Therapists in Somerset, KY
![Photo of Dr. Tammy Wright, PhD, LPCC-S, NCC](https://photos.psychologytoday.com/9817c3db-79db-4395-9ca4-3fd839f38858/1/320x400.jpeg)
Dr. Tammy Wright
Licensed Professional Clinical Counselor, PhD, LPCC-S, NCC
Verified Verified
1 Endorsed
Somerset, KY 42501 (Online Only)
If you are someone that feels overwhelmed by situations you encounter in your day-to-day life or are nervous to engage with others, dread being around people but crave connection, avoid people or situations out of fear of the unknown- I am here to help. It may be a child that is exhibiting some tough behaviors, gets very upset easily, or cannot calm down. It may be someone who wants to feel joy in their life but cannot seem to figure out where the disconnect is. I provide a safe place where you can process these challenges and find ways to overcome them.
If you are someone that feels overwhelmed by situations you encounter in your day-to-day life or are nervous to engage with others, dread being around people but crave connection, avoid people or situations out of fear of the unknown- I am here to help. It may be a child that is exhibiting some tough behaviors, gets very upset easily, or cannot calm down. It may be someone who wants to feel joy in their life but cannot seem to figure out where the disconnect is. I provide a safe place where you can process these challenges and find ways to overcome them.
![Photo of George Mario Martinez, MS, LPP, Psychologist](https://photos.psychologytoday.com/010fd9a1-6155-47f5-b0d8-4f0b632f2c5b/2/320x400.jpeg)
I am a mental health professional and Licensed Psychological Practitioner licensed in the state of Kentucky with over 30 years of experience in the mental health field. I have a master's degree in Clinical Psychology. I have worked with a wide range of concerns including, depression, anxiety, relationship issues, parenting problems, intellectual disability, ADHD, family problems, and coping with the challenges of life. I have also helped people who want assistance with direction in life, work issues, and communication concerns in their relationships. My counseling style is warm and interactive.
I am a mental health professional and Licensed Psychological Practitioner licensed in the state of Kentucky with over 30 years of experience in the mental health field. I have a master's degree in Clinical Psychology. I have worked with a wide range of concerns including, depression, anxiety, relationship issues, parenting problems, intellectual disability, ADHD, family problems, and coping with the challenges of life. I have also helped people who want assistance with direction in life, work issues, and communication concerns in their relationships. My counseling style is warm and interactive.
![Photo of Cherish S Forney, LPCA](https://photos.psychologytoday.com/f4ed30a6-63c1-483e-9225-1d889d8d3900/1/320x400.jpeg)
Cherish S Forney
Licensed Professional Counselor Associate, LPCA
Verified Verified
Somerset, KY 42501
Together, we will create a safe and non-judgmental space where you can freely explore your thoughts and emotions. I specialize in assisting individuals dealing with anxiety, depression, and substance abuse challenges. Whether you're facing overwhelming emotions, seeking ways to break free from negative thought patterns, or aiming to overcome addictive behaviors, I am here to provide guidance and support throughout your journey.
Together, we will create a safe and non-judgmental space where you can freely explore your thoughts and emotions. I specialize in assisting individuals dealing with anxiety, depression, and substance abuse challenges. Whether you're facing overwhelming emotions, seeking ways to break free from negative thought patterns, or aiming to overcome addictive behaviors, I am here to provide guidance and support throughout your journey.
![Photo of Kelsey Blaha, LPCA, Pre-Licensed Professional](https://photos.psychologytoday.com/18274836-4e5c-45b7-8dd2-236c1b5a3ea9/1/320x400.png)
Kelsey creates a safe space where clients can explore their emotions, overcome anxiety, and heal from past traumas. With her expertise, she guides clients on a journey of self-discovery, empowering them to face their anxieties and traumas head-on.
Kelsey creates a safe space where clients can explore their emotions, overcome anxiety, and heal from past traumas. With her expertise, she guides clients on a journey of self-discovery, empowering them to face their anxieties and traumas head-on.
