Therapists in Ector, TX

Photo of Jeremy Ballard, DMin
Jeremy Ballard
DMin
Verified Verified
Ector, TX 75439  (Online Only)
My ideal clients are people with potential who want to grow as a leader, especially in Christian ministry. I also coach couples and families who want to improve their marriage and family relationships.
My ideal clients are people with potential who want to grow as a leader, especially in Christian ministry. I also coach couples and families who want to improve their marriage and family relationships.
(430) 218-3329 View (430) 218-3329
Photo of Melody McKibbin, MS, MA, LPC, Licensed Professional Counselor
Melody McKibbin
Licensed Professional Counselor, MS, MA, LPC
Verified Verified
2 Endorsed
Ector, TX 75439  (Online Only)
Hi there! My name is Melody McKibbin and I'm a licensed professional counselor. I attended Amberton University and have been practicing therapy for 2.5 years. I am certified in Dialectical Behavioral Therapy. My specialities are Borderline Personality Disorder, Grief, Depression, Anxiety and faith-based counseling. Let's work together to help you build a life worth living.In my free time, I enjoy spending time with my family and friends, my cats, and writing fiction.
Hi there! My name is Melody McKibbin and I'm a licensed professional counselor. I attended Amberton University and have been practicing therapy for 2.5 years. I am certified in Dialectical Behavioral Therapy. My specialities are Borderline Personality Disorder, Grief, Depression, Anxiety and faith-based counseling. Let's work together to help you build a life worth living.In my free time, I enjoy spending time with my family and friends, my cats, and writing fiction.
(903) 964-5049 View (903) 964-5049
Photo of Amy Acevedo, LCSW, Clinical Social Work/Therapist
Amy Acevedo
Clinical Social Work/Therapist, LCSW
Verified Verified
Ector, TX 75439
If you are reading this, that means that you have taken the first step. The first step is always the hardest. The good news is you do not have to do it alone and together we will make your journey a little easier. My name is Amy Acevedo and I am a Licensed Clinical Social Worker. I offer a warm, energetic, relaxed approach to therapy with focus on anxiety, depression, relationship conflict, and trauma. I provide an uplifting perspective which is supportive, challenging, flexible, and multifaceted to uniquely fit your needs and includes CBT, DBT, EMDR, ACT, Person-Centered and Mindfulness based theoretical approaches.
If you are reading this, that means that you have taken the first step. The first step is always the hardest. The good news is you do not have to do it alone and together we will make your journey a little easier. My name is Amy Acevedo and I am a Licensed Clinical Social Worker. I offer a warm, energetic, relaxed approach to therapy with focus on anxiety, depression, relationship conflict, and trauma. I provide an uplifting perspective which is supportive, challenging, flexible, and multifaceted to uniquely fit your needs and includes CBT, DBT, EMDR, ACT, Person-Centered and Mindfulness based theoretical approaches.
(936) 279-3999 View (936) 279-3999

