Therapists in Pantego, TX

Photo of Angela Nowell, LPC, RPT, Licensed Professional Counselor
Angela Nowell
Licensed Professional Counselor, LPC, RPT
Verified Verified
Pantego, TX 76013
Do you ever find yourself awake in the middle of the night? Do you often feel that you're talking in circles to your teen? Often do you worry who their friends are? If so I understand, and I can help. Navigating parenting can be difficult.
Do you ever find yourself awake in the middle of the night? Do you often feel that you're talking in circles to your teen? Often do you worry who their friends are? If so I understand, and I can help. Navigating parenting can be difficult.
(817) 381-2784 View (817) 381-2784
Photo of Debra L Rogers, MS, CPT, Licensed Professional Counselor
Debra L Rogers
Licensed Professional Counselor, MS, CPT
Verified Verified
1 Endorsed
Pantego, TX 76013
To provide you with the tools that forge together the "before trauma" and "after trauma" person; in order to assist you in your goals for fortitude, resiliency, and peace. Focused and engaged therapeutic sessions to reclaim your resolve from the battering of the storm. I assist my clients in reassessing their experiences, reclaiming their hope, restructuring their goals, and resolving their values so that, they may feel more empowered, confident, resilient, and hopeful.
To provide you with the tools that forge together the "before trauma" and "after trauma" person; in order to assist you in your goals for fortitude, resiliency, and peace. Focused and engaged therapeutic sessions to reclaim your resolve from the battering of the storm. I assist my clients in reassessing their experiences, reclaiming their hope, restructuring their goals, and resolving their values so that, they may feel more empowered, confident, resilient, and hopeful.
(817) 670-5582 View (817) 670-5582
Photo of Jashley Boatwright, LPC-AT, ATR-BC, Licensed Professional Counselor
Jashley Boatwright
Licensed Professional Counselor, LPC-AT, ATR-BC
Verified Verified
1 Endorsed
Pantego, TX 76013
I believe in each client’s potential and unique creativity. Your mind and body are designed to heal. I seek to help clients connect and return to the natural and healthy design of rest and digest and grow coping tools when faced with being in a fight or flight mode. Hope is a critical force in the healing process. “Hope is being able to see that there is light despite all the darkness,” Desmond Tutu. Being able to connect to the present with honesty, transparency, and non-judgment is a key ingredient to understanding oneself and embracing the healing journey.
I believe in each client’s potential and unique creativity. Your mind and body are designed to heal. I seek to help clients connect and return to the natural and healthy design of rest and digest and grow coping tools when faced with being in a fight or flight mode. Hope is a critical force in the healing process. “Hope is being able to see that there is light despite all the darkness,” Desmond Tutu. Being able to connect to the present with honesty, transparency, and non-judgment is a key ingredient to understanding oneself and embracing the healing journey.
(817) 270-6788 View (817) 270-6788
Photo of Dr. Valencia Campbell-Chapin, EdD, LPC-S, RPT-S, CCAPT, LCDC, Licensed Professional Counselor
Dr. Valencia Campbell-Chapin
Licensed Professional Counselor, EdD, LPC-S, RPT-S, CCAPT, LCDC
Verified Verified
3 Endorsed
Pantego, TX 76013  (Online Only)
Are you tired of those frustrating phone calls from the school saying that your child got into another fight? Or has been suspended again? Are you tired of looking at your child's behavior sheet and seeing multiple numbers circled? If you are tired of your child's color being changed to red or number being change, I understand your frustration. Having 20 years of experience working in the public schools as a Certified School Counselor, Registered Play Therapist, and Special Ed Teacher, I can help.
Are you tired of those frustrating phone calls from the school saying that your child got into another fight? Or has been suspended again? Are you tired of looking at your child's behavior sheet and seeing multiple numbers circled? If you are tired of your child's color being changed to red or number being change, I understand your frustration. Having 20 years of experience working in the public schools as a Certified School Counselor, Registered Play Therapist, and Special Ed Teacher, I can help.
(817) 210-5674 View (817) 210-5674
Photo of Alexia Sandoval, LPC-A
Alexia Sandoval
LPC Associate, LPC-A
Verified Verified
Pantego, TX 76013
I am a Licensed Professional Counselor Associate, under the Supervision of Dr. Valencia Campbell-Chapin, LPC-S. Do you find yourself worrying all the time? Do you find yourself constantly stressed or anxious? Do your thoughts keep you awake at night; making it hard to turn your brain off and relax? You could be experiencing anxiety. If you are tired of feeling this way I understand your frustration. Anxiety can disrupt your day making it difficult to sleep, make decisions, and enjoy life. I can help. I am a RPT Candidate, Certified Grief Counseling and offer family therapy. Give me a call I work in person SUNDAY-WED 817-210-5674
I am a Licensed Professional Counselor Associate, under the Supervision of Dr. Valencia Campbell-Chapin, LPC-S. Do you find yourself worrying all the time? Do you find yourself constantly stressed or anxious? Do your thoughts keep you awake at night; making it hard to turn your brain off and relax? You could be experiencing anxiety. If you are tired of feeling this way I understand your frustration. Anxiety can disrupt your day making it difficult to sleep, make decisions, and enjoy life. I can help. I am a RPT Candidate, Certified Grief Counseling and offer family therapy. Give me a call I work in person SUNDAY-WED 817-210-5674
