Therapists in Beulaville, NC

Photo of Carol Schubert, LCMHC
Carol Schubert
LCMHC
Verified Verified
Beulaville, NC 28518
Accepting New Clients. My passion is working with people who are teetering in crisis mode and want to establish peace in their life. Sometimes the crisis can be a trauma or it might be a marital or family conflict. I enjoy helping people who struggle with ADHD, anxiety, depression, life transitions, and addiction/recovery. I am comfortable working with military families, and I appreciate cultural differences. I want to help you identify your struggle, explore all potential solutions, and develop goals to overcome the obstacles.
Accepting New Clients. My passion is working with people who are teetering in crisis mode and want to establish peace in their life. Sometimes the crisis can be a trauma or it might be a marital or family conflict. I enjoy helping people who struggle with ADHD, anxiety, depression, life transitions, and addiction/recovery. I am comfortable working with military families, and I appreciate cultural differences. I want to help you identify your struggle, explore all potential solutions, and develop goals to overcome the obstacles.
(252) 592-6487 View (252) 592-6487
Photo of Eleanor Curtis, LCSW, Clinical Social Work/Therapist
Eleanor Curtis
Clinical Social Work/Therapist, LCSW
Verified Verified
Beulaville, NC 28518
I am a Licensed Clinical Social Worker licensed to practice in North Carolina. My approach is trauma-informed and client-centered. I use elements of Solution Focused Brief Therapy, Acceptance and Commitment Therapy, and Cognitive Behavior Therapy depending on you as my client and your needs. Therapy is as individual as each client and is not a one size fits all process. I've worked with adults at all life stages, from young adulthood through senior citizenry. I want to work with you to find the best approach for you and your expectations of therapy.
I am a Licensed Clinical Social Worker licensed to practice in North Carolina. My approach is trauma-informed and client-centered. I use elements of Solution Focused Brief Therapy, Acceptance and Commitment Therapy, and Cognitive Behavior Therapy depending on you as my client and your needs. Therapy is as individual as each client and is not a one size fits all process. I've worked with adults at all life stages, from young adulthood through senior citizenry. I want to work with you to find the best approach for you and your expectations of therapy.
(704) 327-3079 View (704) 327-3079
Photo of Breeana Kennedy, MS, LCMHC, NCC, Counselor
Breeana Kennedy
Counselor, MS, LCMHC, NCC
Verified Verified
Beulaville, NC 28518  (Online Only)
Do you feel like you've lost your joy and aren't living your life to the fullest for one reason or another? Let's navigate that together and get you back to truly living! I work with individuals, couples, and families as they take steps to finding peace & healing. I also frequently work with educators, students, and young adults because of my background in education. Other areas of expertise include maternal mental health (perinatal to postpartum & beyond), adulting, life transitions, and church hurt. Are you struggling with perfectionism, people-pleasing, or burnout that affects your day-to-day life and relationships?
Do you feel like you've lost your joy and aren't living your life to the fullest for one reason or another? Let's navigate that together and get you back to truly living! I work with individuals, couples, and families as they take steps to finding peace & healing. I also frequently work with educators, students, and young adults because of my background in education. Other areas of expertise include maternal mental health (perinatal to postpartum & beyond), adulting, life transitions, and church hurt. Are you struggling with perfectionism, people-pleasing, or burnout that affects your day-to-day life and relationships?
(910) 996-5347 View (910) 996-5347
Photo of C. Anne Whitfield, MA, LCMHC, NCC
C. Anne Whitfield
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
1 Endorsed
Beulaville, NC 28518
Anne treats a variety of clinical disorders, including mood disorders, attention and focus issues, stress management, relationship/martial issues, domestic violence and child abuse, grief and loss, women’s issues, and cultural lifestyle issues. Anne has been active in providing services to active-duty service members and their families coping with domestic violence. Additionally, she has a passion for working with teachers that teach exceptional children or children with challenging behavioral issues in the classroom. As well as individuals coping with chronic health conditions to cope and process their illness.
Anne treats a variety of clinical disorders, including mood disorders, attention and focus issues, stress management, relationship/martial issues, domestic violence and child abuse, grief and loss, women’s issues, and cultural lifestyle issues. Anne has been active in providing services to active-duty service members and their families coping with domestic violence. Additionally, she has a passion for working with teachers that teach exceptional children or children with challenging behavioral issues in the classroom. As well as individuals coping with chronic health conditions to cope and process their illness.
(910) 335-4253 View (910) 335-4253

