Therapists in Tulsa, OK

Photo of Frederic Hendreson, Licensed Professional Counselor in Tulsa, OK
Frederic Hendreson
Licensed Professional Counselor, MHR
Verified Verified
1 Endorsed
Tulsa, OK 74129
When men get hurt, the first reaction is to lash out or shut down. Neither helps us to understand or process the pain. What no one tells us is that “I don’t want to talk about it” is the first step to locking ourselves into a self-made prison. It's not only destructive to ourselves, but to the people around us. In that prison, pain becomes a wound that festers and makes it difficult for us to enjoy healthy relationships. Logically, the key to getting out of that prison is talking things out. That’s what I'm here for.
When men get hurt, the first reaction is to lash out or shut down. Neither helps us to understand or process the pain. What no one tells us is that “I don’t want to talk about it” is the first step to locking ourselves into a self-made prison. It's not only destructive to ourselves, but to the people around us. In that prison, pain becomes a wound that festers and makes it difficult for us to enjoy healthy relationships. Logically, the key to getting out of that prison is talking things out. That’s what I'm here for.
(918) 268-7642 View (918) 268-7642
Photo of Katrina Mondragon, PLLC, Licensed Professional Counselor in Tulsa, OK
Katrina Mondragon, PLLC
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Tulsa, OK 74114
Waitlist for new clients
It's hard to be strong for everyone all the time. You feel life is pulling in too many directions and there is no time to just stop and breathe. Your thoughts won't even shut up long enough to get some sleep. Life wasn't always this hard, but you may not even remember the last time something was actually fun. Feeling broken and beaten by the world is exhausting. It may seem hopeless now, but you haven't met me yet.
It's hard to be strong for everyone all the time. You feel life is pulling in too many directions and there is no time to just stop and breathe. Your thoughts won't even shut up long enough to get some sleep. Life wasn't always this hard, but you may not even remember the last time something was actually fun. Feeling broken and beaten by the world is exhausting. It may seem hopeless now, but you haven't met me yet.
(539) 202-7245 View (539) 202-7245
Photo of Ashlee Kinas, Clinical Social Work/Therapist in Tulsa, OK
Ashlee Kinas
Clinical Social Work/Therapist, LCSW
Verified Verified
Tulsa, OK 74136
Ashlee Kinas is a Licensed Clinical Social Worker in Oklahoma who has been practicing since 2011. She obtained her Masters of Social Work from Oklahoma University and her Bachelor of Social Work from Northeastern State University in Broken Arrow, OK. Ashlee greatly enjoys working with teenagers and adults using Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Solution Focused Therapy, Client Centered Therapy, and Trauma Focused Cognitive Behavioral Therapy.
Ashlee Kinas is a Licensed Clinical Social Worker in Oklahoma who has been practicing since 2011. She obtained her Masters of Social Work from Oklahoma University and her Bachelor of Social Work from Northeastern State University in Broken Arrow, OK. Ashlee greatly enjoys working with teenagers and adults using Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Solution Focused Therapy, Client Centered Therapy, and Trauma Focused Cognitive Behavioral Therapy.
(918) 203-1555 View (918) 203-1555
Photo of Brittany Foshee, Licensed Professional Counselor in Tulsa, OK
Brittany Foshee
Licensed Professional Counselor, LPC
Verified Verified
Tulsa, OK 74136
Brittany Foshee, is a Licensed Professional Counselor with a passion for, and several years of experience, serving individuals who have experienced trauma, domestic violence, parent-child relationship problems, stressful life transitions, attachment problems, and chronic illness. She enjoys supporting parents who have experienced difficulty in developing a secure attachment/relationship with their child, as well as supporting both mothers and fathers during pregnancy and post-partum. Brittany embraces a client-centered focus in treatment and welcomes clients with open arms.
Brittany Foshee, is a Licensed Professional Counselor with a passion for, and several years of experience, serving individuals who have experienced trauma, domestic violence, parent-child relationship problems, stressful life transitions, attachment problems, and chronic illness. She enjoys supporting parents who have experienced difficulty in developing a secure attachment/relationship with their child, as well as supporting both mothers and fathers during pregnancy and post-partum. Brittany embraces a client-centered focus in treatment and welcomes clients with open arms.
(918) 819-4044 View (918) 819-4044
Photo of A Caring Alternative, Licensed Professional Counselor in Tulsa, OK
A Caring Alternative
Licensed Professional Counselor, MA, LPC
Verified Verified