![Photo of Charlotte Allison, LPCC](https://photos.psychologytoday.com/13a3fc96-c99f-4e60-a456-99935474bad3/1/320x400.png)
Charlotte Allison
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Somerset, KY 42501
My name is Charlotte, I have experience working with individuals recovering from substance use and co-occurring disorders. I am LGBTQ+ affirming, as well as trained in and working towards certification in eye movement desensitization and reprocessing (EMDR) therapy.
My name is Charlotte, I have experience working with individuals recovering from substance use and co-occurring disorders. I am LGBTQ+ affirming, as well as trained in and working towards certification in eye movement desensitization and reprocessing (EMDR) therapy.
![Photo of Daniel Melear, PhD, NCC, LPCC-S](https://photos.psychologytoday.com/ef1c5a70-9a06-419b-8287-270edb5382cf/1/320x400.jpeg)
Daniel Melear
Licensed Professional Clinical Counselor, PhD, NCC, LPCC-S
Verified Verified
Somerset, KY 42503 (Online Only)
Feeling stuck, being anxious or depressed, struggling with conflict within and with others, breaking free from unwanted behaviors that are holding you back are issues that many of us have faced. With me, you have a place of respectful privacy and safety to talk about shame, guilt and feelings of powerlessness. It might be from an imbalanced relationship or it might be the incongruities between your values and your behaviors that are the source of discomfort and chaos in your life. Whatever it is, facing the challenges of change can be more hopeful with experienced professional support.
Feeling stuck, being anxious or depressed, struggling with conflict within and with others, breaking free from unwanted behaviors that are holding you back are issues that many of us have faced. With me, you have a place of respectful privacy and safety to talk about shame, guilt and feelings of powerlessness. It might be from an imbalanced relationship or it might be the incongruities between your values and your behaviors that are the source of discomfort and chaos in your life. Whatever it is, facing the challenges of change can be more hopeful with experienced professional support.
![Photo of Daniel R Ellenberg, MA, NCC, LPCA, Counselor](https://photos.psychologytoday.com/c66fa3dd-046b-41fd-874e-a3f3c860d30d/2/320x400.jpeg)
I am passionate about helping people find healing. Whether you are dealing with an addiction that you can’t control or you’re struggling with the effects of complex trauma, abuse, or life stress, I want to help you find new life. If you feel stuck but don‘t know how to move, I’m here to go on the journey with you. Maybe it’s sexual addiction, trauma, or marriage problems, maybe life just feels overwhelming. Whatever you’re facing, the only thing required of you right now is the willingness to change and grow.
I am passionate about helping people find healing. Whether you are dealing with an addiction that you can’t control or you’re struggling with the effects of complex trauma, abuse, or life stress, I want to help you find new life. If you feel stuck but don‘t know how to move, I’m here to go on the journey with you. Maybe it’s sexual addiction, trauma, or marriage problems, maybe life just feels overwhelming. Whatever you’re facing, the only thing required of you right now is the willingness to change and grow.
![Photo of Tracy McQuarter - Resilience Counseling Services](https://photos.psychologytoday.com/e349d07d-d49f-4b80-98a6-d2367aac371e/1/320x400.png)
Resilience Counseling Services
Licensed Professional Clinical Counselor
Verified Verified
Somerset, KY 42503
Resilience Counseling Services was started to help people in our community build their mental wellness. We enjoy helping our clients identify and reach their goals. We help our clients work on concerns such as anxiety, depression, grief, eating disorders and self esteem just to name a few. We provide clients with a safe, judgement free area to express their concerns and talk about their stressors.
Resilience Counseling Services was started to help people in our community build their mental wellness. We enjoy helping our clients identify and reach their goals. We help our clients work on concerns such as anxiety, depression, grief, eating disorders and self esteem just to name a few. We provide clients with a safe, judgement free area to express their concerns and talk about their stressors.
![Photo of Aaron Meriwether, LPCC, Counselor](https://photos.psychologytoday.com/41acd761-c2b2-4a5f-b0ac-226ba7aaf55c/1/320x400.jpeg)
Hello! , I'm Aaron I am a License Clinical Counselor. I have 15 years of clinical experience. Therapy is dynamics process and journey. As a therapist, I work with individuals collaboratively to help with a variety of factors related to mental health. I specialize in trauma, and spirituality. I work with individuals from a holistic perspective exploring the connection with the mind, body, and spirit. This dynamic helps individuals identify what's not working but get you back to balance. I also integrate mindfulness to help individuals develop a stronger internal self.
