Therapists in Manchester, NJ

Photo of Tiffany Hauptman, MS, LPC, Licensed Professional Counselor
Tiffany Hauptman
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Manchester, NJ 08759  (Online Only)
Have you noticed something within yourself that isn’t sitting right? Are you searching for something different but not quite sure what or where to start? I can help! Whether you are experiencing symptoms of anxiety, depression, or struggling to adjust to certain changes in your life, I encourage you to reach out! I believe in a client centered approach where we can explore your thoughts, feelings, and responses in order to identify and achieve your goals.
Have you noticed something within yourself that isn’t sitting right? Are you searching for something different but not quite sure what or where to start? I can help! Whether you are experiencing symptoms of anxiety, depression, or struggling to adjust to certain changes in your life, I encourage you to reach out! I believe in a client centered approach where we can explore your thoughts, feelings, and responses in order to identify and achieve your goals.
(732) 785-4960 View (732) 785-4960
Photo of Kevin Ford, MA, LPC, ICADC, LCADC, SAC, Licensed Professional Counselor
Kevin Ford
Licensed Professional Counselor, MA, LPC, ICADC, LCADC, SAC
Verified Verified
Manchester, NJ 08759  (Online Only)
Life can be challenging and extremely overwhelming. Let me help you learn ways to process, navigate, & overcome difficult life emotions, and to begin to enjoy life again. I take a person-centered approach to therapy, meeting clients where they are at. I utilize a number of different approaches, including Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), as well as aspects of Dialectical Behavioral Therapy (DBT) to give the client an opportunity to gain perspective, insight, and awareness of themselves, and their relationships.
Life can be challenging and extremely overwhelming. Let me help you learn ways to process, navigate, & overcome difficult life emotions, and to begin to enjoy life again. I take a person-centered approach to therapy, meeting clients where they are at. I utilize a number of different approaches, including Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), as well as aspects of Dialectical Behavioral Therapy (DBT) to give the client an opportunity to gain perspective, insight, and awareness of themselves, and their relationships.
(848) 279-5730 View (848) 279-5730
Photo of Diana Allen, MA, LPC, LCADC, Licensed Professional Counselor
Diana Allen
Licensed Professional Counselor, MA, LPC, LCADC
Verified Verified
Manchester, NJ 08759
In a relaxed, nonjudgemental environment, I will help you find peace with your past, take control of your future, be mindful of the present. Together we will develop an empowering personalized treatment plan tailored to your specific needs. Focus will be on challenging your belief systems, gaining insight into self-destructive behavior patterns, learn alternative skills & techniques for coping with stress, anxiety, depression, parenting, relationships, and managing your emotions. I have extensive experience helping those with addictive/obsessive thoughts/ behaviors, toxic relationships and emotional eating. You have the power to thrive, not just survive! In addition to office visits, video conferencing / phone counseling available.
In a relaxed, nonjudgemental environment, I will help you find peace with your past, take control of your future, be mindful of the present. Together we will develop an empowering personalized treatment plan tailored to your specific needs. Focus will be on challenging your belief systems, gaining insight into self-destructive behavior patterns, learn alternative skills & techniques for coping with stress, anxiety, depression, parenting, relationships, and managing your emotions. I have extensive experience helping those with addictive/obsessive thoughts/ behaviors, toxic relationships and emotional eating. You have the power to thrive, not just survive! In addition to office visits, video conferencing / phone counseling available.
