Therapists in Scottsboro, AL

Photo of Jordan Cooper, Licensed Professional Counselor in Scottsboro, AL
Jordan Cooper
Licensed Professional Counselor, MS, NCC
Verified Verified
Scottsboro, AL 35768
I am a Licensed Professional Counselor providing therapeutic services to individual adults, children, families, and couples. I conduct services from our Scottsboro and Huntsville locations. I am available for in-office sessions, telephone or video call. I have clinical experience in identifying, addressing, and treating a multitude of mental health concerns and difficulties. I recognize the diversity and uniqueness to each person in order to utilize an integrated, holistic approach to therapy which I believe best fits the varying needs of each client.
I am a Licensed Professional Counselor providing therapeutic services to individual adults, children, families, and couples. I conduct services from our Scottsboro and Huntsville locations. I am available for in-office sessions, telephone or video call. I have clinical experience in identifying, addressing, and treating a multitude of mental health concerns and difficulties. I recognize the diversity and uniqueness to each person in order to utilize an integrated, holistic approach to therapy which I believe best fits the varying needs of each client.
(256) 223-7270 View (256) 223-7270
Photo of Dr. Linda Mia Rogers Lpc-S, Licensed Professional Counselor in Scottsboro, AL
Dr. Linda Mia Rogers Lpc-S
Licensed Professional Counselor, LPC-S
Verified Verified
Scottsboro, AL 35768
I have experience in working with a variety of populations (i.e. those involved in the criminal justice system, incarcerated youth/adults, and those with chronic mental illness such as Depression, Anxiety, Schizoaffective Disorder); children/adolescents/families, outpatient substance abuse treatment, with veterans and active duty military. Experience as the Outreach, Deployment, Mobilization Program Manager-Germany 2000-2003. I have 2 children who are active duty; familiar with community resources; experience addressing core problems related to mood disorders, anxiety, behavioral problems in children/adolescents, and attention deficit disorders.
I have experience in working with a variety of populations (i.e. those involved in the criminal justice system, incarcerated youth/adults, and those with chronic mental illness such as Depression, Anxiety, Schizoaffective Disorder); children/adolescents/families, outpatient substance abuse treatment, with veterans and active duty military. Experience as the Outreach, Deployment, Mobilization Program Manager-Germany 2000-2003. I have 2 children who are active duty; familiar with community resources; experience addressing core problems related to mood disorders, anxiety, behavioral problems in children/adolescents, and attention deficit disorders.
(256) 291-0779 View (256) 291-0779
Photo of Russell Glass, Licensed Professional Counselor in Scottsboro, AL
Russell Glass
Licensed Professional Counselor, LPC
Verified Verified
Scottsboro, AL 35769  (Online Only)
Realizing help is needed and then asking for it takes lot of courage. Our already chaotic world has become more so during these crazy, turbulent times, but thankfully relief is available from the comfort of home. As I have lived abroad, I believe I view the world through a diverse lens and recovering from some chronic conditions has allowed me to have a greater appreciation of living in today. Though these perspectives, I’m able to offer coping strategies and skills to assist others as they navigate through their daily struggles and use their strengths to work toward self-fulfillment and their authentic self.
Realizing help is needed and then asking for it takes lot of courage. Our already chaotic world has become more so during these crazy, turbulent times, but thankfully relief is available from the comfort of home. As I have lived abroad, I believe I view the world through a diverse lens and recovering from some chronic conditions has allowed me to have a greater appreciation of living in today. Though these perspectives, I’m able to offer coping strategies and skills to assist others as they navigate through their daily struggles and use their strengths to work toward self-fulfillment and their authentic self.
