Therapists in Humble, TX
Tiffany Woodward
Licensed Professional Counselor, MS, MA, LPC
Verified Verified
Humble, TX 77346
I am a Licensed Professional Counselor providing therapeutic services at Atascocita Counseling Associates to children, adolescents, and adults through individual and family counseling. I believe in meeting clients where they are and working collaboratively with individuals and families to empower clients to be the best version of themselves. I have over 15 years of experience working with individuals and families within child welfare and juvenile probation agencies, as well as private practice.
I am a Licensed Professional Counselor providing therapeutic services at Atascocita Counseling Associates to children, adolescents, and adults through individual and family counseling. I believe in meeting clients where they are and working collaboratively with individuals and families to empower clients to be the best version of themselves. I have over 15 years of experience working with individuals and families within child welfare and juvenile probation agencies, as well as private practice.
Allen Ray Glass
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Humble, TX 77346 (Online Only)
I am first and foremost a Christian, then I am a counselor. It is the application of biblical principles that allow me to bring lasting results in the lives of my clients. I use a wide variety of theoretical approaches, techniques and activities depending on the needs of the client. Acting as a guide that comes along your side, my goal is to assist you in identifying and resolving conflicts that have lingered in your life. We will explore the events that have impacted you the most, but we will focus on your current circumstances and begin taking proactive steps for a better future.
I am first and foremost a Christian, then I am a counselor. It is the application of biblical principles that allow me to bring lasting results in the lives of my clients. I use a wide variety of theoretical approaches, techniques and activities depending on the needs of the client. Acting as a guide that comes along your side, my goal is to assist you in identifying and resolving conflicts that have lingered in your life. We will explore the events that have impacted you the most, but we will focus on your current circumstances and begin taking proactive steps for a better future.
Marnita Chambers
Licensed Professional Counselor, MA, LPC
Verified Verified
Humble, TX 77346 (Online Only)
Hello, I am Marnita. I believe that every individual can make positive changes to improve their lives. Some changes can be more difficult than others. I believe therapy can help individuals navigate through difficulties and other stressors. Give me a call and lets work through it together.
Hello, I am Marnita. I believe that every individual can make positive changes to improve their lives. Some changes can be more difficult than others. I believe therapy can help individuals navigate through difficulties and other stressors. Give me a call and lets work through it together.
Kristina Delhomme
Marriage & Family Therapist, LMFT-S, LPC-S
Verified Verified
1 Endorsed
Humble, TX 77346 (Online Only)
Not accepting new clients
Are you struggling through a period of darkness trying to find a light? Are you so overwhelmed with life that you become paralyzed at the thought of making a decision? Things like stress, anxiety or difficult things from our past frequently limits our ability to see our strengths, or what I believe is the light that is innately within each of us. Whether it's difficulty seeing your self-worth, challenging your fears or healing that seems out of reach, therapy is an opportunity to alleviate pain in a safe and supportive environment.
Are you struggling through a period of darkness trying to find a light? Are you so overwhelmed with life that you become paralyzed at the thought of making a decision? Things like stress, anxiety or difficult things from our past frequently limits our ability to see our strengths, or what I believe is the light that is innately within each of us. Whether it's difficulty seeing your self-worth, challenging your fears or healing that seems out of reach, therapy is an opportunity to alleviate pain in a safe and supportive environment.
Deanna Ramirez
LPC Associate, LPC-A, MEd
Verified Verified
1 Endorsed
Humble, TX 77396
My name is Deanna Ramirez and I am a Licensed Professional Counselor Associate under the supervision of Vikki Sears, LPC-S. I want you to know that I see you. I hear you. I help people grow through the uneasy transitions, the uncomfortable feelings, and the challenging emotional storms that we go through as we journey through life. I work with children, teens, and adults in many areas but my specialty is in navigating issues with identity, dealing with anxiety, depression, grief, trauma, and emotional regulation, so they feel more connected and whole.
My name is Deanna Ramirez and I am a Licensed Professional Counselor Associate under the supervision of Vikki Sears, LPC-S. I want you to know that I see you. I hear you. I help people grow through the uneasy transitions, the uncomfortable feelings, and the challenging emotional storms that we go through as we journey through life. I work with children, teens, and adults in many areas but my specialty is in navigating issues with identity, dealing with anxiety, depression, grief, trauma, and emotional regulation, so they feel more connected and whole.
