Therapists in New York Mills, NY

Photo of Lisa Bellamy, LMHC, Counselor
Lisa Bellamy
Counselor, LMHC
Verified Verified
New York Mills, NY 13417  (Online Only)
I am a New York State Licensed Mental Health Therapist with a background in trauma and teen violence. I am passionate about working with clients experiencing anxiety, depression, stress, and life-transitions in a collaborative way to help to move them towards self-betterment. I tend to integrate techniques from cognitive behavioral therapy, mindfulness based cognitive behavioral therapy, person-centered therapy, solution-focused therapy, and strength-based therapy based on client needs. I collaborate with my clients to identify plans and treatment goals to ensure that their true desires are being met throughout therapy.
I am a New York State Licensed Mental Health Therapist with a background in trauma and teen violence. I am passionate about working with clients experiencing anxiety, depression, stress, and life-transitions in a collaborative way to help to move them towards self-betterment. I tend to integrate techniques from cognitive behavioral therapy, mindfulness based cognitive behavioral therapy, person-centered therapy, solution-focused therapy, and strength-based therapy based on client needs. I collaborate with my clients to identify plans and treatment goals to ensure that their true desires are being met throughout therapy.
(347) 621-6494 View (347) 621-6494
Photo of Mimi Lebowitz, LMSW, Clinical Social Work/Therapist
Mimi Lebowitz
Clinical Social Work/Therapist, LMSW
Verified Verified
New York Mills, NY 13417
At the heart of my practice lies the intersection of science and art, imbued with humor, care, and creativity. Perhaps you find yourself carrying a heavy weight on your shoulder or navigating your days with a tightness in your chest and lack of energy. It’s possible you’ve been prioritizing others’ needs and neglecting your own, or realizing you don’t recognize the script guiding your life. You might be carrying the burden of guilt and shame or finding that your relationships are not what you want them to be.
At the heart of my practice lies the intersection of science and art, imbued with humor, care, and creativity. Perhaps you find yourself carrying a heavy weight on your shoulder or navigating your days with a tightness in your chest and lack of energy. It’s possible you’ve been prioritizing others’ needs and neglecting your own, or realizing you don’t recognize the script guiding your life. You might be carrying the burden of guilt and shame or finding that your relationships are not what you want them to be.
(914) 268-6921 View (914) 268-6921
Photo of Chris Bergene, LCSW-R, Clinical Social Work/Therapist
Chris Bergene
Clinical Social Work/Therapist, LCSW-R
Verified Verified
New York Mills, NY 13417  (Online Only)
Chris Bergene is a clinical social worker who graduated with a master’s degree in social work from Syracuse University. He provides short-term and long-term counseling for various age groups and conditions. He has primarily worked with teens and adults who have presented with a range of issues including anxiety, depression, life transitions, trauma and behavioral problems impacting daily life.
Chris Bergene is a clinical social worker who graduated with a master’s degree in social work from Syracuse University. He provides short-term and long-term counseling for various age groups and conditions. He has primarily worked with teens and adults who have presented with a range of issues including anxiety, depression, life transitions, trauma and behavioral problems impacting daily life.
(315) 758-2991 View (315) 758-2991
Photo of Lori Mulligan, LMHC, CASAC, Counselor
Lori Mulligan
Counselor, LMHC, CASAC
Verified Verified
New York Mills, NY 13417  (Online Only)
Not accepting new clients
Hi, I’m Lori. Counseling can be a difficult choice, but also a brave choice! I am available evenings and weekends to make it as easy and convenient as possible. I work with adults of all ages dealing with a range of issues related to anxiety, depression, life transitions, college stressors, relationships, parenting, substance abuse and addiction. I believe that counseling provides a safe space that allows us to explore our feelings and identify a path of growth and change.
Hi, I’m Lori. Counseling can be a difficult choice, but also a brave choice! I am available evenings and weekends to make it as easy and convenient as possible. I work with adults of all ages dealing with a range of issues related to anxiety, depression, life transitions, college stressors, relationships, parenting, substance abuse and addiction. I believe that counseling provides a safe space that allows us to explore our feelings and identify a path of growth and change.
(929) 427-0982 View (929) 427-0982
Photo of Matt Fields, LMFT, Marriage & Family Therapist
Matt Fields
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
New York Mills, NY 13417
Waitlist for new clients
If you're looking for a laid-back and non-judgmental therapist, I'm your guy. I have extensive experience working in the field of mental health. From inpatient mental health and addiction treatment to your more casual individual therapy. I am comfortable with nearly all mental health diagnoses and struggles. I like to provide practical, evidence-based solutions for the things you may be struggling with. I also like to do the more textured analytic talk therapy. Whatever you may be struggling with, I am confident that I can help you. If we aren't a good fit I can definitely help you find someone that would be a good fit.
If you're looking for a laid-back and non-judgmental therapist, I'm your guy. I have extensive experience working in the field of mental health. From inpatient mental health and addiction treatment to your more casual individual therapy. I am comfortable with nearly all mental health diagnoses and struggles. I like to provide practical, evidence-based solutions for the things you may be struggling with. I also like to do the more textured analytic talk therapy. Whatever you may be struggling with, I am confident that I can help you. If we aren't a good fit I can definitely help you find someone that would be a good fit.
(475) 219-7047 View (475) 219-7047

