Therapists in Bergen, NY

Photo of Assata Terry, LMHC, Counselor
Assata Terry
Counselor, LMHC
Verified Verified
1 Endorsed
Bergen, NY 14416
Assata Terry is a New York State Licensed Mental Health Counselor. Assata uses Cognitive Behavioral Therapy principles and strategies, person-centered therapy, and additional therapeutic interventions to encourage personal growth and self-expression. Assata uses an Integrative approach, with a foundation in Cognitive Behavioral Therapy (CBT) and a holistic perspective, to guide individuals while they explore issues, gain perspective, learn effective coping skills, and create solutions that bring relief.
Assata Terry is a New York State Licensed Mental Health Counselor. Assata uses Cognitive Behavioral Therapy principles and strategies, person-centered therapy, and additional therapeutic interventions to encourage personal growth and self-expression. Assata uses an Integrative approach, with a foundation in Cognitive Behavioral Therapy (CBT) and a holistic perspective, to guide individuals while they explore issues, gain perspective, learn effective coping skills, and create solutions that bring relief.
(929) 494-1827 View (929) 494-1827
Photo of Samantha Elaine Golden - Canaltown Mental Health Counseling, PLLC, LMHC, CAGS, MSEd, NCC, CCTP, Counselor
Canaltown Mental Health Counseling, PLLC
Counselor, LMHC, CAGS, MSEd, NCC, CCTP
Verified Verified
Bergen, NY 14416
Waitlist for new clients
My name is Samantha E Golden. I am the owner of Canaltown Mental Health Counseling, PLLC located in the village of Brockport. As a counselor, and an advocate for families, I work closely with children/adolescents that are having a difficult time dealing with anxiety, depression, and trauma. Many are seeing peace in a volatile situation or are learning how to deal with intense emotions. Family changes can also affect children, so I use integrated arts and/or child centered play therapy to help children process the grief and loss of divorce/separation and to embrace change.
My name is Samantha E Golden. I am the owner of Canaltown Mental Health Counseling, PLLC located in the village of Brockport. As a counselor, and an advocate for families, I work closely with children/adolescents that are having a difficult time dealing with anxiety, depression, and trauma. Many are seeing peace in a volatile situation or are learning how to deal with intense emotions. Family changes can also affect children, so I use integrated arts and/or child centered play therapy to help children process the grief and loss of divorce/separation and to embrace change.
(585) 367-4820 View (585) 367-4820
Photo of Amanda Kastelic - Change InSight Mental Health Counseling PLLC, NCC, LCSW, LMHC, CCTP, Clinical Social Work/Therapist
Change InSight Mental Health Counseling PLLC
Clinical Social Work/Therapist, NCC, LCSW, LMHC, CCTP
Verified Verified
Bergen, NY 14416
Waitlist for new clients
Our providers are here to help you through this difficult time. We have years of experience treating a variety of concerns in various settings. If you are feeling overwhelmed, stressed, depressed, or unsure let us connect you with a provider who can help. From the moment you reach out you will be provided with individualized, patient-centered care in a judgment-free zone. Our goal is for you to meet your goals and we will provide all of the tools necessary to help you identify and achieve them.
Our providers are here to help you through this difficult time. We have years of experience treating a variety of concerns in various settings. If you are feeling overwhelmed, stressed, depressed, or unsure let us connect you with a provider who can help. From the moment you reach out you will be provided with individualized, patient-centered care in a judgment-free zone. Our goal is for you to meet your goals and we will provide all of the tools necessary to help you identify and achieve them.
(585) 536-1404 View (585) 536-1404

