Therapists in Liberty, MO

Photo of Jules Kilson, Licensed Professional Counselor in Liberty, MO
Jules Kilson
Licensed Professional Counselor, LPC, CCTP, NCC
Verified Verified
1 Endorsed
Liberty, MO 64068
Not accepting new clients
I help clients discover what tools they need, and how to use them to manage stress, grief, depression, trauma, anxiety, relationships and other struggles. I am a Clinically Certified Trauma Professional and a Nationally Certified Counselor. As a wife of 35 years, mom of 4, and grandmother, I have an understanding of life, transitions and experiences.
I help clients discover what tools they need, and how to use them to manage stress, grief, depression, trauma, anxiety, relationships and other struggles. I am a Clinically Certified Trauma Professional and a Nationally Certified Counselor. As a wife of 35 years, mom of 4, and grandmother, I have an understanding of life, transitions and experiences.
(816) 357-8833 View (816) 357-8833
Photo of Josh Cress, Licensed Professional Counselor in Liberty, MO
Josh Cress
Licensed Professional Counselor, MA, LPC, SATP-C, NCC
Verified Verified
13 Endorsed
Liberty, MO 64068
I work with individuals & couples struggling through issues such as infidelity, disconnection and other relationship problems. Along with that I work with men struggling with sexual addiction or emotional intimacy issues and I have a certification in sexual addiction treatment. I am also privileged to work with people recovering from childhood abuse and trauma by helping them process and heal from the violence they’ve experienced.
I work with individuals & couples struggling through issues such as infidelity, disconnection and other relationship problems. Along with that I work with men struggling with sexual addiction or emotional intimacy issues and I have a certification in sexual addiction treatment. I am also privileged to work with people recovering from childhood abuse and trauma by helping them process and heal from the violence they’ve experienced.
(816) 266-4812 View (816) 266-4812
Photo of Robin Ewy, Licensed Professional Counselor in Liberty, MO
Robin Ewy
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Liberty, MO 64068
I am passionate about working with individuals, couples and families to navigate through life's challenges. I cherish walking with people through grief and loss having worked in the Hospice environment for several years.
I am passionate about working with individuals, couples and families to navigate through life's challenges. I cherish walking with people through grief and loss having worked in the Hospice environment for several years.
(816) 398-7270 View (816) 398-7270
Photo of Laci Nicole Roberts, Licensed Professional Counselor in Liberty, MO
Laci Nicole Roberts
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Liberty, MO 64068
Let my office be a judgment-free, secure space to explore and get curious about what's happening for you and in your life. A place to ask and answer tough questions; like, how you got here, where you want to go, and what you need to get there. Let's work on coping skills, healing strategies, and building strong healthy connections with yourself and others. I invite you to listen to your inner guidance and give yourself permission to create the life you want to live. I'd love to walk along side you on this path.
Let my office be a judgment-free, secure space to explore and get curious about what's happening for you and in your life. A place to ask and answer tough questions; like, how you got here, where you want to go, and what you need to get there. Let's work on coping skills, healing strategies, and building strong healthy connections with yourself and others. I invite you to listen to your inner guidance and give yourself permission to create the life you want to live. I'd love to walk along side you on this path.
(816) 693-2659 View (816) 693-2659
Photo of Margaux Kervin, Licensed Professional Counselor in Liberty, MO
Margaux Kervin
Licensed Professional Counselor, LPC, CADC
Verified Verified
Liberty, MO 64068
Everyone we encounter in our lives plays a part in our story. Each experience leads to decisions that develop who we are. Sometimes we come to an encounter or experience that we aren't sure how to interpret, or work through. When we experience mental health symptoms or life stress that impairs our functioning, it is important to seek, learn, and utilize skills to get back to functioning that helps us achieve our goals.
Everyone we encounter in our lives plays a part in our story. Each experience leads to decisions that develop who we are. Sometimes we come to an encounter or experience that we aren't sure how to interpret, or work through. When we experience mental health symptoms or life stress that impairs our functioning, it is important to seek, learn, and utilize skills to get back to functioning that helps us achieve our goals.
(816) 325-3822 View (816) 325-3822
Photo of Sarah Ehlers, LCSW LLC, Clinical Social Work/Therapist in Liberty, MO
