Therapists in Orem, UT

Photo of Innsaei - Holistic Child and Family Therapy, Clinical Social Work/Therapist in Orem, UT
Innsaei - Holistic Child and Family Therapy
Clinical Social Work/Therapist, LCSW, RPT-S
Verified Verified
1 Endorsed
Orem, UT 84057
Life can be difficult. Many challenges face us and we can all use a little guidance or just an empathetic listening ear at times. At Innsaei, you will discover ways to calm the waves of your inner world, so you can live a whole and peaceful life. We offer many options for you to work in creative and effective ways, all personally customized to you and your needs, helping you gain insight, skills, and processes so you can navigate through the challenges encountered along life's journey.
Life can be difficult. Many challenges face us and we can all use a little guidance or just an empathetic listening ear at times. At Innsaei, you will discover ways to calm the waves of your inner world, so you can live a whole and peaceful life. We offer many options for you to work in creative and effective ways, all personally customized to you and your needs, helping you gain insight, skills, and processes so you can navigate through the challenges encountered along life's journey.
(801) 850-9734 View (801) 850-9734
Photo of Chris Allen, Marriage & Family Therapist in Orem, UT
Chris Allen
Marriage & Family Therapist, LMFT, CSAT, CPTT
Verified Verified
Orem, UT 84097  (Online Only)
New in recovery? just need a tuneup, or are looking for long-term recovery support? I can help you with the support you need. Trauma, PTSD, and betrayal trauma are huge contributors to addiction, depression, anxiety, and other mental health struggles. With training in EMDR, TFCBT, and as a CSAT and CPTT I'm here to help you navigate, heal, and recover from your past hurts and current triggers. Having a therapist who understands the pain and complexity of betrayal trauma can validate your struggle and help you to heal. I see a variety of clients of all ages with various needs. Let's do a free consultation to see if we are a good fit.
New in recovery? just need a tuneup, or are looking for long-term recovery support? I can help you with the support you need. Trauma, PTSD, and betrayal trauma are huge contributors to addiction, depression, anxiety, and other mental health struggles. With training in EMDR, TFCBT, and as a CSAT and CPTT I'm here to help you navigate, heal, and recover from your past hurts and current triggers. Having a therapist who understands the pain and complexity of betrayal trauma can validate your struggle and help you to heal. I see a variety of clients of all ages with various needs. Let's do a free consultation to see if we are a good fit.
(385) 206-6366 View (385) 206-6366
Photo of Maggie Webb, Counselor in Orem, UT
Maggie Webb
Counselor, ACMHC
Verified Verified
1 Endorsed
Orem, UT 84057
I believe there is a space for everyone in therapy. No matter what challenge you are facing, you have a place in counseling. I am a supporter of awareness, acceptance, and different perceptions. There is much power in those tools and understanding them. Bring who you are to therapy, and I will help in every way possible to get you to a place of healing, self-love, and the discovery of the power of mental health. There is something to be said about struggle and what it does to a person, what it makes a person. With the correct tools, struggle does not have to define you.
I believe there is a space for everyone in therapy. No matter what challenge you are facing, you have a place in counseling. I am a supporter of awareness, acceptance, and different perceptions. There is much power in those tools and understanding them. Bring who you are to therapy, and I will help in every way possible to get you to a place of healing, self-love, and the discovery of the power of mental health. There is something to be said about struggle and what it does to a person, what it makes a person. With the correct tools, struggle does not have to define you.
