Therapists in Chadds Ford, PA

Photo of H Pannill Taylor, Psychologist in Chadds Ford, PA
H Pannill Taylor
Psychologist, PsyD
Verified Verified
Chadds Ford, PA 19317
Are you feeling lonely, empty, and/or discontent? Do you struggle with depression, anxiety, or addiction? Congratulations, you have already shown courage by considering help. I am a collaborative therapist and I believe that we are all seeking wholeness. As a nationally known addiction therapist, I have experience assisting individuals and their families with addiction, grief and loss, depression, anxiety, and life transitions. My approach to health is holistic. I believe that therapy is most effective when individuals learn to place equal value in developing emotional, physical, intellectual, and spiritual health.
Are you feeling lonely, empty, and/or discontent? Do you struggle with depression, anxiety, or addiction? Congratulations, you have already shown courage by considering help. I am a collaborative therapist and I believe that we are all seeking wholeness. As a nationally known addiction therapist, I have experience assisting individuals and their families with addiction, grief and loss, depression, anxiety, and life transitions. My approach to health is holistic. I believe that therapy is most effective when individuals learn to place equal value in developing emotional, physical, intellectual, and spiritual health.
(302) 233-7996 View (302) 233-7996
Photo of Marc Treanor, Counselor in Chadds Ford, PA
Marc Treanor
Counselor, MEd, LACMH, NCC, ASAT, ICGC-I
Verified Verified
Chadds Ford, PA 19317
Compulsive behaviors impact all aspects of one’s life, including thoughts, feelings, and actions. They can lead to various addictions, including substance use, sex, social media, relationships, gambling, and more. People with compulsive behaviors often struggle to align their actions with personal goals. For more than twenty years, I have supported individuals struggling with compulsive behaviors. I built my practice upon the idea that anyone can recover if given the right tools and environment, and I aim to provide a safe space where clients gain insight into their emotions, experiences, and behavioral patterns.
Compulsive behaviors impact all aspects of one’s life, including thoughts, feelings, and actions. They can lead to various addictions, including substance use, sex, social media, relationships, gambling, and more. People with compulsive behaviors often struggle to align their actions with personal goals. For more than twenty years, I have supported individuals struggling with compulsive behaviors. I built my practice upon the idea that anyone can recover if given the right tools and environment, and I aim to provide a safe space where clients gain insight into their emotions, experiences, and behavioral patterns.
(302) 204-0781 View (302) 204-0781
Photo of Dana Lehman, Psychologist in Chadds Ford, PA
Dana Lehman
Psychologist, PsyD
Verified Verified
Chadds Ford, PA 19317
I firmly believe that a strong therapeutic relationship is the curative factor for any mental health concern. In keeping with this belief I am a collaborative therapist who uses a supportive approach to challenge clients to push themselves to create change in their lives in a way that aligns with their beliefs, goals, and values. My therapeutic framework is integrative, drawing upon a spectrum of modalities such as psychodynamic theory, motivational interviewing, and cognitive-behavioral techniques. This versatile approach enables me to tailor interventions to suit the unique needs and circumstances of each individual client.
I firmly believe that a strong therapeutic relationship is the curative factor for any mental health concern. In keeping with this belief I am a collaborative therapist who uses a supportive approach to challenge clients to push themselves to create change in their lives in a way that aligns with their beliefs, goals, and values. My therapeutic framework is integrative, drawing upon a spectrum of modalities such as psychodynamic theory, motivational interviewing, and cognitive-behavioral techniques. This versatile approach enables me to tailor interventions to suit the unique needs and circumstances of each individual client.
(484) 592-2739 View (484) 592-2739
Photo of Krissie E Coelho, Clinical Social Work/Therapist in Chadds Ford, PA
Krissie E Coelho
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Chadds Ford, PA 19317
Together, we will work to identify your inner strengths and resources and engage in dialogue toward ongoing self-discovery and growth. I utilize approaches to support clients striving toward positive change. I focus on creating a trusting client-therapist relationship. I provide a safe and supportive environment to help facilitate self-discovery and lasting change. I use a warm, empathic and collaborative approach to guide our work and support goals. We can walk through challenge and fear together to help you create a fulfilling life.