(817) 587-1568 View (817) 587-1568
Photo of Debra Martin Wysoski, MA,  LPC, Licensed Professional Counselor
Debra Martin Wysoski
Licensed Professional Counselor, MA, LPC
Verified Verified
Pantego, TX 76013
I believe that most people want to learn ways in which they can lessen the amount of stress in their lives. A person's thoughts and feelings can often stay trapped in the negative issues of the past or be pushed forward to the concerns of the future. These two states of mind can invariably lead a person to experience depression and anxiety. Learning new techniques that allow the person to put aside the problems of the past and worries of the future allows the person to fully engage themselves in the present and capture the joys of the moment, bringing a state of happiness to their life.
I believe that most people want to learn ways in which they can lessen the amount of stress in their lives. A person's thoughts and feelings can often stay trapped in the negative issues of the past or be pushed forward to the concerns of the future. These two states of mind can invariably lead a person to experience depression and anxiety. Learning new techniques that allow the person to put aside the problems of the past and worries of the future allows the person to fully engage themselves in the present and capture the joys of the moment, bringing a state of happiness to their life.
(817) 501-4925 View (817) 501-4925
Photo of Janelle Alford, MEd, LPC, RPT, CAAPT, Licensed Professional Counselor
Janelle Alford
Licensed Professional Counselor, MEd, LPC, RPT, CAAPT
Verified Verified
Pantego, TX 76013
My practice is geared towards providing counseling services to young children (with a focus on age 2-4), as well as clients recovering from issues related to COMPLEX trauma. (See www.nctsn.org/what-is-child-trauma/trauma-types/complex-trauma). I am a Registered Play Therapist, Certified Animal-Assisted Play Therapist (accompanied by a therapy dog and a therapy cat), and a Somatic EMDR Practitioner. I am trained in SMART (Sensory Motor Arousal Regulation Therapy), developed for children with complex trauma, and I am provisionally certified as a Drumbeat facilitator.
My practice is geared towards providing counseling services to young children (with a focus on age 2-4), as well as clients recovering from issues related to COMPLEX trauma. (See www.nctsn.org/what-is-child-trauma/trauma-types/complex-trauma). I am a Registered Play Therapist, Certified Animal-Assisted Play Therapist (accompanied by a therapy dog and a therapy cat), and a Somatic EMDR Practitioner. I am trained in SMART (Sensory Motor Arousal Regulation Therapy), developed for children with complex trauma, and I am provisionally certified as a Drumbeat facilitator.
(817) 962-2415 View (817) 962-2415
Photo of Victoria Gonzalez, LPC-A, MS
Victoria Gonzalez
Licensed Professional Counselor Associate, LPC-A, MS
Verified Verified
Pantego, TX 76013  (Online Only)
I provide various evidence-based therapeutic approaches to support individuals in navigating life's challenges. Whether you're seeking to manage the impact of a chronic illness or simply need support in processing your emotions, I am committed to helping you find the tools and resources you need to thrive. I have years of experience working with individuals with anxiety, depression, and autism spectrum disorders. I am dedicated to providing personalized care that addresses your unique needs and goals. Let's work together to rewrite your story and empower you to live a fulfilling life.
I provide various evidence-based therapeutic approaches to support individuals in navigating life's challenges. Whether you're seeking to manage the impact of a chronic illness or simply need support in processing your emotions, I am committed to helping you find the tools and resources you need to thrive. I have years of experience working with individuals with anxiety, depression, and autism spectrum disorders. I am dedicated to providing personalized care that addresses your unique needs and goals. Let's work together to rewrite your story and empower you to live a fulfilling life.
(469) 733-0848 View (469) 733-0848
Photo of Kristi Carter Weil, LCSW, MSW, Clinical Social Work/Therapist
Kristi Carter Weil
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Pantego, TX 76013
Life can be hard. Sometimes it feels like you’re getting sucked into a black hole. Maybe it’s depression, anxiety, PTSD or past traumas, grief, current relationships, substance use, or life piling one thing on top of another—whatever it is, you’re looking for a change. And you deserve it! You are worthy of peace, love, and healing just as you are! I would love to help you figure out your goals and how we can work together to meet them.
Life can be hard. Sometimes it feels like you’re getting sucked into a black hole. Maybe it’s depression, anxiety, PTSD or past traumas, grief, current relationships, substance use, or life piling one thing on top of another—whatever it is, you’re looking for a change. And you deserve it! You are worthy of peace, love, and healing just as you are! I would love to help you figure out your goals and how we can work together to meet them.
(817) 585-8449 View (817) 585-8449
Photo of Ashley Parrish, LCSW, Clinical Social Work/Therapist
Ashley Parrish
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Pantego, TX 76013
