Therapists in Carmel, ME

Photo of Jennifer Scott, LCSW, LICSW, Clinical Social Work/Therapist
Jennifer Scott
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Carmel, ME 04419
We all have the answers to our challenges but sometimes we need a neutral person to help us sort it out. That is what I believe therapy is about; sorting through struggles together. I have a straightforward and practical style and have gathered many tools and techniques in my 15 years of counseling to share with you. You need to have the willingness and openness to learn new coping styles to face your challenges. I am licensed in Maine and Massachusetts.
We all have the answers to our challenges but sometimes we need a neutral person to help us sort it out. That is what I believe therapy is about; sorting through struggles together. I have a straightforward and practical style and have gathered many tools and techniques in my 15 years of counseling to share with you. You need to have the willingness and openness to learn new coping styles to face your challenges. I am licensed in Maine and Massachusetts.
(855) 305-2150 View (855) 305-2150

More Therapists Nearby

Photo of Emily Barrington, LCPC, Counselor
Emily Barrington
Counselor, LCPC
Verified Verified
1 Endorsed
Hampden, ME 04444
Not accepting new clients
I provide insight oriented, relationship based talk therapy to individuals seeking a better understanding of themselves and a desire to improve their daily experience. Finding peace and joy in this fast paced world can be a challenge and often times we can get caught up in both the big and small stresses of life and lose sight of our true values and goals. My goal is to offer support while you step back just far enough to see the whole picture and find your balance again.
I provide insight oriented, relationship based talk therapy to individuals seeking a better understanding of themselves and a desire to improve their daily experience. Finding peace and joy in this fast paced world can be a challenge and often times we can get caught up in both the big and small stresses of life and lose sight of our true values and goals. My goal is to offer support while you step back just far enough to see the whole picture and find your balance again.
(207) 489-4049 View (207) 489-4049
Photo of Kim Foskett, LCPC, LPCC, Counselor
Kim Foskett
Counselor, LCPC, LPCC
Verified Verified
1 Endorsed
Bangor, ME 04401  (Online Only)
Hello! I'm so glad we've crossed paths. I wholeheartedly believe you have the answers you need within. Often, though, our experiences have left us with constant thoughts that doubt, shame, & judge us. It gets confusing what to believe. Together, we’ll get to know & understand the cause of your struggles & work towards healing so you learn to love, trust & show up for yourself. Then you're able to show up how you want in relationships, at work & in life. I commit to being fully present & compassionate with you every step along the way. Let's do this! Healing is 100% possible.
Hello! I'm so glad we've crossed paths. I wholeheartedly believe you have the answers you need within. Often, though, our experiences have left us with constant thoughts that doubt, shame, & judge us. It gets confusing what to believe. Together, we’ll get to know & understand the cause of your struggles & work towards healing so you learn to love, trust & show up for yourself. Then you're able to show up how you want in relationships, at work & in life. I commit to being fully present & compassionate with you every step along the way. Let's do this! Healing is 100% possible.
(207) 421-9491 View (207) 421-9491
Photo of Jamie Larsen, LICSW, PMH-C, IMH-E, Clinical Social Work/Therapist
Jamie Larsen
Clinical Social Work/Therapist, LICSW, PMH-C, IMH-E
Verified Verified
Bangor, ME 04401  (Online Only)
Not accepting new clients
Are you a woman struggling with the complexities of biological, environmental, societal and relational pressures? Or, are you having difficulty with the demands of life and feeling physically, mentally, and emotionally exhausted? You are not alone in this. As women, we live in a society that constantly implies that who we are isn’t enough. But, change is possible. Over the years I’ve developed a specialty working with women who are pregnant or have recently given birth, are struggling with depression, anxiety or self-esteem, or who have a history of experiencing childhood trauma. Oftentimes, my clients identify with all of these.
Are you a woman struggling with the complexities of biological, environmental, societal and relational pressures? Or, are you having difficulty with the demands of life and feeling physically, mentally, and emotionally exhausted? You are not alone in this. As women, we live in a society that constantly implies that who we are isn’t enough. But, change is possible. Over the years I’ve developed a specialty working with women who are pregnant or have recently given birth, are struggling with depression, anxiety or self-esteem, or who have a history of experiencing childhood trauma. Oftentimes, my clients identify with all of these.