More Therapists Nearby

Photo of Natalie DeTraglia, LMHC, Counselor
Natalie DeTraglia
Counselor, LMHC
Verified Verified
New Hartford, NY 13413
Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. I am a Licensed Mental Health Counselor who utilizes Cognitive Behavioral Therapy ,allowing me to focus on building a custom approach for each one of my clients. We will begin by exploring where you are currently at in order to determine where you want to end up. Working together, we will establish a plan and celebrate your success along the way! My focus is on Anxiety & Depression, but I also love to help clients navigate their career journey as well as life transitions!
Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. I am a Licensed Mental Health Counselor who utilizes Cognitive Behavioral Therapy ,allowing me to focus on building a custom approach for each one of my clients. We will begin by exploring where you are currently at in order to determine where you want to end up. Working together, we will establish a plan and celebrate your success along the way! My focus is on Anxiety & Depression, but I also love to help clients navigate their career journey as well as life transitions!
(315) 758-5696 View (315) 758-5696
Photo of Mackenzie Heinrich, LCSW, Clinical Social Work/Therapist
Mackenzie Heinrich
Clinical Social Work/Therapist, LCSW
Verified Verified
Utica, NY 13501
I offer a judgement free environment for clients to feel safe with the concerns they are presenting. I value my clients rights to self determination and collaborative goal setting. I aim to provide a space for clients to grow through their journey while offering a confidential and safe space for that growth.
I offer a judgement free environment for clients to feel safe with the concerns they are presenting. I value my clients rights to self determination and collaborative goal setting. I aim to provide a space for clients to grow through their journey while offering a confidential and safe space for that growth.
(315) 909-6710 View (315) 909-6710
Photo of Sonya Piersma, LCSW, Clinical Social Work/Therapist
Sonya Piersma
Clinical Social Work/Therapist, LCSW
Verified Verified
New Hartford, NY 13413
My intentions are to help others become empowered and discover their self worth. I am always respectful, genuine, and non-judgemental in my approach. Sometimes you just need to be heard to sort thoughts/life situations out, or you may be ready to start your journey to heal from the past. Perhaps it's time to learn strategies to manage daily stressors, or work on repairing family and/or couple issues. I hope to be able to provide the quality support needed.
My intentions are to help others become empowered and discover their self worth. I am always respectful, genuine, and non-judgemental in my approach. Sometimes you just need to be heard to sort thoughts/life situations out, or you may be ready to start your journey to heal from the past. Perhaps it's time to learn strategies to manage daily stressors, or work on repairing family and/or couple issues. I hope to be able to provide the quality support needed.
(315) 961-8664 View (315) 961-8664
Photo of David Stang, PsyD, Psychologist
David Stang
Psychologist, PsyD
Verified Verified
Utica, NY 13502
I have been in practice for 20 years. I can address a variety of problems, such as depression, anxiety, substance abuse and serious mental illness. I work with individual adults, couples and adolescents. I provide a supportive approach. I give people an opportunity to express their emotions and sort out their problems. I also provide practical coping skills as the situation warrents. I also perform diagnostic testing and evaluations. I take all major insurance.
I have been in practice for 20 years. I can address a variety of problems, such as depression, anxiety, substance abuse and serious mental illness. I work with individual adults, couples and adolescents. I provide a supportive approach. I give people an opportunity to express their emotions and sort out their problems. I also provide practical coping skills as the situation warrents. I also perform diagnostic testing and evaluations. I take all major insurance.
(315) 520-8963 View (315) 520-8963
Photo of Ashley Siciliano, LMHC, Counselor
Ashley Siciliano
Counselor, LMHC
Verified Verified
1 Endorsed
Utica, NY 13501  (Online Only)
Feeling anxious all the time is such a crippling feeling and can feel like there is no escaping it. Just when one anxious thought starts to go away, another one shows up and takes its place. It can feel like an endless cycle of racing thoughts, worry, and fear about anything and everything. It’s hard to know when the anxiety will be over especially living in an anxiety-inducing world that is constantly changing which in turn leads to more anxiety. If this sounds like you, you're not alone!