Hey there, I know things can be really tough sometimes. It can feel like no matter what you do, you keep running into the same problems. Maybe you have days when you feel like you’re not good enough or you hear a little voice in your head saying you can’t do it, that you don’t deserve it, or that you’re just not important. Those thoughts can keep coming back and make you feel really down.
Hey there, I know things can be really tough sometimes. It can feel like no matter what you do, you keep running into the same problems. Maybe you have days when you feel like you’re not good enough or you hear a little voice in your head saying you can’t do it, that you don’t deserve it, or that you’re just not important. Those thoughts can keep coming back and make you feel really down.
(817) 969-3634 View (817) 969-3634
Photo of Megan Hedges, LPC, MA, ATR
Megan Hedges
LPC, MA, ATR
Verified Verified
3 Endorsed
Pantego, TX 76013
Are you tired of searching for support only to find more barriers and judgement? Are you seeking a place of peace with a professional who can help you and your loved ones hold the heavy burden of what has happened to you? Have you tried forms of therapy that you heard were the "Gold Standard" and found they didn't work for you as expected? Sometimes our experiences are so heavy and cause us so much pain that it can be difficult to keep going. I offer you and your loved ones a safe place where your hope can be renewed and solutions can be found.
Are you tired of searching for support only to find more barriers and judgement? Are you seeking a place of peace with a professional who can help you and your loved ones hold the heavy burden of what has happened to you? Have you tried forms of therapy that you heard were the "Gold Standard" and found they didn't work for you as expected? Sometimes our experiences are so heavy and cause us so much pain that it can be difficult to keep going. I offer you and your loved ones a safe place where your hope can be renewed and solutions can be found.
(682) 452-7371 View (682) 452-7371
Photo of Linda Doutre, MSEd, LMFT, LPC, CBT, ETT, Licensed Professional Counselor
Linda Doutre
Licensed Professional Counselor, MSEd, LMFT, LPC, CBT, ETT
Verified Verified
Pantego, TX 76013
I am a developmental therapist with over 30 years experience in psychotherapy. I have extended training in Gestalt therapy, Bioenergetic Analysis ( a somatic relational therapy) and Emotional Transformational Therapy (ETT)therapy using different protocols of color and light), sound resonance healing with tuning forks; I provide couple and family therapy, diagnostic developmental testing/TOVA, and professional coaching for relationship issues, and professional development. In my years of practice, I have explored many different and effective ways of working with clients. I am Teletherapy certified and a certified life coach.
I am a developmental therapist with over 30 years experience in psychotherapy. I have extended training in Gestalt therapy, Bioenergetic Analysis ( a somatic relational therapy) and Emotional Transformational Therapy (ETT)therapy using different protocols of color and light), sound resonance healing with tuning forks; I provide couple and family therapy, diagnostic developmental testing/TOVA, and professional coaching for relationship issues, and professional development. In my years of practice, I have explored many different and effective ways of working with clients. I am Teletherapy certified and a certified life coach.
(817) 803-5787 View (817) 803-5787
Photo of Jennifer Lockwood, LCSW, Clinical Social Work/Therapist
Jennifer Lockwood
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Pantego, TX 76013
Everywhere you look everyone seems filled with joy, but you are filled with dread. Going through the motions, putting on a smiling face, covering up that you're barely handling your responsibilities has left you physically and emotionally exhausted. Your life has become an act of pretending everything is fine. But, you know the truth: everything is not fine. You want to change, to feel that spark of joy again, to live life fully and authentically. With each new year, you swear this time will be different. You'll accomplish your goals, you'll do things differently. You'll finally be happy. But how?
Everywhere you look everyone seems filled with joy, but you are filled with dread. Going through the motions, putting on a smiling face, covering up that you're barely handling your responsibilities has left you physically and emotionally exhausted. Your life has become an act of pretending everything is fine. But, you know the truth: everything is not fine. You want to change, to feel that spark of joy again, to live life fully and authentically. With each new year, you swear this time will be different. You'll accomplish your goals, you'll do things differently. You'll finally be happy. But how?
(682) 243-8534 View (682) 243-8534
Photo of Amanda Malcom, MA, LPC, CCTP, Licensed Professional Counselor
Amanda Malcom
Licensed Professional Counselor, MA, LPC, CCTP
Verified Verified
Pantego, TX 76013
Not accepting new clients
An old Chinese Proverb says... "the longest journey begins with a single step." Whether you are battling depression, facing life changes or just need extra support, I welcome you to take that single step in your new journey with me. I counsel individuals ages 18+ who are struggling with issues such as anxiety, depression, relational, grief, and trauma.