More Therapists Nearby

Photo of Erin Holt - Erin Holt, LPC, MEd, LPC, Licensed Professional Counselor
Erin Holt, LPC
Licensed Professional Counselor, MEd, LPC
Verified Verified
Bonham, TX 75418
I help individuals, couples, families, adolescents, and teens learn, change, grow, and be the healthiest they can be. I work with issues of depression, anxiety, relationship problems, behavior, and more. My approach is to help you find solutions now, so you can get on with the joys life can offer.
I help individuals, couples, families, adolescents, and teens learn, change, grow, and be the healthiest they can be. I work with issues of depression, anxiety, relationship problems, behavior, and more. My approach is to help you find solutions now, so you can get on with the joys life can offer.
(469) 964-2297 View (469) 964-2297
Photo of Heidi Reddin, LPC, Licensed Professional Counselor
Heidi Reddin
Licensed Professional Counselor, LPC
Verified Verified
Savoy, TX 75479  (Online Only)
Hello! My name is Heidi Reddin and I am a Licensed Professional Counselor (LPC) based in New Braunfels, TX, and I see clients all throughout Texas via telehealth. I work with adults and specialize in trauma, anxiety, depression, stress, self-esteem, and major life transitions. I use Trauma-Focused Cognitive Behavioral Therapy, Attachment Therapy, and Person-Centered Therapy as modalities to explore client concerns.
Hello! My name is Heidi Reddin and I am a Licensed Professional Counselor (LPC) based in New Braunfels, TX, and I see clients all throughout Texas via telehealth. I work with adults and specialize in trauma, anxiety, depression, stress, self-esteem, and major life transitions. I use Trauma-Focused Cognitive Behavioral Therapy, Attachment Therapy, and Person-Centered Therapy as modalities to explore client concerns.
(469) 966-1733 View (469) 966-1733
Photo of Brittany Woolard, MA, LPC, NCC, Licensed Professional Counselor
Brittany Woolard
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Bonham, TX 75418
Hello! I work with children, teens, and adults who are struggling with anxiety, depression, trauma, abuse, grief, low self-esteem, body image, life transitions, gender identity, and sexuality. I utilize affirming counseling practices with all clients, and especially enjoy working with LGBTQIA+ individuals and their families.
Hello! I work with children, teens, and adults who are struggling with anxiety, depression, trauma, abuse, grief, low self-esteem, body image, life transitions, gender identity, and sexuality. I utilize affirming counseling practices with all clients, and especially enjoy working with LGBTQIA+ individuals and their families.
(903) 269-9107 View (903) 269-9107
Photo of Candace Ray - Texoma Line Counseling, MA, LPC-S, Licensed Professional Counselor
Texoma Line Counseling
Licensed Professional Counselor, MA, LPC-S
Verified Verified
3 Endorsed
Bonham, TX 75418
The journey of personal growth and healing begins with finding someone that you believe to be understanding, non-judgmental, and easy to talk to. At Texoma Line Counseling, we are dedicated to providing compassionate and specialized counseling services to 1st Responders, Veterans, and their families. We offer individual therapy, couples counseling, and group therapy for our clients who may be struggling with a variety of issues such as trauma, PTSD, anxiety, depression, and relationship difficulties.
The journey of personal growth and healing begins with finding someone that you believe to be understanding, non-judgmental, and easy to talk to. At Texoma Line Counseling, we are dedicated to providing compassionate and specialized counseling services to 1st Responders, Veterans, and their families. We offer individual therapy, couples counseling, and group therapy for our clients who may be struggling with a variety of issues such as trauma, PTSD, anxiety, depression, and relationship difficulties.
(903) 904-0241 View (903) 904-0241
Photo of John Trader, LPC-S, Licensed Professional Counselor
John Trader
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
Bonham, TX 75418  (Online Only)
Hello there. My name is John Trader and I have been a mental health counselor for over a decade. I am devoted to helping people with trauma be able to examine how it continues to affect their lives. I love to see breakthroughs with individuals and couples. I am passionate about creating safe spaces for people to explore neurodivergence and sexual identity. I am LGBTQIA+ and anti-racist. As a clinician, I believe that couples and individuals have the ability to work through life's difficulties by bringing safety and acceptance to the therapeutic process.
Hello there. My name is John Trader and I have been a mental health counselor for over a decade. I am devoted to helping people with trauma be able to examine how it continues to affect their lives. I love to see breakthroughs with individuals and couples. I am passionate about creating safe spaces for people to explore neurodivergence and sexual identity. I am LGBTQIA+ and anti-racist. As a clinician, I believe that couples and individuals have the ability to work through life's difficulties by bringing safety and acceptance to the therapeutic process.
(903) 476-6783 View (903) 476-6783
Photo of Amanda Wentz, LCSW, Clinical Social Work/Therapist
Amanda Wentz
Clinical Social Work/Therapist, LCSW
Verified Verified
Ivanhoe, TX 75447
Hi, my name is Amanda Wentz, and I have been practicing as an LCSW since 2014. My expertise lies mainly in the areas of Trauma, PTSD, Anxiety, Depression, Life Stressors, Work Stressors, Relationship Turmoil, Panic Attacks, and Parenting Skills. The main approaches I utilize when providing treatment are Acceptance and Commitment (ACT), Cognitive Behavioral (CBT), Strength-Based, Trauma Focused, and Narrative therapies. I believe that together with my expertise as a clinical professional and your expertise in yourself, we can work as a team to help you be the best version of yourself!
Hi, my name is Amanda Wentz, and I have been practicing as an LCSW since 2014. My expertise lies mainly in the areas of Trauma, PTSD, Anxiety, Depression, Life Stressors, Work Stressors, Relationship Turmoil, Panic Attacks, and Parenting Skills. The main approaches I utilize when providing treatment are Acceptance and Commitment (ACT), Cognitive Behavioral (CBT), Strength-Based, Trauma Focused, and Narrative therapies. I believe that together with my expertise as a clinical professional and your expertise in yourself, we can work as a team to help you be the best version of yourself!
