Therapists in Mooresville, NC

Photo of Latisha N Sealey, Counselor in Mooresville, NC
Latisha N Sealey
Counselor, MA, LCMHC, QP
Verified Verified
Mooresville, NC 28117  (Online Only)
Do you need help with issues related to depression, anxiety or substance use? Are you a teenager struggling with gender identity issues, bullying or uncontrollable anger? If you identify with any of these things then maybe counseling could be beneficial to your mental stability and overall health.
Do you need help with issues related to depression, anxiety or substance use? Are you a teenager struggling with gender identity issues, bullying or uncontrollable anger? If you identify with any of these things then maybe counseling could be beneficial to your mental stability and overall health.
(980) 276-2630 View (980) 276-2630
Photo of Melissa Dean-Campbell, Clinical Social Work/Therapist in Mooresville, NC
Melissa Dean-Campbell
Clinical Social Work/Therapist, LCSW-A
Verified Verified
1 Endorsed
Mooresville, NC 28117
You’re here! AND so am I. I am an experienced therapist dedicated to helping you navigate through life's challenges and achieve mental wellness. With a focus on depression, anxiety, relationship difficulties, work-related issues, and stress management, I provide a safe and supportive space for you to explore your emotions and develop coping strategies. Whether you are struggling with persistent feelings of sadness, overwhelming anxiety, conflicts in relationships, work-related stress, or other mental health concerns, I am here to support you on your journey towards healing and personal growth.
You’re here! AND so am I. I am an experienced therapist dedicated to helping you navigate through life's challenges and achieve mental wellness. With a focus on depression, anxiety, relationship difficulties, work-related issues, and stress management, I provide a safe and supportive space for you to explore your emotions and develop coping strategies. Whether you are struggling with persistent feelings of sadness, overwhelming anxiety, conflicts in relationships, work-related stress, or other mental health concerns, I am here to support you on your journey towards healing and personal growth.
(704) 327-0596 View (704) 327-0596
Photo of Christina J Luke, Licensed Professional Counselor in Mooresville, NC
Christina J Luke
Licensed Professional Counselor, MS, TF-CBT, (CR), LCMHC
Verified Verified
Mooresville, NC 28117
I, Christina Jean Luke, have obtained a Master's Degree in Clinical Mental Health Counseling, granted by the University of North Carolina at Charlotte in 2010, with over ten years of pre-graduate and post graduate experience in the counseling field. I am a Licensed Practicing Counselor in NC.
I, Christina Jean Luke, have obtained a Master's Degree in Clinical Mental Health Counseling, granted by the University of North Carolina at Charlotte in 2010, with over ten years of pre-graduate and post graduate experience in the counseling field. I am a Licensed Practicing Counselor in NC.
(980) 238-2473 View (980) 238-2473
Photo of Thrive Counseling and Wellness, Marriage & Family Therapist in Mooresville, NC
Thrive Counseling and Wellness
Marriage & Family Therapist, MA, LMFT, LCSW, LPC, LCAS
Verified Verified
4 Endorsed
Mooresville, NC 28117
Are you feeling overwhelmed, depressed, anxious, or just not like "you?" Does it feel like extra work to just get through the day? We get it. We're here to help you feel at peace, calm, and hopeful - no matter what is happening in your world.
Are you feeling overwhelmed, depressed, anxious, or just not like "you?" Does it feel like extra work to just get through the day? We get it. We're here to help you feel at peace, calm, and hopeful - no matter what is happening in your world.
(704) 228-9626 View (704) 228-9626
Photo of Taryn Sweeting, Licensed Clinical Mental Health Counselor in Mooresville, NC
Taryn Sweeting
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
4 Endorsed
Mooresville, NC 28117
Are you seeing anxiety, isolation, opposition? Seeing your child struggle with these feelings and behaviors can be very overwhelming and lonely. If it's too much, I can help. Realistic and customized ways to reduce these challenges is the approach my clients find most helpful. I focus on parenting and couple issues as well, helping to strengthen bonds and promote the desired change. Individuals who face anxiety, grief and loss, transition and other challenges deserve support and non-judgement.
Are you seeing anxiety, isolation, opposition? Seeing your child struggle with these feelings and behaviors can be very overwhelming and lonely. If it's too much, I can help. Realistic and customized ways to reduce these challenges is the approach my clients find most helpful. I focus on parenting and couple issues as well, helping to strengthen bonds and promote the desired change. Individuals who face anxiety, grief and loss, transition and other challenges deserve support and non-judgement.