Tulsa, OK 74135
Enthusiastic counselor eager to contribute through listening, encouraging and guiding through your mental health journey. I have a clear understanding of diagnoses and extensive knowledge of several treatment modalities to help you in building meaningful relationships and loving yourself while devising effective short to long term plans to help you achieve your objectives. People express to me that I am easy to relate to and how much their lives have improved by taking steps and trusting the process. This is what I was born for, and I would not have it any other way. - Please text me before calling because I am often in a session.
Enthusiastic counselor eager to contribute through listening, encouraging and guiding through your mental health journey. I have a clear understanding of diagnoses and extensive knowledge of several treatment modalities to help you in building meaningful relationships and loving yourself while devising effective short to long term plans to help you achieve your objectives. People express to me that I am easy to relate to and how much their lives have improved by taking steps and trusting the process. This is what I was born for, and I would not have it any other way. - Please text me before calling because I am often in a session.
(539) 352-4937 View (539) 352-4937
Photo of Ashleigh Gabriel, Clinical Social Work/Therapist in Tulsa, OK
Ashleigh Gabriel
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Tulsa, OK 74105
Waitlist for new clients
We all need help sometimes! If you are looking for help in managing the stress of life; maybe you have a child or teen you are concerned about; maybe you are struggling with anxiety or depression; or maybe you just feel like you could use someone to talk to, then I'd love to work with you! I take a holistic approach to therapy by looking at all areas of wellness in one's life and how we can work together to make improvements across the board. I develop strong relationships with my clients to identify your strengths and use those to overcome challenges, develop more positive coping skills, and live a healthier, happier life.
We all need help sometimes! If you are looking for help in managing the stress of life; maybe you have a child or teen you are concerned about; maybe you are struggling with anxiety or depression; or maybe you just feel like you could use someone to talk to, then I'd love to work with you! I take a holistic approach to therapy by looking at all areas of wellness in one's life and how we can work together to make improvements across the board. I develop strong relationships with my clients to identify your strengths and use those to overcome challenges, develop more positive coping skills, and live a healthier, happier life.
(918) 416-4934 View (918) 416-4934
Photo of Pam Nelson, Licensed Professional Counselor in Tulsa, OK
Pam Nelson
Licensed Professional Counselor, TIYT
Verified Verified
10 Endorsed
Tulsa, OK 74136  (Online Only)
Are you a woman who feels worried, on-edge, or shut-down and disconnected? Wonder “who you really are” under all the anxiety? Tried talk therapy before but still struggle? I understand, and I’m here to help you reclaim your body, mind and spirit so you can live your most authentic, joyful life! I help female identifying trauma survivors calm, soothe, and empower themselves through EMDR therapy and Trauma-Informed Yoga (movement, breathing exercises, meditation). I teach adult survivors of childhood trauma how to reparent themselves and learn to receive the love they have always deserved - internally and in relationships.
Are you a woman who feels worried, on-edge, or shut-down and disconnected? Wonder “who you really are” under all the anxiety? Tried talk therapy before but still struggle? I understand, and I’m here to help you reclaim your body, mind and spirit so you can live your most authentic, joyful life! I help female identifying trauma survivors calm, soothe, and empower themselves through EMDR therapy and Trauma-Informed Yoga (movement, breathing exercises, meditation). I teach adult survivors of childhood trauma how to reparent themselves and learn to receive the love they have always deserved - internally and in relationships.
(918) 376-7354 View (918) 376-7354
Photo of Joanne L Davis, Psychologist in Tulsa, OK
Joanne L Davis
Psychologist, PhD
Verified Verified
Tulsa, OK 74104  (Online Only)
I have 20 years experience treating the negative consequences of trauma that are all too common. I appreciate the often tremendous challenge of seeking help, particularly in an online environment, and aim to ensure that clients feel valued, respected, and safe throughout the time we work together. I use brief evidence-based approaches that can be tailored to meet the needs of each client.