Sarah Ehlers, LCSW LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Liberty, MO 64068
Not accepting new clients
You deserve to feel empowered and therapy is a great way to further explore all the possibilities your life holds for you. Therapy is a journey. My role as therapist is to provide you with safe, nurturing guidance as you seek personal growth and inner peace. I believe that everyone is capable of change and has the power to choose differently, thus increasing self-fulfillment and joy in their life. I offer a warm, caring atmosphere for you to explore your wants and needs, increase awareness of barriers to meeting those wants and needs, and feel supported in making changes.
You deserve to feel empowered and therapy is a great way to further explore all the possibilities your life holds for you. Therapy is a journey. My role as therapist is to provide you with safe, nurturing guidance as you seek personal growth and inner peace. I believe that everyone is capable of change and has the power to choose differently, thus increasing self-fulfillment and joy in their life. I offer a warm, caring atmosphere for you to explore your wants and needs, increase awareness of barriers to meeting those wants and needs, and feel supported in making changes.
(816) 521-6199 View (816) 521-6199
Photo of Kathleen Ralph, Licensed Professional Counselor in Liberty, MO
Kathleen Ralph
Licensed Professional Counselor, LPC
Verified Verified
Liberty, MO 64068
Hi. How are you doing? Do you seem to be experiencing more bad days than good? Have you suffered a trauma, or significant loss in your life? Do you experience anger, anxiety, or depression that interferes in your daily activities? Are you just not happy with how things are going?
Hi. How are you doing? Do you seem to be experiencing more bad days than good? Have you suffered a trauma, or significant loss in your life? Do you experience anger, anxiety, or depression that interferes in your daily activities? Are you just not happy with how things are going?
(816) 253-8311 View (816) 253-8311
Photo of Michele Roberts, Clinical Social Work/Therapist in Liberty, MO
Michele Roberts
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Liberty, MO 64068
I want to acknowledge the courage it takes to seek help, especially when life's challenges seem overwhelming. If you're reading this, it's likely because you're looking for someone who can understand, support, and guide you on your path to healing. I want you to know that you are not alone. I offer more than just professional expertise; I provide a warm, empathetic, and safe space where you can openly share your thoughts, feelings, and experiences. Together, we will navigate the intricate landscape of your emotions with care and sensitivity.
I want to acknowledge the courage it takes to seek help, especially when life's challenges seem overwhelming. If you're reading this, it's likely because you're looking for someone who can understand, support, and guide you on your path to healing. I want you to know that you are not alone. I offer more than just professional expertise; I provide a warm, empathetic, and safe space where you can openly share your thoughts, feelings, and experiences. Together, we will navigate the intricate landscape of your emotions with care and sensitivity.
(816) 688-3702 View (816) 688-3702
Photo of Lori A Frazier (Formerly Wheelhouse), Licensed Professional Counselor in Liberty, MO
Lori A Frazier (Formerly Wheelhouse)
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Liberty, MO 64068
Compassionate, empathetic therapist who can assist youth, adults, couples and families in creating the best versions of themselves.
Compassionate, empathetic therapist who can assist youth, adults, couples and families in creating the best versions of themselves.
(816) 368-5995 View (816) 368-5995
Photo of Mark Newlon, Licensed Professional Counselor in Liberty, MO
Mark Newlon
Licensed Professional Counselor, MS, LPC
Verified Verified
Liberty, MO 64068
There is a place of peace within you, a doorway and passage to renew and shift your life. If you are ready for change, and ready to find your way once more, let my thirty years of meditation and twelve years of experience counseling others help guide you to your path. I am a validating counselor and mystic, ready to meet you on your journey. Together, we can enter a meditative space for healing, for discovering answers and knowledge to help you on your path, to bring you back to yourself again.
There is a place of peace within you, a doorway and passage to renew and shift your life. If you are ready for change, and ready to find your way once more, let my thirty years of meditation and twelve years of experience counseling others help guide you to your path. I am a validating counselor and mystic, ready to meet you on your journey. Together, we can enter a meditative space for healing, for discovering answers and knowledge to help you on your path, to bring you back to yourself again.
(816) 482-3141 View (816) 482-3141