(207) 605-5050 View (207) 605-5050
Photo of Lizz Simon-Miller, Pre-Licensed Professional
Lizz Simon-Miller
Pre-Licensed Professional
Verified Verified
1 Endorsed
Bangor, ME 04401  (Online Only)
Accepting new clients for $35 therapy! Evening appointments available. Hey there, I’m so grateful you’re here! I’m Lizz – single mom to a sassy pre-teen, clinical social work graduate student, avid swearer, book lover and newbie/intern therapist. I’m currently accepting new clients at Beauty In Her Struggle, LLC – a trauma-informed psychotherapy practice for women, transgender and non-binary individuals. If you’ve been considering trying out therapy, or looking for someone with relatable life experiences, I’d love to connect. I am a clinical intern under the supervision of Kalie C. Harrington, LCSW, CCTP, RYT.
Accepting new clients for $35 therapy! Evening appointments available. Hey there, I’m so grateful you’re here! I’m Lizz – single mom to a sassy pre-teen, clinical social work graduate student, avid swearer, book lover and newbie/intern therapist. I’m currently accepting new clients at Beauty In Her Struggle, LLC – a trauma-informed psychotherapy practice for women, transgender and non-binary individuals. If you’ve been considering trying out therapy, or looking for someone with relatable life experiences, I’d love to connect. I am a clinical intern under the supervision of Kalie C. Harrington, LCSW, CCTP, RYT.
(207) 579-8804 View (207) 579-8804
Photo of Sarah A. Wakefield, RN, LCPC, LCMHC
Sarah A. Wakefield
Clinical Professional Counselor, RN, LCPC, LCMHC
Verified Verified
Bangor, ME 04401  (Online Only)
It is a nightmare: you don’t want to sleep, nor do you want to wake up. You go through the day feeling numb, empty and hopeless. Your world has turned upside down! Losing a loved one or hearing the words “you have a life-threatening illness” makes you want to scream, run away or curl up into a ball. “How can this be happening to me” You yearn for the world you once knew, one that was predictable, familiar and comfortable. You want to embrace the day, not dread it. Is it ever going to be possible to laugh, smile and be you again?
It is a nightmare: you don’t want to sleep, nor do you want to wake up. You go through the day feeling numb, empty and hopeless. Your world has turned upside down! Losing a loved one or hearing the words “you have a life-threatening illness” makes you want to scream, run away or curl up into a ball. “How can this be happening to me” You yearn for the world you once knew, one that was predictable, familiar and comfortable. You want to embrace the day, not dread it. Is it ever going to be possible to laugh, smile and be you again?
(802) 328-9657 View (802) 328-9657
Photo of Tanya Shan, PhD, Psychologist
Tanya Shan
Psychologist, PhD
Verified Verified
Bangor, ME 04401  (Online Only)
Whatever brings someone to therapy, it generally includes some form of pain, dissatisfaction, or discomfort, and a disconnect between what is happening their life and what they want. Our work together will help to shed light on why you are struggling, and support you as you make changes, drawing on your strengths to find an approach that is more effective and aligned with how you want your life to be. I believe that effective therapy starts with a safe, compassionate, non-judgmental emotional space where clients can feel heard and understood and my work is grounded in developing a strong therapeutic relationship.
Whatever brings someone to therapy, it generally includes some form of pain, dissatisfaction, or discomfort, and a disconnect between what is happening their life and what they want. Our work together will help to shed light on why you are struggling, and support you as you make changes, drawing on your strengths to find an approach that is more effective and aligned with how you want your life to be. I believe that effective therapy starts with a safe, compassionate, non-judgmental emotional space where clients can feel heard and understood and my work is grounded in developing a strong therapeutic relationship.
(207) 204-3879 View (207) 204-3879
Photo of Nicole Albee, LCSW, Clinical Social Work/Therapist
Nicole Albee
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Bangor, ME 04401  (Online Only)
Not accepting new clients
Everyone needs space to process life, including its challenges and successes. I am here to help you do that. By using a holistic approach to your mental health, together we will explore aspects of your internal and external environment. We will discover what holds you back and ultimately what empowers you.
Everyone needs space to process life, including its challenges and successes. I am here to help you do that. By using a holistic approach to your mental health, together we will explore aspects of your internal and external environment. We will discover what holds you back and ultimately what empowers you.
