Therapists in Marshall, MO

Photo of Janet Lee Blasdell, MS, LPC, Counselor
Janet Lee Blasdell
Counselor, MS, LPC
Verified Verified
Marshall, MO 65340
Waitlist for new clients
I have an ecletic approach. I tend to individualize sesssions. I also focus on skills training. I help you build a toolbox of skills you can use years later if you choose. I treat adults who are struggling with anxiety and depression. You will work hard but I believe you will find it is worth it. I also see children and work with the parents in helping their children with behavioral issues, ADHD and abuse.
I have an ecletic approach. I tend to individualize sesssions. I also focus on skills training. I help you build a toolbox of skills you can use years later if you choose. I treat adults who are struggling with anxiety and depression. You will work hard but I believe you will find it is worth it. I also see children and work with the parents in helping their children with behavioral issues, ADHD and abuse.
(660) 527-6432 View (660) 527-6432
Photo of Chris Robinson, LCSW, Clinical Social Work/Therapist
Chris Robinson
Clinical Social Work/Therapist, LCSW
Verified Verified
Marshall, MO 65340  (Online Only)
Using natural methods, I successfully treat stress, anxiety, depression, PTSD, low self-esteem and other problems. My focus is on making your symptoms go away - not just teaching you coping skills. By changing how your brain and body operate, it is possible to find the peace of mind you are looking for.
Using natural methods, I successfully treat stress, anxiety, depression, PTSD, low self-esteem and other problems. My focus is on making your symptoms go away - not just teaching you coping skills. By changing how your brain and body operate, it is possible to find the peace of mind you are looking for.
(660) 515-4177 View (660) 515-4177
Photo of Darla Belflower, LCSW, LSCSW, LAC, CRAADC, Clinical Social Work/Therapist
Darla Belflower
Clinical Social Work/Therapist, LCSW, LSCSW, LAC, CRAADC
Verified Verified
2 Endorsed
Marshall, MO 65340  (Online Only)
Licensed in both Missouri and Kansas, I have over 30 years of experience working with people who have substance use disorder, trauma, and most behavioral health disorders. We all strive for wellness, but sometimes, events, circumstances, or behaviors get in the way of achieving that for ourselves. By actively listening and understanding your challenges, we will collaborate to set goals you want to work on. We will also create a path for you to reach those goals. Reach out to see if I am a good fit to guide you on your journey to wellness.
Licensed in both Missouri and Kansas, I have over 30 years of experience working with people who have substance use disorder, trauma, and most behavioral health disorders. We all strive for wellness, but sometimes, events, circumstances, or behaviors get in the way of achieving that for ourselves. By actively listening and understanding your challenges, we will collaborate to set goals you want to work on. We will also create a path for you to reach those goals. Reach out to see if I am a good fit to guide you on your journey to wellness.
(816) 675-5250 View (816) 675-5250