(704) 994-8601 View (704) 994-8601
Photo of Stephen Mcalister, Drug & Alcohol Counselor in Mooresville, NC
Stephen Mcalister
Drug & Alcohol Counselor, MA, LCMHC, LCAS
Verified Verified
Mooresville, NC 28117
I am an advocate for empowering secret-holders to let go of their burdens to create new freedom. Whether it's dealing with the shame of substance abuse issues, fear surrounding sexual identity concerns, underlying dread from childhood traumas, or ongoing guilt of forgotten crimes from the past. I offer a safe space to put your hurt story to rest. Working together, we create a new story that gives you authenticity, community, and possibility. I combine 5-years of experience with substance abuse counseling with 7-years of experience collaborating with people confronted by childhood trauma, anxiety, depression and other diagnoses.
I am an advocate for empowering secret-holders to let go of their burdens to create new freedom. Whether it's dealing with the shame of substance abuse issues, fear surrounding sexual identity concerns, underlying dread from childhood traumas, or ongoing guilt of forgotten crimes from the past. I offer a safe space to put your hurt story to rest. Working together, we create a new story that gives you authenticity, community, and possibility. I combine 5-years of experience with substance abuse counseling with 7-years of experience collaborating with people confronted by childhood trauma, anxiety, depression and other diagnoses.
(704) 389-5963 View (704) 389-5963
Photo of Michaela Mowat, Clinical Social Work/Therapist in Mooresville, NC
Michaela Mowat
Clinical Social Work/Therapist, LCSW-A
Verified Verified
1 Endorsed
Mooresville, NC 28117
Welcome! Are you feeling overwhelmed, struggling with life’s challenges, or seeking a safe space to explore your thoughts and emotions? Are you seeking support, understanding & guidance on your journey towards a more fulfilling life? I am here to help you identify the root causes of your challenges & develop effective coping strategies & problem-solving skills. As a dedicated & compassionate therapist, I am deeply committed to helping people navigate the complexities of their emotional well-being. I understand that every person’s experience is unique, & I modify my approach to meet the specific needs & strengths of each client.
Welcome! Are you feeling overwhelmed, struggling with life’s challenges, or seeking a safe space to explore your thoughts and emotions? Are you seeking support, understanding & guidance on your journey towards a more fulfilling life? I am here to help you identify the root causes of your challenges & develop effective coping strategies & problem-solving skills. As a dedicated & compassionate therapist, I am deeply committed to helping people navigate the complexities of their emotional well-being. I understand that every person’s experience is unique, & I modify my approach to meet the specific needs & strengths of each client.
(980) 385-4595 View (980) 385-4595
Photo of Sara Wilson Martin, Marriage & Family Therapist in Mooresville, NC
Sara Wilson Martin
Marriage & Family Therapist, MA, LMFT, CA , NC, SC
Verified Verified
1 Endorsed
Mooresville, NC 28117  (Online Only)
Welcome. :) Most of my clients are both intelligent, as well as somatically empathic. They care about growth towards greater health and balance, relationally and professionally. They often have traumatic backgrounds. From a body felt and practical sense, they would like to feel met, seen and valued, as is true of most all of us. I work from a calm, clear, non-judgmental posture, offering the gift of warm and fun, compassionate presence to you manifest your intentions. I am in my mid-50's, like to kayak, dance, read, write, swim, puzzle, and hang out seaside for sunrise, and lakeside for sunsets. I would love to support you soon.
Welcome. :) Most of my clients are both intelligent, as well as somatically empathic. They care about growth towards greater health and balance, relationally and professionally. They often have traumatic backgrounds. From a body felt and practical sense, they would like to feel met, seen and valued, as is true of most all of us. I work from a calm, clear, non-judgmental posture, offering the gift of warm and fun, compassionate presence to you manifest your intentions. I am in my mid-50's, like to kayak, dance, read, write, swim, puzzle, and hang out seaside for sunrise, and lakeside for sunsets. I would love to support you soon.
(910) 543-8595 View (910) 543-8595
Photo of Hollins Cuttino, Counselor in Mooresville, NC
Hollins Cuttino
Counselor, MA, LCMHCA
Verified Verified
3 Endorsed
Mooresville, NC 28115
Grief and struggle are unavoidable parts of being human, but no one should ever have to bear those burdens alone. Since you're reading this, I assume that you are bravely considering inviting someone in. I believe that the relationship we form as therapist and client can be a safe space for you to cultivate healing and restoration that will spread to other areas in your life. I consider it a great privilege to hold your story with tenderness, safety, and grace as you hold the tension between compassion and truth. You are so much more resilient than you know!