(973) 685-6961 View (973) 685-6961
Photo of Tynisha Clarke, LPC, LCADC, NCC, Licensed Professional Counselor
Tynisha Clarke
Licensed Professional Counselor, LPC, LCADC, NCC
Verified Verified
1 Endorsed
Manchester, NJ 08759  (Online Only)
Congratulations, on taking a positive step for your wellbeing by reaching out! My name is Tynisha Clarke, and I am a Licensed Professional Counselor and Licensed Clinical Alcohol and Drug Counselor. I always knew that I wanted to live a life where I served others, so it was no surprise that I went into the Mental Health field as a therapist, giving me the opportunity to counsel, encourage, and guide those who are in need. Through my faith I am able to perfect my craft and operate in spiritual counsel. Like many others, I am no stranger to adversity, and I use my triumph to relate and encourage others.
Congratulations, on taking a positive step for your wellbeing by reaching out! My name is Tynisha Clarke, and I am a Licensed Professional Counselor and Licensed Clinical Alcohol and Drug Counselor. I always knew that I wanted to live a life where I served others, so it was no surprise that I went into the Mental Health field as a therapist, giving me the opportunity to counsel, encourage, and guide those who are in need. Through my faith I am able to perfect my craft and operate in spiritual counsel. Like many others, I am no stranger to adversity, and I use my triumph to relate and encourage others.
(848) 274-3785 View (848) 274-3785
Photo of Angela Del Russo, MA, LPC, CCTP, Counselor
Angela Del Russo
Counselor, MA, LPC, CCTP
Verified Verified
Manchester, NJ 08759
In my practice I take a collaborative approach with adult clients. Together we seek balance, change and acceptance. These factors contribute to achievement of pleasure and fulfillment in life and relationships. My strength is that I incorporate the theory of cognitive therapy with the concept that past experiences and interactions have an influence on current beliefs and behavioral patterns. Through this approach, I am able to come to a more complete conceptualization and establish trust and rapport with my clients which enables them to engage in the therapeutic process more fully.
In my practice I take a collaborative approach with adult clients. Together we seek balance, change and acceptance. These factors contribute to achievement of pleasure and fulfillment in life and relationships. My strength is that I incorporate the theory of cognitive therapy with the concept that past experiences and interactions have an influence on current beliefs and behavioral patterns. Through this approach, I am able to come to a more complete conceptualization and establish trust and rapport with my clients which enables them to engage in the therapeutic process more fully.
(908) 349-0997 View (908) 349-0997
Jason T Ruch, Psy.D
Psychologist, PsyD
Verified Verified
Manchester, NJ 08759
Perhaps you're down or anxious - maybe you're unsure about the future of a relationship, or just feel that you aren't living the life you were meant to lead. Whatever your needs may be, I am here to offer support. Therapy is a process of growth and self-discovery, and in my sessions I promote behavioral transformation by encouraging a positive outlook and the adoption of new attitudes and reactions. I have the tools and professional experience to help you get back on track.
Perhaps you're down or anxious - maybe you're unsure about the future of a relationship, or just feel that you aren't living the life you were meant to lead. Whatever your needs may be, I am here to offer support. Therapy is a process of growth and self-discovery, and in my sessions I promote behavioral transformation by encouraging a positive outlook and the adoption of new attitudes and reactions. I have the tools and professional experience to help you get back on track.
(848) 224-6154 View (848) 224-6154

