licensed Professional, PhD
Verified Verified
Norfolk, VA 23517
Hi! I'm a Board-approved postdoctoral psychology resident (clinical Ph.D.) practicing under supervision as I finish licensure requirements. My specialty is therapy and assessment for individuals with medical conditions or medical stressors. I also offer general psychotherapy and psychological testing for folks age 16 and up.
Hi! I'm a Board-approved postdoctoral psychology resident (clinical Ph.D.) practicing under supervision as I finish licensure requirements. My specialty is therapy and assessment for individuals with medical conditions or medical stressors. I also offer general psychotherapy and psychological testing for folks age 16 and up.
(757) 780-8955 View (757) 780-8955
Photo of Martine Mirpuri, MC, LPN
Martine Mirpuri
Resident in Counseling, MC, LPN
Verified Verified
1 Endorsed
Norfolk, VA 23502
You feel like you have done all you can do, but nothing seems to work. You feel frustrated because you can't seem to concentrate or handle the stressful events at hand. Your personality seems to change in a direction that is not healthy, and you are worried things could get worse. You just want help or guidance to help you cope with what life throws at you.
You feel like you have done all you can do, but nothing seems to work. You feel frustrated because you can't seem to concentrate or handle the stressful events at hand. Your personality seems to change in a direction that is not healthy, and you are worried things could get worse. You just want help or guidance to help you cope with what life throws at you.
(757) 260-3665 View (757) 260-3665
Photo of Angela Jackson, MA, NCC, LPC, LMHC, Licensed Professional Counselor
Angela Jackson
Licensed Professional Counselor, MA, NCC, LPC, LMHC
Verified Verified
1 Endorsed
Norfolk, VA 23514
My ideal client is someone who is seeking support and guidance as they navigate challenges related to stress, anxiety, trauma, grief, or depression. This client is often looking for a safe, non-judgmental space where they can express their thoughts and feelings openly. Their goals often include enhancing their emotional resilience, developing healthier coping mechanisms, and finding ways to reduce their anxiety or depressive symptoms. Ultimately, they seek to improve their overall well-being and quality of life. My ideal client is motivated to engage in the therapeutic process, willing to challenge themselves, and eager to grow.
My ideal client is someone who is seeking support and guidance as they navigate challenges related to stress, anxiety, trauma, grief, or depression. This client is often looking for a safe, non-judgmental space where they can express their thoughts and feelings openly. Their goals often include enhancing their emotional resilience, developing healthier coping mechanisms, and finding ways to reduce their anxiety or depressive symptoms. Ultimately, they seek to improve their overall well-being and quality of life. My ideal client is motivated to engage in the therapeutic process, willing to challenge themselves, and eager to grow.
(757) 979-2607 View (757) 979-2607
Photo of Asia Leslie, MSW, Pre-Licensed Professional
Asia Leslie
Pre-Licensed Professional, MSW
Verified Verified
Norfolk, VA 23504
Not accepting new clients
I understand that seeking therapy, whether for the first or tenth time, is a big step for many people. I am a social worker who takes pride in meeting my clients right where they are. My therapeutic approach aims to provide a safe space for you to explore your past and present events in order to prepare for your best possible future. I have over 5 years of experience working in the mental health field and I am especially gifted in working with children and adolescents as well as adults.
I understand that seeking therapy, whether for the first or tenth time, is a big step for many people. I am a social worker who takes pride in meeting my clients right where they are. My therapeutic approach aims to provide a safe space for you to explore your past and present events in order to prepare for your best possible future. I have over 5 years of experience working in the mental health field and I am especially gifted in working with children and adolescents as well as adults.
(757) 530-4431 View (757) 530-4431
Chizoba Okolie-Enwereji
LPC Intern, MS
Verified Verified
Norfolk, VA 23510
Building rapport is a cornerstone of effective therapy, and I am dedicated to establishing a connection with you based on respect and genuine concern. I approach each client with an open mind, recognizing the uniqueness of your experiences and perspectives. Your story is valid, and my goal is to create a space where you feel heard, acknowledged, and safe to explore your thoughts and feelings. I understand that the therapeutic journey can be both rewarding and challenging. I am committed to collaborating with you to set achievable goals, and I welcome your feedback throughout our work together. Your insights are invaluable in shaping
Building rapport is a cornerstone of effective therapy, and I am dedicated to establishing a connection with you based on respect and genuine concern. I approach each client with an open mind, recognizing the uniqueness of your experiences and perspectives. Your story is valid, and my goal is to create a space where you feel heard, acknowledged, and safe to explore your thoughts and feelings. I understand that the therapeutic journey can be both rewarding and challenging. I am committed to collaborating with you to set achievable goals, and I welcome your feedback throughout our work together. Your insights are invaluable in shaping
(757) 210-7335 View (757) 210-7335
1
...

How does your Therapist compare?

Number of Therapists in Norfolk, VA

700+

Average cost per session

$130

Therapists in Norfolk, VA who prioritize treating:

91% Anxiety
89% Depression
74% Stress
72% Trauma and PTSD
70% Relationship Issues
69% Self Esteem
66% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

76% Aetna
69% Anthem
68% Cigna and Evernorth

How Therapists in Norfolk, VA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Norfolk?

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.