An old Chinese Proverb says... "the longest journey begins with a single step." Whether you are battling depression, facing life changes or just need extra support, I welcome you to take that single step in your new journey with me. I counsel individuals ages 18+ who are struggling with issues such as anxiety, depression, relational, grief, and trauma.
(817) 835-7060 View (817) 835-7060
Photo of Anna 'mea' McMahon, LPC, EMDR TR, Licensed Professional Counselor
Anna 'mea' McMahon
Licensed Professional Counselor, LPC, EMDR TR
Verified Verified
Pantego, TX 76013
Therapy begins the very moment you make the brave decision to step into that unknown to know yourself better and seek wholeness for yourself. Before you even contact the office, you have become a catalyst in an amazing journey by deciding to step and trust someone with your story. It is sacred to share your story and let yourself be known and make your voice heard. I honor that. You are not broken. You are simply open to the possibility of something more. In case no one has told you, I am proud of your brave.
Therapy begins the very moment you make the brave decision to step into that unknown to know yourself better and seek wholeness for yourself. Before you even contact the office, you have become a catalyst in an amazing journey by deciding to step and trust someone with your story. It is sacred to share your story and let yourself be known and make your voice heard. I honor that. You are not broken. You are simply open to the possibility of something more. In case no one has told you, I am proud of your brave.
(817) 646-1687 View (817) 646-1687
Photo of Bryan Duncan - New Leaf Services, LLC, LPC, PhD, NCC, Licensed Professional Counselor
New Leaf Services, LLC
Licensed Professional Counselor, LPC, PhD, NCC
Verified Verified
Pantego, TX 76013
At New Leaf Services, LLC we offer a wide variety of therapy and specialties. We offer individual, family, and couples counseling. Specialty treatment is available in Trauma, Abuse, PTSD, Substance Abuse, Grief Counseling, Depression, Anxiety, Stress Management, Cognitive Behavioral Therapy, Health Issues, and Animal Assisted Therapy. For counselors, we offer CEU training, administrative services, billing, credentialing, and general bookkeeping. We have multiple counselors and counselor interns to meet your needs. Please check out our web page for their bio's. www.newleafservicesllc.com
At New Leaf Services, LLC we offer a wide variety of therapy and specialties. We offer individual, family, and couples counseling. Specialty treatment is available in Trauma, Abuse, PTSD, Substance Abuse, Grief Counseling, Depression, Anxiety, Stress Management, Cognitive Behavioral Therapy, Health Issues, and Animal Assisted Therapy. For counselors, we offer CEU training, administrative services, billing, credentialing, and general bookkeeping. We have multiple counselors and counselor interns to meet your needs. Please check out our web page for their bio's. www.newleafservicesllc.com
(682) 622-0129 View (682) 622-0129
Photo of Vicki Walls - A Better You Counseling Center, PLLC, EdS, LPC, Licensed Professional Counselor
A Better You Counseling Center, PLLC
Licensed Professional Counselor, EdS, LPC
Verified Verified
4 Endorsed
Pantego, TX 76013  (Online Only)
We offer IOP services! EMDR Trained. Are you dealing with depression, suicidal, anxiety (stress), divorce/blended family issues, unhealthy relationships, low self esteem, adhd, difficulty in making decisions, or need help coping? Individual, couple, and family counseling are provided to assist you. Group counseling is also available for anger management, stress, parenting and teacher support group at the Arlington location. We are available mornings and evenings, Mon-Thur and specialize with kids, adolescents, adults, family and couples.
We offer IOP services! EMDR Trained. Are you dealing with depression, suicidal, anxiety (stress), divorce/blended family issues, unhealthy relationships, low self esteem, adhd, difficulty in making decisions, or need help coping? Individual, couple, and family counseling are provided to assist you. Group counseling is also available for anger management, stress, parenting and teacher support group at the Arlington location. We are available mornings and evenings, Mon-Thur and specialize with kids, adolescents, adults, family and couples.
(469) 563-2493 View (469) 563-2493
Photo of Leeann Martinez, LCSW, Clinical Social Work/Therapist
Leeann Martinez
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Pantego, TX 76013
I believe the therapeutic relationship provides a space for you to be your authentic self. I strive to create a space of genuineness by offering empathy and non-judgement. Once we accept ourselves fully, we can feel empowered in our life pursuits and conflicts. I believe in the importance of challenging you to stay true to your core, authentic self. I work with people 13 and up. I enjoy working with people to build self-confidence, encourage use of skills, and to process the difficult parts of life.
I believe the therapeutic relationship provides a space for you to be your authentic self. I strive to create a space of genuineness by offering empathy and non-judgement. Once we accept ourselves fully, we can feel empowered in our life pursuits and conflicts. I believe in the importance of challenging you to stay true to your core, authentic self. I work with people 13 and up. I enjoy working with people to build self-confidence, encourage use of skills, and to process the difficult parts of life.
(817) 835-7099 View (817) 835-7099
Photo of Angela P Harper Green, MS, LPC A, CGE
Angela P Harper Green
Licensed Professional Counselor Associate, MS, LPC A, CGE
Verified Verified
Pantego, TX 76013  (Online Only)
(469) 502-5770 View (469) 502-5770