(207) 825-7572 View (207) 825-7572
Photo of Priscilla M Goss - Priscilla M. Goss, LCSW, LADC, CCS, MSW, LCSW, LADC, CCS, Clinical Social Work/Therapist
Priscilla M. Goss, LCSW, LADC, CCS
Clinical Social Work/Therapist, MSW, LCSW, LADC, CCS
Not Verified Not Verified
Hampden, ME 04444
Are you ready for change in your life? Do you want healing from past traumas, disappointments or losses? Do you want to feel your in control of your life, and be able to deal with issues causing distress? As your Therapist, I am committed to working with you to progress toward meeting your goals. I believe in your ability to achieve them. I offer you a genuine, caring, non-judgmental, professional relationship where you will feel comfortable and be able to accomplish positive growth. I welcome a call from you with any questions. Let's work together toward your wellness!
Are you ready for change in your life? Do you want healing from past traumas, disappointments or losses? Do you want to feel your in control of your life, and be able to deal with issues causing distress? As your Therapist, I am committed to working with you to progress toward meeting your goals. I believe in your ability to achieve them. I offer you a genuine, caring, non-judgmental, professional relationship where you will feel comfortable and be able to accomplish positive growth. I welcome a call from you with any questions. Let's work together toward your wellness!
(207) 613-0405 View (207) 613-0405
Photo of Daphne L DeMaris, MA, LPC, LPCC, MHC, Counselor
Daphne L DeMaris
Counselor, MA, LPC, LPCC, MHC
Verified Verified
7 Endorsed
Bangor, ME 04401  (Online Only)
Are you tired of feeling anxious or depressed? Do life circumstances all too easily stress you out? If you want to find peace and gain control of your emotions; I can help you move what may seem like an emotional mountain. Together we will uncover the life events, thoughts and physical health issues that contribute. Together we will build strategies for greater health. Find that tiny mustard seed of faith. Have hope because Jesus took a beating for your healing. Don't leave that healing in God's storehouse of blessings. Reach out for it! Don't just seek to stop pain. Seek the fullness of healing God has for you in this life.
Are you tired of feeling anxious or depressed? Do life circumstances all too easily stress you out? If you want to find peace and gain control of your emotions; I can help you move what may seem like an emotional mountain. Together we will uncover the life events, thoughts and physical health issues that contribute. Together we will build strategies for greater health. Find that tiny mustard seed of faith. Have hope because Jesus took a beating for your healing. Don't leave that healing in God's storehouse of blessings. Reach out for it! Don't just seek to stop pain. Seek the fullness of healing God has for you in this life.
(651) 448-4192 View (651) 448-4192
Photo of Carole Bailey, MA, LCPC, Counselor
Carole Bailey
Counselor, MA, LCPC
Verified Verified
Hampden, ME 04444
Not accepting new clients
I am passionate about working with individuals & couples who desire to heal past hurts, define future goals, & find effective ways to grow personally, professionally, & in their relationships with others. My prior life experiences in management, full time ministry, as an educator, & in Hospice work, along with specialty training in trauma, bereavement, couples work, & Life Coaching, have given me the experiences & training necessary to provide a wide variety of resources to help clients move forward in their lives more effectively. Those choosing to work with me will find a caring, compassionate therapist & mentor.
I am passionate about working with individuals & couples who desire to heal past hurts, define future goals, & find effective ways to grow personally, professionally, & in their relationships with others. My prior life experiences in management, full time ministry, as an educator, & in Hospice work, along with specialty training in trauma, bereavement, couples work, & Life Coaching, have given me the experiences & training necessary to provide a wide variety of resources to help clients move forward in their lives more effectively. Those choosing to work with me will find a caring, compassionate therapist & mentor.
(207) 370-7901 View (207) 370-7901
Photo of Higher Ground Services - Higher Ground Services, LLC, Clinical Social Work/Therapist
Higher Ground Services, LLC
Clinical Social Work/Therapist
Verified Verified
Bangor, ME 04401
We are down-to-earth people who won't tell you how to live your life. You tell us what you want to be different in life and we'll offer pragmatic and supportive steps to get you there. We are honored to serve individuals, couples, families, and groups. We are available for single consultations, short term and long term therapy. We welcome your questions and concerns and look forward to hearing from you!