Hello! , I'm Aaron I am a License Clinical Counselor. I have 15 years of clinical experience. Therapy is dynamics process and journey. As a therapist, I work with individuals collaboratively to help with a variety of factors related to mental health. I specialize in trauma, and spirituality. I work with individuals from a holistic perspective exploring the connection with the mind, body, and spirit. This dynamic helps individuals identify what's not working but get you back to balance. I also integrate mindfulness to help individuals develop a stronger internal self.
![Photo of Kasey R Compton - Mindsight Behavioral Group, LPCC](https://photos.psychologytoday.com/2a8eb3bb-185c-4908-ab58-15e25f0cbc47/2/320x400.jpeg)
Mindsight Behavioral Group
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Somerset, KY 42501
We offer a wide range of counseling services tailored to your needs, including individual, family and couples-all available both in-person and online. Our expert clinicians are dedicated to addressing your specific concerns, ensuring you receive personalized support. We can see children 3+ , teens and adults!
We offer a wide range of counseling services tailored to your needs, including individual, family and couples-all available both in-person and online. Our expert clinicians are dedicated to addressing your specific concerns, ensuring you receive personalized support. We can see children 3+ , teens and adults!
![Photo of Wellsprings Wellness - Wellsprings Wellness, LLC](https://photos.psychologytoday.com/bc2c3521-b64c-4f5d-8a36-0f7acb653cbe/2/320x400.jpeg)
Wellsprings Wellness, LLC
Licensed Professional Clinical Counselor
Verified Verified
1 Endorsed
Somerset, KY 42501
Wellsprings Wellness Practitioners, Clinicians & staff provide a compassionate and caring environment to promote personal healing and growth. We focus on each client's needs while honoring their individual beliefs and values. We pride ourselves in providing Integrated Care to our Patients. Integrated Care blends the expertise of mental health, substance use, and primary care practitioners, with feedback from patients and their caregivers. This creates a team-based approach where mental health care and general medical care are offered in the same setting.
Wellsprings Wellness Practitioners, Clinicians & staff provide a compassionate and caring environment to promote personal healing and growth. We focus on each client's needs while honoring their individual beliefs and values. We pride ourselves in providing Integrated Care to our Patients. Integrated Care blends the expertise of mental health, substance use, and primary care practitioners, with feedback from patients and their caregivers. This creates a team-based approach where mental health care and general medical care are offered in the same setting.
15 Second Videos
Daniel R Ellenberg
Resilience Counseling Services
Trisha Jarnagin
![Photo of Morgan Bailee Boggess McCoy, MSW, CSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/07fceaa5-d0d6-465d-8f39-4bd107c960d8/2/320x400.jpeg)
Morgan Bailee Boggess McCoy
Clinical Social Work/Therapist, MSW, CSW
Verified Verified
1 Endorsed
Somerset, KY 42501
We all want to be loved, understood, and accepted for who we are, and when we don't feel like we are, it can be tough. Don't worry, though. Therapy can help! Together, we can work through your struggles to create a more balanced, fulfilling life for you. In addition to working with children (8+), adolescents, and adults, I specialize in working with teens in the foster care system, caregivers, adoptees of all ages, and women struggling with their self-worth or identity.
We all want to be loved, understood, and accepted for who we are, and when we don't feel like we are, it can be tough. Don't worry, though. Therapy can help! Together, we can work through your struggles to create a more balanced, fulfilling life for you. In addition to working with children (8+), adolescents, and adults, I specialize in working with teens in the foster care system, caregivers, adoptees of all ages, and women struggling with their self-worth or identity.