(915) 233-1225 View (915) 233-1225
Photo of Andrea Perry, PhD, LPC, Licensed Professional Counselor
Andrea Perry
Licensed Professional Counselor, PhD, LPC
Verified Verified
1 Endorsed
Bonham, TX 75418
Thank you for your interest in my psychological services. My educational background includes a Masters degree in Professional Counseling, and a Doctorate (PhD) in Counselor Education and Supervision. I am a Licensed Professional Counselor (LPC) in Paris, Texas with 10 years of experience practicing. I work with clients who are dealing with a wide range of concerns including Grief, Depression, Anxiety/Panic, Schizophrenia, OCD, Bipolar Disorder, Personality Disorders, family of origin concerns & exploration, & many other psychological & behavioral challenges.
Thank you for your interest in my psychological services. My educational background includes a Masters degree in Professional Counseling, and a Doctorate (PhD) in Counselor Education and Supervision. I am a Licensed Professional Counselor (LPC) in Paris, Texas with 10 years of experience practicing. I work with clients who are dealing with a wide range of concerns including Grief, Depression, Anxiety/Panic, Schizophrenia, OCD, Bipolar Disorder, Personality Disorders, family of origin concerns & exploration, & many other psychological & behavioral challenges.
(430) 209-3335 View (430) 209-3335
Photo of Skye Broadus-Thomas, MSW, LCSW-S, Clinical Social Work/Therapist
Skye Broadus-Thomas
Clinical Social Work/Therapist, MSW, LCSW-S
Verified Verified
Bonham, TX 75418
I like working with a variety of people and helping guide them through life's stresses. I especially enjoy teaching others how to set boundaries, build their self esteem and work towards their goals. I strive to make my clients feel safe and comfortable while sharing their thoughts, feelings, traumas, hopes and dreams.
I like working with a variety of people and helping guide them through life's stresses. I especially enjoy teaching others how to set boundaries, build their self esteem and work towards their goals. I strive to make my clients feel safe and comfortable while sharing their thoughts, feelings, traumas, hopes and dreams.
(430) 208-5715 View (430) 208-5715
Photo of Stacie Garcia - Stacie Garcia, TrueNorth Therapy PLLC, MS, LPC, NCC, CCPT, MEd, Licensed Professional Counselor
Stacie Garcia, TrueNorth Therapy PLLC
Licensed Professional Counselor, MS, LPC, NCC, CCPT, MEd
Verified Verified
1 Endorsed
Bonham, TX 75418
Do you want to feel in a better headspace, happier, and be able to function in your life? I will help you or your children navigate through their thoughts, feelings, sensations, and behaviors after they have been in a narcissistic or abusive relationship, traumatic experience, and/or loss of someone special. I work with issues of depression, grief, anxiety, behavior, self-harm, suicidality, and neurodiversity. You want someone that will listen and assist you in meeting your goals and discovering the new, stronger, resilient person that can get up each day & walk your new path with new skills. www.truenorththerapypllc.com
Do you want to feel in a better headspace, happier, and be able to function in your life? I will help you or your children navigate through their thoughts, feelings, sensations, and behaviors after they have been in a narcissistic or abusive relationship, traumatic experience, and/or loss of someone special. I work with issues of depression, grief, anxiety, behavior, self-harm, suicidality, and neurodiversity. You want someone that will listen and assist you in meeting your goals and discovering the new, stronger, resilient person that can get up each day & walk your new path with new skills. www.truenorththerapypllc.com
(903) 200-1303 View (903) 200-1303
Photo of Alan Nguyen, LCSW, Clinical Social Work/Therapist
Alan Nguyen
Clinical Social Work/Therapist, LCSW
Verified Verified
Savoy, TX 75479
Everyone is faced with obstacles at some point in their lives. Sometimes these challenges bring up different emotions or you feel “stuck” and you find yourself having a difficult time processing them. They may even be affecting your work/school, relationship, family, or day-to-day activities. I provide a safe space to work through these challenges. I believe therapy is a collaborative effort where we work together to navigate through difficult emotions, patterns and behaviors that may be contributing to problems, and any obstacles in the way of change for the better.
Everyone is faced with obstacles at some point in their lives. Sometimes these challenges bring up different emotions or you feel “stuck” and you find yourself having a difficult time processing them. They may even be affecting your work/school, relationship, family, or day-to-day activities. I provide a safe space to work through these challenges. I believe therapy is a collaborative effort where we work together to navigate through difficult emotions, patterns and behaviors that may be contributing to problems, and any obstacles in the way of change for the better.
(430) 206-1355 View (430) 206-1355
Photo of Kara Olfert, LCSW, Clinical Social Work/Therapist
Kara Olfert
Clinical Social Work/Therapist, LCSW
Verified Verified
Bonham, TX 75418
Together, we will develop an understanding of who you are, how your beliefs about self affect how you feel, and empower you to see the strength and beauty within. We will address fears and worries, sadness and grief, depression and anxiety. We will strengthen your coping skills and confidence in yourself.
Together, we will develop an understanding of who you are, how your beliefs about self affect how you feel, and empower you to see the strength and beauty within. We will address fears and worries, sadness and grief, depression and anxiety. We will strengthen your coping skills and confidence in yourself.
(430) 209-3921 View (430) 209-3921
Photo of Anthony P. Blackburn, LCSW, LCDC, MBA, MA, Clinical Social Work/Therapist
Anthony P. Blackburn
Clinical Social Work/Therapist, LCSW, LCDC, MBA, MA
Verified Verified
Bonham, TX 75418