(256) 594-9493 View (256) 594-9493
Photo of Bethany McDowell, Licensed Professional Counselor in Scottsboro, AL
Bethany McDowell
Licensed Professional Counselor, LPC, MA
Verified Verified
1 Endorsed
Scottsboro, AL 35768
Life has a way of dragging people down and leaving them feeling overwhelmed, frustrated, and unable to cope. I am here to help you through those difficult times. I am a Licensed Professional Counselor (LPC) providing therapy to a variety of populations. I provide services for children and adolescents working through trauma, life adjustments, anxiety, and behavioral problems. Recognizing that children get their best start in life from a strong family unit, I work with individuals, couples, and families to repair trust, overcome past traumas and loss, and build healthy relationships.
Life has a way of dragging people down and leaving them feeling overwhelmed, frustrated, and unable to cope. I am here to help you through those difficult times. I am a Licensed Professional Counselor (LPC) providing therapy to a variety of populations. I provide services for children and adolescents working through trauma, life adjustments, anxiety, and behavioral problems. Recognizing that children get their best start in life from a strong family unit, I work with individuals, couples, and families to repair trust, overcome past traumas and loss, and build healthy relationships.
(256) 617-6374 View (256) 617-6374
Photo of Tristan Rice, Clinical Social Work/Therapist in Scottsboro, AL
Tristan Rice
Clinical Social Work/Therapist, LICSW
Verified Verified
Scottsboro, AL 35768  (Online Only)
Whether you are struggling with a loss of a loved one, feeling overwhelmed by depression or anxiety, facing challenges in your relationships, or experiencing unique issues that women encounter, I am dedicated to working collaboratively with you to develop personalized strategies for growth and healing. Together we will explore your strengths, identify areas for growth, and develop practical coping skills to enhance your overall well-being. I understand that aspects of life can be overwhelming and complex, and I am here to offer a compassionate and non-judgmental space for you to explore and heal.
Whether you are struggling with a loss of a loved one, feeling overwhelmed by depression or anxiety, facing challenges in your relationships, or experiencing unique issues that women encounter, I am dedicated to working collaboratively with you to develop personalized strategies for growth and healing. Together we will explore your strengths, identify areas for growth, and develop practical coping skills to enhance your overall well-being. I understand that aspects of life can be overwhelming and complex, and I am here to offer a compassionate and non-judgmental space for you to explore and heal.
(256) 257-8153 View (256) 257-8153
Photo of Dr. Jack G Weaver, Licensed Professional Counselor in Scottsboro, AL
Dr. Jack G Weaver
Licensed Professional Counselor, DMin, CMHC, LPC
Verified Verified
1 Endorsed
Scottsboro, AL 35768
It is my philosophy that counseling is an endeavor to help those who have suffered emotional injury to gain self-esteem and ability to function autonomously leading a rewarding and productive life. Counseling skills are to be administered with kindness, care, empathy and compassion, never harming the patient. Please see my full line of services and download helpful forms on our website www.SynergyConselingCenter.net
It is my philosophy that counseling is an endeavor to help those who have suffered emotional injury to gain self-esteem and ability to function autonomously leading a rewarding and productive life. Counseling skills are to be administered with kindness, care, empathy and compassion, never harming the patient. Please see my full line of services and download helpful forms on our website www.SynergyConselingCenter.net
(256) 697-0811 View (256) 697-0811
Photo of Barry Camp, Counselor in Scottsboro, AL
Barry Camp
Counselor, ALC
Verified Verified
Scottsboro, AL 35768