![Photo of Lindsey Jane Finley, MEd, LPCC, Counselor](https://photos.psychologytoday.com/7e9bef4d-34ec-42ae-bd8c-df43a432ae8c/2/320x400.jpeg)
Welcome! It takes a lot of courage to take the steps towards bettering your life and confiding in another and I want to congratulate you for that! If you are someone who is struggling to feel whole, happy and complete I would love to help you reach your goals. Life is constantly changing and throwing us challenges and it can be helpful to have a person who is one hundred percent committed to helping you achieve a life of happiness. I am honored to be that person and look forward to hearing your story!
Welcome! It takes a lot of courage to take the steps towards bettering your life and confiding in another and I want to congratulate you for that! If you are someone who is struggling to feel whole, happy and complete I would love to help you reach your goals. Life is constantly changing and throwing us challenges and it can be helpful to have a person who is one hundred percent committed to helping you achieve a life of happiness. I am honored to be that person and look forward to hearing your story!
![Photo of Lawrence Underwood, MEd, LPCC, LCADC](https://photos.psychologytoday.com/f2a5bc0b-0cd8-41ce-9eb1-3a67864f26f1/2/320x400.jpeg)
Lawrence Underwood
Licensed Professional Clinical Counselor, MEd, LPCC, LCADC
Verified Verified
3 Endorsed
Somerset, KY 42501
I believe that life's journey can sometimes be challenging. Counseling offers a process to find the courage to change, or accept these challenges. I have over thirty years' experience in working with individuals, with various mental health, substance abuse, and addiction issues, I look forward to working with you through finding your way through your personal journey
I believe that life's journey can sometimes be challenging. Counseling offers a process to find the courage to change, or accept these challenges. I have over thirty years' experience in working with individuals, with various mental health, substance abuse, and addiction issues, I look forward to working with you through finding your way through your personal journey
![Photo of Justin Smith - Phoenix Preferred Care, Counselor](https://photos.psychologytoday.com/3715a388-eb3c-4f2b-9246-a90349c000d1/1/320x400.jpeg)
Phoenix Preferred Care provides individual counseling, family counseling, and collateral support to clients of all ages. Our staff are trauma-informed and work collaboratively with clients from a strengths-based approach using evidenced-based treatment.
Phoenix Preferred Care provides individual counseling, family counseling, and collateral support to clients of all ages. Our staff are trauma-informed and work collaboratively with clients from a strengths-based approach using evidenced-based treatment.
![Photo of Dana Strom, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/fc919f2a-2577-4c12-911a-f67ad3bafac6/1/320x400.jpeg)
Dana Strom
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Somerset, KY 42503 (Online Only)
As an adult life hands you challenges, overcoming them can seem like an obstacle. Feelings and emotions can stir up an overwhelming sense of frustration which can cause a lack of motivation. This lack of motivation can cause a feeling of being stuck with proceeding towards our goals. By overcoming the challenges that life presents us, we can gain our motivation and the ability to return to the present and continue towards achieving our goals.
As an adult life hands you challenges, overcoming them can seem like an obstacle. Feelings and emotions can stir up an overwhelming sense of frustration which can cause a lack of motivation. This lack of motivation can cause a feeling of being stuck with proceeding towards our goals. By overcoming the challenges that life presents us, we can gain our motivation and the ability to return to the present and continue towards achieving our goals.
![Photo of Trisha Jarnagin, MS, MAEd, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/cb9a75e8-943c-4d39-92d6-ef2e64977a2e/1/320x400.jpeg)
Trisha Jarnagin
Marriage & Family Therapist, MS, MAEd, LMFT
Verified Verified
3 Endorsed
Somerset, KY 42501
What would your life be like if you woke up tomorrow and everything was just how you wanted it to be? What would be different? Therapy can help you identify and reach those goals. Whether your focus is individual, with your partner, or with a family member, the process can be beneficial and effective. My job is to help guide you through the choices, decisions, and communication patterns that are stopping you from making those improvements or changes. Therapy does not have to be intimidating or anxiety provoking. It can instead be an interactive, thought-provoking, learning experience. I am glad to partner with you on this journey.
What would your life be like if you woke up tomorrow and everything was just how you wanted it to be? What would be different? Therapy can help you identify and reach those goals. Whether your focus is individual, with your partner, or with a family member, the process can be beneficial and effective. My job is to help guide you through the choices, decisions, and communication patterns that are stopping you from making those improvements or changes. Therapy does not have to be intimidating or anxiety provoking. It can instead be an interactive, thought-provoking, learning experience. I am glad to partner with you on this journey.
