Therapists in Wytheville, VA

Photo of Tara Brewster Lineberry, LCSW, LICSW, Clinical Social Work/Therapist
Tara Brewster Lineberry
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Wytheville, VA 24382
I specialize in helping adolescents and adults realize their maximum potential by assisting with overcoming struggles, stress, and trauma.
I specialize in helping adolescents and adults realize their maximum potential by assisting with overcoming struggles, stress, and trauma.
(276) 277-2030 View (276) 277-2030
Photo of Elizabeth Forman, LPC, LMHC, Licensed Professional Counselor
Elizabeth Forman
Licensed Professional Counselor, LPC, LMHC
Verified Verified
1 Endorsed
Wytheville, VA 24382  (Online Only)
Are you feeling controlled by feelings of anxiety and stress? Do you feel held back by limiting beliefs about yourself? Maybe you have encountered extremely difficult situations in your life and are looking for new ways to cope. My name is Elizabeth and I would be honored to walk with you on your healing journey. I am a Licensed Professional Counselor almost a decade of experience in the field of mental health treatment.
Are you feeling controlled by feelings of anxiety and stress? Do you feel held back by limiting beliefs about yourself? Maybe you have encountered extremely difficult situations in your life and are looking for new ways to cope. My name is Elizabeth and I would be honored to walk with you on your healing journey. I am a Licensed Professional Counselor almost a decade of experience in the field of mental health treatment.
(276) 530-3234 View (276) 530-3234
Photo of Kristyna Lathem, MS, LPC, CTP, Licensed Professional Counselor
Kristyna Lathem
Licensed Professional Counselor, MS, LPC, CTP
Verified Verified
1 Endorsed
Wytheville, VA 24382  (Online Only)
Are you having difficulty in situations with unexplained behavior? Are you wanting clarity? It can feel out of control when you’re not sure what to do, or how to find help. I offer supportive therapy for teens and adults so they can get a better handle on life, work through any crisis they’re dealing with, and learn to thrive. I treat people who are struggling with trauma, anxiety, depression or relationships. I also have experience working with military families at all stages. We can focus on any goals that are important to you, ranging from overcoming symptoms to dealing with difficult life situations.
Are you having difficulty in situations with unexplained behavior? Are you wanting clarity? It can feel out of control when you’re not sure what to do, or how to find help. I offer supportive therapy for teens and adults so they can get a better handle on life, work through any crisis they’re dealing with, and learn to thrive. I treat people who are struggling with trauma, anxiety, depression or relationships. I also have experience working with military families at all stages. We can focus on any goals that are important to you, ranging from overcoming symptoms to dealing with difficult life situations.
(276) 222-6776 View (276) 222-6776
Photo of Monique Connor, LCSW, Clinical Social Work/Therapist
Monique Connor
Clinical Social Work/Therapist, LCSW
Verified Verified
Wytheville, VA 24382
My name is Monique Connor and I am a Licensed Clinical Social Worker. I take a supportive and nonjudgmental approach toward providing therapy services. I utilize a strengths-based perspective because you do have value, despite life experiences out of your control that has impacted you mentally. I am always growing as a professional and willing to learn.
My name is Monique Connor and I am a Licensed Clinical Social Worker. I take a supportive and nonjudgmental approach toward providing therapy services. I utilize a strengths-based perspective because you do have value, despite life experiences out of your control that has impacted you mentally. I am always growing as a professional and willing to learn.
(571) 536-7498 View (571) 536-7498
Photo of Marina Read, LPC, Licensed Professional Counselor
Marina Read
Licensed Professional Counselor, LPC
Verified Verified
Wytheville, VA 24382
Mrs. Read is a Licensed Professional Counselor with 10 years of experience working with adults, children, adolescents, and individuals with diverse backgrounds. Marina specializes in Cognitive Behavioral Therapy, Interpersonal Therapy, Solution Focused Therapy, and more. She is also dually credentialed as a Licensed Professional Counselor and a Clinical Substance Abuse Counselor and is able to address mental health and substance use concerns as well. She obtained her degrees from UW-Whitewater and Concordia University.
Mrs. Read is a Licensed Professional Counselor with 10 years of experience working with adults, children, adolescents, and individuals with diverse backgrounds. Marina specializes in Cognitive Behavioral Therapy, Interpersonal Therapy, Solution Focused Therapy, and more. She is also dually credentialed as a Licensed Professional Counselor and a Clinical Substance Abuse Counselor and is able to address mental health and substance use concerns as well. She obtained her degrees from UW-Whitewater and Concordia University.
(571) 506-3859 View (571) 506-3859
Photo of Justine F Bradley, LPC, NCC, Licensed Professional Counselor
Justine F Bradley
Licensed Professional Counselor, LPC, NCC
Verified Verified
Wytheville, VA 24382
