Therapists in Greenvale, NY

Photo of Russell Esmail, PhD , Psychologist
Russell Esmail
Psychologist, PhD
Verified Verified
Greenvale, NY 11548  (Online Only)
I am a clinical psychologist with 10+ years of experience. My areas of expertise include depression, anxiety disorders, substance use, acculturation, and relationship/interpersonal difficulties and more. Being an Asian immigrant and having lived in different countries (Hong Kong, Malaysia, England), I understand the struggle of having misaligned values and ideals from the people around us. However, these experiences have also helped me connect with people of different cultures and mentalities, and have helped me to understand how people relate to their own mental health.
I am a clinical psychologist with 10+ years of experience. My areas of expertise include depression, anxiety disorders, substance use, acculturation, and relationship/interpersonal difficulties and more. Being an Asian immigrant and having lived in different countries (Hong Kong, Malaysia, England), I understand the struggle of having misaligned values and ideals from the people around us. However, these experiences have also helped me connect with people of different cultures and mentalities, and have helped me to understand how people relate to their own mental health.
(845) 583-0364 View (845) 583-0364
Photo of Jason Moston, LCSW, Clinical Social Work/Therapist
Jason Moston
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Greenvale, NY 11548
People say I'm easy to talk to. I work to ensure that my clients receive the most thoughtful, supportive, and empathetic treatment in a safe and comfortable environment. I use a welcoming, nonjudgmental, and accepting style to better understand YOU and your concerns. Therapy offers an opportunity to explore, grow, and ultimately learn to cope with challenging life situations and feelings. Maybe you'd like to reduce your anxiety, depression, or heal from a difficult relationship. Perhaps you'd like to improve your self-esteem or let go of limiting beliefs. We'll work together to address your individual goals.
People say I'm easy to talk to. I work to ensure that my clients receive the most thoughtful, supportive, and empathetic treatment in a safe and comfortable environment. I use a welcoming, nonjudgmental, and accepting style to better understand YOU and your concerns. Therapy offers an opportunity to explore, grow, and ultimately learn to cope with challenging life situations and feelings. Maybe you'd like to reduce your anxiety, depression, or heal from a difficult relationship. Perhaps you'd like to improve your self-esteem or let go of limiting beliefs. We'll work together to address your individual goals.
(516) 654-5890 View (516) 654-5890
Photo of Jeremy Skow, LMHC, MBA, Counselor
Jeremy Skow
Counselor, LMHC, MBA
Verified Verified
Greenvale, NY 11548
I specialize in emotional disturbances, low self-esteem, relationship issues and video game addiction. Whether you need open-ended therapy emphasizing self-exploration and personal growth or a more focused approach, my aim is to provide an environment that is validating, non-judgmental, and genuine, while at the same time encourage effective change. I strive to facilitate an experience that helps clients: reduce suffering, develop the skills they need, and create a sense of meaning in their lives. I can help provide a supportive, non-judgmental setting for success or a push to help you confront your current life issues.
I specialize in emotional disturbances, low self-esteem, relationship issues and video game addiction. Whether you need open-ended therapy emphasizing self-exploration and personal growth or a more focused approach, my aim is to provide an environment that is validating, non-judgmental, and genuine, while at the same time encourage effective change. I strive to facilitate an experience that helps clients: reduce suffering, develop the skills they need, and create a sense of meaning in their lives. I can help provide a supportive, non-judgmental setting for success or a push to help you confront your current life issues.
(516) 730-9849 View (516) 730-9849
Photo of Ellie Joyce Feldman - Ellie Feldman, LCSW, LCSW, Clinical Social Work/Therapist
Ellie Feldman, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Greenvale, NY 11548
Ellie Feldman, LCSW is a psychotherapist who specializes in the treatment of eating disorders and women's issues, practicing in the village of Roslyn, New York. With over 22 years of experience as a clinician coupled with her training as a psychoanalyst, Ellie combines her psychodynamic roots with her enthusiasm for helping people.