I have 20 years experience treating the negative consequences of trauma that are all too common. I appreciate the often tremendous challenge of seeking help, particularly in an online environment, and aim to ensure that clients feel valued, respected, and safe throughout the time we work together. I use brief evidence-based approaches that can be tailored to meet the needs of each client.
(918) 215-6337 View (918) 215-6337
Photo of Ashley Knapp, Clinical Social Work/Therapist in Tulsa, OK
Ashley Knapp
Clinical Social Work/Therapist, LCSW
Verified Verified
8 Endorsed
Tulsa, OK 74105
Ashley prioritizes empowering and uplifting clients that she works with, creating a safe space for healing and growth. She is passionate about supporting women in relationships, focusing on building stronger connections, and repairing attachment disruptions. Ashley enjoys working with people as they navigate new life phases, offering support in relationships, boundaries, communication, and career adjustments.
Ashley prioritizes empowering and uplifting clients that she works with, creating a safe space for healing and growth. She is passionate about supporting women in relationships, focusing on building stronger connections, and repairing attachment disruptions. Ashley enjoys working with people as they navigate new life phases, offering support in relationships, boundaries, communication, and career adjustments.
(918) 900-2788 View (918) 900-2788
Photo of Sarah West, Clinical Social Work/Therapist in Tulsa, OK
Sarah West
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
3 Endorsed
Tulsa, OK 74137
I am a Licensed Clinical Social worker with 10 years of professional counseling experience. I have over 20 years of professional Health Advocacy experience within the medical and mental health setting. I have experience and passion in helping clients with stress and anxiety, trauma and abuse, personal and professional motivation, self esteem, confidence and career difficulties.I believe you are the expert of your own story, but may need some professional guidance in navigating difficult chapters in your life. With gentle and focused direction, I will help you uncover strengths that you didn’t know you had, or you simply forgot.
I am a Licensed Clinical Social worker with 10 years of professional counseling experience. I have over 20 years of professional Health Advocacy experience within the medical and mental health setting. I have experience and passion in helping clients with stress and anxiety, trauma and abuse, personal and professional motivation, self esteem, confidence and career difficulties.I believe you are the expert of your own story, but may need some professional guidance in navigating difficult chapters in your life. With gentle and focused direction, I will help you uncover strengths that you didn’t know you had, or you simply forgot.
(918) 731-3749 View (918) 731-3749
Photo of Margaret Black, Licensed Professional Counselor in Tulsa, OK
Margaret Black
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
4 Endorsed
Tulsa, OK 74135
I embrace a dialectical worldview in my practice. This means that I willingly acknowledge that multiple truths can exist at the same time. I have witnessed this stance give clients permission to explore their own experiences at a greater depth, and release feelings of shame and guilt. I have observed, first hand, the resiliency for trauma survivors to heal. I am comfortable treating those that are healing from trauma and those that may have caused trauma.
I embrace a dialectical worldview in my practice. This means that I willingly acknowledge that multiple truths can exist at the same time. I have witnessed this stance give clients permission to explore their own experiences at a greater depth, and release feelings of shame and guilt. I have observed, first hand, the resiliency for trauma survivors to heal. I am comfortable treating those that are healing from trauma and those that may have caused trauma.
(918) 601-5630 View (918) 601-5630
Photo of Shelby Johnson, Psychologist in Tulsa, OK
Shelby Johnson
Psychologist, PhD
Verified Verified
Tulsa, OK 74136  (Online Only)
You long to experience more meaningful connections, more authenticity, and a stronger sense of self. You struggle to reconcile your past experiences with who you feel you are and where you want to go. Maybe you even notice that you engage in self-sabotage due to patterns that have taken hold in your life, while you want to make better choices and reduce perfectionistic expectations that you place on yourself. By learning what is unconsciously driving your actions you can find a better way. Therapy can help you break free from what holds you back and forge a new path.
You long to experience more meaningful connections, more authenticity, and a stronger sense of self. You struggle to reconcile your past experiences with who you feel you are and where you want to go. Maybe you even notice that you engage in self-sabotage due to patterns that have taken hold in your life, while you want to make better choices and reduce perfectionistic expectations that you place on yourself. By learning what is unconsciously driving your actions you can find a better way. Therapy can help you break free from what holds you back and forge a new path.