More Therapists Nearby

Photo of LaToya J Johnson, LMHC, Counselor
LaToya J Johnson
Counselor, LMHC
Verified Verified
Le Roy, NY 14482  (Online Only)
Hello, I am LaToya J. Johnson, an NYS Licensed Mental Health Counselor with over 20 years of counseling experience. I have provided care to individuals with chronic mental illnesses, including bipolar disorder, major depressive disorder, schizophrenia, anxiety, PTSD, racial identity issues, relationship concerns, intellectual disabilities, and substance abuse. The most common theoretical approaches I use in my work are Cognitive Behavioral Therapy, Psychodynamic Therapy, Trauma Informed Care, and Person Center Therapy. I believe every person has a right to live a happy and fulfilled life.
Hello, I am LaToya J. Johnson, an NYS Licensed Mental Health Counselor with over 20 years of counseling experience. I have provided care to individuals with chronic mental illnesses, including bipolar disorder, major depressive disorder, schizophrenia, anxiety, PTSD, racial identity issues, relationship concerns, intellectual disabilities, and substance abuse. The most common theoretical approaches I use in my work are Cognitive Behavioral Therapy, Psychodynamic Therapy, Trauma Informed Care, and Person Center Therapy. I believe every person has a right to live a happy and fulfilled life.
(646) 466-6811 View (646) 466-6811
Photo of Ashli O’Neill, MS, LMHC, Counselor
Ashli O’Neill
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Churchville, NY 14428  (Online Only)
Many people go through challenging times and can feel “stuck” in their lives. But with hope, patience, and determination, this can change. People can find the light again in their dark times. We can learn to think and feel differently about ourselves and the world around us. We can learn ways to identify and use our inner strengths that we all have. We can learn to talk about our emotions that are normal and ways to tolerate stress when things are out of our control. These are just a few of many therapeutic approaches I use with clients and their diverse needs.
Many people go through challenging times and can feel “stuck” in their lives. But with hope, patience, and determination, this can change. People can find the light again in their dark times. We can learn to think and feel differently about ourselves and the world around us. We can learn ways to identify and use our inner strengths that we all have. We can learn to talk about our emotions that are normal and ways to tolerate stress when things are out of our control. These are just a few of many therapeutic approaches I use with clients and their diverse needs.
(585) 595-2323 View (585) 595-2323
Photo of Tamie O'Neil, LMHC, Counselor
Tamie O'Neil
Counselor, LMHC
Verified Verified
Byron, NY 14422  (Online Only)
Hi, I'm Tamie. I have been in the counseling field for over 12 years. I enjoy working with anyone who wants a change in their life. I believe that counseling is a way to assist people in moving forward toward meeting their goals and being their most successful selves. My sessions consist of me listening to what you want to work on, talking with you about what you are comfortable doing to create change, and creating a plan to achieve your goals. I do not use just one type of counseling but several types of counseling so that I can tailor the session to meet your needs.
Hi, I'm Tamie. I have been in the counseling field for over 12 years. I enjoy working with anyone who wants a change in their life. I believe that counseling is a way to assist people in moving forward toward meeting their goals and being their most successful selves. My sessions consist of me listening to what you want to work on, talking with you about what you are comfortable doing to create change, and creating a plan to achieve your goals. I do not use just one type of counseling but several types of counseling so that I can tailor the session to meet your needs.
(585) 875-5030 View (585) 875-5030
Photo of Annie E Hanley, LCSW-R, Clinical Social Work/Therapist
Annie E Hanley
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Le Roy, NY 14482
Waitlist for new clients
I have experience in helping clients with stress and anxiety, relationship issues, trauma, abuse, loss, and depression. I am trained in several evidence-based treatments which include CBT, DBT, EMDR, PC, CPT, ACT, and Schema Therapy. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you.
I have experience in helping clients with stress and anxiety, relationship issues, trauma, abuse, loss, and depression. I am trained in several evidence-based treatments which include CBT, DBT, EMDR, PC, CPT, ACT, and Schema Therapy. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you.
(585) 502-9778 View (585) 502-9778
Photo of Cheryl Zinkievich, LCSW-R, CASAC, Clinical Social Work/Therapist
Cheryl Zinkievich
Clinical Social Work/Therapist, LCSW-R, CASAC
Verified Verified
Le Roy, NY 14482