More Therapists Nearby

Photo of Chenelle Williams, LPC, Licensed Professional Counselor
Chenelle Williams
Licensed Professional Counselor, LPC
Verified Verified
Toms River, NJ 08753
I'm Chenelle Williams, holding licenses as an LPC, LCADC, and CCS in New Jersey, backed by 8 years of professional practice. My expertise lies in aiding clients with stress, anxiety, addiction, relationship concerns, motivation, self-esteem, and confidence. It's crucial for clients to feel comfortable, regardless of life's circumstances, when entering therapy. My aim is to offer precisely that to everyone I have the privilege of assisting. I firmly believe that you are the architect of your narrative, brimming with strengths that can guide you through challenges.
I'm Chenelle Williams, holding licenses as an LPC, LCADC, and CCS in New Jersey, backed by 8 years of professional practice. My expertise lies in aiding clients with stress, anxiety, addiction, relationship concerns, motivation, self-esteem, and confidence. It's crucial for clients to feel comfortable, regardless of life's circumstances, when entering therapy. My aim is to offer precisely that to everyone I have the privilege of assisting. I firmly believe that you are the architect of your narrative, brimming with strengths that can guide you through challenges.
(848) 800-2497 View (848) 800-2497
Photo of Kate Ecke : The Unconventional Therapist, LCSW, Clinical Social Work/Therapist
Kate Ecke : The Unconventional Therapist
Clinical Social Work/Therapist, LCSW
Verified Verified
Forked River, NJ 08731
Has everything gone to shit? Are you tired of the stereotypical therapy session where you talk, they take notes & you leave feeling like you just ripped open your soul for a stranger who may or may not think you’re a total wackjob? I have and that’s why I gathered a group of cool ass therapists to help you work through your shit. What we are: a group of therapists and prescribers that are cool, non-judgmental & ready to help you figure your shit out. What we offer: teletherapy sessions that are secure & on your time. What you’ll get: a session that’s focused on you & your needs.
Has everything gone to shit? Are you tired of the stereotypical therapy session where you talk, they take notes & you leave feeling like you just ripped open your soul for a stranger who may or may not think you’re a total wackjob? I have and that’s why I gathered a group of cool ass therapists to help you work through your shit. What we are: a group of therapists and prescribers that are cool, non-judgmental & ready to help you figure your shit out. What we offer: teletherapy sessions that are secure & on your time. What you’ll get: a session that’s focused on you & your needs.
(609) 293-3661 View (609) 293-3661
Photo of Mary Brereton, LCSW, Clinical Social Work/Therapist
Mary Brereton
Clinical Social Work/Therapist, LCSW
Verified Verified
Toms River, NJ 08753
I am a committed therapist with a broad range of experience in different care settings, including inpatient and outpatient psychiatry, as well as day treatment programs for high school students. I have provided evidence-based, high-quality care to adults, families, and adolescents. As a Level 1 Certified Cognitive Behavioral Therapist, I specialize in diagnosing and managing ADHD and anxiety disorders. I also offer training in mindfulness, guided imagery, and deep relaxation techniques to help with stress management. If you are seeking a compassionate and skilled therapist, I would be delighted to work with you.
I am a committed therapist with a broad range of experience in different care settings, including inpatient and outpatient psychiatry, as well as day treatment programs for high school students. I have provided evidence-based, high-quality care to adults, families, and adolescents. As a Level 1 Certified Cognitive Behavioral Therapist, I specialize in diagnosing and managing ADHD and anxiety disorders. I also offer training in mindfulness, guided imagery, and deep relaxation techniques to help with stress management. If you are seeking a compassionate and skilled therapist, I would be delighted to work with you.
(848) 353-1534 View (848) 353-1534
Photo of Anthony Cuttitta, LCSW, MSW, Clinical Social Work/Therapist
Anthony Cuttitta
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Toms River, NJ 08755
Anthony has been practicing the Art of Psychotherapy and Counseling for over 30 years . He has a Bachelors of Art degree in Psychology from Ramapo College and completed his Masters in Clinical Social Work from Rutgers University Graduate School of Social Work . He provides a Safe - Nonjudgmental Therapeutic Relationship when engaged in the treatment hour . Anthony has experience in working with Individuals , Couples and Families who are suffering from Depression, Anxiety and Grief. He provides Clinical Supervision to LSW ‘s .
Anthony has been practicing the Art of Psychotherapy and Counseling for over 30 years . He has a Bachelors of Art degree in Psychology from Ramapo College and completed his Masters in Clinical Social Work from Rutgers University Graduate School of Social Work . He provides a Safe - Nonjudgmental Therapeutic Relationship when engaged in the treatment hour . Anthony has experience in working with Individuals , Couples and Families who are suffering from Depression, Anxiety and Grief. He provides Clinical Supervision to LSW ‘s .