Ellie Feldman, LCSW is a psychotherapist who specializes in the treatment of eating disorders and women's issues, practicing in the village of Roslyn, New York. With over 22 years of experience as a clinician coupled with her training as a psychoanalyst, Ellie combines her psychodynamic roots with her enthusiasm for helping people.
(516) 289-9513 View (516) 289-9513
Photo of Alan Pine, MS, LMHC, CGP, Counselor
Alan Pine
Counselor, MS, LMHC, CGP
Verified Verified
Greenvale, NY 11548
I enjoy working with a variety of clients. I believe that given the right relationship, motivation, and a desire for change, growth can occur. I have a lot of empathy for individuals who are feeling sad and are finding it diffcult to find happiness and satisfaction in their lives. It gives me great joy to experience growth in the clients I work with and resurgence of positive energy in fulfilling of life goals.
I enjoy working with a variety of clients. I believe that given the right relationship, motivation, and a desire for change, growth can occur. I have a lot of empathy for individuals who are feeling sad and are finding it diffcult to find happiness and satisfaction in their lives. It gives me great joy to experience growth in the clients I work with and resurgence of positive energy in fulfilling of life goals.
(516) 336-9984 View (516) 336-9984
Photo of Kathi Kassover, LCSW, BCD, Clinical Social Work/Therapist
Kathi Kassover
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
1 Endorsed
Greenvale, NY 11548
Are there people in your life that you love but are draining you? Is it difficult to get your needs met if your needs are in conflict with others? Do you sometimes feel anxious or depressed because you feel so unappreciated and alone? Do you value the approval of others more than you value yourself? You are not alone. I will be there every step of the way to help you to feel that you and your feelings are just as important as everyone else. I have successfully helped so many people like you over the last 35 years.
Are there people in your life that you love but are draining you? Is it difficult to get your needs met if your needs are in conflict with others? Do you sometimes feel anxious or depressed because you feel so unappreciated and alone? Do you value the approval of others more than you value yourself? You are not alone. I will be there every step of the way to help you to feel that you and your feelings are just as important as everyone else. I have successfully helped so many people like you over the last 35 years.
(516) 597-6913 View (516) 597-6913
Photo of Ivy L. Giller, LCSW, BCD, Clinical Social Work/Therapist
Ivy L. Giller
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
Greenvale, NY 11548  (Online Only)
I have been in practice for over 25-years treating individuals, couples, and families. I believe In therapy, as in life, one size does not fit all. I recognize the importance of individualizing treatment to the needs of each person I meet. With compassion and patience, I offer support while striving to motivate clients to broaden their coping skills so they can reach their maximum potential. My client-centered approach draws on psychodynamic, cognitive-behavioral, and family systems techniques as well as building mindfulness skills.
I have been in practice for over 25-years treating individuals, couples, and families. I believe In therapy, as in life, one size does not fit all. I recognize the importance of individualizing treatment to the needs of each person I meet. With compassion and patience, I offer support while striving to motivate clients to broaden their coping skills so they can reach their maximum potential. My client-centered approach draws on psychodynamic, cognitive-behavioral, and family systems techniques as well as building mindfulness skills.
(516) 321-4911 View (516) 321-4911
Photo of Judith Schaer, LCSW, CGP, FAGPA, ATR, Clinical Social Work/Therapist
Judith Schaer
Clinical Social Work/Therapist, LCSW, CGP, FAGPA, ATR
Verified Verified
Greenvale, NY 11548
Judith Schaer, CSW, CGP, FAGPA is in a full time private practice, treating individuals, couples and groups, offering Interactive Therapy Groups and Consultation groups for Clinicians in her Roslyn office. She was Consultant/and Group Programs Trainer for Long Island agencies. She was on the Board of Eastern Group Psychotherapy Society for 15 years, and the Long Island Chair of an EGPS discussion group for 10. She was responsible for Fundraising and was honored by this Society for her contributions. She was made a Fellow of American Group Psychotherapy Association. She has been a Fellow Member of Society Clinical Social Work, where she started the first Peer Group Supervision.