Grief and struggle are unavoidable parts of being human, but no one should ever have to bear those burdens alone. Since you're reading this, I assume that you are bravely considering inviting someone in. I believe that the relationship we form as therapist and client can be a safe space for you to cultivate healing and restoration that will spread to other areas in your life. I consider it a great privilege to hold your story with tenderness, safety, and grace as you hold the tension between compassion and truth. You are so much more resilient than you know!
(704) 389-9251 View (704) 389-9251
Photo of Vincent Ketchie, Licensed Professional Counselor in Mooresville, NC
Vincent Ketchie
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Mooresville, NC 28115
After an affair or other rough patch, I help couples restore their marriage. I give specific homework tailored for each couple to work on rebuilding their relationship. I guide the husband and wife in developing healthy communication patterns. I strive to model grace and truth in my counseling by delicately addressing problems - sexual addictions, emotional affairs, workaholism, alcoholism, perfectionism, control issues, rage issues, etc. I am direct and have a structured approach for each couple. The work is hard, but good. My couples who do the work, stay together and have a thriving marriage.
After an affair or other rough patch, I help couples restore their marriage. I give specific homework tailored for each couple to work on rebuilding their relationship. I guide the husband and wife in developing healthy communication patterns. I strive to model grace and truth in my counseling by delicately addressing problems - sexual addictions, emotional affairs, workaholism, alcoholism, perfectionism, control issues, rage issues, etc. I am direct and have a structured approach for each couple. The work is hard, but good. My couples who do the work, stay together and have a thriving marriage.
(704) 946-6432 View (704) 946-6432
Photo of Brittany Nichols, Clinical Social Work/Therapist in Mooresville, NC
Brittany Nichols
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Mooresville, NC 28117
Waitlist for new clients
I believe that clients are the experts of their own experiences. I am unable to “fix” you, but I will bring professional expertise to assist you with any issues you may be experiencing. I will accept you unconditionally, listen to you, and communicate honestly with you throughout the process. I integrate different techniques based on your individual needs.
I believe that clients are the experts of their own experiences. I am unable to “fix” you, but I will bring professional expertise to assist you with any issues you may be experiencing. I will accept you unconditionally, listen to you, and communicate honestly with you throughout the process. I integrate different techniques based on your individual needs.
(980) 303-2230 View (980) 303-2230
Photo of Allison Green, LCSW Associate in Mooresville, NC
Allison Green
LCSW Associate, MSW, LCSW-A
Verified Verified
1 Endorsed
Mooresville, NC 28117
If you are tired of feeling anxious and want the “what ifs” to stop ruling your life, you’ve come to the right place. Let’s figure out together where the anxiety is coming from and how to tame it so you can get up in the morning excited about your day instead of dreading the voice in your head warning you about every detail. It’s possible to change the voice of “What if I can’t do this?” to “I’ve got this!”. My passion lies in helping women experiencing issues with anxiety. l’m also passionate about other women's issues including self-worth, life transitions, parenting and relationship issues.
If you are tired of feeling anxious and want the “what ifs” to stop ruling your life, you’ve come to the right place. Let’s figure out together where the anxiety is coming from and how to tame it so you can get up in the morning excited about your day instead of dreading the voice in your head warning you about every detail. It’s possible to change the voice of “What if I can’t do this?” to “I’ve got this!”. My passion lies in helping women experiencing issues with anxiety. l’m also passionate about other women's issues including self-worth, life transitions, parenting and relationship issues.
(980) 372-3524 View (980) 372-3524
Photo of Keith Cheney, Marriage & Family Therapist in Mooresville, NC
Keith Cheney
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Mooresville, NC 28117