More Therapists Nearby

Photo of Nicole Davis Cox, LCMHCA, Counselor
Nicole Davis Cox
Counselor, LCMHCA
Verified Verified
Richlands, NC 28574
As a licensed clinical mental health counselor associate, I am committed to building genuine relationships with each of my clients. I believe that everyone has unique strengths and resilience, and my role is to walk alongside them, offering support, guidance, and a listening ear as they navigate life's challenges. Rooted in a deep respect for people and their experiences, I create a safe, nonjudgmental space where individuals and families can explore their personal growth and well-being.
As a licensed clinical mental health counselor associate, I am committed to building genuine relationships with each of my clients. I believe that everyone has unique strengths and resilience, and my role is to walk alongside them, offering support, guidance, and a listening ear as they navigate life's challenges. Rooted in a deep respect for people and their experiences, I create a safe, nonjudgmental space where individuals and families can explore their personal growth and well-being.
(910) 994-8854 View (910) 994-8854

Online Therapists

Photo of Jayme D Kimbrough, MSW, LCSWA, Clinical Social Work/Therapist
Jayme D Kimbrough
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
2 Endorsed
Fuquay Varina, NC 27526
Waitlist for new clients
You have taken a huge step towards more awareness, resiliency, confidence, and determination. All of which you will embody during your journey. It may at times feel difficult to navigate through the challenges of everyday life. However, through therapy, you will lay the course that is best for you. I utilize creative ways to help you envision, navigate, and implement skills to become a healthier you!
You have taken a huge step towards more awareness, resiliency, confidence, and determination. All of which you will embody during your journey. It may at times feel difficult to navigate through the challenges of everyday life. However, through therapy, you will lay the course that is best for you. I utilize creative ways to help you envision, navigate, and implement skills to become a healthier you!
(984) 538-9068 View (984) 538-9068
Photo of Constance Simmons, LCMHCA, NCC, Counselor
Constance Simmons
Counselor, LCMHCA, NCC
Verified Verified
Durham, NC 27707
Are you struggling with achieving happiness and fulfillment in your life? Do you find it difficult to overcome the fears and anxieties you experience on a daily basis? Are you having a hard time thinking and feeling positively about yourself? If the answer is 'yes' to any of or all these questions, just know that these are challenges you do not have to go through alone. In my professional experience as a counselor, I have worked with clients of various ages struggling with depression, anxiety, stress, low self-esteem, trauma, grief, and anger. I am passionate about empowering clients and guiding them towards happiness and healing.
Are you struggling with achieving happiness and fulfillment in your life? Do you find it difficult to overcome the fears and anxieties you experience on a daily basis? Are you having a hard time thinking and feeling positively about yourself? If the answer is 'yes' to any of or all these questions, just know that these are challenges you do not have to go through alone. In my professional experience as a counselor, I have worked with clients of various ages struggling with depression, anxiety, stress, low self-esteem, trauma, grief, and anger. I am passionate about empowering clients and guiding them towards happiness and healing.
(919) 873-4358 View (919) 873-4358
Photo of Toni Butland - Donati Counseling, Inc , Counselor
Donati Counseling, Inc
Counselor
Verified Verified
1 Endorsed
Hampstead, NC 28443
*Offering online therapy* We are passionate about helping you identify and build upon your strengths and use those strengths to find and remove obstacles to your happiness. When you see a Donati counselor, you will leave feeling empowered, with tools and strategies to help you tackle the challenges in your life. Your therapist will give you concrete strategies to improve communication with your partner and family. We are direct and solution focused and our goal for you is to have tools to carry with you at all times, so no matter where you go, you'll always have access to discreet, quick relief.
*Offering online therapy* We are passionate about helping you identify and build upon your strengths and use those strengths to find and remove obstacles to your happiness. When you see a Donati counselor, you will leave feeling empowered, with tools and strategies to help you tackle the challenges in your life. Your therapist will give you concrete strategies to improve communication with your partner and family. We are direct and solution focused and our goal for you is to have tools to carry with you at all times, so no matter where you go, you'll always have access to discreet, quick relief.