(918) 731-2865 View (918) 731-2865
Photo of Rebecca St. Clair, Licensed Professional Counselor in Tulsa, OK
Rebecca St. Clair
Licensed Professional Counselor, LPC, MA
Verified Verified
Tulsa, OK 74103  (Online Only)
Life's challenges often lead us to ask "why," seeking meaning and understanding. While this quest can feel overwhelming, remember that we are the experts of our own lives, capable of finding our own answers and forging our path forward. How would it feel to not have to face the unknown alone as you seek the help you need?
Life's challenges often lead us to ask "why," seeking meaning and understanding. While this quest can feel overwhelming, remember that we are the experts of our own lives, capable of finding our own answers and forging our path forward. How would it feel to not have to face the unknown alone as you seek the help you need?
(918) 347-1273 View (918) 347-1273
Photo of Positive Aging Counseling and Consulting, LLC, Clinical Social Work/Therapist in Tulsa, OK
Positive Aging Counseling and Consulting, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Tulsa, OK 74135
Not accepting new clients
I am not accepting new clients at this time.
I am not accepting new clients at this time.
(918) 347-1960 View (918) 347-1960
Photo of Alycia Williams Therapy, Licensed Professional Counselor in Tulsa, OK
Alycia Williams Therapy
Licensed Professional Counselor, MS, LPC, CST
Verified Verified
Tulsa, OK 74136
My practice is focused on treating sexual, relational, & personal issues. As an AASECT certified sex therapist & a clinician with 25 years experience I am uniquely qualified to help you identify goals, process pain, & make meaningful progress towards your goals. You want more passion. You want less shame. You feel stuck, frustrated, overwhelmed. I can help. I offer weekly individual & couples sessions. Longer intensive sessions can also be tailored to your needs to stabilize a crisis or go deep & create rapid meaningful change. I also offer retreats & am a sought-after speaker on a range of sex and relationship topics.
My practice is focused on treating sexual, relational, & personal issues. As an AASECT certified sex therapist & a clinician with 25 years experience I am uniquely qualified to help you identify goals, process pain, & make meaningful progress towards your goals. You want more passion. You want less shame. You feel stuck, frustrated, overwhelmed. I can help. I offer weekly individual & couples sessions. Longer intensive sessions can also be tailored to your needs to stabilize a crisis or go deep & create rapid meaningful change. I also offer retreats & am a sought-after speaker on a range of sex and relationship topics.
(918) 558-2495 View (918) 558-2495
Photo of Rachel Peterman, Counselor in Tulsa, OK
Rachel Peterman
Counselor, MS, LPC
Verified Verified
1 Endorsed
Tulsa, OK 74136
Not accepting new clients
Do you struggle with feeling sure about who you are? Struggle with feeling empowered? Maybe people seem to walk all over you. Or you have trouble communicating your needs. This can be difficult to navigate, and it's common for people to go though this. Unfortunately, avoiding these issues can lead to more problems down the road and to living a life that is not authentic to your true self. Imagine you didn't have to live this way. Imagine a life with less self-doubt!
Do you struggle with feeling sure about who you are? Struggle with feeling empowered? Maybe people seem to walk all over you. Or you have trouble communicating your needs. This can be difficult to navigate, and it's common for people to go though this. Unfortunately, avoiding these issues can lead to more problems down the road and to living a life that is not authentic to your true self. Imagine you didn't have to live this way. Imagine a life with less self-doubt!
View
Photo of Donnie Davis, Licensed Professional Counselor in Tulsa, OK
Donnie Davis
Licensed Professional Counselor, MS, MDiv, NCC, LPC
Verified Verified
Tulsa, OK 74133
If you’re like most people you’re either coming out of, going into, or in the middle of life’s difficulties: a personal or family crisis, the end of a relationship, burnout, empty nest or a midlife crises. I want to encourage you not to “go it alone!” Find a counselor you connect with who is goal centric & will listen with empathy, mutual understanding and respect. Counseling is wisdom not weakness! If you feel we may have a connection let’s discuss further and see if we’re a good fit.
If you’re like most people you’re either coming out of, going into, or in the middle of life’s difficulties: a personal or family crisis, the end of a relationship, burnout, empty nest or a midlife crises. I want to encourage you not to “go it alone!” Find a counselor you connect with who is goal centric & will listen with empathy, mutual understanding and respect. Counseling is wisdom not weakness! If you feel we may have a connection let’s discuss further and see if we’re a good fit.