Are you facing tough times, grappling with life's challenges, or finding it hard to shake off those persistent negative thoughts? Perhaps you're overwhelmed and just need a safe space to share your experiences, thoughts, or feelings. You don't have to navigate this journey alone. In our therapeutic partnership, I see the client-therapist relationship as a crucial foundation. As your counselor, my goal is to support you in understanding your situation, co-create strategies for effective communication, and equip you with coping skills for those stressful moments. I genuinely believe in the strength within you to overcome challenges .
Are you facing tough times, grappling with life's challenges, or finding it hard to shake off those persistent negative thoughts? Perhaps you're overwhelmed and just need a safe space to share your experiences, thoughts, or feelings. You don't have to navigate this journey alone. In our therapeutic partnership, I see the client-therapist relationship as a crucial foundation. As your counselor, my goal is to support you in understanding your situation, co-create strategies for effective communication, and equip you with coping skills for those stressful moments. I genuinely believe in the strength within you to overcome challenges .
(276) 285-5203 View (276) 285-5203
Photo of Courtney S Brooks, MEd, Pre-Licensed Professional
Courtney S Brooks
Pre-Licensed Professional, MEd
Verified Verified
2 Endorsed
Wytheville, VA 24382
Waitlist for new clients
I view therapy from a holistic lens, encouraging clients to explore their holistic self (mental, spiritual, sexual, physical, etc.) and how those various pieces impact our view of self, the world, and our lived experiences. Finding meaning in experiences, as well as curating curiosity and compassion towards the self are inherent to my therapeutic process. To summarize my approach to treatment from Carl Rogers: "A person is a fluid process, not a fixed & static entity; a flowing river of change, not a block of solid material; a continually changing constellation of potentialities, not a fixed quantity of traits."
I view therapy from a holistic lens, encouraging clients to explore their holistic self (mental, spiritual, sexual, physical, etc.) and how those various pieces impact our view of self, the world, and our lived experiences. Finding meaning in experiences, as well as curating curiosity and compassion towards the self are inherent to my therapeutic process. To summarize my approach to treatment from Carl Rogers: "A person is a fluid process, not a fixed & static entity; a flowing river of change, not a block of solid material; a continually changing constellation of potentialities, not a fixed quantity of traits."
(540) 584-1219 View (540) 584-1219
Photo of Amanda Rigney, LPC, Licensed Professional Counselor
Amanda Rigney
Licensed Professional Counselor, LPC
Verified Verified
Wytheville, VA 24382
I strongly believe that clients already possess the strength they need to overcome past hurts. I believe it is my privilege to walk alongside you in your journey and empower you to use your own strengths to solve problems and achieve your goals. I enjoy working with clients from any age or background. I treat a wide range of issues including anxiety, depression, anger management, and trauma. I have a special interest in working with woman recovering from abusive relationships, co-dependency, or parenting issues.
I strongly believe that clients already possess the strength they need to overcome past hurts. I believe it is my privilege to walk alongside you in your journey and empower you to use your own strengths to solve problems and achieve your goals. I enjoy working with clients from any age or background. I treat a wide range of issues including anxiety, depression, anger management, and trauma. I have a special interest in working with woman recovering from abusive relationships, co-dependency, or parenting issues.
(540) 730-1039 View (540) 730-1039
Photo of Joy Groves, MA, LPC, NCC, Licensed Professional Counselor
Joy Groves
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Wytheville, VA 24382
I am an experienced counselor who is truly invested in helping individuals and families make their lives better and find joy in life. Whether you have concerns for your child, teen, or for yourself, rest assured that life can feel better than it does for you right now. I am a compassionate listener who will help you develop new perspectives and skills to navigate the challenges affecting you and your family. I will encourage you, help you grow into your best self, and enhance your significant relationships. My approach is holistic, incorporating the spiritual values that are important to you.
I am an experienced counselor who is truly invested in helping individuals and families make their lives better and find joy in life. Whether you have concerns for your child, teen, or for yourself, rest assured that life can feel better than it does for you right now. I am a compassionate listener who will help you develop new perspectives and skills to navigate the challenges affecting you and your family. I will encourage you, help you grow into your best self, and enhance your significant relationships. My approach is holistic, incorporating the spiritual values that are important to you.
(276) 496-2642 View (276) 496-2642

