Therapists in Piedmont, SC

Photo of Danielle Tate, LMSW
Danielle Tate
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Piedmont, SC 29673
I practice from a strengths-based perspective which focuses on the empowerment, self-efficacy, and self-determination of each individual. Everyone has the innate ability to adapt and overcome the challenges that life brings, but sometimes they may need a little help along the way. Every child/person has strengths and when identified, we can use those strengths to build self-esteem, modify behavior, reduce anxiety and increase self-worth. I work with each individual to help them build on their strengths and attain the personal growth they are committed to accomplishing.
I practice from a strengths-based perspective which focuses on the empowerment, self-efficacy, and self-determination of each individual. Everyone has the innate ability to adapt and overcome the challenges that life brings, but sometimes they may need a little help along the way. Every child/person has strengths and when identified, we can use those strengths to build self-esteem, modify behavior, reduce anxiety and increase self-worth. I work with each individual to help them build on their strengths and attain the personal growth they are committed to accomplishing.
(864) 763-6568 View (864) 763-6568
Photo of Rosario Quinonez, MA, LPC, Licensed Professional Counselor
Rosario Quinonez
Licensed Professional Counselor, MA, LPC
Verified Verified
Piedmont, SC 29673
Are you experiencing depression? Anxiety? Stress? Transition difficulties? You are on the right track to find help and you are NOT alone. I truly believe a therapeutic relationship is the baseline for a successful treatment. My focus is on helping kids, adolescents, adults, and families to overcome life challenges. I see the person as a whole and I can help you heal in a compassionate, non-judgmental and safe environment. I think you are unique with unique qualities and strengths, and I focus my treatment in making you aware of those strengths to become successful in life. I have experience with Hispanic and Latino population.
Are you experiencing depression? Anxiety? Stress? Transition difficulties? You are on the right track to find help and you are NOT alone. I truly believe a therapeutic relationship is the baseline for a successful treatment. My focus is on helping kids, adolescents, adults, and families to overcome life challenges. I see the person as a whole and I can help you heal in a compassionate, non-judgmental and safe environment. I think you are unique with unique qualities and strengths, and I focus my treatment in making you aware of those strengths to become successful in life. I have experience with Hispanic and Latino population.
(864) 740-3167 View (864) 740-3167
Photo of Yadira Baez-Lockard - PsychoLegal Assessments,LLC Forensic Psychologist, PsyD, Forensi, Psychologist
PsychoLegal Assessments,LLC Forensic Psychologist
Psychologist, PsyD, Forensi
Verified Verified
1 Endorsed
Piedmont, SC 29673
PsychoLegal Assessments, LLC is a multi-disciplinary, group private practice providing the most up-to-date, comprehensive and unbiased forensic/psychological evaluations. Services are focused on forensic psychological evaluations for criminal, civil, disability, immigration cases and much more. 2 convenient locations in the Anderson and Greenville areas
PsychoLegal Assessments, LLC is a multi-disciplinary, group private practice providing the most up-to-date, comprehensive and unbiased forensic/psychological evaluations. Services are focused on forensic psychological evaluations for criminal, civil, disability, immigration cases and much more. 2 convenient locations in the Anderson and Greenville areas
(864) 362-2663 View (864) 362-2663
Photo of Chandra Mills, LPC, LAC, AADC, Licensed Professional Counselor
Chandra Mills
Licensed Professional Counselor, LPC, LAC, AADC
Verified Verified
3 Endorsed
Piedmont, SC 29673
Are you tired of going through life stressors alone? Are you looking for a safe, nurturing, nonjudgmental environment where you can heal from emotional distress, low self-esteem, depression, addiction; trauma and anxiety? Maybe life has thrown you some unexpected challenges that you weren’t equipped to handle. Life events can leave you feeling, stuck, alone and hopeless if you don’t have the right coping skills. Do you want to learn how to have more control in your life? If you answered yes to any of these questions then you're in the right place. My mission is to promote growth, healing and change.
Are you tired of going through life stressors alone? Are you looking for a safe, nurturing, nonjudgmental environment where you can heal from emotional distress, low self-esteem, depression, addiction; trauma and anxiety? Maybe life has thrown you some unexpected challenges that you weren’t equipped to handle. Life events can leave you feeling, stuck, alone and hopeless if you don’t have the right coping skills. Do you want to learn how to have more control in your life? If you answered yes to any of these questions then you're in the right place. My mission is to promote growth, healing and change.