Feeling anxious all the time is such a crippling feeling and can feel like there is no escaping it. Just when one anxious thought starts to go away, another one shows up and takes its place. It can feel like an endless cycle of racing thoughts, worry, and fear about anything and everything. It’s hard to know when the anxiety will be over especially living in an anxiety-inducing world that is constantly changing which in turn leads to more anxiety. If this sounds like you, you're not alone!
(845) 447-0683 View (845) 447-0683
Photo of James Brendan Ryan, LMHC, CAS, NCC, DCC, Counselor
James Brendan Ryan
Counselor, LMHC, CAS, NCC, DCC
Verified Verified
1 Endorsed
New Hartford, NY 13413
I have over 30 years experience working with children and adolescents. I have worked in adolescent inpatient settings as a therapist and Psychologist. I have also worked with adults in outpatient clinic settings. I have had good success working with clients with anger control issues and ADHD features. I have lots of experience working with clients with depression and suicidal ideation. I have also done family therapy as well. I also have over 20 years experience coaching a variety sports at the high school level.
I have over 30 years experience working with children and adolescents. I have worked in adolescent inpatient settings as a therapist and Psychologist. I have also worked with adults in outpatient clinic settings. I have had good success working with clients with anger control issues and ADHD features. I have lots of experience working with clients with depression and suicidal ideation. I have also done family therapy as well. I also have over 20 years experience coaching a variety sports at the high school level.
(315) 235-1587 View (315) 235-1587
Photo of Sandra A Mizerak, NCC, LMHC, Counselor
Sandra A Mizerak
Counselor, NCC, LMHC
Verified Verified
New Hartford, NY 13413
My strengths as a therapist lie in my ability to help people find their "inner voice". I believe people are experts on their own lives; they just need a safe space to figure out what they want, learn how to trust themselves and the courage to make the changes they need and want in their lives. Change starts with feeling like you have been seen and heard by another person. I have been a Licensed Mental Health Counselor for over 25 years. I have been fortunate to work in a variety of clinical settings that have allowed me the opportunity to support clients of all ages, ethnicities, genders and socioeconomic backgrounds.
My strengths as a therapist lie in my ability to help people find their "inner voice". I believe people are experts on their own lives; they just need a safe space to figure out what they want, learn how to trust themselves and the courage to make the changes they need and want in their lives. Change starts with feeling like you have been seen and heard by another person. I have been a Licensed Mental Health Counselor for over 25 years. I have been fortunate to work in a variety of clinical settings that have allowed me the opportunity to support clients of all ages, ethnicities, genders and socioeconomic backgrounds.
(315) 401-7869 View (315) 401-7869
Photo of Brooke Lewis - View Point Clinical Therapy Services, LCSW, PLLC, LCSW, Clinical Social Work/Therapist
View Point Clinical Therapy Services, LCSW, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New Hartford, NY 13413
View Point Clinical Therapy was formed in March 2023 by its owner Brooke Lewis, LCSW. View Point was established with a goal of integrating accessible mental health treatment into our communities across New York State- while refusing to compromise quality of care. View Point insists on remaining true to our identified values with every facet of the organization, never deviating from our mission. View Point will uphold our high standards of practice by utilizing our therapist derived value system in every level of care.
View Point Clinical Therapy was formed in March 2023 by its owner Brooke Lewis, LCSW. View Point was established with a goal of integrating accessible mental health treatment into our communities across New York State- while refusing to compromise quality of care. View Point insists on remaining true to our identified values with every facet of the organization, never deviating from our mission. View Point will uphold our high standards of practice by utilizing our therapist derived value system in every level of care.
(315) 538-6854 View (315) 538-6854
Photo of Jeana Penree, LCSW-R, Clinical Social Work/Therapist
Jeana Penree
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
New Hartford, NY 13413
Not accepting new clients