I am an Associate Licensed Counselor under the direct supervision of Dr. Lynna Meadows, PhD, LPC-S, and I am licensed to practice in the State of Alabama. I provide services face-to-face and via telemedicine. I received my Bachelor's degree in Criminal Justice from Jacksonville State University in Criminal Justice with a minor in Corrections and a concentration in Forensic Science. I received my Masters in Clinical Mental Health Counseling (CACREP) from Liberty University.I have been providing counseling services since 2021. I have experience working with children, teenagers, adults, and couples.
I am an Associate Licensed Counselor under the direct supervision of Dr. Lynna Meadows, PhD, LPC-S, and I am licensed to practice in the State of Alabama. I provide services face-to-face and via telemedicine. I received my Bachelor's degree in Criminal Justice from Jacksonville State University in Criminal Justice with a minor in Corrections and a concentration in Forensic Science. I received my Masters in Clinical Mental Health Counseling (CACREP) from Liberty University.I have been providing counseling services since 2021. I have experience working with children, teenagers, adults, and couples.
(256) 699-5754 View (256) 699-5754
Photo of Leslie V. Cochrane, Licensed Professional Counselor in Scottsboro, AL
Leslie V. Cochrane
Licensed Professional Counselor, MS, LPC
Verified Verified
Scottsboro, AL 35768
I am passionate about helping clients to improve the quality of their lives and to heal emotional wounds. Using the counseling process, you will be equipped with effective techniques and strategies to balance your life and emotions. Processing trauma is also done with sensitivity to my client's needs and the use of proven techniques. My office is discreetly located but easily accessible for your convenience. Visit me at Dayspring Center for Christian Counseling or email me to schedule for Telehealth and I will help you find your better tomorrow.
I am passionate about helping clients to improve the quality of their lives and to heal emotional wounds. Using the counseling process, you will be equipped with effective techniques and strategies to balance your life and emotions. Processing trauma is also done with sensitivity to my client's needs and the use of proven techniques. My office is discreetly located but easily accessible for your convenience. Visit me at Dayspring Center for Christian Counseling or email me to schedule for Telehealth and I will help you find your better tomorrow.
(256) 598-3720 View (256) 598-3720
Photo of Daphne Simpson, Licensed Professional Counselor in Scottsboro, AL
Daphne Simpson
Licensed Professional Counselor, LPC-S
Verified Verified
Scottsboro, AL 35768
Navigating depression, anxiety, grief and perinatal mental health issues can be overwhelming. At Little River Counseling I offer tailored support for your unique challenges. Whether coping with depression, anxiety, or grief, or navigating perinatal mental health, I provide a safe space for healing. Together, we'll understand your emotions, process experiences, and develop coping strategies to move forward.
Navigating depression, anxiety, grief and perinatal mental health issues can be overwhelming. At Little River Counseling I offer tailored support for your unique challenges. Whether coping with depression, anxiety, or grief, or navigating perinatal mental health, I provide a safe space for healing. Together, we'll understand your emotions, process experiences, and develop coping strategies to move forward.
(256) 229-2029 View (256) 229-2029
Photo of Dr. Sharlaine Ortiz Good Doctor Behavioral Services Llc, Counselor in Scottsboro, AL
Dr. Sharlaine Ortiz Good Doctor Behavioral Services Llc
Counselor, PhD
Verified Verified
Scottsboro, AL 35768  (Online Only)
Español arriba. You are the master of your life. It's time to reclaim it. My passion is to help those that have experienced stress, sadness, work, and school issues along problems in their relationship. The ultimate goal is to assist you with reaching your full potential along with providing tools that can promote goal attainment.
Español arriba. You are the master of your life. It's time to reclaim it. My passion is to help those that have experienced stress, sadness, work, and school issues along problems in their relationship. The ultimate goal is to assist you with reaching your full potential along with providing tools that can promote goal attainment.
(256) 602-9756 View (256) 602-9756