Online Therapists

Photo of Gary Wolf, MA, LPC, LCPC, NCC, CFT-I™
Gary Wolf
MA, LPC, LCPC, NCC, CFT-I™
Verified Verified
2 Endorsed
Kansas City, MO 64110
Money is a leading cause of emotional pain and family conflict. From income discrepancies between partners to intractable sibling conflict, finances are often a point of contention. Money is also the leading cause of stress in the US, and it takes courage to address it because it usually triggers underlying issues. In a changing cultural environment, managing these issues can seem overwhelming and isolating, particularly for men. As a licensed psychotherapist shaped by an extensive career in finance, I offer a unique set of skills to help clients change unhealthy patterns from money and family life —and bring relief to the table.
Money is a leading cause of emotional pain and family conflict. From income discrepancies between partners to intractable sibling conflict, finances are often a point of contention. Money is also the leading cause of stress in the US, and it takes courage to address it because it usually triggers underlying issues. In a changing cultural environment, managing these issues can seem overwhelming and isolating, particularly for men. As a licensed psychotherapist shaped by an extensive career in finance, I offer a unique set of skills to help clients change unhealthy patterns from money and family life —and bring relief to the table.
(816) 327-2297 View (816) 327-2297
Photo of Jana D Weaver, MA, PLPC, Pre-Licensed Professional
Jana D Weaver
Pre-Licensed Professional, MA, PLPC
Verified Verified
1 Endorsed
Lees Summit, MO 64086
Jana is a licensed professional counselor under supervision in the state of Missouri. Jana’s specialty is connecting with people by creating a safe environment and accepting people where they are without judgment.
Jana is a licensed professional counselor under supervision in the state of Missouri. Jana’s specialty is connecting with people by creating a safe environment and accepting people where they are without judgment.
(816) 583-0479 View (816) 583-0479
Photo of Leslie Campbell-York, LPC Intern
Leslie Campbell-York
LPC Intern
Verified Verified
1 Endorsed
Columbia, MO 65202  (Online Only)
There is value in therapy for every individual. Therapeutic support is especially helpful for individuals who are marginalized by society. This includes (but is certainly not limited to) BIPOC, LGBTQIA+ individuals, people in ethically non-monogamous relationships, and those of alternative faiths. Assistance is within reach for your concerns, including sexuality and relationships, self-discovery, and processing trauma.
There is value in therapy for every individual. Therapeutic support is especially helpful for individuals who are marginalized by society. This includes (but is certainly not limited to) BIPOC, LGBTQIA+ individuals, people in ethically non-monogamous relationships, and those of alternative faiths. Assistance is within reach for your concerns, including sexuality and relationships, self-discovery, and processing trauma.
(573) 409-5558 View (573) 409-5558
Photo of Kaitlyn Rusca, MA, S-MFT, Pre-Licensed Professional
Kaitlyn Rusca
Pre-Licensed Professional, MA, S-MFT
Verified Verified
Kansas City, MO 64102
Perhaps you - or you and your partner - are standing on a threshold, a doorway between the life you have known and the life ahead of you. You may feel disconnected from yourself, from what used to give your life meaning, from that spark that used to enliven your relationship. You are walking in the dark, overwhelmed by the unknown, maybe feeling depressed or anxious, or both. I am here to sit with you in that scary, and sometimes exciting space, to help you be attentive to your deepest needs, fears, and longings, to communicate clearly and gently, and to uncover the deep well of wisdom and love that lies within and between you.
Perhaps you - or you and your partner - are standing on a threshold, a doorway between the life you have known and the life ahead of you. You may feel disconnected from yourself, from what used to give your life meaning, from that spark that used to enliven your relationship. You are walking in the dark, overwhelmed by the unknown, maybe feeling depressed or anxious, or both. I am here to sit with you in that scary, and sometimes exciting space, to help you be attentive to your deepest needs, fears, and longings, to communicate clearly and gently, and to uncover the deep well of wisdom and love that lies within and between you.
(816) 209-1937 View (816) 209-1937
Photo of Barbara L Mason-Palmer, MA, LPC, Licensed Professional Counselor
Barbara L Mason-Palmer
Licensed Professional Counselor, MA, LPC
Verified Verified
Gladstone, MO 64118
I'm Barbara L. Mason-Palmer; I've treated clients of all different ages and backgrounds ranging from 6 to older adults. My areas of expertise include Anxiety, Depression, Teen Issues, ADHD, Grief and Loss, Marriage or relationship issues and Family concerns. More commonly my focus in treatment involves that of Cognitive Behavioral, Psycho-Educational, and Psychoanalytic Therapy.