Judith Schaer, CSW, CGP, FAGPA is in a full time private practice, treating individuals, couples and groups, offering Interactive Therapy Groups and Consultation groups for Clinicians in her Roslyn office. She was Consultant/and Group Programs Trainer for Long Island agencies. She was on the Board of Eastern Group Psychotherapy Society for 15 years, and the Long Island Chair of an EGPS discussion group for 10. She was responsible for Fundraising and was honored by this Society for her contributions. She was made a Fellow of American Group Psychotherapy Association. She has been a Fellow Member of Society Clinical Social Work, where she started the first Peer Group Supervision.
(516) 693-2032 View (516) 693-2032
Photo of Nicole Berman, PsyD, Psychologist
Nicole Berman
Psychologist, PsyD
Verified Verified
Greenvale, NY 11548
Waitlist for new clients
I specialize in the treatment of children, adolescents, and adults suffering from psychological disorders, such as depression and anxiety. I also work with people who are simply experiencing difficulties coping with various life events, including grief, parenting issues, divorce, and chronic pain. In addition, I have spent many years working with child & adult victims of abuse.
I specialize in the treatment of children, adolescents, and adults suffering from psychological disorders, such as depression and anxiety. I also work with people who are simply experiencing difficulties coping with various life events, including grief, parenting issues, divorce, and chronic pain. In addition, I have spent many years working with child & adult victims of abuse.
(516) 506-0182 View (516) 506-0182
Photo of S Jenny Klein, PsyD, Psychologist
S Jenny Klein
Psychologist, PsyD
Verified Verified
6 Endorsed
Greenvale, NY 11548
As a licensed clinical psychologist, I walk alongside you to guide and empower you to manage difficulties and utilize personal strengths to live fully and effectively. You may feel ready for change but are in need of tools to clarify, cope, and overcome barriers that stand in the way of living your best life. I work with you to better understand what the current challenges are, in which ways they are manifesting, and how you may confront these issues in a meaningful and lasting way.
As a licensed clinical psychologist, I walk alongside you to guide and empower you to manage difficulties and utilize personal strengths to live fully and effectively. You may feel ready for change but are in need of tools to clarify, cope, and overcome barriers that stand in the way of living your best life. I work with you to better understand what the current challenges are, in which ways they are manifesting, and how you may confront these issues in a meaningful and lasting way.
(929) 357-2047 View (929) 357-2047
Photo of Fran Dalis, PsyD, LMSW, RPT-S, Psychologist
Fran Dalis
Psychologist, PsyD, LMSW, RPT-S
Verified Verified
3 Endorsed
Greenvale, NY 11548
I am a Clinical Psychologist and an ally who works with children, adolescents, and their families. I provide a neutral space for young people to express their needs and help families develop adaptive communication skills. As a diagnostician, I provide psychological testing for gifted students and those with special needs who require school accommodations. My approach is to employ integrative, evidence-based interventions, including CBT, ACT, and Psychodynamic therapy. Therapeutic populations include autism spectrum disorder, LGBTQ+ identity formation, chronic pain management, depression, anxiety, and behavioral issues.
I am a Clinical Psychologist and an ally who works with children, adolescents, and their families. I provide a neutral space for young people to express their needs and help families develop adaptive communication skills. As a diagnostician, I provide psychological testing for gifted students and those with special needs who require school accommodations. My approach is to employ integrative, evidence-based interventions, including CBT, ACT, and Psychodynamic therapy. Therapeutic populations include autism spectrum disorder, LGBTQ+ identity formation, chronic pain management, depression, anxiety, and behavioral issues.
(516) 614-3464 View (516) 614-3464