I enjoy working with people from diverse backgrounds, cultures, and experiences. My 20 years in the military and over five decades of life have taught me that life can be complicated and overwhelming at times. Rather than condemning, I’m here to support my clients on their journey toward a better quality of life. One of my greatest joys is seeing my clients overcome their struggles. I offer quick, same-day appointments and can provide multiple-hour sessions as needed. However, I don’t file insurance due to the complexities involved with insurance companies.
I enjoy working with people from diverse backgrounds, cultures, and experiences. My 20 years in the military and over five decades of life have taught me that life can be complicated and overwhelming at times. Rather than condemning, I’m here to support my clients on their journey toward a better quality of life. One of my greatest joys is seeing my clients overcome their struggles. I offer quick, same-day appointments and can provide multiple-hour sessions as needed. However, I don’t file insurance due to the complexities involved with insurance companies.
(903) 361-6083 View (903) 361-6083
Photo of Brian Ray, LPC-A
Brian Ray
Licensed Professional Counselor Associate, LPC-A
Verified Verified
Bonham, TX 75418
The journey to personal growth and healing begins with finding someone that is understanding, non-judgmental, and easy to talk to. I am dedicated to providing compassionate and specialized counseling services to all of my clients. I specialize in working with First Responders, Veterans, and their families. I offer individual and couples counseling, and work with a variety of issues including trauma, PTSD, anxiety, depression, and relationship difficulties. I am trained in ART (Accelerated Resolution Therapy) and have seen some fantastic results!
The journey to personal growth and healing begins with finding someone that is understanding, non-judgmental, and easy to talk to. I am dedicated to providing compassionate and specialized counseling services to all of my clients. I specialize in working with First Responders, Veterans, and their families. I offer individual and couples counseling, and work with a variety of issues including trauma, PTSD, anxiety, depression, and relationship difficulties. I am trained in ART (Accelerated Resolution Therapy) and have seen some fantastic results!
(903) 289-6061 View (903) 289-6061
Photo of Jill Conway, LPC, Licensed Professional Counselor
Jill Conway
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Bonham, TX 75418
Everyone deserves someone who is dedicated to helping others in a confidential & safe environment which allows them to feel free to work through their struggles. I have a passion for guiding marriages/couples to overcome obstacles. I am committed to helping individuals with PTSD, Depression, Anxiety or Stress. My professional experience began over 10 years ago which includes schools, inpatient crisis centers & office settings . I believe the counseling process should take the whole person and their life experiences into consideration while looking at the person’s mind, body, and spirit to best fit each individuals needs.
Everyone deserves someone who is dedicated to helping others in a confidential & safe environment which allows them to feel free to work through their struggles. I have a passion for guiding marriages/couples to overcome obstacles. I am committed to helping individuals with PTSD, Depression, Anxiety or Stress. My professional experience began over 10 years ago which includes schools, inpatient crisis centers & office settings . I believe the counseling process should take the whole person and their life experiences into consideration while looking at the person’s mind, body, and spirit to best fit each individuals needs.
(903) 905-8802 View (903) 905-8802
Photo of Denetria Brooks-James, LCSW, Clinical Social Work/Therapist
Denetria Brooks-James
Clinical Social Work/Therapist, LCSW
Verified Verified
Bells, TX 75414
Hi there, I'm Denetria, a Licensed Clinical Social Worker (LCSW). Who is passionate about assisting others to become as healthy mentally and emotionally as they can. I am based in San Antonio, TX. I am Trauma-Focused trained and in Prolonged Exposure. However, I use treatment modalities that fit the need of each client. I became a therapist after therapy changed my life. I have been a therapist since 2006, and I love every single interaction with each client. I enjoy helping others become the best person they can be.
Hi there, I'm Denetria, a Licensed Clinical Social Worker (LCSW). Who is passionate about assisting others to become as healthy mentally and emotionally as they can. I am based in San Antonio, TX. I am Trauma-Focused trained and in Prolonged Exposure. However, I use treatment modalities that fit the need of each client. I became a therapist after therapy changed my life. I have been a therapist since 2006, and I love every single interaction with each client. I enjoy helping others become the best person they can be.
(713) 597-6782 View (713) 597-6782
Photo of Wayne Crooks, LCSW, Clinical Social Work/Therapist
Wayne Crooks
Clinical Social Work/Therapist, LCSW
Verified Verified
Bells, TX 75414
Wayne Crooks is a Licensed Clinical Social Worker with over 35 years of experience in the field of mental health and social services. His tenure in the field includes work with children, adolescents, adults and couples. His experience includes working in correctional institutions, outpatient clinics, inpatient hospital, school based health programs, therapeutic foster care, residential treatment, online counseling and the corporate setting. In his role as a health educator Mr. Crooks was instrumental in shaping the efficient delivery of health care services to students in the Dallas public school system.
Wayne Crooks is a Licensed Clinical Social Worker with over 35 years of experience in the field of mental health and social services. His tenure in the field includes work with children, adolescents, adults and couples. His experience includes working in correctional institutions, outpatient clinics, inpatient hospital, school based health programs, therapeutic foster care, residential treatment, online counseling and the corporate setting. In his role as a health educator Mr. Crooks was instrumental in shaping the efficient delivery of health care services to students in the Dallas public school system.
(817) 533-8087 View (817) 533-8087