Together, we will work to identify your inner strengths and resources and engage in dialogue toward ongoing self-discovery and growth. I utilize approaches to support clients striving toward positive change. I focus on creating a trusting client-therapist relationship. I provide a safe and supportive environment to help facilitate self-discovery and lasting change. I use a warm, empathic and collaborative approach to guide our work and support goals. We can walk through challenge and fear together to help you create a fulfilling life.
(484) 209-0502 View (484) 209-0502
Photo of Amy Hetrick, Clinical Social Work/Therapist in Chadds Ford, PA
Amy Hetrick
Clinical Social Work/Therapist, MSW, LSW, CTP
Verified Verified
Chadds Ford, PA 19317
Amy Hetrick, MSW, LSW, CTP (she, her, hers) utilizes her gifts of compassion, empathy, and connection to gain the trust of her clients. She strives to create a safe space to allow individuals to experience vulnerability and reconnect with their authentic selves. Amy thinks outside the box to collaborate with her clients to encourage them to discover joy, develop hope, and find a sense of purpose.
Amy Hetrick, MSW, LSW, CTP (she, her, hers) utilizes her gifts of compassion, empathy, and connection to gain the trust of her clients. She strives to create a safe space to allow individuals to experience vulnerability and reconnect with their authentic selves. Amy thinks outside the box to collaborate with her clients to encourage them to discover joy, develop hope, and find a sense of purpose.
(484) 978-9640 View (484) 978-9640
Photo of Liz Carper, Licensed Professional Counselor in Chadds Ford, PA
Liz Carper
Licensed Professional Counselor, MS Ed, LPC
Verified Verified
Chadds Ford, PA 19317
Not accepting new clients
Maybe you have been considering trying out therapy for some time. Reaching out for help can be intimidating and scary. It is normal to feel uncertain about therapy and what may be the next best step. I focus on meeting the client where they are in their journey to create an environment that provides empathy, humor, comfort, safety, validation, and non-judgment. I believe that therapy is all about the relationship between the therapist and client. We will work together to build a safe confidential space that allows you to address the concerns that brought you to seek therapy.
Maybe you have been considering trying out therapy for some time. Reaching out for help can be intimidating and scary. It is normal to feel uncertain about therapy and what may be the next best step. I focus on meeting the client where they are in their journey to create an environment that provides empathy, humor, comfort, safety, validation, and non-judgment. I believe that therapy is all about the relationship between the therapist and client. We will work together to build a safe confidential space that allows you to address the concerns that brought you to seek therapy.
(484) 603-6353 View (484) 603-6353
Stephanie Lindsay
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Chadds Ford, PA 19317
Waitlist for new clients
"I offer my clients a brief model of Cognitive Behavioral Therapy. CBT has been shown to be the treatment of choice for individuals struggling with problems such as Anxiety, Depression and OCD. I help my clients replace their old habits with new, healthy means of coping."
"I offer my clients a brief model of Cognitive Behavioral Therapy. CBT has been shown to be the treatment of choice for individuals struggling with problems such as Anxiety, Depression and OCD. I help my clients replace their old habits with new, healthy means of coping."
(610) 679-9326 View (610) 679-9326
Photo of Andrea Roche, Licensed Professional Counselor in Chadds Ford, PA
Andrea Roche
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
2 Endorsed
Chadds Ford, PA 19317
I provide counseling for individuals adjusting to being single after an abrupt breakup, and helping couples with marriage therapy, who have the desire to improve their relationships and the effectiveness of their communication skills. I work with clients who are struggling to keep their job or maintain close relationships with family. I provide counseling for teenagers struggling with ADD, depression, or destructive behaviors. I use proven, evidence based techniques to create solutions for clients' needs.
I provide counseling for individuals adjusting to being single after an abrupt breakup, and helping couples with marriage therapy, who have the desire to improve their relationships and the effectiveness of their communication skills. I work with clients who are struggling to keep their job or maintain close relationships with family. I provide counseling for teenagers struggling with ADD, depression, or destructive behaviors. I use proven, evidence based techniques to create solutions for clients' needs.
(610) 981-1031 View (610) 981-1031
Photo of Erin McKeague, Psychologist in Chadds Ford, PA
Erin McKeague
Psychologist, PsyD
Verified Verified
1 Endorsed
Chadds Ford, PA 19317