We are down-to-earth people who won't tell you how to live your life. You tell us what you want to be different in life and we'll offer pragmatic and supportive steps to get you there. We are honored to serve individuals, couples, families, and groups. We are available for single consultations, short term and long term therapy. We welcome your questions and concerns and look forward to hearing from you!
(207) 305-9515 View (207) 305-9515
Photo of Justin Ritchie MacDonald - JMacD Therapy, LCPC, LPC, Counselor
JMacD Therapy
Counselor, LCPC, LPC
Verified Verified
Bangor, ME 04401  (Online Only)
Book with me know, click on my website! While I am not seeking to only work with client's that check off these boxes, as I would like to positively impact as many people as possible, my experience has been that clients who benefit extremely well from working with me are those that are open to engaging in the work needed to see the benefits of therapy. Clients that are seeking to better understand their perspective of the world, how they fit into it, how they can fit into it, and how they can make the most of their space in the world will thrive when working with me.
Book with me know, click on my website! While I am not seeking to only work with client's that check off these boxes, as I would like to positively impact as many people as possible, my experience has been that clients who benefit extremely well from working with me are those that are open to engaging in the work needed to see the benefits of therapy. Clients that are seeking to better understand their perspective of the world, how they fit into it, how they can fit into it, and how they can make the most of their space in the world will thrive when working with me.
(207) 241-4608 View (207) 241-4608
Photo of Tamara J Hunt, PhD, LCPC, Counselor
Tamara J Hunt
Counselor, PhD, LCPC
Verified Verified
Bangor, ME 04401  (Online Only)
Not accepting new clients
Clients present for counseling for a myriad of reasons. Life can offer opportunities for problem solving and sometimes that can feel overwhelming and challenging to resolve without professional help. Seeking support to address ways to improve self-care skills, mental wellness, and general over all health can improve your life.
Clients present for counseling for a myriad of reasons. Life can offer opportunities for problem solving and sometimes that can feel overwhelming and challenging to resolve without professional help. Seeking support to address ways to improve self-care skills, mental wellness, and general over all health can improve your life.
(207) 888-4954 View (207) 888-4954
Photo of Lauren (Brooks) Hample, LCSW, Clinical Social Work/Therapist
Lauren (Brooks) Hample
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Bangor, ME 04401  (Online Only)
Now accepting new clients! If you are a first responder struggling with regulating emotions, feel disturbed by your lack of empathy/emotional response, and/or find it difficult to trust and connect with those around you - I encourage you to reach out!
Now accepting new clients! If you are a first responder struggling with regulating emotions, feel disturbed by your lack of empathy/emotional response, and/or find it difficult to trust and connect with those around you - I encourage you to reach out!
(207) 406-9650 View (207) 406-9650
Photo of Wally Fraser, LCPC, CCS, Counselor
Wally Fraser
Counselor, LCPC, CCS
Verified Verified
3 Endorsed
Hampden, ME 04444
Waitlist for new clients
I am working with clients on addressing underlying trauma and other causes of anxiety. I also specialize in working with first responders on a variety of issues. Currently, I am accepting referrals from first responders. These referrals will be prioritized. All other referrals will go on my waitlist.
I am working with clients on addressing underlying trauma and other causes of anxiety. I also specialize in working with first responders on a variety of issues. Currently, I am accepting referrals from first responders. These referrals will be prioritized. All other referrals will go on my waitlist.
(207) 690-6474 View (207) 690-6474
Photo of Anna C. W. Aurora, MA Psy, LCPC-c, CPC, Counselor
Anna C. W. Aurora
Counselor, MA Psy, LCPC-c, CPC
Verified Verified
4 Endorsed
Bangor, ME 04401
Not accepting new clients
I am a deep believer in the organic unfolding of our growth and purpose, and that we all possess the ability to hear our soul’s calling towards a more authentic and fulfilled life. Sometimes change is fluid, easeful and exciting. At other times, life speaks to us through crises, illness, burnout or relationship challenges… and other loud ways to make our inner voice known. Sometimes we don’t realize the guidance hidden in the chaos and we struggle to stay afloat. This is where we can use some extra support, and where I would love to help you listen in deeply… for often these difficulties hold the seeds of powerful transformation.