I'm Barbara L. Mason-Palmer; I've treated clients of all different ages and backgrounds ranging from 6 to older adults. My areas of expertise include Anxiety, Depression, Teen Issues, ADHD, Grief and Loss, Marriage or relationship issues and Family concerns. More commonly my focus in treatment involves that of Cognitive Behavioral, Psycho-Educational, and Psychoanalytic Therapy.
(816) 659-1348 View (816) 659-1348
Photo of Kela L Woods, LPC, Licensed Professional Counselor
Kela L Woods
Licensed Professional Counselor, LPC
Verified Verified
Kansas City, MO 64105
Kela Woods is a Licensed Professional Counselor in Missouri with over 10 years experience in Behavioral Health & Social Services. She obtained a Master of Arts in Professional Counseling at Lindenwood University in St. Charles Missouri. Kela’s work experience includes mental health assessments, diagnosing, treatment planning, referrals, crisis intervention and de-escalation. As a therapist Kela is here to listen, to validate, and to provide support in a safe and non-judgemental setting. Kela’s counseling style is warm, empathetic, and client-centered.
Kela Woods is a Licensed Professional Counselor in Missouri with over 10 years experience in Behavioral Health & Social Services. She obtained a Master of Arts in Professional Counseling at Lindenwood University in St. Charles Missouri. Kela’s work experience includes mental health assessments, diagnosing, treatment planning, referrals, crisis intervention and de-escalation. As a therapist Kela is here to listen, to validate, and to provide support in a safe and non-judgemental setting. Kela’s counseling style is warm, empathetic, and client-centered.
(314) 742-9392 View (314) 742-9392
Photo of Caleb M Stephens, LMSW, LMAC, PhD
Caleb M Stephens
Licensed Master Social Worker, LMSW, LMAC, PhD
Verified Verified
Kansas City, MO 64129  (Online Only)
My name is Caleb Stephens, and I am an Intersectional Clinician. The reality of therapy is that it is inaccessible to most, and the majority of therapists gear their therapy around themselves, and not around the needs of the client, nor the layers of identity that exist. I am not a traditional therapist, as I am also an Activist, and the majority of the work that I do is Identity work. This is about meeting you where you're at, and I'm here for it.
My name is Caleb Stephens, and I am an Intersectional Clinician. The reality of therapy is that it is inaccessible to most, and the majority of therapists gear their therapy around themselves, and not around the needs of the client, nor the layers of identity that exist. I am not a traditional therapist, as I am also an Activist, and the majority of the work that I do is Identity work. This is about meeting you where you're at, and I'm here for it.
(785) 470-4051 View (785) 470-4051
Photo of Jennifer Dunsdon, LCSW, CPT, Clinical Social Work/Therapist
Jennifer Dunsdon
Clinical Social Work/Therapist, LCSW, CPT
Verified Verified
1 Endorsed
Independence, MO 64055
I opened Dunsdon Counseling, LLC in 2022 to offer mental health services in Independence, MO and the surrounding area. I graduated from UMKC in 2012 with my Master’s Degree in Social Work. I have been practicing as a therapist for more than 7 years. I work with preteens, teenagers, parents and individuals. I use an individualized, holistic approach, focusing treatment on the need of each client. I believe in the worth of all persons and value each person's unique life experience.
I opened Dunsdon Counseling, LLC in 2022 to offer mental health services in Independence, MO and the surrounding area. I graduated from UMKC in 2012 with my Master’s Degree in Social Work. I have been practicing as a therapist for more than 7 years. I work with preteens, teenagers, parents and individuals. I use an individualized, holistic approach, focusing treatment on the need of each client. I believe in the worth of all persons and value each person's unique life experience.
(816) 307-0540 View (816) 307-0540
Photo of Jill M. Lillard, MA, LPC, Licensed Professional Counselor
Jill M. Lillard
Licensed Professional Counselor, MA, LPC
Verified Verified
Jefferson City, MO 65109
Do you want a better relationship, but aren't sure how to get past the hurdles? I can help. If you feel like you aren't connecting, not communicating well, have grown apart, or that misunderstandings and arguments are causing hurt, I offer tools to help you hit pause, leverage your emotions, and engage more effectively with one another. If you want to take a comprehensive and structured approach to looking at your marriage and want to try something a little different than traditional therapy, I offer a unique way of working with couples.
Do you want a better relationship, but aren't sure how to get past the hurdles? I can help. If you feel like you aren't connecting, not communicating well, have grown apart, or that misunderstandings and arguments are causing hurt, I offer tools to help you hit pause, leverage your emotions, and engage more effectively with one another. If you want to take a comprehensive and structured approach to looking at your marriage and want to try something a little different than traditional therapy, I offer a unique way of working with couples.
(573) 435-3513 View (573) 435-3513
Photo of Sarah Ehlers - Sarah Ehlers, LCSW LLC, LCSW, Clinical Social Work/Therapist