(848) 217-5977 View (848) 217-5977
Photo of Carla Buglione, LAC, Counselor
Carla Buglione
Counselor, LAC
Verified Verified
Beachwood, NJ 08722
Life can be overwhelming, especially when navigating the pressures of school, work, and personal relationships. As a Licensed Associate Counselor , I specialize in working with teenagers and adults who are struggling with depression, anxiety, and the effects of trauma. Whether you're feeling lost in the whirlwind of expectations or battling with your inner critic, I provide a safe and nonjudgmental space where you can explore your thoughts, feelings, and experiences.
Life can be overwhelming, especially when navigating the pressures of school, work, and personal relationships. As a Licensed Associate Counselor , I specialize in working with teenagers and adults who are struggling with depression, anxiety, and the effects of trauma. Whether you're feeling lost in the whirlwind of expectations or battling with your inner critic, I provide a safe and nonjudgmental space where you can explore your thoughts, feelings, and experiences.
(848) 281-0725 View (848) 281-0725
Photo of Lyndsie Johnson, LPC, Counselor
Lyndsie Johnson
Counselor, LPC
Verified Verified
Toms River, NJ 08753
Hello there! I'm Lyndsie Johnson, a Licensed Professional Counselor with a decade of experience spanning various levels of care, from outpatient settings to Partial Hospitalization Programs. Employing a Cognitive Behavioral approach, we'll collaborate to delve into your relationship with your emotions, examine the thought patterns affecting decision-making, and address how stress may manifest in your body. Additionally, we'll integrate mindfulness and soothing techniques to facilitate a stronger mind-body connection.
Hello there! I'm Lyndsie Johnson, a Licensed Professional Counselor with a decade of experience spanning various levels of care, from outpatient settings to Partial Hospitalization Programs. Employing a Cognitive Behavioral approach, we'll collaborate to delve into your relationship with your emotions, examine the thought patterns affecting decision-making, and address how stress may manifest in your body. Additionally, we'll integrate mindfulness and soothing techniques to facilitate a stronger mind-body connection.
(856) 329-7868 View (856) 329-7868
Photo of Tony Vega, LCSW, MSW, Clinical Social Work/Therapist
Tony Vega
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Toms River, NJ 08755
Are you struggling with issues related to trauma, grief, addiction, depression, divorce, anxiety, or major life changes? There comes a time when we need help from a professional to learn how to cope with many of life’s challenges. I would love to help you on your journey toward healing and self-discovery.
Are you struggling with issues related to trauma, grief, addiction, depression, divorce, anxiety, or major life changes? There comes a time when we need help from a professional to learn how to cope with many of life’s challenges. I would love to help you on your journey toward healing and self-discovery.
(848) 233-3897 View (848) 233-3897
Dr. Megan V Ross
Licensed Professional Counselor, PhD,MA, LPC, LCADC, RN-BC, CCM
Verified Verified
Toms River, NJ 08755
Welcome! I congratulate you for seeking help. Today you are one step closer to a new you where you will feel empowered and on a positive path to attain the personal growth and well-being you are striving for. With compassion and understanding, I am an interactive, non-judgmental, solution-focused therapist, and I'm here to help you uncover your true potential to lead a life that is worth celebrating. Call me at 732-784-1810 or send me an e-mail and come visit me in Toms River.
Welcome! I congratulate you for seeking help. Today you are one step closer to a new you where you will feel empowered and on a positive path to attain the personal growth and well-being you are striving for. With compassion and understanding, I am an interactive, non-judgmental, solution-focused therapist, and I'm here to help you uncover your true potential to lead a life that is worth celebrating. Call me at 732-784-1810 or send me an e-mail and come visit me in Toms River.
(732) 784-1810 View (732) 784-1810
Photo of Miriam Shulman, LCSW, Clinical Social Work/Therapist
Miriam Shulman
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Jackson, NJ 08527
Are you struggling with overwhelming anxiety, debilitating depression, or the feeling that things in your life just aren't going right? You don't have to face these challenges alone! I offer a safe, compassionate, and non-judgmental space for you to explore your emotions, work through challenges, and develop coping strategies to improve your mental health and well-being.
Are you struggling with overwhelming anxiety, debilitating depression, or the feeling that things in your life just aren't going right? You don't have to face these challenges alone! I offer a safe, compassionate, and non-judgmental space for you to explore your emotions, work through challenges, and develop coping strategies to improve your mental health and well-being.