Don't over-think therapy. It's just not that complicated. When things get difficult, it's often hard to ask for help. We all face challenges, and we often overcome them on our own. Sometimes it takes much longer than we'd like, and that's when therapy comes into play. Why spend months or years taking on a situation or challenge by yourself, when you could work through it in far less time? Insanity is doing the same things, over and over, and expecting different results. Try something new, and break those old patterns.
Don't over-think therapy. It's just not that complicated. When things get difficult, it's often hard to ask for help. We all face challenges, and we often overcome them on our own. Sometimes it takes much longer than we'd like, and that's when therapy comes into play. Why spend months or years taking on a situation or challenge by yourself, when you could work through it in far less time? Insanity is doing the same things, over and over, and expecting different results. Try something new, and break those old patterns.
(704) 233-3784 View (704) 233-3784
Photo of Michael Gebelein, Counselor in Mooresville, NC
Michael Gebelein
Counselor, MA, LCMHC, NCC
Verified Verified
1 Endorsed
Mooresville, NC 28117
Life can feel overwhelming and exhausting. You are seeking balance and calm in your life so that you can be the person that you have always wanted to be. You have tried other ways of coping, but now you have taken the courageous step of finding meaningful and intentional ways of achieving those goals. I believe in you, and I’m here to help you.
Life can feel overwhelming and exhausting. You are seeking balance and calm in your life so that you can be the person that you have always wanted to be. You have tried other ways of coping, but now you have taken the courageous step of finding meaningful and intentional ways of achieving those goals. I believe in you, and I’m here to help you.
(980) 217-8816 View (980) 217-8816
Photo of Alanna Tarrao, Counselor in Mooresville, NC
Alanna Tarrao
Counselor, MA, LCMHC-A, LCAS-A, NCC
Verified Verified
2 Endorsed
Mooresville, NC 28117
If you are looking to improve relationships with yourself and others, regulate emotions, manage stress, work towards resolving conflict, or find healthier ways of thinking, behaving, and experiencing, then I am here to help you recognize that you have the inner resources to do so. I believe that change begins through awareness of self, personal values, and true aspirations. With that awareness, we can then begin the practice of reframing negative core beliefs and automatic assumptions that govern patterns of thought, feeling, and behaving. This gained insight can give you the power to choose how to best move forward.
If you are looking to improve relationships with yourself and others, regulate emotions, manage stress, work towards resolving conflict, or find healthier ways of thinking, behaving, and experiencing, then I am here to help you recognize that you have the inner resources to do so. I believe that change begins through awareness of self, personal values, and true aspirations. With that awareness, we can then begin the practice of reframing negative core beliefs and automatic assumptions that govern patterns of thought, feeling, and behaving. This gained insight can give you the power to choose how to best move forward.
(980) 360-4534 View (980) 360-4534
Photo of Katelyn Barber, Counselor in Mooresville, NC
Katelyn Barber
Counselor, MA, LCMHCA, NCC
Verified Verified
1 Endorsed
Mooresville, NC 28117  (Online Only)
I have always had a deep love for exploring the relationship between the heart, soul, and mind. This love drove me to graduate with a Bachelor’s degree in Theology from Franciscan University of Steubenville and to earn my Master’s degree with honors in Clinical Mental Health Counseling with concentrations in Christian Counseling and Crisis and Trauma Counseling from Franciscan University of Steubenville.
I have always had a deep love for exploring the relationship between the heart, soul, and mind. This love drove me to graduate with a Bachelor’s degree in Theology from Franciscan University of Steubenville and to earn my Master’s degree with honors in Clinical Mental Health Counseling with concentrations in Christian Counseling and Crisis and Trauma Counseling from Franciscan University of Steubenville.
(980) 303-2746 View (980) 303-2746
Photo of Heather Drum, Licensed Clinical Mental Health Counselor in Mooresville, NC
Heather Drum
Licensed Clinical Mental Health Counselor, LCMHCS, LCAS
Verified Verified
2 Endorsed
Mooresville, NC 28117
Is alcohol use impacting your marriage? Are you struggling with anxiety or finding that you are frequently depressed? Is someone gaslighting you? Do you find that you're struggling to be your best self? If so I’m here to help with loads of experience, having worked for a major substance use and mental health agency for over 18 years. We will work together to craft a plan that fits and supports your lifestyle.
Is alcohol use impacting your marriage? Are you struggling with anxiety or finding that you are frequently depressed? Is someone gaslighting you? Do you find that you're struggling to be your best self? If so I’m here to help with loads of experience, having worked for a major substance use and mental health agency for over 18 years. We will work together to craft a plan that fits and supports your lifestyle.