Facing things alone can be difficult and sometimes having someone to help is what you need to move forward. I am committed to walking alongside people and helping them reach the place they want to be. That may be to experience less anxiety, worry or depression. Maybe you have experienced something that has left a deep impact on your life and you are feeling stuck in that painful place. Perhaps you are engaging in behaviors that are creating problems in your life and relationships. Partnering with one another we can work together to make the changes you want so you can move forward with less pain and more enjoyment in life.
Facing things alone can be difficult and sometimes having someone to help is what you need to move forward. I am committed to walking alongside people and helping them reach the place they want to be. That may be to experience less anxiety, worry or depression. Maybe you have experienced something that has left a deep impact on your life and you are feeling stuck in that painful place. Perhaps you are engaging in behaviors that are creating problems in your life and relationships. Partnering with one another we can work together to make the changes you want so you can move forward with less pain and more enjoyment in life.
(585) 479-3904 View (585) 479-3904
Photo of Andrea Myer Counseling Coaching, RN, LMSW, CASAC, Clinical Social Work/Therapist
Andrea Myer Counseling Coaching
Clinical Social Work/Therapist, RN, LMSW, CASAC
Verified Verified
Brockport, NY 14420
Are you or someone you know needing help navigating the challenges of life in today’s world? Does it seem difficult to regulate emotions? Struggling to find the right friends or managing health issues? Do you want to be happy, healthy, and safe, but aren’t sure how to get there? My name is Andrea Myer and I'm a personal counselor and coach helping teens through adults transition through life's difficult periods. Whether you're working through anxiety and depression, struggling to find your peer group, or need to figure out your future career, I can help.
Are you or someone you know needing help navigating the challenges of life in today’s world? Does it seem difficult to regulate emotions? Struggling to find the right friends or managing health issues? Do you want to be happy, healthy, and safe, but aren’t sure how to get there? My name is Andrea Myer and I'm a personal counselor and coach helping teens through adults transition through life's difficult periods. Whether you're working through anxiety and depression, struggling to find your peer group, or need to figure out your future career, I can help.
(585) 440-6319 View (585) 440-6319
Photo of Lisa van Leeuwen, LMSW, Clinical Social Work/Therapist
Lisa van Leeuwen
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Churchville, NY 14428
Waitlist for new clients
I'm passionate about providing a safe and therapeutic space for those who have experienced childhood, sexual, race or gender based, or combat-related trauma. I'm trained in trauma-informed mental health care and developed my therapeutic approach working with a diverse population of individuals and families. I'm deeply sensitive to racial, cultural, occupational, economic, and social justice-related influences on how we experience and heal from trauma.
I'm passionate about providing a safe and therapeutic space for those who have experienced childhood, sexual, race or gender based, or combat-related trauma. I'm trained in trauma-informed mental health care and developed my therapeutic approach working with a diverse population of individuals and families. I'm deeply sensitive to racial, cultural, occupational, economic, and social justice-related influences on how we experience and heal from trauma.
(585) 636-3195 View (585) 636-3195
Photo of Stacie Lynn Dailey, LMSW, CTP, CAIP, Clinical Social Work/Therapist
Stacie Lynn Dailey
Clinical Social Work/Therapist, LMSW, CTP, CAIP
Verified Verified
North Chili, NY 14514
Waitlist for new clients
Areas of focus covered include, but are not limited to: trauma, anxiety, depression, coping skills, behavioral, self-esteem, social skills, and adjustment to new situations.
Areas of focus covered include, but are not limited to: trauma, anxiety, depression, coping skills, behavioral, self-esteem, social skills, and adjustment to new situations.
(585) 252-5093 View (585) 252-5093
Photo of Tricia Philbert, LCSW, Clinical Social Work/Therapist
Tricia Philbert
Clinical Social Work/Therapist, LCSW
Verified Verified
North Chili, NY 14514  (Online Only)
Hi, my name is Tricia Philbert and I am a Licensed Clinical Therapist (LCSW) and Empowerment Coach. I am passionate about journeying with clients into an authentic and empowered life in spite of experiences, trauma, and negative self-thought. There is a better version of you, let's find it together! My mission in life is to see young women and adult women become the best version of themselves. I specialize in trauma-related issues that result in low self-worth, anxiety, depression, suicidal ideation, identity crisis, etc. I do this work filled with enthusiasm and grace.