(864) 365-3579 View (864) 365-3579
Photo of Carin Williams LaBoon, MA, LPC, Licensed Professional Counselor
Carin Williams LaBoon
Licensed Professional Counselor, MA, LPC
Verified Verified
Piedmont, SC 29673
I have been in private practice since 2005. I specialize in cognitive behavioral therapy, brief solution therapy, mood disorders, behavior modification, anxiety, personality disorders, grief & loss, addiction, postpartum issues, & divorce/blended families.
I have been in private practice since 2005. I specialize in cognitive behavioral therapy, brief solution therapy, mood disorders, behavior modification, anxiety, personality disorders, grief & loss, addiction, postpartum issues, & divorce/blended families.
(864) 740-0832 View (864) 740-0832
Photo of Yadira I Baez-Lockard - Yadira Baez-Lockard, Psy.D. Forensic, PsyD, MA, Legal, Psychologist
Yadira Baez-Lockard, Psy.D. Forensic
Psychologist, PsyD, MA, Legal
Verified Verified
2 Endorsed
Piedmont, SC 29673
Dr. Lockard was awarded her Doctor of Psychology (Psy.D.) degree from the Adler School of Professional Psychology in Chicago, Illinois. She completed her internship at the Kentucky Department of Corrections where she focused on the treatment of male and female sex offender treatment. Her experience includes years of forensic and clinical treatment and evaluation in out-patient, in-patient, and correctional settings. Such experiences include: Community Mental Health Clinics, Autism Clinics, County and Psychiatric Hospitals, and state behavioral and social services agencies. Her areas of expertise (all bilingual) include: clinical, criminal forensic, psychosexual, and neuropsychological assessment and treatment.
Dr. Lockard was awarded her Doctor of Psychology (Psy.D.) degree from the Adler School of Professional Psychology in Chicago, Illinois. She completed her internship at the Kentucky Department of Corrections where she focused on the treatment of male and female sex offender treatment. Her experience includes years of forensic and clinical treatment and evaluation in out-patient, in-patient, and correctional settings. Such experiences include: Community Mental Health Clinics, Autism Clinics, County and Psychiatric Hospitals, and state behavioral and social services agencies. Her areas of expertise (all bilingual) include: clinical, criminal forensic, psychosexual, and neuropsychological assessment and treatment.
(864) 501-0165 View (864) 501-0165
Photo of Rickell Ballentine, LMFT, Marriage & Family Therapist
Rickell Ballentine
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Piedmont, SC 29673
Imagine intimacy without shame. The full benefits of pleasure in the relationship. Unlocking your best potential to feel comfortable in your own body and around those you may want to share it with. Unease within yourself or tension in your current relationships is causing stress throughout other aspects in your life and you are unsure of who to turn to for open discussion about such a vulnerable topic. Sex and sexuality is not a typical subject that is usually welcomed with open arms. I am here to change that.
Imagine intimacy without shame. The full benefits of pleasure in the relationship. Unlocking your best potential to feel comfortable in your own body and around those you may want to share it with. Unease within yourself or tension in your current relationships is causing stress throughout other aspects in your life and you are unsure of who to turn to for open discussion about such a vulnerable topic. Sex and sexuality is not a typical subject that is usually welcomed with open arms. I am here to change that.
(864) 635-4004 View (864) 635-4004
Photo of Xavier Bailey - Xpressions Therapy, LLC, LISW-CP, Clinical Social Work/Therapist
Xpressions Therapy, LLC
Clinical Social Work/Therapist, LISW-CP
Verified Verified
Piedmont, SC 29673  (Online Only)
Accepting clients in SC and FL. I am a LISW-CP in the state of SC who has 8 years plus of experience providing clinical care services to individuals and couples in a multitude of healthcare and therapeutic environments. I completed a Bachelor of Science in Experimental Psychology from the University of South Carolina – Upstate in 2013 and a Master of Social Work from the University of South Carolina – Columbia in 2016. Moreover, I completed various trainings in trauma, relationship/sexual issues, and depression/anxiety.
Accepting clients in SC and FL. I am a LISW-CP in the state of SC who has 8 years plus of experience providing clinical care services to individuals and couples in a multitude of healthcare and therapeutic environments. I completed a Bachelor of Science in Experimental Psychology from the University of South Carolina – Upstate in 2013 and a Master of Social Work from the University of South Carolina – Columbia in 2016. Moreover, I completed various trainings in trauma, relationship/sexual issues, and depression/anxiety.