Photo of Theresa Hubbard, Marriage & Family Therapist in Liberty, MO
Theresa Hubbard
Marriage & Family Therapist, LMFT, LCMFT
Verified Verified
11 Endorsed
Liberty, MO 64068
Not accepting new clients
At different points in our lives we are more willing and able to make changes that can improve our life. Those changes can directly and indirectly have a positive impact on us and the lives of the people around us. I am here to discuss the changes you would like to make, to help you learn more about yourself, and your options. My clients bring to the counseling relationship a variety of concerns including all levels of trauma, brain injury and concussions, family dynamics, anxiety, and depression. I treat clients of all different ages and backgrounds.
At different points in our lives we are more willing and able to make changes that can improve our life. Those changes can directly and indirectly have a positive impact on us and the lives of the people around us. I am here to discuss the changes you would like to make, to help you learn more about yourself, and your options. My clients bring to the counseling relationship a variety of concerns including all levels of trauma, brain injury and concussions, family dynamics, anxiety, and depression. I treat clients of all different ages and backgrounds.
(816) 659-2371 x203 View (816) 659-2371 x203
Photo of Becky Franklin, Licensed Professional Counselor in Liberty, MO
Becky Franklin
Licensed Professional Counselor, LPC, MDivPC
Verified Verified
1 Endorsed
Liberty, MO 64068
Waitlist for new clients
Therapy is a process that is often sought out during times of change, stress or transition. It can take courage to reach out to others. Thus, I feel it important to have a level of trust and comfort with your therapist. I greatly enjoy providing direction and insight to the clients I serve. I view my role as one that facilitates further introspection and growth. Every life event, those that are joyful, painful, or somewhere in between, can serve to shape us as an individual as we make choices for how we are going to respond.
Therapy is a process that is often sought out during times of change, stress or transition. It can take courage to reach out to others. Thus, I feel it important to have a level of trust and comfort with your therapist. I greatly enjoy providing direction and insight to the clients I serve. I view my role as one that facilitates further introspection and growth. Every life event, those that are joyful, painful, or somewhere in between, can serve to shape us as an individual as we make choices for how we are going to respond.
(816) 439-7859 View (816) 439-7859
Photo of Erica Boan, Licensed Professional Counselor in Liberty, MO
Erica Boan
Licensed Professional Counselor, BS, MA, LPC
Verified Verified
4 Endorsed
Liberty, MO 64069  (Online Only)
Now offering 3 free sessions to those impacted by the KC Chiefs Parade shooting and subsequent sessions at a reduced rate for those wanting to work on the trauma. TF-CBT, CPT I help those on their search for self exploration, and treating trauma. With EMDR you are in total control of reprocessing your traumatic/disturbing experience. You don’t even have to disclose about the event if you don’t want to. Taking the first step can be scary but therapy is a place of safety, a place to have your thoughts and feelings heard and validated. A place where you are in control of what you want the conversation to be and what direction you take.
Now offering 3 free sessions to those impacted by the KC Chiefs Parade shooting and subsequent sessions at a reduced rate for those wanting to work on the trauma. TF-CBT, CPT I help those on their search for self exploration, and treating trauma. With EMDR you are in total control of reprocessing your traumatic/disturbing experience. You don’t even have to disclose about the event if you don’t want to. Taking the first step can be scary but therapy is a place of safety, a place to have your thoughts and feelings heard and validated. A place where you are in control of what you want the conversation to be and what direction you take.
(417) 763-6049 View (417) 763-6049
Photo of Kali Keilbey, Licensed Professional Counselor in Liberty, MO
Kali Keilbey
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Liberty, MO 64068
Welcome! I earned my graduate degree in Counseling Psychology with a certificate in Child and Adolescent Counseling in 2013 from Avila University. I specialize in working with individuals focused on depression, anxiety, abuse, family stressors, and self- harm. I have extensive experience working in private practice for over 7 years. I have managed and led groups for both an Intensive Outpatient Program and a Partial Hospitalization Program. I enjoy working with adolescents and their families to strengthen relationships and help find happiness again. I am passionate about helping others succeed in their everyday lives.