(508) 500-1471 View (508) 500-1471
Photo of Sarah Christman, LCSW, Clinical Social Work/Therapist
Sarah Christman
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Wilmington, NC 28403
Hi! Raise your hand if life has ever felt too chaotic, stressful, unbearable, lonely, or confusing? (My hand’s raised!) We all experience times when life feels overwhelming and we don’t have to get through it alone. I offer a warm and lighthearted space for you to feel comfortable expressing your truest self, capable of overcoming your biggest struggles and fears, and safe to explore your greatest hopes.
Hi! Raise your hand if life has ever felt too chaotic, stressful, unbearable, lonely, or confusing? (My hand’s raised!) We all experience times when life feels overwhelming and we don’t have to get through it alone. I offer a warm and lighthearted space for you to feel comfortable expressing your truest self, capable of overcoming your biggest struggles and fears, and safe to explore your greatest hopes.
(910) 542-8550 View (910) 542-8550
Photo of Vickie Yelverton - Yelverton's Enrichment Services, Inc. (YES)
Yelverton's Enrichment Services, Inc. (YES)
Verified Verified
Raleigh, NC 27616
Yelverton's Enrichment Services, Inc. provides Bilingual Outpatient Behavioral Health Treatment, Psychiatric Medication Management, Telepsychiatry, Intensive In-Home Services, Child & Adolescent Day Treatment, Child & Adolescent Level III-Residential Treatment Facilities, Community Support Team Services for Adults, CAP I/DD Services and Private Duty Nursing.
Yelverton's Enrichment Services, Inc. provides Bilingual Outpatient Behavioral Health Treatment, Psychiatric Medication Management, Telepsychiatry, Intensive In-Home Services, Child & Adolescent Day Treatment, Child & Adolescent Level III-Residential Treatment Facilities, Community Support Team Services for Adults, CAP I/DD Services and Private Duty Nursing.
(919) 289-1849 View (919) 289-1849
Photo of Acacia Warren, LCMHCA, Counselor
Acacia Warren
Counselor, LCMHCA
Verified Verified
1 Endorsed
Wilmington, NC 28403
Hi, I'm Acacia! I specialize in working with individuals with anxiety, a history of trauma, and depression. I love working with children, adolescents, and adults who are struggling with anxiety, especially generalized anxiety. Life can be full of scary “what-ifs” and unknowns that sometimes feel all-consuming. Constant worry can lead to difficulty concentrating, problems with sleep, irritability, and avoidance of things we really don’t want to miss out on. I use tools from CBT and Motivational Interviewing to help my clients untangle their thoughts, identify coping skills that work for them, and regain control over their lives.
Hi, I'm Acacia! I specialize in working with individuals with anxiety, a history of trauma, and depression. I love working with children, adolescents, and adults who are struggling with anxiety, especially generalized anxiety. Life can be full of scary “what-ifs” and unknowns that sometimes feel all-consuming. Constant worry can lead to difficulty concentrating, problems with sleep, irritability, and avoidance of things we really don’t want to miss out on. I use tools from CBT and Motivational Interviewing to help my clients untangle their thoughts, identify coping skills that work for them, and regain control over their lives.
(910) 994-5083 View (910) 994-5083
Photo of Rebecca Siwanowicz, LCSW, MCAP, Clinical Social Work/Therapist
Rebecca Siwanowicz
Clinical Social Work/Therapist, LCSW, MCAP
Verified Verified
Sanford, NC 27332  (Online Only)
Hello beautiful people! There is no instruction manual for life and being human in an ever changing world is tough. I believe that we are all perfectly, imperfect and aim to assist my clients in appreciating their individuality and developing a life and sense of self of their choosing. I firmly believe that, as human beings, we don't belong in a box. If you are struggling with a life altering situation or simply need to process some potential life changes, reach out! You deserve a safe, supportive environment where you can be transparent and honest in achieving your personal goals and thriving in life rather than just surviving!
Hello beautiful people! There is no instruction manual for life and being human in an ever changing world is tough. I believe that we are all perfectly, imperfect and aim to assist my clients in appreciating their individuality and developing a life and sense of self of their choosing. I firmly believe that, as human beings, we don't belong in a box. If you are struggling with a life altering situation or simply need to process some potential life changes, reach out! You deserve a safe, supportive environment where you can be transparent and honest in achieving your personal goals and thriving in life rather than just surviving!
(919) 804-1372 View (919) 804-1372