![Photo of Pamela Blackburn-Noble, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/79e93842-13fd-438d-937b-39e437da4b6a/2/320x400.jpeg)
Pamela Blackburn-Noble
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Somerset, KY 42501
I select clinical approaches designed to provide you with brief, solution-focused therapy. From the first session, my goal is to individualize treatment to meet your specific needs and provide you with a safe and validating environment to process life stressors. My mission is to help you reach your personal goals. Whether you want to enhance your health and wellness, improve your relationships, obtain relief from problematic symptoms or resolve life challenges. We will work towards these goals together In a thorough manner that maximizes your resources and time.
I select clinical approaches designed to provide you with brief, solution-focused therapy. From the first session, my goal is to individualize treatment to meet your specific needs and provide you with a safe and validating environment to process life stressors. My mission is to help you reach your personal goals. Whether you want to enhance your health and wellness, improve your relationships, obtain relief from problematic symptoms or resolve life challenges. We will work towards these goals together In a thorough manner that maximizes your resources and time.
![Photo of Jessica Smith, CSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7e7dc10e-1c6a-4262-9cdf-91ad87d0be3f/1/320x400.jpeg)
Are you someone struggling with addiction, trauma, domestic violence, issues related to the LGBT+ community, family conflicts, parenthood, or perhaps someone who is just looking to be heard? If so, I would be honored to help you find some well-deserved peace of mind in your life. I am dedicated to providing clients with a safe and nonjudgmental environment for both teens and adults the important work of healing and change can begin. I recognize that each person is unique and I offer a highly personalized approach tailored to each client's needs. I use a blend of cognitive behavioral and solution-focused therapy to help people.
Are you someone struggling with addiction, trauma, domestic violence, issues related to the LGBT+ community, family conflicts, parenthood, or perhaps someone who is just looking to be heard? If so, I would be honored to help you find some well-deserved peace of mind in your life. I am dedicated to providing clients with a safe and nonjudgmental environment for both teens and adults the important work of healing and change can begin. I recognize that each person is unique and I offer a highly personalized approach tailored to each client's needs. I use a blend of cognitive behavioral and solution-focused therapy to help people.
![Photo of Daniel Ellenberg](https://photos.psychologytoday.com/2bd2b9d4-cd00-4818-897f-459a6ee92c40/2/320x400.jpeg)
Are you struggling to overcome the impact of trauma in your life? At Dynamis Counseling, we understand the complexities of trauma and its profound effects on mental, emotional, and physical well-being. Our counseling agency specializes in providing comprehensive support and guidance to individuals navigating the journey of trauma recovery. This is where healing, empowerment, and transformation intersect. We are dedicated to providing specialized trauma counseling services designed to guide you towards a life of resilience, strength, and renewed vitality.
Are you struggling to overcome the impact of trauma in your life? At Dynamis Counseling, we understand the complexities of trauma and its profound effects on mental, emotional, and physical well-being. Our counseling agency specializes in providing comprehensive support and guidance to individuals navigating the journey of trauma recovery. This is where healing, empowerment, and transformation intersect. We are dedicated to providing specialized trauma counseling services designed to guide you towards a life of resilience, strength, and renewed vitality.
See more therapy options for Somerset
Nearby Searches for Somerset
See More TherapistsHow does your Therapist compare?
Number of Therapists in Somerset, KY
20+
Average cost per session
$115
Therapists in Somerset, KY who prioritize treating:
84% | Anxiety |
80% | Depression |
80% | Coping Skills |
72% | Trauma and PTSD |
64% | Relationship Issues |
64% | Stress |
60% | Self Esteem |
Average years in practice
6 Years
Top 3 insurances accepted
78% | Aetna |
78% | BlueCross and BlueShield |
78% | Medicaid |
How Therapists in Somerset, KY see their clients
76% | In Person and Online | |
24% | Online Only |
Gender breakdown
74% | Female | |
26% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Somerset?
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
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.
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.
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.