Sarah Ehlers, LCSW LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Liberty, MO 64068
You deserve to feel empowered and therapy is a great way to further explore all the possibilities your life holds for you. Therapy is a journey. My role as therapist is to provide you with safe, nurturing guidance as you seek personal growth and inner peace. I believe that everyone is capable of change and has the power to choose differently, thus increasing self-fulfillment and joy in their life. I offer a warm, caring atmosphere for you to explore your wants and needs, increase awareness of barriers to meeting those wants and needs, and feel supported in making changes.
You deserve to feel empowered and therapy is a great way to further explore all the possibilities your life holds for you. Therapy is a journey. My role as therapist is to provide you with safe, nurturing guidance as you seek personal growth and inner peace. I believe that everyone is capable of change and has the power to choose differently, thus increasing self-fulfillment and joy in their life. I offer a warm, caring atmosphere for you to explore your wants and needs, increase awareness of barriers to meeting those wants and needs, and feel supported in making changes.
(816) 521-6199 View (816) 521-6199
Photo of Scott Thode, MA, LPC, Licensed Professional Counselor
Scott Thode
Licensed Professional Counselor, MA, LPC
Verified Verified
Kansas City, MO 64114
My job is to help people optimize their mental health and relationships. I start with listening carefully to how my clients make sense of the world. Specifically, I will pay close attention how you identify problems, generate possible solutions, and implement choices. The past often influences how we see the present, so it might be important for us to analyze some historical context as well. However, we certainly will not dwell there. Most people want to be more rooted in the now, while also orienting themselves toward positive future aims. This is ultimately what our work will be about.
My job is to help people optimize their mental health and relationships. I start with listening carefully to how my clients make sense of the world. Specifically, I will pay close attention how you identify problems, generate possible solutions, and implement choices. The past often influences how we see the present, so it might be important for us to analyze some historical context as well. However, we certainly will not dwell there. Most people want to be more rooted in the now, while also orienting themselves toward positive future aims. This is ultimately what our work will be about.
(816) 203-0540 View (816) 203-0540
Photo of Danielle Andrea Jones, LCSW, LSCSW, CGCS, Clinical Social Work/Therapist
Danielle Andrea Jones
Clinical Social Work/Therapist, LCSW, LSCSW, CGCS
Verified Verified
2 Endorsed
Kansas City, MO 64110
Waitlist for new clients
I really enjoy guiding you toward achieving your goals for what matters to you in life! Becoming unstuck from the past can be needed to unlock greater fulfillment in life. Traumas, depression, anxiety, anger, low-self-esteem, or psychosis are some of the common challenges that get in the way of life satisfaction. With barriers greatly reduced or removed, you are freed to live life as YOU choose. I often give worksheets & between session suggestions (homework) to expedite your progress. To contact me please EMAIL so I can quickly find & see your message (with many SPAM business calls VM is harder to notice & you are important)!
I really enjoy guiding you toward achieving your goals for what matters to you in life! Becoming unstuck from the past can be needed to unlock greater fulfillment in life. Traumas, depression, anxiety, anger, low-self-esteem, or psychosis are some of the common challenges that get in the way of life satisfaction. With barriers greatly reduced or removed, you are freed to live life as YOU choose. I often give worksheets & between session suggestions (homework) to expedite your progress. To contact me please EMAIL so I can quickly find & see your message (with many SPAM business calls VM is harder to notice & you are important)!
(913) 347-4851 View (913) 347-4851
Photo of Lily Siebert, MA, LPC, Licensed Professional Counselor
Lily Siebert
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Kansas City, MO 64112
If you are a human person looking to improve and understand your experiences with living, I am here to help. Whether this is your first experience with counseling or you are well-seasoned in the ways of talk therapy, I'm glad you are exploring the idea. Counseling can and will help work through things like depression, anxiety, trauma, body image issues, relationship concerns, general dissatisfaction with life, and numerous other bumps in the road.
If you are a human person looking to improve and understand your experiences with living, I am here to help. Whether this is your first experience with counseling or you are well-seasoned in the ways of talk therapy, I'm glad you are exploring the idea. Counseling can and will help work through things like depression, anxiety, trauma, body image issues, relationship concerns, general dissatisfaction with life, and numerous other bumps in the road.