More Therapists Nearby

Photo of Alexis Kahoud, LCSW, Clinical Social Work/Therapist
Alexis Kahoud
Clinical Social Work/Therapist, LCSW
Verified Verified
Roslyn, NY 11576
I offer therapy to adults, teens and children with a focus on each individual's strengths and goals. I am dedicated to helping each client find and express their true selves.
I offer therapy to adults, teens and children with a focus on each individual's strengths and goals. I am dedicated to helping each client find and express their true selves.
(516) 614-5081 View (516) 614-5081
Photo of Brett R Goldberg, PhD, Psychologist
Brett R Goldberg
Psychologist, PhD
Verified Verified
Roslyn Heights, NY 11577
I am a clinical psychologist specializing in the treatment of anxiety. If you are ready, allow me to help you to overcome this very severe, but very treatable problem. I am a very positive and motivated therapist. I encourage contact between sessions via phone/e-mail communication, particularly during periods of crisis. If you are having a panic attack or severe symptoms, I will try to be available to you in as close to real time as possible. When you are ready, make the call.
I am a clinical psychologist specializing in the treatment of anxiety. If you are ready, allow me to help you to overcome this very severe, but very treatable problem. I am a very positive and motivated therapist. I encourage contact between sessions via phone/e-mail communication, particularly during periods of crisis. If you are having a panic attack or severe symptoms, I will try to be available to you in as close to real time as possible. When you are ready, make the call.
(516) 324-3030 View (516) 324-3030
Photo of Amy Sugarman, PhD, Psychologist
Amy Sugarman
Psychologist, PhD
Verified Verified
Albertson, NY 11507
Sometimes your usual ways of coping with stress and difficult situations stop working. This can leave you feeling ill-equipped to manage aspects of your life. As a result, you may be feeling sad, worried, scared, angry, and/or overwhelmed. I strive to help people better understand the nature of their problems and develop more effective ways to cope with them. I believe greater self-awareness, in combination with behavior changes, can lead to a richer and more satisfying life.
Sometimes your usual ways of coping with stress and difficult situations stop working. This can leave you feeling ill-equipped to manage aspects of your life. As a result, you may be feeling sad, worried, scared, angry, and/or overwhelmed. I strive to help people better understand the nature of their problems and develop more effective ways to cope with them. I believe greater self-awareness, in combination with behavior changes, can lead to a richer and more satisfying life.
(212) 804-6577 View (212) 804-6577
Photo of Megan Romano, MS, LMFT, Marriage & Family Therapist
Megan Romano
Marriage & Family Therapist, MS, LMFT
Verified Verified
Old Westbury, NY 11568
I understand how difficult it can be to decide to seek help for life's obstacles. In my practice, my goal is to help my clients become experts on themselves. Every end is a new beginning. If you're challenged with relationship issues, family conflict, parenting, a trauma history, depression, anxiety or have a child or an adolescent who is struggling with behavioral issues, or just looking for support and guidance through a challenging situation and looking to move in a new direction, I encourage you to let me help you with your experiences. I am dedicated to getting to the root of stuck patterns. There are techniques out there!
I understand how difficult it can be to decide to seek help for life's obstacles. In my practice, my goal is to help my clients become experts on themselves. Every end is a new beginning. If you're challenged with relationship issues, family conflict, parenting, a trauma history, depression, anxiety or have a child or an adolescent who is struggling with behavioral issues, or just looking for support and guidance through a challenging situation and looking to move in a new direction, I encourage you to let me help you with your experiences. I am dedicated to getting to the root of stuck patterns. There are techniques out there!
(646) 845-0615 View (646) 845-0615
Photo of Staci Weiner - Apple Psychological, PsyD, Psychologist
Apple Psychological
Psychologist, PsyD
Verified Verified
1 Endorsed
Roslyn Heights, NY 11577
Are you wondering if there is a better, easier, happier way to live life? Are you struggling with your child's behavior, academic success, or with parental strategies? Are you looking to discover your own identity and improve your self-esteem? Have you suffered a trauma and and are struggling to get past it? What if you could strengthen your relationships with family and friends? You are not alone and you are in the right place. Apple Psychological is a group of caring professionals who together with you, embark on a journey toward discovery, truth, and fulfilment causing you to feel relief, contentment, and ease in your life.
Are you wondering if there is a better, easier, happier way to live life? Are you struggling with your child's behavior, academic success, or with parental strategies? Are you looking to discover your own identity and improve your self-esteem? Have you suffered a trauma and and are struggling to get past it? What if you could strengthen your relationships with family and friends? You are not alone and you are in the right place. Apple Psychological is a group of caring professionals who together with you, embark on a journey toward discovery, truth, and fulfilment causing you to feel relief, contentment, and ease in your life.
(516) 344-8948 View (516) 344-8948
Photo of Josselyn Sheer, PhD, LCSW, Clinical Social Work/Therapist
Josselyn Sheer
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