Online Therapists

Photo of Michelle Essary, Licensed Professional Counselor in Scottsboro, AL
Michelle Essary
Licensed Professional Counselor, MA, LPC, BCN
Verified Verified
4 Endorsed
Hoover, AL 35244
Waitlist for new clients
My ideal client is one who is ready for change. I don't know many people who change when they are comfortable. By the time an individual or couple walks into a counseling office, they are usually in enough discomfort with their current reality that they are ready to work towards something new. I want to join with clients to identify what is not working, the source of their discomfort, and help set them up for and walk with them into successful healing, change and overall health.
My ideal client is one who is ready for change. I don't know many people who change when they are comfortable. By the time an individual or couple walks into a counseling office, they are usually in enough discomfort with their current reality that they are ready to work towards something new. I want to join with clients to identify what is not working, the source of their discomfort, and help set them up for and walk with them into successful healing, change and overall health.
(833) 501-3736 View (833) 501-3736
Photo of Pamela Hayes, Counselor in Scottsboro, AL
Pamela Hayes
Counselor, LMSW
Verified Verified
Birmingham, AL 35213
Sometimes we get stuck. We may find ourselves repeating familiar patterns that, while fiercely self-protective, no longer serve us in the present moment. We may not be able to find our sense of safety and connection which can leave us feeling hopeless for a brighter future. I want to reassure you that despite what might feel like relentless suffering, there is always hope for healing. Together, we can explore ways to reconnect with the body’s innate wisdom, fostering a sense of safety regardless of past experiences. I specialize in C-PTSD, anxiety, depression, OCD, and chronic pain.
Sometimes we get stuck. We may find ourselves repeating familiar patterns that, while fiercely self-protective, no longer serve us in the present moment. We may not be able to find our sense of safety and connection which can leave us feeling hopeless for a brighter future. I want to reassure you that despite what might feel like relentless suffering, there is always hope for healing. Together, we can explore ways to reconnect with the body’s innate wisdom, fostering a sense of safety regardless of past experiences. I specialize in C-PTSD, anxiety, depression, OCD, and chronic pain.
(659) 234-2158 View (659) 234-2158
Photo of Monique Johnson-Hill, Licensed Professional Counselor in Scottsboro, AL
Monique Johnson-Hill
Licensed Professional Counselor, EdS, LPC-S, RPT-S, CCBT, TF-CBT
Verified Verified
Birmingham, AL 35209
Mrs. Johnson-Hill is committed to supporting individuals and families through a comprehensive approach. She strongly believes that, with the appropriate resources, everyone can achieve their fullest potential and is dedicated to ensuring they receive the utmost quality of service to make that possible. Her focus is on promoting the well-being of individuals, families, and the broader community by providing education, intervention, effective treatment, and prevention.
Mrs. Johnson-Hill is committed to supporting individuals and families through a comprehensive approach. She strongly believes that, with the appropriate resources, everyone can achieve their fullest potential and is dedicated to ensuring they receive the utmost quality of service to make that possible. Her focus is on promoting the well-being of individuals, families, and the broader community by providing education, intervention, effective treatment, and prevention.
(205) 379-6240 x205 View (205) 379-6240 x205
Photo of Darlene Nicks, Clinical Social Work/Therapist in Scottsboro, AL
Darlene Nicks
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
1 Endorsed
Birmingham, AL 35242
My name is Darlene Nicks. Have you experienced Trauma! Have you recently gone through a relationship betrayal, divorce, infidelity, homelessness? I practice a strength based, holistic approach to therapy and use a variety of theories and techniques based on each individual's personality and needs.
My name is Darlene Nicks. Have you experienced Trauma! Have you recently gone through a relationship betrayal, divorce, infidelity, homelessness? I practice a strength based, holistic approach to therapy and use a variety of theories and techniques based on each individual's personality and needs.
(205) 890-7830 View (205) 890-7830
Photo of Amanda Johnston, Licensed Professional Counselor in Scottsboro, AL
Amanda Johnston
Licensed Professional Counselor, LPC, NCC, CPCS
Verified Verified
Vestavia Hills, AL 35216
I believe that a client’s life is a journey towards the best version of themselves. That journey, however, is not without challenges that allow a client to take a deeper look into why they make certain choices. My approach looks at the connection between one's thoughts, feelings, and actions in past situations while helping a client reach the desired outcomes in the future. My 20+ years of experience have afforded me opportunities to work with individuals of all ages and needs. My passion, however, has been with clients struggling to find themselves, make sense of the world around them, and create healthy relationships with others.
I believe that a client’s life is a journey towards the best version of themselves. That journey, however, is not without challenges that allow a client to take a deeper look into why they make certain choices. My approach looks at the connection between one's thoughts, feelings, and actions in past situations while helping a client reach the desired outcomes in the future. My 20+ years of experience have afforded me opportunities to work with individuals of all ages and needs. My passion, however, has been with clients struggling to find themselves, make sense of the world around them, and create healthy relationships with others.
(205) 827-6971 View (205) 827-6971
Photo of Dr. Chaplain Frederick D. Woods, Pastoral Counselor in Scottsboro, AL
Dr. Chaplain Frederick D. Woods
Pastoral Counselor, ThD,
Verified Verified