Hi, my name is Tricia Philbert and I am a Licensed Clinical Therapist (LCSW) and Empowerment Coach. I am passionate about journeying with clients into an authentic and empowered life in spite of experiences, trauma, and negative self-thought. There is a better version of you, let's find it together! My mission in life is to see young women and adult women become the best version of themselves. I specialize in trauma-related issues that result in low self-worth, anxiety, depression, suicidal ideation, identity crisis, etc. I do this work filled with enthusiasm and grace.
(646) 713-1930 View (646) 713-1930
Photo of Dr. Ellen G Horovitz, ATR-BC, LCAT, ERYT500, C-IAYT, YACEP, Art Therapist
Dr. Ellen G Horovitz
Art Therapist, ATR-BC, LCAT, ERYT500, C-IAYT, YACEP
Verified Verified
Brockport, NY 14420
Waitlist for new clients
Choosing a therapist is a bit like shopping: you want a fit. With over 40 years of experience, I can offer you that comfort level to help resolve your issues. I have authored 9 books, am a licensed art therapist, certified yoga therapist, yoga teacher, EMDR trained clinician, and Ericksonian trained hypnotherapist. As an expressive art/ yoga therapist, I offer both somatic-oriented work and expressive outlets. While we will certainly talk about your issues, we clearly have other means of communication available for articulating and directing your wellness.
Choosing a therapist is a bit like shopping: you want a fit. With over 40 years of experience, I can offer you that comfort level to help resolve your issues. I have authored 9 books, am a licensed art therapist, certified yoga therapist, yoga teacher, EMDR trained clinician, and Ericksonian trained hypnotherapist. As an expressive art/ yoga therapist, I offer both somatic-oriented work and expressive outlets. While we will certainly talk about your issues, we clearly have other means of communication available for articulating and directing your wellness.
(585) 563-8525 View (585) 563-8525
Photo of Sehrish Tariq - WellQor New York, PsyD, Psychologist
WellQor New York
Psychologist, PsyD
Verified Verified
1 Endorsed
Brockport, NY 14420  (Online Only)
WellQor is a new model in online therapy marrying the best of traditional and innovative approaches. We’re a full service psychology practice accessible online with a uniquely collaborative approach to care. This means your personal therapist works with a PsyD Clinical Director to review your care plan and and adjust your treatment to ensure you’re on the fastest path to living your best life. Whether it’s anxiety, depression, burnout, major life changes, or just finding a sense of purpose, our diverse multi-specialty team of therapists is here to help.
WellQor is a new model in online therapy marrying the best of traditional and innovative approaches. We’re a full service psychology practice accessible online with a uniquely collaborative approach to care. This means your personal therapist works with a PsyD Clinical Director to review your care plan and and adjust your treatment to ensure you’re on the fastest path to living your best life. Whether it’s anxiety, depression, burnout, major life changes, or just finding a sense of purpose, our diverse multi-specialty team of therapists is here to help.
(716) 526-8929 View (716) 526-8929
Photo of Karla L Hatley - Essential Conversations Counseling Services, EdD, LMSW
Essential Conversations Counseling Services
Licensed Master Social Worker, EdD, LMSW
Verified Verified
North Chili, NY 14514  (Online Only)
Essential Conversations Counseling Services offers specialized support for individuals working through life transitions. Our goal is to help you grow from your struggles, heal from your pain, and move forward to where you want to be in your life. Dr. Hatley is able to create an atmosphere of trust, compassion and hope, while exploring strategies to address various life challenges.
Essential Conversations Counseling Services offers specialized support for individuals working through life transitions. Our goal is to help you grow from your struggles, heal from your pain, and move forward to where you want to be in your life. Dr. Hatley is able to create an atmosphere of trust, compassion and hope, while exploring strategies to address various life challenges.
(585) 710-7280 View (585) 710-7280
Photo of Morgan Camman, LMHC
Morgan Camman
Mental Health Counselor, LMHC
Verified Verified
4 Endorsed
Brockport, NY 14420
Waitlist for new clients
Welcome, I'm Morgan (they/she)! Since 2019, I've been working in community mental health and now have decided to take my experiences into a private setting. I enjoy serving those in the queer community, non-monogamous relationship structures, and BDSM/kink dynamics. I also enjoy working with young people (ages 12+) by giving them a safe space in which to explore their identity. My additional passion is supervising/guiding new therapists in the field to develop as professionals.
Welcome, I'm Morgan (they/she)! Since 2019, I've been working in community mental health and now have decided to take my experiences into a private setting. I enjoy serving those in the queer community, non-monogamous relationship structures, and BDSM/kink dynamics. I also enjoy working with young people (ages 12+) by giving them a safe space in which to explore their identity. My additional passion is supervising/guiding new therapists in the field to develop as professionals.