Therapy is a collaborative process that promotes healing, change, and growth, and the therapy relationship is the foundation for this process. Given this, my goal is to provide you with a safe space in which we work together to meet your needs and goals for treatment. Whether you are struggling with relationship issues, grief/loss, low self-esteem, depression, or anxiety; you feel unfulfilled, lonely, or in need of support and coping skills; or you are in the midst of a life transition that you need help navigating, we can address these in therapy.
Therapy is a collaborative process that promotes healing, change, and growth, and the therapy relationship is the foundation for this process. Given this, my goal is to provide you with a safe space in which we work together to meet your needs and goals for treatment. Whether you are struggling with relationship issues, grief/loss, low self-esteem, depression, or anxiety; you feel unfulfilled, lonely, or in need of support and coping skills; or you are in the midst of a life transition that you need help navigating, we can address these in therapy.
(215) 607-8573 View (215) 607-8573
Photo of Leslie S. Gregory, Clinical Social Work/Therapist in Chadds Ford, PA
Leslie S. Gregory
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
3 Endorsed
Chadds Ford, PA 19317
Hope. Acceptance. Understanding. Guidance. Clarity. Solutions. These words reflect what we are often looking for when facing life struggles and each embody what I strive to provide. My desire is to journey with you in a supportive, caring environment centered on a mutual partnership. This builds a foundation from which you can share your story, feel heard, discover your goals, and address the circumstances you are facing. I value understanding you as a whole person with strengths and the ability to grow. I believe that people can gain the insight and skills needed to experience transformation through researched interventions.
Hope. Acceptance. Understanding. Guidance. Clarity. Solutions. These words reflect what we are often looking for when facing life struggles and each embody what I strive to provide. My desire is to journey with you in a supportive, caring environment centered on a mutual partnership. This builds a foundation from which you can share your story, feel heard, discover your goals, and address the circumstances you are facing. I value understanding you as a whole person with strengths and the ability to grow. I believe that people can gain the insight and skills needed to experience transformation through researched interventions.
(484) 679-4268 View (484) 679-4268
Photo of Bent Mountain Springs Counseling, LLC Keisha Vuong, Licensed Professional Counselor in Chadds Ford, PA
Bent Mountain Springs Counseling, LLC Keisha Vuong
Licensed Professional Counselor, MS, LPC, LPCMH, NCC
Verified Verified
5 Endorsed
Chadds Ford, PA 19317
I know the importance of building rapport and a therapeutic relationship “trust” with my clients. I take a non-judgmental supportive approach and have experience working with a diverse population of all ages. Together my goal is to help support you through the current challenges/struggles you face and to truly hear you and assist you in reaching a positive place.
I know the importance of building rapport and a therapeutic relationship “trust” with my clients. I take a non-judgmental supportive approach and have experience working with a diverse population of all ages. Together my goal is to help support you through the current challenges/struggles you face and to truly hear you and assist you in reaching a positive place.
(484) 209-5229 View (484) 209-5229
Photo of Elaine Kasowski, Psychologist in Chadds Ford, PA
Elaine Kasowski
Psychologist, PhD
Verified Verified
Chadds Ford, PA 19317
My many years working as a psychologist have taught me that growth on any issue is possible with motivation, and that a person's strengths are key to achieving one's goals. I am every bit as attuned to an individual's gifts and coping skills, as I am to the challenges faced. I foster a safe, comfortable atmosphere as the process depends on feeling at ease to say what is on one's mind. My clients comment on my listening well and deeply, and that I have helped them make connections that are extremely valuable in identifying a path that is right for them.
My many years working as a psychologist have taught me that growth on any issue is possible with motivation, and that a person's strengths are key to achieving one's goals. I am every bit as attuned to an individual's gifts and coping skills, as I am to the challenges faced. I foster a safe, comfortable atmosphere as the process depends on feeling at ease to say what is on one's mind. My clients comment on my listening well and deeply, and that I have helped them make connections that are extremely valuable in identifying a path that is right for them.
(610) 347-5504 View (610) 347-5504
Photo of Courtney Anne Comly, Psychologist in Chadds Ford, PA
Courtney Anne Comly
Psychologist, PsyD
Verified Verified
Chadds Ford, PA 19317
Not accepting new clients