(864) 539-4595 View (864) 539-4595
Photo of Kimberly A Bales, MA, LPC, LAC, Licensed Professional Counselor
Kimberly A Bales
Licensed Professional Counselor, MA, LPC, LAC
Verified Verified
1 Endorsed
Piedmont, SC 29673
If you are looking for some freedom from the bond of mental health illness(es) and/or substance abuse, please call. Taking this step is an act of courage! Know that you are capable of achieving healing and happiness. My primary focus is to assist you in gaining self-awareness and identifying new sources of hope & strength, which are crucial parts of this journey & the foundation for a new beginning. I am committed to helping you work toward your goal of living your most fulfilling life and being your authentic self.
If you are looking for some freedom from the bond of mental health illness(es) and/or substance abuse, please call. Taking this step is an act of courage! Know that you are capable of achieving healing and happiness. My primary focus is to assist you in gaining self-awareness and identifying new sources of hope & strength, which are crucial parts of this journey & the foundation for a new beginning. I am committed to helping you work toward your goal of living your most fulfilling life and being your authentic self.
(864) 507-9346 View (864) 507-9346
Photo of Christine Dowling, LISW-CP, Clinical Social Work/Therapist
Christine Dowling
Clinical Social Work/Therapist, LISW-CP
Verified Verified
1 Endorsed
Piedmont, SC 29673
Not accepting new clients
A guiding principle in working with any client is to see that person as a unique individual with strengths and potential far greater than the problem that has brought them to my door. My job is to tap into those strengths, to help you see your potential, and to support you in making the change you are seeking to achieve. I incorporate a holistic approach that looks at a client from a whole person, mind-body perspective, focusing on identifying relational, lifestyle, or cognitive changes that may be beneficial to reaching your identified goals.
A guiding principle in working with any client is to see that person as a unique individual with strengths and potential far greater than the problem that has brought them to my door. My job is to tap into those strengths, to help you see your potential, and to support you in making the change you are seeking to achieve. I incorporate a holistic approach that looks at a client from a whole person, mind-body perspective, focusing on identifying relational, lifestyle, or cognitive changes that may be beneficial to reaching your identified goals.
(864) 343-8734 View (864) 343-8734
Photo of Marc Burrows, MSW, LMSW, CPSS, ADC-IP
Marc Burrows
Licensed Master Social Worker, MSW, LMSW, CPSS, ADC-IP
Verified Verified
1 Endorsed
Piedmont, SC 29673
I focus on using evidence based practices to address the issue of addiction, drug use, and underlying conditions. This means I only utilize interventions backed by research. I also work side by side with a physician specializing in addiction medicine to treat opioid use disorder. If you are needing buprenorphine/ Suboxone, please visit www.powdersvillerecovery.com. I use a harm reduction model to help those with active substance use who have not yet made the decision to stop. I practice from a person-centered approach, and will meet the client where they are with whatever issue or stage they are in.
I focus on using evidence based practices to address the issue of addiction, drug use, and underlying conditions. This means I only utilize interventions backed by research. I also work side by side with a physician specializing in addiction medicine to treat opioid use disorder. If you are needing buprenorphine/ Suboxone, please visit www.powdersvillerecovery.com. I use a harm reduction model to help those with active substance use who have not yet made the decision to stop. I practice from a person-centered approach, and will meet the client where they are with whatever issue or stage they are in.
(864) 280-0406 View (864) 280-0406
Photo of Joanna Poole, MA, C-DBT, MAC, LAC, LPC, Licensed Professional Counselor
Joanna Poole
Licensed Professional Counselor, MA, C-DBT, MAC, LAC, LPC
Verified Verified
Piedmont, SC 29673  (Online Only)
Waitlist for new clients
Everyone seeks change but often changing is hard to do alone. Let me help you light your path to wellness. Counseling can help a variety of problems and issues that can often be treated in a short time.
Everyone seeks change but often changing is hard to do alone. Let me help you light your path to wellness. Counseling can help a variety of problems and issues that can often be treated in a short time.
(864) 642-2819 View (864) 642-2819
Photo of Ryan Wilson, MA, LPC, Licensed Professional Counselor
Ryan Wilson
Licensed Professional Counselor, MA, LPC
Verified Verified
Piedmont, SC 29673