More Therapists Nearby

Photo of MacArthur Gilmer, MS, LPC-S, Licensed Professional Counselor
MacArthur Gilmer
Licensed Professional Counselor, MS, LPC-S
Verified Verified
1 Endorsed
Arlington, TX 76010
I truly believe in the statement: "A calm and undisturbed heart and mind are the life and health of the body..." I understand dealing with hard times. It is my goal to help people live and achieve more satisfying lives. Whether you are dealing with anger, feeling disconnected, marital / relationship issues, anxiety, depression, loneliness, chemical/ alcohol dependency, family, or teen & adolescent issues, seeking professional help is always a start to making changes and growth.
I truly believe in the statement: "A calm and undisturbed heart and mind are the life and health of the body..." I understand dealing with hard times. It is my goal to help people live and achieve more satisfying lives. Whether you are dealing with anger, feeling disconnected, marital / relationship issues, anxiety, depression, loneliness, chemical/ alcohol dependency, family, or teen & adolescent issues, seeking professional help is always a start to making changes and growth.
(817) 264-7883 View (817) 264-7883

How does your Therapist compare?

Number of Therapists in Pantego, TX

10+

Average cost per session

$125

Therapists in Pantego, TX who prioritize treating:

95% Depression
89% Anxiety
84% Stress
79% Self Esteem
74% Parenting
74% Trauma and PTSD
74% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

86% Aetna
86% Cigna and Evernorth
64% UnitedHealthcare UHC | UBH

How Therapists in Pantego, TX see their clients

79% In Person and Online
21% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Pantego?

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.