Dr. Angela M. Powell
Licensed Professional Counselor, PhD, LPC-S, CSC, CART
Verified Verified
1 Endorsed
Humble, TX 77396 (Online Only)
Welcome! Thank you for taking the first step in becoming a better you. Choosing the right therapist can sometimes feel overwhelming and confusing. I am here to help! Are you struggling to help your child with anger, anxiety, depression, or trauma? Do you worry excessively or sometimes feel like your anxiety is in overdrive? Do you feel like a hamster in a wheel? If so, please know there is hope for a better tomorrow. My goal is to help clients regain control and choose healthy directions for their lives. I practice cognitive behavior therapy and solution-focused approaches to help clients find stability, growth, and healing.
Welcome! Thank you for taking the first step in becoming a better you. Choosing the right therapist can sometimes feel overwhelming and confusing. I am here to help! Are you struggling to help your child with anger, anxiety, depression, or trauma? Do you worry excessively or sometimes feel like your anxiety is in overdrive? Do you feel like a hamster in a wheel? If so, please know there is hope for a better tomorrow. My goal is to help clients regain control and choose healthy directions for their lives. I practice cognitive behavior therapy and solution-focused approaches to help clients find stability, growth, and healing.
Joseph Brown
Clinical Social Work/Therapist, MSSW, LCSW-S
Verified Verified
1 Endorsed
Humble, TX 77346
You have great value as a person and deserve to feel that. It's completely normal to feel down, afraid, or inadequate. We all feel this way from time to time. The problem comes in when you have no way to work through and let go of difficult or challenging thoughts and emotions. Therapy is a powerful way for you to develop skills and experience healing so you can live the full life you want to live.
You have great value as a person and deserve to feel that. It's completely normal to feel down, afraid, or inadequate. We all feel this way from time to time. The problem comes in when you have no way to work through and let go of difficult or challenging thoughts and emotions. Therapy is a powerful way for you to develop skills and experience healing so you can live the full life you want to live.
Behavioral Solutions of Texas, LLC
Clinical Social Work/Therapist, MSSW, LCSW-S
Verified Verified
Humble, TX 77346
We are a group practice with diverse capabilities to assist you in transitioning into the life and happiness you deserve. Our job is to help you see what's "Right" about you and convert your strengths into the energy that already exists within you. There's no doubt in our minds that you can do this. If there's some doubt or hesitance in you we can help see you through that tiny, paper thin veil that holds you in a place you hope to move through. No two ways about this... you deserve to choose life. YOU CANNOT BE REPLACED!
We are a group practice with diverse capabilities to assist you in transitioning into the life and happiness you deserve. Our job is to help you see what's "Right" about you and convert your strengths into the energy that already exists within you. There's no doubt in our minds that you can do this. If there's some doubt or hesitance in you we can help see you through that tiny, paper thin veil that holds you in a place you hope to move through. No two ways about this... you deserve to choose life. YOU CANNOT BE REPLACED!
Center for Counseling Sustance Abuse
Clinical Social Work/Therapist, LMSW, LCDC
Verified Verified
Humble, TX 77346
My goal as a therapist is to guide and support clients in finding the life they deserve. I enjoy working with individuals to support them in releasing limiting thoughts and beliefs and embracing a more positive understanding of themselves. Throughout one’s life, a person overcomes many challenges by being determined and having the tools of success! Gained success is provided by tailoring a personalized approach for each of my clients to reach self-actualization. My goal is to provide you the tools so one can be dependent free of all mind-altering chemicals and irrational thoughts.
My goal as a therapist is to guide and support clients in finding the life they deserve. I enjoy working with individuals to support them in releasing limiting thoughts and beliefs and embracing a more positive understanding of themselves. Throughout one’s life, a person overcomes many challenges by being determined and having the tools of success! Gained success is provided by tailoring a personalized approach for each of my clients to reach self-actualization. My goal is to provide you the tools so one can be dependent free of all mind-altering chemicals and irrational thoughts.