I am a Licensed Psychologist specializing in CBT and evidence-based treatments for symptoms of depression, anxiety and trauma. I completed my Doctor of Psychology at Immaculata University in 2016, as well as a Master of Arts in Clinical Counseling Psychology from Chestnut Hill College in 2010. My training as a CBT provider was completed through the Beck Community Initiative at The University of Pennsylvania.
I am a Licensed Psychologist specializing in CBT and evidence-based treatments for symptoms of depression, anxiety and trauma. I completed my Doctor of Psychology at Immaculata University in 2016, as well as a Master of Arts in Clinical Counseling Psychology from Chestnut Hill College in 2010. My training as a CBT provider was completed through the Beck Community Initiative at The University of Pennsylvania.
(484) 559-7722 View (484) 559-7722
Photo of Meredith L Petruccelli, Psychologist in Chadds Ford, PA
Meredith L Petruccelli
Psychologist, PhD, NCSP, LP
Verified Verified
Chadds Ford, PA 19317
Children, adolescents, young adults, and their families may require psychoeducational evaluation for many different reasons. Is your child struggling in school and you're wondering why? Does your child require testing for private school admission? Does your adolescent or young adult require an evaluation for accommodations on SAT, ACT, GRE, or other standardized testing? My goal with every client is to develop a full and complex profile of strengths and weaknesses through psychoeducational evaluation so that their families and schools may provide them with the support and enrichment that they need to meet their potential.
Children, adolescents, young adults, and their families may require psychoeducational evaluation for many different reasons. Is your child struggling in school and you're wondering why? Does your child require testing for private school admission? Does your adolescent or young adult require an evaluation for accommodations on SAT, ACT, GRE, or other standardized testing? My goal with every client is to develop a full and complex profile of strengths and weaknesses through psychoeducational evaluation so that their families and schools may provide them with the support and enrichment that they need to meet their potential.
(267) 647-1663 View (267) 647-1663
Photo of Angela Reyer Gillespie, Licensed Professional Counselor in Chadds Ford, PA
Angela Reyer Gillespie
Licensed Professional Counselor, MA, LPC, TCP
Verified Verified
1 Endorsed
Chadds Ford, PA 19317
LIfe is hard but I love my job! I am passionate about providing empathetic and compassionate therapy for people struggling with a variety of issues such as anxiety, depression, communication struggles, & more. I specialize in processing and moving beyond trauma and believe that the root to many of our struggles can be found in past relationships and attachments. I utilize systems theories and relational framework as a foundation for clients to explore and connect how relationships and environment impact larger goals and sense of self. I want to help you understand yourself better and utilize your past as strength to move forward.
LIfe is hard but I love my job! I am passionate about providing empathetic and compassionate therapy for people struggling with a variety of issues such as anxiety, depression, communication struggles, & more. I specialize in processing and moving beyond trauma and believe that the root to many of our struggles can be found in past relationships and attachments. I utilize systems theories and relational framework as a foundation for clients to explore and connect how relationships and environment impact larger goals and sense of self. I want to help you understand yourself better and utilize your past as strength to move forward.
(484) 214-2854 View (484) 214-2854
Photo of Sean Dwyer, Clinical Social Work/Therapist in Chadds Ford, PA
Sean Dwyer
Clinical Social Work/Therapist, LCSW
Verified Verified
Chadds Ford, PA 19317
Are you feeling frustrated in your marriage? Are you tired of having the same fight over and over again without anything changing? Do you have sexual concerns? With over a decade of clinical experience in treating couples who are struggling to connect emotionally and resolve conflicts, I understand how frustrating relationship problems can get. At the same time I also understand how difficult and even embarrassing it can be to call a counselor and admit that your relationship needs some help. But let me assure you that the discomfort of reaching out for help is well worth it.
Are you feeling frustrated in your marriage? Are you tired of having the same fight over and over again without anything changing? Do you have sexual concerns? With over a decade of clinical experience in treating couples who are struggling to connect emotionally and resolve conflicts, I understand how frustrating relationship problems can get. At the same time I also understand how difficult and even embarrassing it can be to call a counselor and admit that your relationship needs some help. But let me assure you that the discomfort of reaching out for help is well worth it.
(484) 498-6213 View (484) 498-6213