I now have two office locations. One in Greenville and one in Piedmont area. I want to help anyone who is motivated and driven to help their selves and improve their well-being. Whether someone is scared, confused, angry, or frustrated, if someone has sincere drive and motivation to work then they can be successful. If someone puts forth the willingness and motivation to work with me I will reciprocate that effort, because I want people to reach their full potential and enhance their quality of life.
I now have two office locations. One in Greenville and one in Piedmont area. I want to help anyone who is motivated and driven to help their selves and improve their well-being. Whether someone is scared, confused, angry, or frustrated, if someone has sincere drive and motivation to work then they can be successful. If someone puts forth the willingness and motivation to work with me I will reciprocate that effort, because I want people to reach their full potential and enhance their quality of life.
(864) 740-0910 View (864) 740-0910
Photo of Xavier Bailey, LISW, Clinical Social Work/Therapist
Xavier Bailey
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Piedmont, SC 29673  (Online Only)
Mr. Xavier Bailey is a LISW-CP in the state of South Carolina with over eight years of experience providing clinical therapeutic care services to pre-teens, teens, young adults, couples, families, and elderly in a multitude of healthcare and therapeutic environments.
Mr. Xavier Bailey is a LISW-CP in the state of South Carolina with over eight years of experience providing clinical therapeutic care services to pre-teens, teens, young adults, couples, families, and elderly in a multitude of healthcare and therapeutic environments.
(843) 603-7249 View (843) 603-7249
Photo of John E. Epps, MSW, LISW-CP, Clinical Social Work/Therapist
John E. Epps
Clinical Social Work/Therapist, MSW, LISW-CP
Verified Verified
Piedmont, SC 29673  (Online Only)
I am accepting new patients for Telehealth appointments. Please email me and I will get back with you ASAP! You're welcome to call, but emails are easier to respond to. I love working with clients to help them see their inherent human value and to help them achieve their goals. I believe that healing is absolutely possible and will commit to helping clients on that journey. Together, we will address those critical self-thoughts and work towards replacing them with authentic and affirming thoughts. I offer a safe, non-judgmental space for clients to learn and grow and heal. I work with clients ages 16 and older.
I am accepting new patients for Telehealth appointments. Please email me and I will get back with you ASAP! You're welcome to call, but emails are easier to respond to. I love working with clients to help them see their inherent human value and to help them achieve their goals. I believe that healing is absolutely possible and will commit to helping clients on that journey. Together, we will address those critical self-thoughts and work towards replacing them with authentic and affirming thoughts. I offer a safe, non-judgmental space for clients to learn and grow and heal. I work with clients ages 16 and older.
(864) 740-0800 View (864) 740-0800
Photo of Nicole B. Smith, MEd, EdS, LPC-A
Nicole B. Smith
Licensed Professional Counselor Associate, MEd, EdS, LPC-A
Verified Verified
Piedmont, SC 29673
Are you in a season of life that is falling short of your expectations? Are you struggling to find your next step or purpose in life? Are the relationships in your life causing more pain than joy? Feeling anxious and don’t know why? These are all things I would love to help you navigate to find freedom and solutions in your life. Life is full of many fun, exciting and joyful moments. It is also full of many hard seasons, and it can be difficult to navigate those seasons on your own.
Are you in a season of life that is falling short of your expectations? Are you struggling to find your next step or purpose in life? Are the relationships in your life causing more pain than joy? Feeling anxious and don’t know why? These are all things I would love to help you navigate to find freedom and solutions in your life. Life is full of many fun, exciting and joyful moments. It is also full of many hard seasons, and it can be difficult to navigate those seasons on your own.
(864) 721-9029 View (864) 721-9029
Photo of Heather Simmerson, MA, LPC, Licensed Professional Counselor
Heather Simmerson
Licensed Professional Counselor, MA, LPC
Verified Verified
Piedmont, SC 29673
Waitlist for new clients
As humans we are all susceptible to depression, anxiety, low self-esteem and degraded self care. We can all fall victims to relationship problems, grief and confusion navigating through life with its ever changing twists and turns. I opened my practice with the desire to give clients a nonjudgmental, safe and welcoming environment in order to work on overcoming these life obstacles when they interfere with ones happiness and clarity.