(732) 487-3265 View (732) 487-3265
Photo of Allison Carluccio, LPC, Licensed Professional Counselor
Allison Carluccio
Licensed Professional Counselor, LPC
Verified Verified
Toms River, NJ 08753
I'm Allison Carluccio, a Licensed Professional Counselor with five years of experience in clinical settings. My background includes offering Mental Health Services in preschool and high school settings, as well as private practice, and interning in an Intensive Outpatient Crisis Center. As your therapist, my aim is to motivate and assist you in setting achievable and enduring goals that facilitate positive changes in your life. I'm dedicated to guiding you towards becoming the best version of yourself, fostering feelings of accomplishment, confidence, and empowerment by imparting healthy coping strategies.
I'm Allison Carluccio, a Licensed Professional Counselor with five years of experience in clinical settings. My background includes offering Mental Health Services in preschool and high school settings, as well as private practice, and interning in an Intensive Outpatient Crisis Center. As your therapist, my aim is to motivate and assist you in setting achievable and enduring goals that facilitate positive changes in your life. I'm dedicated to guiding you towards becoming the best version of yourself, fostering feelings of accomplishment, confidence, and empowerment by imparting healthy coping strategies.
(848) 279-9702 View (848) 279-9702
Photo of Rhonda Mathis, LPC, Licensed Professional Counselor
Rhonda Mathis
Licensed Professional Counselor, LPC
Verified Verified
Toms River, NJ 08753
Hello! I'm Rhonda Mathis, a Licensed Professional Counselor and Licensed Professional Art Therapist with 14 years of experience working with adolescents and adults in both inpatient and outpatient settings. I earned my Bachelor's degree from Kean University and my Master's degree from Caldwell University. My specialties include treating depression, anxiety, and trauma. My goal is for you to feel validated, accepted, and heard through our work together.
Hello! I'm Rhonda Mathis, a Licensed Professional Counselor and Licensed Professional Art Therapist with 14 years of experience working with adolescents and adults in both inpatient and outpatient settings. I earned my Bachelor's degree from Kean University and my Master's degree from Caldwell University. My specialties include treating depression, anxiety, and trauma. My goal is for you to feel validated, accepted, and heard through our work together.
(640) 224-4827 View (640) 224-4827
Photo of Rea Allarey, LCSW, Clinical Social Work/Therapist
Rea Allarey
Clinical Social Work/Therapist, LCSW
Verified Verified
Toms River, NJ 08753
Hello, I'm Rea Allarey, a licensed clinical social worker with over a decade of experience in both inpatient and outpatient medical environments. Life often presents us with stress and overwhelm, and I'm here to guide you through those challenges. Whether you're grappling with depression, anxiety, life changes, grief, health concerns, or interpersonal difficulties, I'm here to support you. Everyone deserves a listening ear and encouragement. Together, we can cultivate effective coping strategies to navigate life's uncertainties. I'm eager to collaborate with you!
Hello, I'm Rea Allarey, a licensed clinical social worker with over a decade of experience in both inpatient and outpatient medical environments. Life often presents us with stress and overwhelm, and I'm here to guide you through those challenges. Whether you're grappling with depression, anxiety, life changes, grief, health concerns, or interpersonal difficulties, I'm here to support you. Everyone deserves a listening ear and encouragement. Together, we can cultivate effective coping strategies to navigate life's uncertainties. I'm eager to collaborate with you!
(848) 400-5885 View (848) 400-5885
Photo of Sean Hennessey, LCSW, Clinical Social Work/Therapist
Sean Hennessey
Clinical Social Work/Therapist, LCSW
Verified Verified
Toms River, NJ 08755
Not accepting new clients
Not accepting new patients.
Not accepting new patients.
Photo of Dawn Fifth - Lifebulb Counseling & Therapy, Licensed Professional Counselor
Lifebulb Counseling & Therapy
Licensed Professional Counselor
Verified Verified
Toms River, NJ 08753
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
(848) 600-6631 View (848) 600-6631

See more therapy options for Manchester

How does your Therapist compare?

Number of Therapists in Manchester, NJ

< 10

Therapists in Manchester, NJ who prioritize treating:

100% Depression
100% Anxiety
83% Self Esteem
67% Relationship Issues
67% Addiction
67% ADHD
67% Coping Skills

Average years in practice

17 Years

Top 3 insurances accepted

83% Aetna
83% Cigna and Evernorth
83% Oxford

How Therapists in Manchester, NJ see their clients

50% In Person and Online
50% Online Only

Gender breakdown

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

How can I find a therapist in Manchester?

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.