Photo of E. Shireen Kapadia, Psychologist in Chadds Ford, PA
E. Shireen Kapadia
Psychologist, PhD
Verified Verified
Chadds Ford, PA 19317
Not accepting new clients
I believe that psychotherapy is a partnership between the therapist and client where we work together, in a safe, confidential atmosphere, to address the issues that brought you to therapy. I work with clients from diverse backgrounds who want help for many different problems.
I believe that psychotherapy is a partnership between the therapist and client where we work together, in a safe, confidential atmosphere, to address the issues that brought you to therapy. I work with clients from diverse backgrounds who want help for many different problems.
(610) 915-8533 View (610) 915-8533
Photo of Anna J Bloomer, Clinical Social Work/Therapist in Chadds Ford, PA
Anna J Bloomer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Chadds Ford, PA 19317
Anna is a Licensed Clinical Social Worker (LCSW), Licensed in both DE & PA, who has been working in the Social Work field for over 25 years. She has been a practising psycho-therapeutic clinician for 14 years. She uses Cognitive Behavioral Therapy, Attachment-Based Therapy, Trauma-Informed Therapy as well as working within Family Systems. Anna incorporates a strong focus on Mindfulness within her treatment drawing on the 15 years of a meditation practice in her personal life. Anna is a bi-lingual (Spanish) and bi-cultural (Colombian/American) psychotherapist who incorporates Cultural Competence in her treatment approach.
Anna is a Licensed Clinical Social Worker (LCSW), Licensed in both DE & PA, who has been working in the Social Work field for over 25 years. She has been a practising psycho-therapeutic clinician for 14 years. She uses Cognitive Behavioral Therapy, Attachment-Based Therapy, Trauma-Informed Therapy as well as working within Family Systems. Anna incorporates a strong focus on Mindfulness within her treatment drawing on the 15 years of a meditation practice in her personal life. Anna is a bi-lingual (Spanish) and bi-cultural (Colombian/American) psychotherapist who incorporates Cultural Competence in her treatment approach.
(484) 613-3428 x148 View (484) 613-3428 x148
Photo of Kate Trabalka in Chadds Ford, PA
Kate Trabalka
LSW
Verified Verified
Chadds Ford, PA 19317
We all want to feel our best, but sometimes there are things that can stand in our way. As a licensed social worker, I look forward to working with you to address the issues that you feel are holding you back. These could be depression, anxiety, loss and grief, or a difficult life transition. By tackling your concerns together, you can get closer to the quality of life you deserve.
We all want to feel our best, but sometimes there are things that can stand in our way. As a licensed social worker, I look forward to working with you to address the issues that you feel are holding you back. These could be depression, anxiety, loss and grief, or a difficult life transition. By tackling your concerns together, you can get closer to the quality of life you deserve.
(484) 873-2378 View (484) 873-2378
Photo of Carol L Ciliberti, Licensed Professional Counselor in Chadds Ford, PA
Carol L Ciliberti
Licensed Professional Counselor, MA, LPC, LBS
Verified Verified
Chadds Ford, PA 19317  (Online Only)
I believe you are capable of living the life you want.Through self awareness, recognizing your strengths and determining what motivates you,I believe that you have the power to change when given access to the proper insight, information and tools. I am a Licensed Professional Counselor and Licensed Behavior Specialist using both emotion focused and cognitive behavioral strategies to motivate and create change. I create a safe environment in which you can truly be yourself, explore life's challenges and maybe even learn to laugh at yourself in the process.
I believe you are capable of living the life you want.Through self awareness, recognizing your strengths and determining what motivates you,I believe that you have the power to change when given access to the proper insight, information and tools. I am a Licensed Professional Counselor and Licensed Behavior Specialist using both emotion focused and cognitive behavioral strategies to motivate and create change. I create a safe environment in which you can truly be yourself, explore life's challenges and maybe even learn to laugh at yourself in the process.
(610) 723-8093 View (610) 723-8093

How does your Therapist compare?

Number of Therapists in Chadds Ford, PA

100+

Average cost per session

$140

Therapists in Chadds Ford, PA who prioritize treating:

90% Anxiety
85% Depression
80% Relationship Issues
75% Grief
72% Self Esteem
66% Trauma and PTSD
62% Life Transitions

Average years in practice

16 Years

Top 3 insurances accepted

66% Aetna
58% Highmark
50% BlueCross and BlueShield

How Therapists in Chadds Ford, PA see their clients

91% In Person and Online
9% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Chadds Ford?

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.