(918) 262-4326 View (918) 262-4326
Photo of Dr. Teresa Edwards, Marriage & Family Therapist in Tulsa, OK
Dr. Teresa Edwards
Marriage & Family Therapist, PhD
Verified Verified
3 Endorsed
Tulsa, OK 74136  (Online Only)
The best way to enhance your life is to have a great marriage. I specialize in couples counseling and have been using the Gottman Method, a research based approach, to work with couples for the last two decades. I focus on creating a safe, non-judgmental space for couples to discuss their issues openly and honestly. I am passionate about helping couples and believe that all couples can benefit from therapy, whether you want to nurture your friendship, learn healthy communication skills, or heal from a betrayal.
The best way to enhance your life is to have a great marriage. I specialize in couples counseling and have been using the Gottman Method, a research based approach, to work with couples for the last two decades. I focus on creating a safe, non-judgmental space for couples to discuss their issues openly and honestly. I am passionate about helping couples and believe that all couples can benefit from therapy, whether you want to nurture your friendship, learn healthy communication skills, or heal from a betrayal.
(918) 960-0523 View (918) 960-0523
Photo of Leader Professional Services LLC, Licensed Professional Counselor in Tulsa, OK
Leader Professional Services LLC
Licensed Professional Counselor, LPC—S, RPT—S
Verified Verified
Tulsa, OK 74133
LPC Supervisor and a Registered Play Therapist Supervisor through the Association for Play Therapy., EMDR trained and certified in substance abuse evaluations for adults and adolescents. Christene believes in catering to the therapeutic needs to of her clients. She utilizes a range of therapeutic modalities such as Gestalt, Play Therapy, Adlerian, Trauma Focused CBT and EMDR. Christene works with individuals to help them to work through issues of trauma, grief, anxiety, depression and adjusting to significant life changes. She works along side you to help develop the skills needed to meet your needs and achieve your desired goals.
LPC Supervisor and a Registered Play Therapist Supervisor through the Association for Play Therapy., EMDR trained and certified in substance abuse evaluations for adults and adolescents. Christene believes in catering to the therapeutic needs to of her clients. She utilizes a range of therapeutic modalities such as Gestalt, Play Therapy, Adlerian, Trauma Focused CBT and EMDR. Christene works with individuals to help them to work through issues of trauma, grief, anxiety, depression and adjusting to significant life changes. She works along side you to help develop the skills needed to meet your needs and achieve your desired goals.
(918) 262-4944 View (918) 262-4944
Photo of Seana Petri, Licensed Professional Counselor in Tulsa, OK
Seana Petri
Licensed Professional Counselor, LPC
Verified Verified
Tulsa, OK 74133
Seana Petri is a Licensed Professional Counselor Supervisor in Oklahoma who has been practicing since 2013. She has a Master of Science in Rehabilitation Counseling. Seana has had the privilege of working with children as young as four years old to as old as 84 years old and most ages in between. She primarily focuses currently on older teenagers and adults. She has experience working with a wide variety of clients. The last several years more than half of the clients she has been working with have a co-occurring diagnosis, meaning they are struggling with both mental health and addiction issues.
Seana Petri is a Licensed Professional Counselor Supervisor in Oklahoma who has been practicing since 2013. She has a Master of Science in Rehabilitation Counseling. Seana has had the privilege of working with children as young as four years old to as old as 84 years old and most ages in between. She primarily focuses currently on older teenagers and adults. She has experience working with a wide variety of clients. The last several years more than half of the clients she has been working with have a co-occurring diagnosis, meaning they are struggling with both mental health and addiction issues.
(918) 380-1392 View (918) 380-1392

How does your Therapist compare?

Number of Therapists in Tulsa, OK

600+

Average cost per session

$130

Therapists in Tulsa, OK who prioritize treating:

91% Anxiety
87% Depression
78% Trauma and PTSD
74% Relationship Issues
74% Self Esteem
70% Coping Skills
68% Stress

Average years in practice

11 Years

Top 3 insurances accepted

79% BlueCross and BlueShield
68% Health Choice
67% UnitedHealthcare UHC | UBH

How Therapists in Tulsa, OK see their clients

80% In Person and Online
20% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Tulsa?

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.