Photo of Geoquana McDougal, LMFTA, Marriage & Family Therapist Associate
Geoquana McDougal
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Fuquay Varina, NC 27526  (Online Only)
I am a Licensed Marriage and Family Therapist Associate. I received her bachelor’s degree in Psychology from North Carolina A&T. I furthered my education receiving a MA in Marriage & Family Therapy from Capella. I'm committed to treating couples, families, and individuals. My clinical interest include working with premarital couples, communication issues, infidelity, grief, sexual assault, and addiction. I strongly believe that the therapeutic relationship is one of the biggest indicators of change, which is why I strive to create a safe, warm space in which clients feel seen and heard.
I am a Licensed Marriage and Family Therapist Associate. I received her bachelor’s degree in Psychology from North Carolina A&T. I furthered my education receiving a MA in Marriage & Family Therapy from Capella. I'm committed to treating couples, families, and individuals. My clinical interest include working with premarital couples, communication issues, infidelity, grief, sexual assault, and addiction. I strongly believe that the therapeutic relationship is one of the biggest indicators of change, which is why I strive to create a safe, warm space in which clients feel seen and heard.
(984) 409-9429 View (984) 409-9429
Steve Pinette
Clinical Social Work/Therapist, LCSW
Verified Verified
Garner, NC 27529  (Online Only)
My clients are people who have tried to live with their life experiences but some of those experiences have interfered with the life they want. They are people who are now seeking the changes that will improve their present and future, that will help them achieve a happier, healthier life.
My clients are people who have tried to live with their life experiences but some of those experiences have interfered with the life they want. They are people who are now seeking the changes that will improve their present and future, that will help them achieve a happier, healthier life.
(984) 213-5798 View (984) 213-5798
Photo of Page J. Littlewood, MBA, MS, LMFT, Marriage & Family Therapist
Page J. Littlewood
Marriage & Family Therapist, MBA, MS, LMFT
Verified Verified
Chapel Hill, NC 27514
I am a Certified Emotionally Focused Therapist. My work supports individuals, couples, families and small businesses seeking to unlock their ability to access the best they have to offer. We all need to experience a secure bond with another to provide a safe haven for comfort and support and a secure base to go out into the world. Together, we can find the secure bond, fun, love, and caring masked by conflicts, connect you with the resources we are all born with that build self esteem, strengthen relationships, bring into awareness and transform old and familiar patterns of communication that are defensive rather than connecting.
I am a Certified Emotionally Focused Therapist. My work supports individuals, couples, families and small businesses seeking to unlock their ability to access the best they have to offer. We all need to experience a secure bond with another to provide a safe haven for comfort and support and a secure base to go out into the world. Together, we can find the secure bond, fun, love, and caring masked by conflicts, connect you with the resources we are all born with that build self esteem, strengthen relationships, bring into awareness and transform old and familiar patterns of communication that are defensive rather than connecting.
(919) 948-3457 View (919) 948-3457
Photo of Shea Spampneto, MSW,  LCSW, Clinical Social Work/Therapist
Shea Spampneto
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Durham, NC 27713
Shea Spampneto, LCSW provides compassionate and evidencebased therapy at LifeStance Health in North Carolina, meeting clients where they are and supporting them in their journey toward growth and healing. She believes everyone is an expert in their own life and sees her role as providing guidance to help clients process past trauma and grief, cope with current life stressors and transitions, and manage mental health symptoms that interfere with daily life.
Shea Spampneto, LCSW provides compassionate and evidencebased therapy at LifeStance Health in North Carolina, meeting clients where they are and supporting them in their journey toward growth and healing. She believes everyone is an expert in their own life and sees her role as providing guidance to help clients process past trauma and grief, cope with current life stressors and transitions, and manage mental health symptoms that interfere with daily life.
(984) 334-2091 View (984) 334-2091
Photo of David Scott Schwenk, MA, LCMHC-A
David Scott Schwenk
Lic Clinical Mental Health Counselor Associate, MA, LCMHC-A
Verified Verified
1 Endorsed
Cary, NC 27511