Life can be challenging at times and I can help you navigate through the tougher moments. I will help you combat negative self talk, self defeating behaviors, or just plain and simple stress associated with day to day life. While helping you to embrace a calmer existence I will assist you in finding the awareness you desire to balance distinguishable areas of your life. I am experienced in working with individuals who are struggling with anxiety, depression, situational stressors, grief, and school- or work-related issues. My therapy approach is eclectic, consisting of Solution Focused Therapy, Cognitive Behavioral Therapy (CBT), and Strengths-Based Perspective.
Life can be challenging at times and I can help you navigate through the tougher moments. I will help you combat negative self talk, self defeating behaviors, or just plain and simple stress associated with day to day life. While helping you to embrace a calmer existence I will assist you in finding the awareness you desire to balance distinguishable areas of your life. I am experienced in working with individuals who are struggling with anxiety, depression, situational stressors, grief, and school- or work-related issues. My therapy approach is eclectic, consisting of Solution Focused Therapy, Cognitive Behavioral Therapy (CBT), and Strengths-Based Perspective.
(315) 805-4355 View (315) 805-4355
Photo of Mark A Russell, LCSW, Clinical Social Work/Therapist
Mark A Russell
Clinical Social Work/Therapist, LCSW
Verified Verified
New Hartford, NY 13413
As a Licensed Clinical Social Worker I am dedicated to helping individuals navigate life’s challenges and achieve personal growth. My approach integrates evidence-based therapies with a compassionate, client-centered perspective, creating a supportive environment where you can explore your concerns and work toward meaningful change.
As a Licensed Clinical Social Worker I am dedicated to helping individuals navigate life’s challenges and achieve personal growth. My approach integrates evidence-based therapies with a compassionate, client-centered perspective, creating a supportive environment where you can explore your concerns and work toward meaningful change.
(315) 678-4271 View (315) 678-4271
Photo of Melissa Caldwell, LCSW-R, Clinical Social Work/Therapist
Melissa Caldwell
Clinical Social Work/Therapist, LCSW-R
Verified Verified
2 Endorsed
Utica, NY 13502
Prior to entering private practice, I worked for over 20 years in outpatient and inpatient mental health settings providing therapy to a diverse population. I specialize in working with the LGBTQIA+ community, and often work with clients on exploring their identity. In particular, working with clients who have experienced trauma, including sexual abuse, and how this intersects with the way they see themselves, and their overall sense of self-worth. I also have over 15 years experience working with those suffering from depression, anxiety and severe mental illness.
Prior to entering private practice, I worked for over 20 years in outpatient and inpatient mental health settings providing therapy to a diverse population. I specialize in working with the LGBTQIA+ community, and often work with clients on exploring their identity. In particular, working with clients who have experienced trauma, including sexual abuse, and how this intersects with the way they see themselves, and their overall sense of self-worth. I also have over 15 years experience working with those suffering from depression, anxiety and severe mental illness.
(315) 509-8494 View (315) 509-8494
Photo of Jenna Halloran Karl, MSW, LICSW, Clinical Social Work/Therapist
Jenna Halloran Karl
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
New Hartford, NY 13413  (Online Only)
Accepting New Clients at Therapy Together! Openings for EMDR Consultation! I am a Licensed Independent Clinical Social Worker that specializes in mental health care for adults, college/graduate students, and twenty-somethings. I am licensed in MA, NY, and ME and offer telehealth therapy. I specialize in treating trauma, life transitions, and relationship issues. I am certified in EMDR therapy, and have in-depth experience working with people with Anxiety, Mood Disorders, PTSD, Adjustment issues, LGBTQ+ topics, and Co-occurring disorders.
Accepting New Clients at Therapy Together! Openings for EMDR Consultation! I am a Licensed Independent Clinical Social Worker that specializes in mental health care for adults, college/graduate students, and twenty-somethings. I am licensed in MA, NY, and ME and offer telehealth therapy. I specialize in treating trauma, life transitions, and relationship issues. I am certified in EMDR therapy, and have in-depth experience working with people with Anxiety, Mood Disorders, PTSD, Adjustment issues, LGBTQ+ topics, and Co-occurring disorders.