As humans we are all susceptible to depression, anxiety, low self-esteem and degraded self care. We can all fall victims to relationship problems, grief and confusion navigating through life with its ever changing twists and turns. I opened my practice with the desire to give clients a nonjudgmental, safe and welcoming environment in order to work on overcoming these life obstacles when they interfere with ones happiness and clarity.
(864) 671-2644 View (864) 671-2644
Photo of Michael C Sarris - MCS Counseling LLC, MA, LPC, Licensed Professional Counselor
MCS Counseling LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Piedmont, SC 29673
At MCScounseling services I understand that life presents us with challenging situations, painful moments, and broken relationships. I am here to assist you with finding hope and healing through the therapeutic process. No two situations are the same and everyone's situation is unique and has its own story to tell. My approach is an eclectic approach to assist you with telling your unique story, to find hope, healing, and restoration.
At MCScounseling services I understand that life presents us with challenging situations, painful moments, and broken relationships. I am here to assist you with finding hope and healing through the therapeutic process. No two situations are the same and everyone's situation is unique and has its own story to tell. My approach is an eclectic approach to assist you with telling your unique story, to find hope, healing, and restoration.
(864) 712-7420 View (864) 712-7420
Photo of Haden Hallman - Rock Water Counseling LLC, LCSW, LISW-CP, Clinical Social Work/Therapist
Rock Water Counseling LLC
Clinical Social Work/Therapist, LCSW, LISW-CP
Verified Verified
Piedmont, SC 29673
My goal is to come alongside you and help you in your journey. I believe we all go through tough times and as a therapist I offer a judgement free space for you to talk about what you are experiencing. If you are dealing with anxiety, depression, trauma, relationship issues, unhealthy thinking, addiction or just need a safe place to talk and feel heard I want to be an experienced and reliable resource for you. I want you to know there is hope and you are not alone. We will work together to find the best treatment approach that is specific to your needs.
My goal is to come alongside you and help you in your journey. I believe we all go through tough times and as a therapist I offer a judgement free space for you to talk about what you are experiencing. If you are dealing with anxiety, depression, trauma, relationship issues, unhealthy thinking, addiction or just need a safe place to talk and feel heard I want to be an experienced and reliable resource for you. I want you to know there is hope and you are not alone. We will work together to find the best treatment approach that is specific to your needs.
(205) 657-0068 View (205) 657-0068
Photo of Walter Howard, MA, LPC, Licensed Professional Counselor
Walter Howard
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Piedmont, SC 29673
Waitlist for new clients
Life can be really challenging. My goal is to help you meet those challenges in a way that aligns with your values, goals, and life experiences. I have a wide range of experience, working with clients of varying ages and backgrounds, and find everyone’s story interesting and compelling. The majority of my work consists of helping clients with anxiety, depression, anger, grief, conflict, and life and career transitions. I also enjoy working with relational issues, pre-marital, marital, and family counseling as well. You can read more about me and my colleagues at Greenville Counseling Associates at www.greenvillecounseling.com.
Life can be really challenging. My goal is to help you meet those challenges in a way that aligns with your values, goals, and life experiences. I have a wide range of experience, working with clients of varying ages and backgrounds, and find everyone’s story interesting and compelling. The majority of my work consists of helping clients with anxiety, depression, anger, grief, conflict, and life and career transitions. I also enjoy working with relational issues, pre-marital, marital, and family counseling as well. You can read more about me and my colleagues at Greenville Counseling Associates at www.greenvillecounseling.com.
(864) 428-9343 View (864) 428-9343

How does your Therapist compare?

Number of Therapists in Piedmont, SC

20+

Average cost per session

$115

Therapists in Piedmont, SC who prioritize treating:

90% Anxiety
81% Depression
76% Self Esteem
71% Stress
67% Relationship Issues
67% Family Conflict
67% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
83% Cigna and Evernorth
75% Aetna

How Therapists in Piedmont, SC see their clients

81% In Person and Online
19% Online Only

Gender breakdown

55% Female
45% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Piedmont?

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.