(585) 572-7017 View (585) 572-7017
Photo of Emily Rein, LMHC, Counselor
Emily Rein
Counselor, LMHC
Verified Verified
4 Endorsed
Churchville, NY 14428
Good fit is so important when choosing a counselor. Here are some things to know about me: I want to understand where you've been and where you want to go. I will not judge your life choices. I genuinely care about my clients and I'm a therapist because helping others is fulfilling and meaningful to me. I am a very approachable, available and responsive counselor, both during and outside of sessions. Please contact me for a free consultation so we can start to get to know one another!
Good fit is so important when choosing a counselor. Here are some things to know about me: I want to understand where you've been and where you want to go. I will not judge your life choices. I genuinely care about my clients and I'm a therapist because helping others is fulfilling and meaningful to me. I am a very approachable, available and responsive counselor, both during and outside of sessions. Please contact me for a free consultation so we can start to get to know one another!
(585) 542-2332 View (585) 542-2332
Photo of Adriana DiMatteo, PsyD, Psychologist
Adriana DiMatteo
Psychologist, PsyD
Verified Verified
6 Endorsed
Brockport, NY 14420  (Online Only)
The decision to start therapy is a very personal and courageous one. Therapy is a process of change, empowerment, and self-growth. I have worked with people from all age groups, ranging from children to older adults. I have a particular interest in the psychological adjustments of parenthood. It is through the struggles in life where we emerge stronger and more compassionate people.
The decision to start therapy is a very personal and courageous one. Therapy is a process of change, empowerment, and self-growth. I have worked with people from all age groups, ranging from children to older adults. I have a particular interest in the psychological adjustments of parenthood. It is through the struggles in life where we emerge stronger and more compassionate people.
(347) 748-1624 View (347) 748-1624
Photo of Patrice Gregorek Goodrich, LCSW-R, Clinical Social Work/Therapist
Patrice Gregorek Goodrich
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Brockport, NY 14420
Not accepting new clients
Are you feeling frustrated, overwhelmed, stuck? Is negativity and/or anger undermining your relationships? Does your past history cloud present life circumstances? It is possible to change the negative patterns. Your life does not have to be ruled by fear, depression, and anxiety. Are you in the middle of a life transition or a crisis and need someone to talk with to sort things through?
Are you feeling frustrated, overwhelmed, stuck? Is negativity and/or anger undermining your relationships? Does your past history cloud present life circumstances? It is possible to change the negative patterns. Your life does not have to be ruled by fear, depression, and anxiety. Are you in the middle of a life transition or a crisis and need someone to talk with to sort things through?
(585) 392-8771 View (585) 392-8771
Photo of Jason Knupp, LCSW-R, SAP, Clinical Social Work/Therapist
Jason Knupp
Clinical Social Work/Therapist, LCSW-R, SAP
Verified Verified
1 Endorsed
Brockport, NY 14420
Depression and anxiety can hurt and the answer does not always come from a prescription.You deserve to work with someone you trust and feel comfortable with. You deserve someone who will not judge you or tell you that your problems are all in your head. Additionally, if you are struggling with a chemical addiction, we need to treat the addiction AND what is going on with you emotionally. I'm a Licensed Clinical Social Worker (LCSW) specializing in Mental Health/ Addictions therapy. I have 15 years experience helping folks cope with depression, anxiety, marital issues & addictions.
Depression and anxiety can hurt and the answer does not always come from a prescription.You deserve to work with someone you trust and feel comfortable with. You deserve someone who will not judge you or tell you that your problems are all in your head. Additionally, if you are struggling with a chemical addiction, we need to treat the addiction AND what is going on with you emotionally. I'm a Licensed Clinical Social Worker (LCSW) specializing in Mental Health/ Addictions therapy. I have 15 years experience helping folks cope with depression, anxiety, marital issues & addictions.
(585) 682-2433 View (585) 682-2433

How does your Therapist compare?

Number of Therapists in Bergen, NY

< 10

Therapists in Bergen, NY who prioritize treating:

100% Depression
100% Anxiety
100% Self Esteem
67% Relationship Issues
67% ADHD
67% Anger Management
67% Bipolar Disorder

Average years in practice

8 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% UnitedHealthcare UHC | UBH

How Therapists in Bergen, NY see their clients

100% In Person and Online

Gender breakdown

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

How can I find a therapist in Bergen?

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.