Welcome! I earned my graduate degree in Counseling Psychology with a certificate in Child and Adolescent Counseling in 2013 from Avila University. I specialize in working with individuals focused on depression, anxiety, abuse, family stressors, and self- harm. I have extensive experience working in private practice for over 7 years. I have managed and led groups for both an Intensive Outpatient Program and a Partial Hospitalization Program. I enjoy working with adolescents and their families to strengthen relationships and help find happiness again. I am passionate about helping others succeed in their everyday lives.
(816) 320-6019 View (816) 320-6019
Photo of Marie Clifton, Clinical Social Work/Therapist in Liberty, MO
Marie Clifton
Clinical Social Work/Therapist, LCSW, LSCSW
Verified Verified
1 Endorsed
Liberty, MO 64068
I am a licensed clinical social worker, with a master's degree in Social Work from the University of Kansas. I work with a wide range of mental health challenges including Depression, Anxiety, Stress Management, Grief, Eating Disorders and Trauma. I specialize in working with preteens, adolescents and adults. My career experience has been in child welfare, case management, outpatient group therapy and individual therapy. I am described as being compassionate, warm, caring and insightful. I am accepting new clients via in-office visits, Telehealth, and by phone.
I am a licensed clinical social worker, with a master's degree in Social Work from the University of Kansas. I work with a wide range of mental health challenges including Depression, Anxiety, Stress Management, Grief, Eating Disorders and Trauma. I specialize in working with preteens, adolescents and adults. My career experience has been in child welfare, case management, outpatient group therapy and individual therapy. I am described as being compassionate, warm, caring and insightful. I am accepting new clients via in-office visits, Telehealth, and by phone.
(936) 256-1534 View (936) 256-1534
Photo of Jill Robinson, Clinical Social Work/Therapist in Liberty, MO
Jill Robinson
Clinical Social Work/Therapist, LSCSW, LCSW, CAAPT, RPT-S™, CAS
Verified Verified
4 Endorsed
Liberty, MO 64068
Hi! My name is Jill and I am a licensed clinical social worker (LCSW) in Missouri, a licensed specialist clinical social worker (LSCSW) in Kansas, and a registered play therapist supervisor (RPT-S). I am also a Certified AutPlay Therapy Provider, a Certified Autism Specialist (CAS), an EMDR certified therapist, and a Certified Animal Assisted Play Therapist (CAAPT). I am passionate about helping individuals meet their goals and enhance their well-being. I work with children, adolescents, and adults. I also provide supervision for social workers (LMSWs) in Kansas and play therapy supervision towards the RPT credential.
Hi! My name is Jill and I am a licensed clinical social worker (LCSW) in Missouri, a licensed specialist clinical social worker (LSCSW) in Kansas, and a registered play therapist supervisor (RPT-S). I am also a Certified AutPlay Therapy Provider, a Certified Autism Specialist (CAS), an EMDR certified therapist, and a Certified Animal Assisted Play Therapist (CAAPT). I am passionate about helping individuals meet their goals and enhance their well-being. I work with children, adolescents, and adults. I also provide supervision for social workers (LMSWs) in Kansas and play therapy supervision towards the RPT credential.
(816) 407-8759 View (816) 407-8759
Photo of Valerie Meirose, Pre-Licensed Professional in Liberty, MO
Valerie Meirose
Pre-Licensed Professional, MSCP, CIT
Verified Verified
3 Endorsed
Liberty, MO 64068
Currently accepting new clients! It can be painful to feel stuck, unsure, or out of place in many of the relationships and environments you find yourself. In my office, all parts of your identity are welcome without shame or judgement - there is no such thing as a taboo topic. I specialize in working with individuals and couples who are experiencing difficult life transitions in their faith, careers, and relationships (familial, marital, parenting, or the challenges of trying to become a parent). I also specialize working with clients that are stretched thin and tired of the daily overwhelm of being anxious and stressed.
Currently accepting new clients! It can be painful to feel stuck, unsure, or out of place in many of the relationships and environments you find yourself. In my office, all parts of your identity are welcome without shame or judgement - there is no such thing as a taboo topic. I specialize in working with individuals and couples who are experiencing difficult life transitions in their faith, careers, and relationships (familial, marital, parenting, or the challenges of trying to become a parent). I also specialize working with clients that are stretched thin and tired of the daily overwhelm of being anxious and stressed.
(816) 677-6650 View (816) 677-6650
Photo of Align Counseling, Licensed Professional Counselor in Liberty, MO
Align Counseling
Licensed Professional Counselor
Verified Verified
4 Endorsed
Liberty, MO 64068
Waitlist for new clients