(315) 325-3560 View (315) 325-3560
Photo of Barbara Goldsmith Fillips, MA, LMFT, Marriage & Family Therapist
Barbara Goldsmith Fillips
Marriage & Family Therapist, MA, LMFT
Verified Verified
Whitesboro, NY 13492
Not accepting new clients
People seeking to become who they really are---that is, whole, balanced, resilient, contented---seek me out. I support kind, healthy, authentic relationship with all aspects of oneself because such relationship is key to kind, healthy, authentic relationships with others. It's also key to expressing ourselves most fully, both creatively and pragmatically. Whether working with individuals or couples, these principles apply. I try to make our work together as fun, co-creative, and as low in stress as possible. I intend for clients to leave therapy with personalized skills and skillful means for ongoing lifetime growth and resiliency.
People seeking to become who they really are---that is, whole, balanced, resilient, contented---seek me out. I support kind, healthy, authentic relationship with all aspects of oneself because such relationship is key to kind, healthy, authentic relationships with others. It's also key to expressing ourselves most fully, both creatively and pragmatically. Whether working with individuals or couples, these principles apply. I try to make our work together as fun, co-creative, and as low in stress as possible. I intend for clients to leave therapy with personalized skills and skillful means for ongoing lifetime growth and resiliency.
(315) 567-4701 View (315) 567-4701
Photo of Brian P Mulkerne, LCSWR, Clinical Social Work/Therapist
Brian P Mulkerne
Clinical Social Work/Therapist, LCSWR
Verified Verified
1 Endorsed
New Hartford, NY 13413
My ideal client is someone I can establish a relationship with that allows us to work together. I try to help my clients to discuss and examine their issues and make choices that can help them. I am experienced in treating the emotional and behavioral disorders of children, adolescents, adults, the elderly, and the developmentally disabled. I have been effective in helping adults in emotional crisis, marital conflicts, and parenting issues. I have personal experience in managing the needs of a disabled child or family member, and in coping with severe illness, grief and bereavement.
My ideal client is someone I can establish a relationship with that allows us to work together. I try to help my clients to discuss and examine their issues and make choices that can help them. I am experienced in treating the emotional and behavioral disorders of children, adolescents, adults, the elderly, and the developmentally disabled. I have been effective in helping adults in emotional crisis, marital conflicts, and parenting issues. I have personal experience in managing the needs of a disabled child or family member, and in coping with severe illness, grief and bereavement.
(315) 541-4237 View (315) 541-4237
Photo of Dominick R Nicotera - DRN Counseling and Consulting, LCSW, PLLC, LCSW-R, Clinical Social Work/Therapist
DRN Counseling and Consulting, LCSW, PLLC
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Utica, NY 13501
I believe in many approaches concerning therapy and although I specialize in some the importance of motivation and goals for change is paramount to success of the client . I like to see that the client is working on things that are important to them and the integrity of therapy is understood and maintained. To this end periodic check ins are implemented in the treatment plan as our contractual relationship developes.
I believe in many approaches concerning therapy and although I specialize in some the importance of motivation and goals for change is paramount to success of the client . I like to see that the client is working on things that are important to them and the integrity of therapy is understood and maintained. To this end periodic check ins are implemented in the treatment plan as our contractual relationship developes.
(315) 400-6919 View (315) 400-6919

See more therapy options for New York Mills

How does your Therapist compare?

Number of Therapists in New York Mills, NY

< 10

Therapists in New York Mills, NY who prioritize treating:

100% Depression
100% Anxiety
80% Relationship Issues
80% Life Transitions
60% Parenting
60% Trauma and PTSD
60% Other

Average years in practice

6 Years

Top 3 insurances accepted

100% Aetna
100% UnitedHealthcare UHC | UBH
100% Optum

How Therapists in New York Mills, NY see their clients

60% Online Only
40% In Person and Online

Gender breakdown

60% Female
40% Male
FAQs - About Therapy and Counseling

How can I find a therapist in New York Mills?

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.