LaShonda Valentine Oneal
Licensed Professional Counselor, MEd, LPC
Verified Verified
6 Endorsed
Humble, TX 77346 (Online Only)
Are you an educator feeling overwhelmed as you attempt to meet unrealistic expectations set before you by your leadership? In today’s educational system the demands placed on teachers and administrators often cause individuals to experience symptoms associated with depression and anxiety leaving one to feel unsupported and unbalanced as you struggle with managing work, family, and self-care. Are you a student? Especially a student in middle or high school? Are you feeling alone? Invisible? Unheard? Is it challenging to find the support you need?
Are you an educator feeling overwhelmed as you attempt to meet unrealistic expectations set before you by your leadership? In today’s educational system the demands placed on teachers and administrators often cause individuals to experience symptoms associated with depression and anxiety leaving one to feel unsupported and unbalanced as you struggle with managing work, family, and self-care. Are you a student? Especially a student in middle or high school? Are you feeling alone? Invisible? Unheard? Is it challenging to find the support you need?
Laura Sanchez
Marriage & Family Therapist, MS, LMFT, LPC
Verified Verified
2 Endorsed
Humble, TX 77346
Hello and welcome! Congratulations on making the courageous step in seeking help. Seeking help is not always easy and can be scary because it means that you are seeking a change in your life. My goal is to help you feel comfortable in seeking help and change. As your therapist, I will work with you as an individual, a couple, or a family unit on issues that are affecting your quality of life. I will work to help you develop the change needed for your unique situation. The most important role I have to my clients is to provide HOPE for situations that seem hopeless.
Hello and welcome! Congratulations on making the courageous step in seeking help. Seeking help is not always easy and can be scary because it means that you are seeking a change in your life. My goal is to help you feel comfortable in seeking help and change. As your therapist, I will work with you as an individual, a couple, or a family unit on issues that are affecting your quality of life. I will work to help you develop the change needed for your unique situation. The most important role I have to my clients is to provide HOPE for situations that seem hopeless.
15 Second Videos
Allen Ray Glass
Deanna Ramirez
Akilah Martin
New Day PSC - Dr T Medley
Katherine Traxler-LaFrance
Vanessa Leveille
Heather Jewell
Dri Edwards
Jesus Tamez
Shequana Living
Kelsey Cardin- - A Haven For Healing Relationship Trauma
Renewing The Mind Counseling Services Tx, LLC
Brandon S. Williams
Clearhope Counseling & Wellness Center Humble
Cherish Marie Brooks
Renewed Hope Counseling Center, PLLC
Shannon Mosher
Mona Ellis, Therapist & DOT Qualified SAP
Nova Therapy
Christina L Maxwell
Jenna Jackson
Mariana Adame
Orlando Calderon- Vega
Sandra Milena Goyco
Nikis Ellis
Caravella Stephens-Butler
Dwight D LaVan
Farah Javaid
Lauren Nichols
Amanda M Rockwell
Renewed and Restored Counseling &Life Coaching,LLC
Heather M. Madrid
Anchored Hope Counseling LLC
Akilah Martin
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Humble, TX 77346 (Online Only)
When you look up strength on Google, you find several definitions, but one stands out: the emotional or mental qualities necessary in dealing with situations or events that are distressing or difficult. No one can control nor predict when difficult things will happen, but it is a guarantee that challenges do occur in every life. Resilience is defined as the capacity to recover quickly from difficulties; toughness; is the ability of a substance or object to spring back into shape; elasticity. There is strength in your resilience! Every human being has been endowed with resilience.
When you look up strength on Google, you find several definitions, but one stands out: the emotional or mental qualities necessary in dealing with situations or events that are distressing or difficult. No one can control nor predict when difficult things will happen, but it is a guarantee that challenges do occur in every life. Resilience is defined as the capacity to recover quickly from difficulties; toughness; is the ability of a substance or object to spring back into shape; elasticity. There is strength in your resilience! Every human being has been endowed with resilience.