(385) 376-1787 View (385) 376-1787
Photo of Jon B Skidmore, Psychologist in Orem, UT
Jon B Skidmore
Psychologist, PsyD
Verified Verified
4 Endorsed
Orem, UT 84097
For decades I been helping performing artists from around the world find freedom on stage and in life. I am a performance coach, licensed psychologist, singer, educator, researcher, and author. I believe that the path to peak performance starts between the ears, not in the practice room. My goal is to give performing artists the mental skills they need to freely share their gifts, tell their stories, and sing their songs! I co-authored Conquer Anxiety: How to overcome anxiety and optimize your performance. For over 30 years he has taught The Psychology of Music Performance at Brigham Young University
For decades I been helping performing artists from around the world find freedom on stage and in life. I am a performance coach, licensed psychologist, singer, educator, researcher, and author. I believe that the path to peak performance starts between the ears, not in the practice room. My goal is to give performing artists the mental skills they need to freely share their gifts, tell their stories, and sing their songs! I co-authored Conquer Anxiety: How to overcome anxiety and optimize your performance. For over 30 years he has taught The Psychology of Music Performance at Brigham Young University
(385) 314-4342 View (385) 314-4342
Photo of Joseph De Luca, Clinical Social Work/Therapist in Orem, UT
Joseph De Luca
Clinical Social Work/Therapist, LCSW
Verified Verified
Orem, UT 84097
Sometimes life spins out of control, leaving you hanging, wondering how to make the crazy stop. Just breathing is hard, and you'd give anything to feel normal again. Perhaps that moment is now? Taking the first step to get help can be scary, but it's worth it...because it IS possible to have freedom from trauma, isolation, sadness, anxiety, despair & other struggles. And the best part: you don’t have to do it alone. Our 1st session of therapy won't fix the problems or make them go away...in fact, our 4th session likely won't make the crazy stop either, but in time you WILL heal, regain control, & discover your authentic self.
Sometimes life spins out of control, leaving you hanging, wondering how to make the crazy stop. Just breathing is hard, and you'd give anything to feel normal again. Perhaps that moment is now? Taking the first step to get help can be scary, but it's worth it...because it IS possible to have freedom from trauma, isolation, sadness, anxiety, despair & other struggles. And the best part: you don’t have to do it alone. Our 1st session of therapy won't fix the problems or make them go away...in fact, our 4th session likely won't make the crazy stop either, but in time you WILL heal, regain control, & discover your authentic self.
(385) 403-8931 View (385) 403-8931
Photo of Taylor Dillman, Clinical Social Work/Therapist in Orem, UT
Taylor Dillman
Clinical Social Work/Therapist, CSW
Verified Verified
Orem, UT 84097
Waitlist for new clients
Internal Family Systems Level 2 Trained. If you are looking for a therapist who is non-judgmental, has a sense of humor, and can still challenge you to be your best – come on in! I am here first and foremost to serve you, to support your goals, to see the best in you, and envision the life you can still create no matter what you’ve been through or where you are now. Sometimes you know exactly what it is bringing you to into therapy, and other times you just have an ambiguous sense of being stuck in life. In either case, this is the safe space for you.
Internal Family Systems Level 2 Trained. If you are looking for a therapist who is non-judgmental, has a sense of humor, and can still challenge you to be your best – come on in! I am here first and foremost to serve you, to support your goals, to see the best in you, and envision the life you can still create no matter what you’ve been through or where you are now. Sometimes you know exactly what it is bringing you to into therapy, and other times you just have an ambiguous sense of being stuck in life. In either case, this is the safe space for you.
(385) 217-0170 View (385) 217-0170
Photo of Kaitlin Thomas, Counselor in Orem, UT
Kaitlin Thomas
Counselor, LCMHC
Verified Verified
1 Endorsed
Orem, UT 84058  (Online Only)
I have a strong desire to help those who feel weighted down by anxiety, depression, and negative self-beliefs they may be carrying from various past experiences. I strive to assist clients in enhancing their strengths while clearing out burdens and issues from the past that are affecting their functioning in the present. I am passionate about helping clients understand the dimensions of anxiety and depression and why they occur, which can help clients decrease and manage these issues.
I have a strong desire to help those who feel weighted down by anxiety, depression, and negative self-beliefs they may be carrying from various past experiences. I strive to assist clients in enhancing their strengths while clearing out burdens and issues from the past that are affecting their functioning in the present. I am passionate about helping clients understand the dimensions of anxiety and depression and why they occur, which can help clients decrease and manage these issues.