(704) 327-2449 View (704) 327-2449
Photo of Cynthia Johnson, Licensed Clinical Mental Health Counselor in Mooresville, NC
Cynthia Johnson
Licensed Clinical Mental Health Counselor, LMHC
Verified Verified
Mooresville, NC 28117
Cynthia Johnson is a Licensed Clinical Mental Health Counselor and Nationally Certified Counselor with more than five years of clinical experience. Cynthia earned her Master of Arts in Clinical Counseling from Webster University in Myrtle Beach, South Carolina. Cynthia believes that therapy can only be successful if a strong therapeutic relationship between the therapist and the client is established and maintained. She adopts a person-centered approach, retaining a nonjudgmental attitude and unconditional positive regard. Cynthia handles treatment in a collaborative and holistic manner, using a variety of modalities.
Cynthia Johnson is a Licensed Clinical Mental Health Counselor and Nationally Certified Counselor with more than five years of clinical experience. Cynthia earned her Master of Arts in Clinical Counseling from Webster University in Myrtle Beach, South Carolina. Cynthia believes that therapy can only be successful if a strong therapeutic relationship between the therapist and the client is established and maintained. She adopts a person-centered approach, retaining a nonjudgmental attitude and unconditional positive regard. Cynthia handles treatment in a collaborative and holistic manner, using a variety of modalities.
(704) 459-7803 View (704) 459-7803
Photo of Laura Ketchie, Licensed Clinical Mental Health Counselor in Mooresville, NC
Laura Ketchie
Licensed Clinical Mental Health Counselor, MA, LPC
Verified Verified
1 Endorsed
Mooresville, NC 28115
Life can be difficult, but people are resilient. My counseling approach towards each individual is strength-based. I believe that everyone has positive qualities and strengths. Sometimes, it just may be hard for someone to recognize when they are going through a hard time. My job is to come alongside my clients in a safe environment where my clients can share their feelings without being judged. I will help to point out any faulty thinking or behavioral patterns that may be causing difficulties in life. I mainly work with women struggling with depression, anxiety and trauma histories.
Life can be difficult, but people are resilient. My counseling approach towards each individual is strength-based. I believe that everyone has positive qualities and strengths. Sometimes, it just may be hard for someone to recognize when they are going through a hard time. My job is to come alongside my clients in a safe environment where my clients can share their feelings without being judged. I will help to point out any faulty thinking or behavioral patterns that may be causing difficulties in life. I mainly work with women struggling with depression, anxiety and trauma histories.
(704) 504-7991 View (704) 504-7991
Photo of Summer Mendez, Clinical Social Work/Therapist in Mooresville, NC
Summer Mendez
Clinical Social Work/Therapist, LCSWA
Verified Verified
Mooresville, NC 28117
Hello! It has been a joy of mine to work with children, teens and young adults dealing with life transitions. My passions include working with clients who are experiencing stress, trauma, and/or behavioral issues. I can assist clients in developing the skills necessary for self-regulation, self-control and increase their self-esteem and self-confidence. I consider myself an active therapist, combining experience, education, creativity and sense of humor with a realistic approach to counseling.
Hello! It has been a joy of mine to work with children, teens and young adults dealing with life transitions. My passions include working with clients who are experiencing stress, trauma, and/or behavioral issues. I can assist clients in developing the skills necessary for self-regulation, self-control and increase their self-esteem and self-confidence. I consider myself an active therapist, combining experience, education, creativity and sense of humor with a realistic approach to counseling.
(704) 946-8660 View (704) 946-8660

How does your Therapist compare?

Number of Therapists in Mooresville, NC

200+

Average cost per session

$125

Therapists in Mooresville, NC who prioritize treating:

95% Anxiety
90% Depression
75% Self Esteem
74% Relationship Issues
71% Trauma and PTSD
70% Coping Skills
66% Stress

Average years in practice

10 Years

Top 3 insurances accepted

91% BlueCross and BlueShield
81% Aetna
71% Cigna and Evernorth

How Therapists in Mooresville, NC see their clients

86% In Person and Online
14% Online Only

Gender breakdown

86% Female
13% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Mooresville?

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.