New Day PSC - Dr T Medley
Marriage & Family Therapist, PhD, LMFT-S, LPC
Verified Verified
4 Endorsed
Humble, TX 77396
I’m a recovering perfectionist. And I thought I was doing pretty good with my journey, until I experienced an unexpected major stroke. That major life crisis was, ironically, a great opportunity to reassess what I was doing to take care of myself…physically and emotionally. As a high-achieving Black woman who was recovering from perfectionism, turned into a Black woman who is a stroke survivor, I’m passionate about helping other high-achieving women of color to pause, to breathe, and to assess what they are doing to take care of themselves…physically and emotionally.
I’m a recovering perfectionist. And I thought I was doing pretty good with my journey, until I experienced an unexpected major stroke. That major life crisis was, ironically, a great opportunity to reassess what I was doing to take care of myself…physically and emotionally. As a high-achieving Black woman who was recovering from perfectionism, turned into a Black woman who is a stroke survivor, I’m passionate about helping other high-achieving women of color to pause, to breathe, and to assess what they are doing to take care of themselves…physically and emotionally.
Candace James
Licensed Professional Counselor, LPC
Verified Verified
Humble, TX 77339 (Online Only)
Clients that I work with may deal with adjustment disorder which is considered a life change, mild to moderate depressive disorders and anxiety concerns. I have worked extensively with individuals experiencing life stressors including finding meaning and purpose in life, work-life balance, stress, anxiety, depression, relationship difficulties, and frustration. The people that I work with would like to return to their previous level of functioning or obtain some form of normalcy for their life for the foreseeable future and I am there to work with them to help them obtain their life goals.
Clients that I work with may deal with adjustment disorder which is considered a life change, mild to moderate depressive disorders and anxiety concerns. I have worked extensively with individuals experiencing life stressors including finding meaning and purpose in life, work-life balance, stress, anxiety, depression, relationship difficulties, and frustration. The people that I work with would like to return to their previous level of functioning or obtain some form of normalcy for their life for the foreseeable future and I am there to work with them to help them obtain their life goals.
Laura DuBois
Clinical Social Work/Therapist, LMSW
Verified Verified
Humble, TX 77339
I adopt a holistic approach and emphasize the importance of setting clear, client-centered goals and fostering a space where individuals feel empowered to lead their transformational process. I strongly believe in the autonomy of my clients, I recognize them as experts in their own lives. My therapeutic style is characterized by a person-centered approach, creating a non-judgmental and safe environment that cultivates trust in the therapeutic relationship. I collaborate closely with each client to develop a therapeutic plan tailored to their personal growth and self-discovery.
I adopt a holistic approach and emphasize the importance of setting clear, client-centered goals and fostering a space where individuals feel empowered to lead their transformational process. I strongly believe in the autonomy of my clients, I recognize them as experts in their own lives. My therapeutic style is characterized by a person-centered approach, creating a non-judgmental and safe environment that cultivates trust in the therapeutic relationship. I collaborate closely with each client to develop a therapeutic plan tailored to their personal growth and self-discovery.
Katherine Traxler-LaFrance
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
Humble, TX 77346
As a member of the LGBTQ+ community, you experience challenges that others may not understand. You may be tired of not expressing yourself, feeling like you have to hide parts of yourself to keep the peace, or feeling ashamed. You might not even remember a time things didn't feel this way. But one thing is for sure: you're ready for some relief. You're ready to start living authentically. You're ready to be proud of who you are. But, most of all, you're prepared not to hide anymore!
As a member of the LGBTQ+ community, you experience challenges that others may not understand. You may be tired of not expressing yourself, feeling like you have to hide parts of yourself to keep the peace, or feeling ashamed. You might not even remember a time things didn't feel this way. But one thing is for sure: you're ready for some relief. You're ready to start living authentically. You're ready to be proud of who you are. But, most of all, you're prepared not to hide anymore!
LaToscha Sherman
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
2 Endorsed
Humble, TX 77338 (Online Only)
Self Awareness, Self Advocacy, Self Care...you deserve all three! It is my desire to help you journey to a place of health and wellness that serves you in a manner that will produce positivity and light. I specialize in creating space for you to freely explore and address the components that make you... YOU. That exploration in and of itself can empower change in ways that still fascinate me! I would love to work with you to identify areas of change, celebrate your strengths, and build the mental skills to live life better. Life can be hard, life can be difficult, life can be unfair, BUT life is WORTH living.