I am a deep believer in the organic unfolding of our growth and purpose, and that we all possess the ability to hear our soul’s calling towards a more authentic and fulfilled life. Sometimes change is fluid, easeful and exciting. At other times, life speaks to us through crises, illness, burnout or relationship challenges… and other loud ways to make our inner voice known. Sometimes we don’t realize the guidance hidden in the chaos and we struggle to stay afloat. This is where we can use some extra support, and where I would love to help you listen in deeply… for often these difficulties hold the seeds of powerful transformation.
(207) 218-0544 View (207) 218-0544
Photo of Lisa Audino, LCSW, CADC, CCTP, Clinical Social Work/Therapist
Lisa Audino
Clinical Social Work/Therapist, LCSW, CADC, CCTP
Verified Verified
2 Endorsed
Bangor, ME 04401  (Online Only)
I specialize in Borderline personality disorder, PTSD/Trauma, and co-occurring challenges. My scope of practice includes LGBTQ+ concerns, couples (nonmonogamy), and mood disorders. A desire to change is often forged in hardships that are overwhelming, painful, and cause suffering. It can be a difficult path to navigate alone. A therapeutic relationship based on trust, open communication, respect, and empathy is fundamental to overcoming struggles. Whether it is during a transition, an acute stressor, or severe mental illness, I provide a supportive, safe, and non-judgmental environment for youth, adults, families, and couples.
I specialize in Borderline personality disorder, PTSD/Trauma, and co-occurring challenges. My scope of practice includes LGBTQ+ concerns, couples (nonmonogamy), and mood disorders. A desire to change is often forged in hardships that are overwhelming, painful, and cause suffering. It can be a difficult path to navigate alone. A therapeutic relationship based on trust, open communication, respect, and empathy is fundamental to overcoming struggles. Whether it is during a transition, an acute stressor, or severe mental illness, I provide a supportive, safe, and non-judgmental environment for youth, adults, families, and couples.
(207) 806-5383 View (207) 806-5383
Photo of Madelyn Herzog, LCSW, Clinical Social Work/Therapist
Madelyn Herzog
Clinical Social Work/Therapist, LCSW
Verified Verified
Bangor, ME 04401  (Online Only)
Not accepting new clients
My goal as a therapist is to work with you as you navigate all of the challenges, complexity, and pain in our world. There are no easy answers and there is no one-size-fits-all approach, but I can be with you, and support you, with evidence-based frameworks, as you figure out your path forward. I offer a nonjudmental and affirming space to bring whatever is on your mind, whatever you're needing to process or work through.
My goal as a therapist is to work with you as you navigate all of the challenges, complexity, and pain in our world. There are no easy answers and there is no one-size-fits-all approach, but I can be with you, and support you, with evidence-based frameworks, as you figure out your path forward. I offer a nonjudmental and affirming space to bring whatever is on your mind, whatever you're needing to process or work through.
(207) 410-2999 View (207) 410-2999
Photo of Erik Inbar, LCSW, Clinical Social Work/Therapist
Erik Inbar
Clinical Social Work/Therapist, LCSW
Verified Verified
Bangor, ME 04401  (Online Only)
Not accepting new clients
The style of therapy I provide explores the stories, thoughts, and beliefs we acquire and create within our lives that impact how we feel and behave. My work incorporates concepts rooted in mindfulness, developing coping skills, and discovering and actualizing our potential. These approaches can be effective in addressing mental health challenges such as anxiety, trauma-based symptoms, depression, and ADHD. I also help those who have challenges related to attachment, stress and anger management, self-worth, and sleep issues.
The style of therapy I provide explores the stories, thoughts, and beliefs we acquire and create within our lives that impact how we feel and behave. My work incorporates concepts rooted in mindfulness, developing coping skills, and discovering and actualizing our potential. These approaches can be effective in addressing mental health challenges such as anxiety, trauma-based symptoms, depression, and ADHD. I also help those who have challenges related to attachment, stress and anger management, self-worth, and sleep issues.
(207) 614-7421 View (207) 614-7421

How does your Therapist compare?

Number of Therapists in Carmel, ME

< 10

Therapists in Carmel, ME who prioritize treating:

100% Depression
100% Anxiety
100% Life Coaching
100% Trauma and PTSD
100% Coping Skills
100% Self Esteem
100% Cancer

Average years in practice

14 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Cigna and Evernorth
100% Harvard Pilgrim

How Therapists in Carmel, ME see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Carmel?

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.