(801) 889-2446 View (801) 889-2446
Photo of Maja Stocking, Pre-Licensed Professional in Orem, UT
Maja Stocking
Pre-Licensed Professional, CMHC(I), MSc
Verified Verified
Orem, UT 84097
I embrace a client-centered approach that places you at the center of this journey. I aim to provide you with a safe, non-judgmental space to explore your thoughts, feelings, and experiences at your own pace. Everyone is beautifully complex, and there is no one-size-fits-all solution to our challenges. That's why I also integrate elements of an eclectic therapeutic style into our work together. I have 12 years of experience working as a high school counselor and supporting adolescents and their families through the ups and downs of life. I look forward to working with you!
I embrace a client-centered approach that places you at the center of this journey. I aim to provide you with a safe, non-judgmental space to explore your thoughts, feelings, and experiences at your own pace. Everyone is beautifully complex, and there is no one-size-fits-all solution to our challenges. That's why I also integrate elements of an eclectic therapeutic style into our work together. I have 12 years of experience working as a high school counselor and supporting adolescents and their families through the ups and downs of life. I look forward to working with you!
(801) 893-3815 View (801) 893-3815
Photo of Doralie Gale, Marriage & Family Therapist Associate in Orem, UT
Doralie Gale
Marriage & Family Therapist Associate, AMFT
Verified Verified
2 Endorsed
Orem, UT 84058
I enjoy working with young adults who are in the transition to adulthood, adult women and men who are navigating middle age, and couples looking for help with relationship challenges and strengthening their relationship. I reguarly work with people looking to strengthen their inner voice, develop boundaries, improve personal confidence, decrease anxiety, and take ownership of their life.
I enjoy working with young adults who are in the transition to adulthood, adult women and men who are navigating middle age, and couples looking for help with relationship challenges and strengthening their relationship. I reguarly work with people looking to strengthen their inner voice, develop boundaries, improve personal confidence, decrease anxiety, and take ownership of their life.
(801) 938-3524 View (801) 938-3524
Photo of Marcia Batchelor, Clinical Social Work/Therapist in Orem, UT
Marcia Batchelor
Clinical Social Work/Therapist, LCSW
Verified Verified
Orem, UT 84057
I have immediate openings for therapy for many mental health challenges, and have neurofeedback openings! Today is the day to begin a positive change. As a clinical therapist, I can assist you in finding the path that will be the best road for you. EMDR is a proven method to help with and trauma, and neurofeedback is effective for mental health as well as many physical issues such as pain, dementia, ADD, anxiety, depression and many other issues. I have over 600 hours of practice with the EEG Institute and 5 years with EMDR and have experience with teens and adults to improve mental health and concentration.
I have immediate openings for therapy for many mental health challenges, and have neurofeedback openings! Today is the day to begin a positive change. As a clinical therapist, I can assist you in finding the path that will be the best road for you. EMDR is a proven method to help with and trauma, and neurofeedback is effective for mental health as well as many physical issues such as pain, dementia, ADD, anxiety, depression and many other issues. I have over 600 hours of practice with the EEG Institute and 5 years with EMDR and have experience with teens and adults to improve mental health and concentration.
(385) 324-7740 View (385) 324-7740
Photo of Sharlene Christensen, Counselor in Orem, UT
Sharlene Christensen
Counselor, CMHC, NCC, RPTS
Verified Verified
1 Endorsed
Orem, UT 84058
I am an experienced Licensed Clinical Mental Health Counselor. I specialize in individual and family therapy. I am a Nationally Certified Counselor and a Registered Play Therapist Supervisor with over 15 years in the mental health field. Additionally, I am a NOJOS (Network on Juvenile Offending Sexually) affiliate therapist. I have worked in residential treatment, child welfare and private practice.
I am an experienced Licensed Clinical Mental Health Counselor. I specialize in individual and family therapy. I am a Nationally Certified Counselor and a Registered Play Therapist Supervisor with over 15 years in the mental health field. Additionally, I am a NOJOS (Network on Juvenile Offending Sexually) affiliate therapist. I have worked in residential treatment, child welfare and private practice.