Self Awareness, Self Advocacy, Self Care...you deserve all three! It is my desire to help you journey to a place of health and wellness that serves you in a manner that will produce positivity and light. I specialize in creating space for you to freely explore and address the components that make you... YOU. That exploration in and of itself can empower change in ways that still fascinate me! I would love to work with you to identify areas of change, celebrate your strengths, and build the mental skills to live life better. Life can be hard, life can be difficult, life can be unfair, BUT life is WORTH living.
Pettis Counseling PLLC
Licensed Professional Counselor, PhD, LPC-S, NCC
Verified Verified
1 Endorsed
Humble, TX 77396
It is really not working out like I thought it would. Conflict at home, conflict on the job and it seems like conflict with myself. It seems as if many of things I have wanted in life have not yet happened. I am falling behind people my age. Some situations get better, then two other situations get worse. It seems as if my trying to be positive about the situation has not changed anything. It seems so exhausting. I have a good job and good family but something is missing. I go to church, pray, I help others (when I need help it seems as if there is no one available). Why am I not satisfied or happy? Things are just not quite right.
It is really not working out like I thought it would. Conflict at home, conflict on the job and it seems like conflict with myself. It seems as if many of things I have wanted in life have not yet happened. I am falling behind people my age. Some situations get better, then two other situations get worse. It seems as if my trying to be positive about the situation has not changed anything. It seems so exhausting. I have a good job and good family but something is missing. I go to church, pray, I help others (when I need help it seems as if there is no one available). Why am I not satisfied or happy? Things are just not quite right.
Alexander Macdonald
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Humble, TX 77346
"We cannot be taught wisdom, we have to discover for ourselves by a journey which no one can undertake for us, and effort which no one can spare us," M. Proust. I provide counseling for those who are seeking a journey of discovery. Often we find ourselves in a place where we do not want to be and we are not sure where we can turn for help. It is at these troubling times that we seek guidance and assistance. If you would like to start down a road of personal discovery and make positive changes in your life, contact me now to begin a new chapter in your life.
"We cannot be taught wisdom, we have to discover for ourselves by a journey which no one can undertake for us, and effort which no one can spare us," M. Proust. I provide counseling for those who are seeking a journey of discovery. Often we find ourselves in a place where we do not want to be and we are not sure where we can turn for help. It is at these troubling times that we seek guidance and assistance. If you would like to start down a road of personal discovery and make positive changes in your life, contact me now to begin a new chapter in your life.
Kelisha Monique LaGrone
Marriage & Family Therapist, LMFT
Verified Verified
Humble, TX 77338 (Online Only)
Are you a woman that has recently experienced loss and heartache, and is struggling to pick up the pieces of your heart and your life? Do you feel like you are "called" to more; however, feel like you are "stuck" or in a transition where you are unclear about your identity, purpose, and path? You are here because you are want something real and deep; you want passion and you are refusing to settle for the ordinary. Perhaps you have been shamed into thinking something is wrong with you. Your heart has been longing for healing and transformation that brings you closer to your full, authentic, and integrated self.
Are you a woman that has recently experienced loss and heartache, and is struggling to pick up the pieces of your heart and your life? Do you feel like you are "called" to more; however, feel like you are "stuck" or in a transition where you are unclear about your identity, purpose, and path? You are here because you are want something real and deep; you want passion and you are refusing to settle for the ordinary. Perhaps you have been shamed into thinking something is wrong with you. Your heart has been longing for healing and transformation that brings you closer to your full, authentic, and integrated self.
See more therapy options for Humble
How does your Therapist compare?
Number of Therapists in Humble, TX
200+
Average cost per session
$125
Therapists in Humble, TX who prioritize treating:
91% | Anxiety |
85% | Depression |
74% | Relationship Issues |
71% | Self Esteem |
65% | Coping Skills |
65% | Stress |
64% | Trauma and PTSD |
Average years in practice
8 Years
Top 3 insurances accepted
89% | Aetna |
86% | Cigna and Evernorth |
76% | BlueCross and BlueShield |
How Therapists in Humble, TX see their clients
71% | In Person and Online | |
29% | Online Only |
Gender breakdown
88% | Female | |
12% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Humble?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.