More Therapists Nearby

Photo of Patricia Helton, LCSW, Clinical Social Work/Therapist
Patricia Helton
Clinical Social Work/Therapist, LCSW
Verified Verified
Max Meadows, VA 24360  (Online Only)
Hello! I am a licensed clinical social worker in Virginia. I work full-time at a residential substance use facility and part-time providing therapy online for individuals with mental health or co-occurring diagnoses. I believe individuals are the experts in their lives and have the strengths and abilities within them to bring to therapy to be successful in improving their quality of life.
Hello! I am a licensed clinical social worker in Virginia. I work full-time at a residential substance use facility and part-time providing therapy online for individuals with mental health or co-occurring diagnoses. I believe individuals are the experts in their lives and have the strengths and abilities within them to bring to therapy to be successful in improving their quality of life.
(276) 582-9630 View (276) 582-9630
Photo of Mary Rodman, LCSW, Clinical Social Work/Therapist
Mary Rodman
Clinical Social Work/Therapist, LCSW
Verified Verified
Ivanhoe, VA 24350
Mary Jouett Rodman, LCSW, graduated from Jane Addams College of Social Work at The University of Illinois at Chicago. Mary encompasses a holistic approach when identifying and treating the macro and micro needs of the community. Mary is focused on creating sustainable healing by incorporating strength-based systems of care. As a clinical social worker, her treatment approach includes motivational interviewing, integrating self-compassion principles, embodied practices, and a person-centered treatment approach.
Mary Jouett Rodman, LCSW, graduated from Jane Addams College of Social Work at The University of Illinois at Chicago. Mary encompasses a holistic approach when identifying and treating the macro and micro needs of the community. Mary is focused on creating sustainable healing by incorporating strength-based systems of care. As a clinical social worker, her treatment approach includes motivational interviewing, integrating self-compassion principles, embodied practices, and a person-centered treatment approach.
(571) 603-7747 View (571) 603-7747
Photo of Cynthia Repanshek, LCP, Psychologist
Cynthia Repanshek
Psychologist, LCP
Verified Verified
Ivanhoe, VA 24350
My name is Cynthia (Cyndi) Repanshek, and I am a Licensed Clinical Psychologist. I am located in Fredericksburg, VA, but I see patients throughout Virginia via telehealth. I work with adults and specialize in anxiety, stress, depression, and OCD. I see therapy as a collaborative process. I am not dedicated to a sole modality, and I would like to work with you to determine what type of therapy is the best fit. I work with adults of all ages. I have treated a wide range of diagnoses, including adult ADHD, anxiety, depression, and OCD.
My name is Cynthia (Cyndi) Repanshek, and I am a Licensed Clinical Psychologist. I am located in Fredericksburg, VA, but I see patients throughout Virginia via telehealth. I work with adults and specialize in anxiety, stress, depression, and OCD. I see therapy as a collaborative process. I am not dedicated to a sole modality, and I would like to work with you to determine what type of therapy is the best fit. I work with adults of all ages. I have treated a wide range of diagnoses, including adult ADHD, anxiety, depression, and OCD.
(804) 567-7441 View (804) 567-7441
Photo of Robert Phillips, LPC, Licensed Professional Counselor
Robert Phillips
Licensed Professional Counselor, LPC
Verified Verified
Max Meadows, VA 24360
My name is Robert Phillips. I hold an LPC license from the state of Virginia and am a Certified Substance Abuse Professional with CSAC - A certificate. My approach is to build a strong therapeutic relationship, stay focused on the client in the present moment without judgment, help people gain skills and tools for managing complicated situations, and encourage a spirit of openness, curiosity, and acceptance to help individuals understand they can choose to respond rationally and control behaviors
My name is Robert Phillips. I hold an LPC license from the state of Virginia and am a Certified Substance Abuse Professional with CSAC - A certificate. My approach is to build a strong therapeutic relationship, stay focused on the client in the present moment without judgment, help people gain skills and tools for managing complicated situations, and encourage a spirit of openness, curiosity, and acceptance to help individuals understand they can choose to respond rationally and control behaviors
(757) 993-4881 View (757) 993-4881
Photo of Khalilah Garrett, LCSW, Clinical Social Work/Therapist
Khalilah Garrett
Clinical Social Work/Therapist, LCSW
Verified Verified
Max Meadows, VA 24360
Khalilah Garrett, LCSW, LICSW Khalilah has been providing Mental Health Treatment and Services to include program coordination/management, psychotherapy, coaching, and case management for over 20 years. Khalilah specializes in treating individuals with depression, anxiety, post-traumatic stress disorder, co-occurring disorders (mental health and substance use disorders), and unresolved emotional issues. Khalilah's therapeutic techniques include individual counseling for personal and emotional growth, creating more meaning and purpose in one's life; and include counseling to increase self-esteem and self-empowerment.
Khalilah Garrett, LCSW, LICSW Khalilah has been providing Mental Health Treatment and Services to include program coordination/management, psychotherapy, coaching, and case management for over 20 years. Khalilah specializes in treating individuals with depression, anxiety, post-traumatic stress disorder, co-occurring disorders (mental health and substance use disorders), and unresolved emotional issues. Khalilah's therapeutic techniques include individual counseling for personal and emotional growth, creating more meaning and purpose in one's life; and include counseling to increase self-esteem and self-empowerment.
(571) 605-6530 View (571) 605-6530