Your alarm clock is going off, and that sense of dread sits in the pit of your stomach. You slept but you don’t feel rested. Brushing your teeth and getting dressed leaves you drained. The idea of “peopling” makes you want to curl in a ball. You have thoughts popping into your head that you aren’t “good enough,” are “an imposter,” or “a failure.” Everyday tasks can feel overwhelming, and you can be your own worst critic when struggling with life transitions, trauma, anxiety or depression. Asking for help can be daunting, as we are often taught to face those internal battles quietly and alone.
Your alarm clock is going off, and that sense of dread sits in the pit of your stomach. You slept but you don’t feel rested. Brushing your teeth and getting dressed leaves you drained. The idea of “peopling” makes you want to curl in a ball. You have thoughts popping into your head that you aren’t “good enough,” are “an imposter,” or “a failure.” Everyday tasks can feel overwhelming, and you can be your own worst critic when struggling with life transitions, trauma, anxiety or depression. Asking for help can be daunting, as we are often taught to face those internal battles quietly and alone.
(816) 839-7633 View (816) 839-7633
Photo of Diakonos Counseling, Licensed Professional Counselor in Liberty, MO
Diakonos Counseling
Licensed Professional Counselor, PsyD, LCSW, LPC, PLPC
Verified Verified
2 Endorsed
Liberty, MO 64068
Diakonos is a private mental health counseling center in Independence, MO since 1981. We believe in a healthy approach to healing life's problems through integrating sound principles for the mind, body & spirit. We offer compassionate care for those struggling with painful emotions, distorted thinking, and troubling behavior, as well as those desiring personal growth and more satisfying relationships. We are comfortable and experienced at integrating clients' religious & spiritual beliefs with the therapy and healing process. Treatment is personalized to meet the individual needs of each participant. Therapists are available to lead conferences and speak on topics of interest to your church, business, or organization.
Diakonos is a private mental health counseling center in Independence, MO since 1981. We believe in a healthy approach to healing life's problems through integrating sound principles for the mind, body & spirit. We offer compassionate care for those struggling with painful emotions, distorted thinking, and troubling behavior, as well as those desiring personal growth and more satisfying relationships. We are comfortable and experienced at integrating clients' religious & spiritual beliefs with the therapy and healing process. Treatment is personalized to meet the individual needs of each participant. Therapists are available to lead conferences and speak on topics of interest to your church, business, or organization.
(816) 774-1923 View (816) 774-1923
Photo of Lisa Soleymani-Alizadeh, Licensed Professional Counselor in Liberty, MO
Lisa Soleymani-Alizadeh
Licensed Professional Counselor, LPC-S, LCPC, PMH-C
Verified Verified
Liberty, MO 64068
Waitlist for new clients
Do you feel emotionally exhausted or stuck with the weight of life stressors or traumatic and painful experiences? Do you feel you spend a lot of your time trying to make sure everyone else is ok before you care for yourself? We can have a strong inner critic or develop coping strategies that at one point may have served us to protect ourselves, but now may be hindering our ability to connect and love ourselves or others. I want to help you connect back to yourself and values so you can go from surviving to thriving. Therapy can provide a healing space for you to let go of pain and let love and acceptance back into your life.
Do you feel emotionally exhausted or stuck with the weight of life stressors or traumatic and painful experiences? Do you feel you spend a lot of your time trying to make sure everyone else is ok before you care for yourself? We can have a strong inner critic or develop coping strategies that at one point may have served us to protect ourselves, but now may be hindering our ability to connect and love ourselves or others. I want to help you connect back to yourself and values so you can go from surviving to thriving. Therapy can provide a healing space for you to let go of pain and let love and acceptance back into your life.
(816) 992-5616 View (816) 992-5616

How does your Therapist compare?

Number of Therapists in Liberty, MO

100+

Average cost per session

$125

Therapists in Liberty, MO who prioritize treating:

90% Anxiety
88% Depression
80% Relationship Issues
77% Coping Skills
74% Self Esteem
72% Trauma and PTSD
71% Grief

Average years in practice

10 Years

Top 3 insurances accepted

75% UnitedHealthcare UHC | UBH
68% Aetna
60% Optum

How Therapists in Liberty, MO see their clients

90% In Person and Online
10% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Liberty?

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.