(816) 239-3020 View (816) 239-3020
Photo of Karanita B Boling, LCSW-S, LSCSW, Clinical Social Work/Therapist
Karanita B Boling
Clinical Social Work/Therapist, LCSW-S, LSCSW
Verified Verified
2 Endorsed
Lees Summit, MO 64064
I'm a Compassionate, Caring, Trauma Informed, Holistic and Client Centered Clinician. Neurodivergent Welcoming! I believe being "Mentally Healthy" means having the energy to live life to the fullest, being content and having serenity to face life's everyday challenges. No one chooses to feel tired, fearful, anxious, sad or depressed. I am certified in Motivational Interviewing, EMDR Basic & advanced skills and training in CBT, DBT, and ACT to help you find the goals to your best life. I accept clients 8yrs old through Geriatric (99+). I have active duty Military and First Responder experience.
I'm a Compassionate, Caring, Trauma Informed, Holistic and Client Centered Clinician. Neurodivergent Welcoming! I believe being "Mentally Healthy" means having the energy to live life to the fullest, being content and having serenity to face life's everyday challenges. No one chooses to feel tired, fearful, anxious, sad or depressed. I am certified in Motivational Interviewing, EMDR Basic & advanced skills and training in CBT, DBT, and ACT to help you find the goals to your best life. I accept clients 8yrs old through Geriatric (99+). I have active duty Military and First Responder experience.
(816) 494-2595 View (816) 494-2595
Photo of Sara McGinnis, MA, LPC, RPT, Licensed Professional Counselor
Sara McGinnis
Licensed Professional Counselor, MA, LPC, RPT
Verified Verified
1 Endorsed
Kansas City, MO 64116
Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being. As a therapist, I enjoy using Cognitive Behavioral Therapy, Play Therapy, and Solution-Focused Brief Therapy. Through these methods I strive to encourage you to overcome life obstacles, achieve your social/emotional goals, and find joy in every day. If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being. As a therapist, I enjoy using Cognitive Behavioral Therapy, Play Therapy, and Solution-Focused Brief Therapy. Through these methods I strive to encourage you to overcome life obstacles, achieve your social/emotional goals, and find joy in every day. If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
(816) 307-2784 View (816) 307-2784
Photo of Julie Potter - Infertility Counseling Center, LCSW, Clinical Social Work/Therapist
Infertility Counseling Center
Clinical Social Work/Therapist, LCSW
Verified Verified
Kansas City, MO 64116
I am dedicated to providing a safe space for those experiencing infertility and pregnancy loss. The path to parenthood can be a difficult journey for some, and infertility and pregnancy loss often causes feelings of shame, failure, disappointment, frustration, heartbreak, and loneliness. I want to help you find healing on your own family building journey and foster resiliency so you can live a meaningful life now.
I am dedicated to providing a safe space for those experiencing infertility and pregnancy loss. The path to parenthood can be a difficult journey for some, and infertility and pregnancy loss often causes feelings of shame, failure, disappointment, frustration, heartbreak, and loneliness. I want to help you find healing on your own family building journey and foster resiliency so you can live a meaningful life now.
(816) 844-6018 View (816) 844-6018
Photo of Suzanne Muehlebach Garrett, LCSW, PsyD, Clinical Social Work/Therapist
Suzanne Muehlebach Garrett
Clinical Social Work/Therapist, LCSW, PsyD
Verified Verified
Kansas City, MO 64113
With 30 years experience in mental health, I have a conviction about the human capacity to grow, develop, and adapt throughout life. I appreciate that each person brings to therapy a unique self: the combination of one's personal characteristics, early family relationships, and life experiences. I practice from a psychodynamic perspective to better understand your current situation in a safe therapeutic environment of curiosity and collaboration.
With 30 years experience in mental health, I have a conviction about the human capacity to grow, develop, and adapt throughout life. I appreciate that each person brings to therapy a unique self: the combination of one's personal characteristics, early family relationships, and life experiences. I practice from a psychodynamic perspective to better understand your current situation in a safe therapeutic environment of curiosity and collaboration.
(816) 844-6404 View (816) 844-6404

See more therapy options for Marshall

How does your Therapist compare?

Number of Therapists in Marshall, MO

< 10

Therapists in Marshall, MO who prioritize treating:

100% Depression
100% Anxiety
100% Addiction
100% Grief
100% Trauma and PTSD
100% Bipolar Disorder
100% Substance Use

Average years in practice

33 Years

Top 3 insurances accepted

67% Aetna
67% BlueCross and BlueShield
67% Cigna and Evernorth

How Therapists in Marshall, MO see their clients

66% Online Only
34% In Person and Online

Gender breakdown

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

How can I find a therapist in Marshall?

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.