Online Therapists

Photo of Lakeisha Henry, LCSW, Clinical Social Work/Therapist
Lakeisha Henry
Clinical Social Work/Therapist, LCSW
Verified Verified
Blacksburg, VA 24060  (Online Only)
Are you looking for support in increasing your ability to function to your fullest potential, improve your overall mood and motivation as well as learn new techniques to help combat anxiety and manage stress? Contact me! It is my mission to provide professional, specialized, research-based support to individuals who struggle with depression, anxiety, stress, trauma, and low self-esteem. I was led to this field because I find enjoyment in motivating others and witnessing improvements in other's quality of life and relationships based on the treatment I am able to provide.
Are you looking for support in increasing your ability to function to your fullest potential, improve your overall mood and motivation as well as learn new techniques to help combat anxiety and manage stress? Contact me! It is my mission to provide professional, specialized, research-based support to individuals who struggle with depression, anxiety, stress, trauma, and low self-esteem. I was led to this field because I find enjoyment in motivating others and witnessing improvements in other's quality of life and relationships based on the treatment I am able to provide.
(757) 866-3143 View (757) 866-3143
Photo of Christopher Smallwood, Pre-Licensed Professional
Christopher Smallwood
Pre-Licensed Professional
Verified Verified
Blacksburg, VA 24060
Chris Smallwood is a Licensed Clinical Social Work Supervisee (LCSW-S) who has over 15 years of experience. He specializes in working with those dealing with adjustment issues, stress, anger, anxiety, depression and other mood disorders, trauma, unresolved and complicated grief, addiction, and substance use challenges. Chris enjoys working with a wide range of clients from adolescents to older adults.
Chris Smallwood is a Licensed Clinical Social Work Supervisee (LCSW-S) who has over 15 years of experience. He specializes in working with those dealing with adjustment issues, stress, anger, anxiety, depression and other mood disorders, trauma, unresolved and complicated grief, addiction, and substance use challenges. Chris enjoys working with a wide range of clients from adolescents to older adults.
(540) 386-0230 View (540) 386-0230
Photo of Cynthia 'cyndi' Richards, LCSW, Clinical Social Work/Therapist
Cynthia 'cyndi' Richards
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Roanoke, VA 24012
Waitlist for new clients
In choosing a mental health professional, you want to ensure that the person has the training and experience to assist you with getting the results you desire. I am a Licensed Clinical Social Worker (LCSW) and I have 21 years of experience in the behavioral healthcare field. I work closely with children, adolescents, adults, and families, with a broad range of crisis, mental health and stressful life situations. We work together so that you may find new hope, solutions, and resolutions to see improved life situations and experience improved relationships. I am also an LCSW clinical supervisor and provide clinical supervision.
In choosing a mental health professional, you want to ensure that the person has the training and experience to assist you with getting the results you desire. I am a Licensed Clinical Social Worker (LCSW) and I have 21 years of experience in the behavioral healthcare field. I work closely with children, adolescents, adults, and families, with a broad range of crisis, mental health and stressful life situations. We work together so that you may find new hope, solutions, and resolutions to see improved life situations and experience improved relationships. I am also an LCSW clinical supervisor and provide clinical supervision.
(540) 253-1624 View (540) 253-1624
Photo of Meade Eggleston, PhD, Psychologist
Meade Eggleston
Psychologist, PhD
Verified Verified
Roanoke, VA 24015
Waitlist for new clients