1 Endorsed
Roslyn, NY 11576
Therapy can be a space to expand your sense of yourself. While a specific problem may bring you to therapy, I believe that my patients are often helped by gaining insight into (and ultimately, mastery over) long-standing patterns in their relationships, feelings, or behaviors. This approach helps to create lasting change. I work with children, adolescents, and adults who have a variety of concerns, some of which include shame, anxiety, depression, relationship issues, trauma, life transitions, or a vague sense of being disconnected from oneself.
Therapy can be a space to expand your sense of yourself. While a specific problem may bring you to therapy, I believe that my patients are often helped by gaining insight into (and ultimately, mastery over) long-standing patterns in their relationships, feelings, or behaviors. This approach helps to create lasting change. I work with children, adolescents, and adults who have a variety of concerns, some of which include shame, anxiety, depression, relationship issues, trauma, life transitions, or a vague sense of being disconnected from oneself.
(917) 809-7650 View (917) 809-7650
Photo of Maureen Buckley-Fox, LCSW, MSW, BCD, Clinical Social Work/Therapist
Maureen Buckley-Fox
Clinical Social Work/Therapist, LCSW, MSW, BCD
Verified Verified
Roslyn Heights, NY 11577
I enjoy working with individuals and couples across the life cycle: young adults dealing with anxiety, self-esteem issues or relationship stress in these uncertain times; couples long married and looking to enhance their relationship; and 'baby boomers' facing their own transitions while being 'sandwiched' between the needs of adult children and aging parents. I believe in our capacity for personal growth individually and in our closest relationships throughout life. In a safe, confidential environment you are invited to engage in the empowering process of therapy. My therapeutic style is warm, empathic and interactive.
I enjoy working with individuals and couples across the life cycle: young adults dealing with anxiety, self-esteem issues or relationship stress in these uncertain times; couples long married and looking to enhance their relationship; and 'baby boomers' facing their own transitions while being 'sandwiched' between the needs of adult children and aging parents. I believe in our capacity for personal growth individually and in our closest relationships throughout life. In a safe, confidential environment you are invited to engage in the empowering process of therapy. My therapeutic style is warm, empathic and interactive.
(516) 704-9392 View (516) 704-9392
Photo of Dr. Rosemary Taveras Psychologist, PsyD, Psychologist
Dr. Rosemary Taveras Psychologist
Psychologist, PsyD
Verified Verified
Roslyn, NY 11576
I specialize in helping teens and young adults overcome anxiety and depression. You may be trying so hard to keep it together. You may be feeling completely checked out and like you are just going through the motions. Or, you may be a parent feeling helpless and unsure about how to help your child. I'm here to help you regain control. I'm here to help you feel confident and empowered. I'm here to help you discover the best version of you!
I specialize in helping teens and young adults overcome anxiety and depression. You may be trying so hard to keep it together. You may be feeling completely checked out and like you are just going through the motions. Or, you may be a parent feeling helpless and unsure about how to help your child. I'm here to help you regain control. I'm here to help you feel confident and empowered. I'm here to help you discover the best version of you!
(516) 928-6731 View (516) 928-6731
Photo of Dr. Jeremy Grunfeld, PhD, LMFT, CDBT, CCSP, ADHD-CC, Marriage & Family Therapist
Dr. Jeremy Grunfeld
Marriage & Family Therapist, PhD, LMFT, CDBT, CCSP, ADHD-CC
Verified Verified
1 Endorsed
Roslyn, NY 11576  (Online Only)
I pride myself on working with teenagers and adults who have not found success in previous therapy experiences. Over the past 26 years of my professional endeavors, I have prevented many families from having to send their teenagers to residential treatment centers, have helped families to remain intact, and have allowed individuals who fall within the Autism Spectrum Disorder to achieve full lives. My work with clients who have ADHD has allowed these individuals to be succesful in school, the community, within the family system, and within their workplace of choice.
I pride myself on working with teenagers and adults who have not found success in previous therapy experiences. Over the past 26 years of my professional endeavors, I have prevented many families from having to send their teenagers to residential treatment centers, have helped families to remain intact, and have allowed individuals who fall within the Autism Spectrum Disorder to achieve full lives. My work with clients who have ADHD has allowed these individuals to be succesful in school, the community, within the family system, and within their workplace of choice.
(516) 475-7402 View (516) 475-7402

See more therapy options for Greenvale

How does your Therapist compare?

Number of Therapists in Greenvale, NY

10+

Average cost per session

$200

Therapists in Greenvale, NY who prioritize treating:

67% Relationship Issues
67% Depression
67% Anxiety
67% Self Esteem
58% Family Conflict
58% Peer Relationships
50% Coping Skills

Average years in practice

28 Years

Top 3 insurances accepted

100% Oxford
100% UnitedHealthcare UHC | UBH
100% Oscar Health

How Therapists in Greenvale, NY see their clients

84% In Person and Online
16% Online Only

Gender breakdown

70% Female
30% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Greenvale?

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.