Huntsville, AL 35802
As the founder of 3Cempowerment, I value a Spirit-centered, strength base and solution focus therapy. I rely heavily upon my clinical pastoral education whereas I meet the client where they are offering an empathetic presense, listening ear. To assist in identifying deep rooted matters of concern and began establish a health and positive copying mechanisms.
As the founder of 3Cempowerment, I value a Spirit-centered, strength base and solution focus therapy. I rely heavily upon my clinical pastoral education whereas I meet the client where they are offering an empathetic presense, listening ear. To assist in identifying deep rooted matters of concern and began establish a health and positive copying mechanisms.
(938) 777-7021 View (938) 777-7021
Photo of Melanie C Danielowicz, Licensed Professional Counselor in Scottsboro, AL
Melanie C Danielowicz
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Florence, AL 35630
You don't need to feel alone in working to figure things out. With 13 years of experience in mental health and substance use services, I specialize in working with people of all ages to manage depression, anxiety, and trauma. If you feel stuck in your circumstances, this might be the opportunity you have been looking for to overcome these challenges. Over the years I have worked with people of all ages to have a safe, confidential place to talk through the things they are dealing with.
You don't need to feel alone in working to figure things out. With 13 years of experience in mental health and substance use services, I specialize in working with people of all ages to manage depression, anxiety, and trauma. If you feel stuck in your circumstances, this might be the opportunity you have been looking for to overcome these challenges. Over the years I have worked with people of all ages to have a safe, confidential place to talk through the things they are dealing with.
(256) 530-8538 View (256) 530-8538
Photo of Linda Ellis, Licensed Professional Counselor in Scottsboro, AL
Linda Ellis
Licensed Professional Counselor, MA, LPC, RYT
Verified Verified
Birmingham, AL 35233  (Online Only)
"Gather up all your scattered dreams and build the life you love" Unknown. When life circumstances such as trauma or loss leave you feeling sad, anxious, depressed, lonely, overwhelmed, discouraged or perhaps turning to unhealthy coping mechanisms our inner resources, relationships and our relationship with our Self can suffer. A courageous step is to seek help and whether you are 18 or 80+, I will work with you to help you find your inner strengths and coping skills.
"Gather up all your scattered dreams and build the life you love" Unknown. When life circumstances such as trauma or loss leave you feeling sad, anxious, depressed, lonely, overwhelmed, discouraged or perhaps turning to unhealthy coping mechanisms our inner resources, relationships and our relationship with our Self can suffer. A courageous step is to seek help and whether you are 18 or 80+, I will work with you to help you find your inner strengths and coping skills.
(205) 708-3345 View (205) 708-3345
Photo of Ashley Carden, Clinical Social Work/Therapist in Scottsboro, AL
Ashley Carden
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Birmingham, AL 35242
Hi! I'm so glad you are here. I specialize in treating children, adolescents, and individuals who have experienced trauma (sexual abuse, physical abuse, maltreatment and neglect), anxiety, stress, trauma-related struggles, and attachment disturbances. Life can be challenging - especially when you feel stuck and joy seems lost. Experiencing challenging life events does not mean settling for unhappy circumstances. Together, we can work on creating positive meaning out of the most painful parts of your story, so that you can continue to move forward in the healing process and get to the place where you want to be.
Hi! I'm so glad you are here. I specialize in treating children, adolescents, and individuals who have experienced trauma (sexual abuse, physical abuse, maltreatment and neglect), anxiety, stress, trauma-related struggles, and attachment disturbances. Life can be challenging - especially when you feel stuck and joy seems lost. Experiencing challenging life events does not mean settling for unhappy circumstances. Together, we can work on creating positive meaning out of the most painful parts of your story, so that you can continue to move forward in the healing process and get to the place where you want to be.
(205) 272-6386 View (205) 272-6386
Photo of Ben DeBell, Licensed Professional Counselor in Scottsboro, AL
Ben DeBell
Licensed Professional Counselor, MDiv, LPC
Verified Verified
Trussville, AL 35173
Ben is a Licensed Professional Counselor that utilizes an integrative approach to counseling, incorporating theological and psychological principles. He uses a variety of counseling models to meet the various needs of clients including cognitive behavioral therapy (CBT), Brief-Solution Focused Therapy, TBRI, and others. Ben enjoys working with individuals, couples/families, and children.
Ben is a Licensed Professional Counselor that utilizes an integrative approach to counseling, incorporating theological and psychological principles. He uses a variety of counseling models to meet the various needs of clients including cognitive behavioral therapy (CBT), Brief-Solution Focused Therapy, TBRI, and others. Ben enjoys working with individuals, couples/families, and children.
(205) 315-8995 View (205) 315-8995

See more therapy options for Scottsboro

How does your Therapist compare?

Number of Therapists in Scottsboro, AL

10+

Average cost per session

$125

Therapists in Scottsboro, AL who prioritize treating:

90% Depression
90% Anxiety
70% Self Esteem
60% Trauma and PTSD
60% Divorce
60% Emotional Disturbance
50% Grief

Average years in practice

6 Years

Top 3 insurances accepted

75% BlueCross and BlueShield
63% Cigna and Evernorth
50% UnitedHealthcare UHC | UBH

How Therapists in Scottsboro, AL see their clients

70% In Person and Online
30% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Scottsboro?

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.