Do you feel stuck and want help moving forward? I enjoy helping people who are struggling with addiction. If you are experiencing addiction problems, I can also help with related problems like anxiety, PTSD and trauma, and anger. We can work together to help you build insight into why you struggle and then connect to the knowledge, skills, and resources to do things differently. I value building a safe, open environment for therapy that supports integrity, wellness, and joy. I truly believe recovery is possible.
Do you feel stuck and want help moving forward? I enjoy helping people who are struggling with addiction. If you are experiencing addiction problems, I can also help with related problems like anxiety, PTSD and trauma, and anger. We can work together to help you build insight into why you struggle and then connect to the knowledge, skills, and resources to do things differently. I value building a safe, open environment for therapy that supports integrity, wellness, and joy. I truly believe recovery is possible.
(540) 524-2055 View (540) 524-2055
Photo of Christy Vaughn - Tinker Creek Creative Counseling, LLC, MA, LPC, Licensed Professional Counselor
Tinker Creek Creative Counseling, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Roanoke, VA 24019
I work with individuals who are struggling with depression, anxiety, grief, trauma, adjustment, stress, anger management, attention deficit, and relationship issues. Symptoms related to these issues can include feelings of hopelessness, lack of interest in activities that used to bring pleasure, change in appetite, significant weight gain or loss, difficulty sleeping, excessive worry, irritability, mood swings, and difficulty concentrating. Sometimes these symptoms can be overwhelming and uncomfortable. I utilize a variety of therapeutic approaches based on treatment goals and how an individual processes thoughts and emotions.
I work with individuals who are struggling with depression, anxiety, grief, trauma, adjustment, stress, anger management, attention deficit, and relationship issues. Symptoms related to these issues can include feelings of hopelessness, lack of interest in activities that used to bring pleasure, change in appetite, significant weight gain or loss, difficulty sleeping, excessive worry, irritability, mood swings, and difficulty concentrating. Sometimes these symptoms can be overwhelming and uncomfortable. I utilize a variety of therapeutic approaches based on treatment goals and how an individual processes thoughts and emotions.
(540) 469-4621 View (540) 469-4621
Photo of Kyle Calhoun, LPC, Licensed Professional Counselor
Kyle Calhoun
Licensed Professional Counselor, LPC
Verified Verified
Cave Spring, VA 24018
Kyle is a Licensed Professional Counselor with 7 years of experience. She is an experienced practitioner working with people of all ages but has come to specialize in adolescents through adulthood. Some of the diagnoses that Kyle is experienced in treating include but are not limited to depression, anxiety, mood disorders, personality disorders, family systems and attachment disorders, substance-related disorders, stage of life changes, and grief and loss.
Kyle is a Licensed Professional Counselor with 7 years of experience. She is an experienced practitioner working with people of all ages but has come to specialize in adolescents through adulthood. Some of the diagnoses that Kyle is experienced in treating include but are not limited to depression, anxiety, mood disorders, personality disorders, family systems and attachment disorders, substance-related disorders, stage of life changes, and grief and loss.
(540) 274-0711 View (540) 274-0711

See more therapy options for Wytheville

How does your Therapist compare?

Number of Therapists in Wytheville, VA

< 10

Therapists in Wytheville, VA who prioritize treating:

100% Depression
100% Anxiety
100% Self Esteem
89% Coping Skills
89% Stress
78% Relationship Issues
78% Trauma and PTSD

Average years in practice

18 Years

Top 3 insurances accepted

88% Aetna
88% Cigna and Evernorth
88% UnitedHealthcare UHC | UBH

How Therapists in Wytheville, VA see their clients

78% In Person and Online
22% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Wytheville?

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.

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