Accepting New Clients! My goal is to normalize the therapeutic process and help individuals develop insight in an open, accepting, and accommodating environment free from judgement or reproach. I'm a native Philadelphian and veteran and I moved to North Carolina to pursue my passion of counseling. I work with adolescents and adults in individual and group settings.
Accepting New Clients! My goal is to normalize the therapeutic process and help individuals develop insight in an open, accepting, and accommodating environment free from judgement or reproach. I'm a native Philadelphian and veteran and I moved to North Carolina to pursue my passion of counseling. I work with adolescents and adults in individual and group settings.
(984) 330-6626 View (984) 330-6626
Photo of Courtney Guess, LCSW, Clinical Social Work/Therapist
Courtney Guess
Clinical Social Work/Therapist, LCSW
Verified Verified
Holly Springs, NC 27540
Life can easily become overwhelming as we strive to balance careers, families, finances, and future goals. The therapy space offers an opportunity to slow down and address the barriers preventing you from reaching your highest potential. My approach is both compassionate and direct. I aim to create a warm, open, and judgment-free therapeutic environment where you can be your true self, exploring your fears and aspirations for the future. Together, we will identify your goals and uncover your inner wisdom, empowering you to live a more fulfilling and authentic life.
Life can easily become overwhelming as we strive to balance careers, families, finances, and future goals. The therapy space offers an opportunity to slow down and address the barriers preventing you from reaching your highest potential. My approach is both compassionate and direct. I aim to create a warm, open, and judgment-free therapeutic environment where you can be your true self, exploring your fears and aspirations for the future. Together, we will identify your goals and uncover your inner wisdom, empowering you to live a more fulfilling and authentic life.
(512) 730-0181 View (512) 730-0181
Photo of Kara Jensen, MS/MHC, LCMHC
Kara Jensen
Licensed Clinical Mental Health Counselor, MS/MHC, LCMHC
Verified Verified
Pinehurst, NC 28374
More and more people in today's world and changing culture are feeling lost, isolated, hopeless and overwhelmed with emotions that seem to come from nowhere. My work focuses on helping people understand themselves, get unstuck, find hope and move forward with new found skills and perspectives. I combine the practicality of cognitive-behavioral therapy (CBT) with the depth of psychodynamic therapy to provide individuals and couples a safe, supportive space in which to understand the unhealthy patterns in their lives and explore new ways of thinking, feeling, and engaging with the world.
More and more people in today's world and changing culture are feeling lost, isolated, hopeless and overwhelmed with emotions that seem to come from nowhere. My work focuses on helping people understand themselves, get unstuck, find hope and move forward with new found skills and perspectives. I combine the practicality of cognitive-behavioral therapy (CBT) with the depth of psychodynamic therapy to provide individuals and couples a safe, supportive space in which to understand the unhealthy patterns in their lives and explore new ways of thinking, feeling, and engaging with the world.
(910) 586-1833 View (910) 586-1833
Photo of Charlene J Baca, MSW, ASW, LCSWA
Charlene J Baca
Associate Clinical Social Worker, MSW, ASW, LCSWA
Verified Verified
2 Endorsed
Dunn, NC 28334
HELLO! Most people call me C.J.....Are you feeling overwhelmed, anxious, depressed, and unable to cope? Are you looking to find someone who is willing to listen so that you can let go? Whatever struggles you are going through. Whatever storm you are facing. I am here to HELP! I am ready to face the difficult challenges with you. The first step is to reach out, so that YOU can feel better soon! I am ready, are you?
HELLO! Most people call me C.J.....Are you feeling overwhelmed, anxious, depressed, and unable to cope? Are you looking to find someone who is willing to listen so that you can let go? Whatever struggles you are going through. Whatever storm you are facing. I am here to HELP! I am ready to face the difficult challenges with you. The first step is to reach out, so that YOU can feel better soon! I am ready, are you?
(909) 212-0050 View (909) 212-0050

See more therapy options for Beulaville

How does your Therapist compare?

Number of Therapists in Beulaville, NC

< 10

Therapists in Beulaville, NC who prioritize treating:

100% Stress
100% Life Transitions
75% Relationship Issues
75% Depression
75% Anxiety
75% Parenting
75% Spirituality

Average years in practice

12 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Beulaville, NC see their clients

75% In Person and Online
25% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Beulaville?

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.