Online Therapists

Photo of Logen Ashford, LPC, Licensed Professional Counselor
Logen Ashford
Licensed Professional Counselor, LPC
Verified Verified
Royse City, TX 75189
I offer counseling for children, teens, adult individuals, and couples facing a wide range of challenges, including trauma and PTSD, depression, anxiety, sexual abuse, relationship issues, spiritual struggles, and much more. Some of my goals are to help you understand what you are going through and help you develop useful skills so you can overcome the trials and hardships you face. Using a person-centered approach, I believe you are the expert on your life. Part of my role is to guide you toward skills and tools that will be most useful for you to help you accomplish the specific goals you’d like to achieve in your life.
I offer counseling for children, teens, adult individuals, and couples facing a wide range of challenges, including trauma and PTSD, depression, anxiety, sexual abuse, relationship issues, spiritual struggles, and much more. Some of my goals are to help you understand what you are going through and help you develop useful skills so you can overcome the trials and hardships you face. Using a person-centered approach, I believe you are the expert on your life. Part of my role is to guide you toward skills and tools that will be most useful for you to help you accomplish the specific goals you’d like to achieve in your life.
(469) 966-2520 View (469) 966-2520

See more therapy options for Ector

How does your Therapist compare?

Number of Therapists in Ector, TX

< 10

Therapists in Ector, TX who prioritize treating:

100% Spirituality
67% Relationship Issues
67% Depression
67% Anxiety
67% Sleep or Insomnia
67% Family Conflict
67% Marital and Premarital

Average years in practice

2 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Ector, TX see their clients

66% Online Only
34% In Person and Online

Gender breakdown

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

How can I find a therapist in Ector?

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.