(801) 436-5830 View (801) 436-5830
Photo of Meredith Quick, Pre-Licensed Professional in Orem, UT
Meredith Quick
Pre-Licensed Professional, CMHC-I
Verified Verified
Orem, UT 84057
Your healing journey starts here! Whether you need support, guidance, or simply someone to listen, I'm available to assist as you navigate life's challenges and pursue personal growth. Together we can explore ways to help you feel more empowered, expand your comfort zone, and create a safe and accepting lifestyle. I have a diverse and comprehensive approach to therapy, incorporating various modalities to meet the unique needs of my clients, including Play Therapy, Sand Tray, Trauma-focused CBT, and Family Systems. I primarily work with kids and teenagers, and welcome the opportunity to work with adults of any age!
Your healing journey starts here! Whether you need support, guidance, or simply someone to listen, I'm available to assist as you navigate life's challenges and pursue personal growth. Together we can explore ways to help you feel more empowered, expand your comfort zone, and create a safe and accepting lifestyle. I have a diverse and comprehensive approach to therapy, incorporating various modalities to meet the unique needs of my clients, including Play Therapy, Sand Tray, Trauma-focused CBT, and Family Systems. I primarily work with kids and teenagers, and welcome the opportunity to work with adults of any age!
(385) 390-0743 View (385) 390-0743
Photo of Max Dahmen, Clinical Social Work/Therapist in Orem, UT
Max Dahmen
Clinical Social Work/Therapist, LCSW
Verified Verified
6 Endorsed
Orem, UT 84097
My 10 years as a therapist have exposed me to a variety of challenges from deescalating unsafe situations to mediating complex relationship barriers. In my experience trauma can often be found at the core of depression, anxiety, family/spouse conflict, disordered eating, sexual confusion and addiction. All of these challenges can create a sense of feeling stuck, unfulfilled and alone. In some cases, these struggles can be intimidating to address without help. My belief is that therapy acts as a safe place for you to address those struggles in an empowering way; one that gives a sense of purpose, and leaves you feeling connected.
My 10 years as a therapist have exposed me to a variety of challenges from deescalating unsafe situations to mediating complex relationship barriers. In my experience trauma can often be found at the core of depression, anxiety, family/spouse conflict, disordered eating, sexual confusion and addiction. All of these challenges can create a sense of feeling stuck, unfulfilled and alone. In some cases, these struggles can be intimidating to address without help. My belief is that therapy acts as a safe place for you to address those struggles in an empowering way; one that gives a sense of purpose, and leaves you feeling connected.
(435) 228-7938 View (435) 228-7938
Photo of Paige Gifford, Marriage & Family Therapist Associate in Orem, UT
Paige Gifford
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
Orem, UT 84097
I work at The Center for Couples and Families at the mouth of Provo Canyon. If I were your therapist, I would likely tell you that you are good enough, just as you are. And, if you were my client, you may not believe it at first. But, good news - this is why therapy exists! Together, we can unpack barriers to healing and self-compassion and get to a place where you can start to believe in the goodness of YOU!
I work at The Center for Couples and Families at the mouth of Provo Canyon. If I were your therapist, I would likely tell you that you are good enough, just as you are. And, if you were my client, you may not believe it at first. But, good news - this is why therapy exists! Together, we can unpack barriers to healing and self-compassion and get to a place where you can start to believe in the goodness of YOU!
(385) 469-0044 View (385) 469-0044
Photo of Delanie Doyle, Clinical Social Work/Therapist in Orem, UT
Delanie Doyle
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Orem, UT 84097
You deserve to be heard and feel seen. I consider it a privilege to hear your story, meet you where you are, and help you on your healing journey. Through effective, evidence-based treatment, I will help you heal wounds that keep resurfacing, improve your ability and capacity to handle the difficulties you face, and move into a more hopeful future. Together, we'll uncover the strength you already have while developing new skills to help you achieve a greater sense of well being and stability.
You deserve to be heard and feel seen. I consider it a privilege to hear your story, meet you where you are, and help you on your healing journey. Through effective, evidence-based treatment, I will help you heal wounds that keep resurfacing, improve your ability and capacity to handle the difficulties you face, and move into a more hopeful future. Together, we'll uncover the strength you already have while developing new skills to help you achieve a greater sense of well being and stability.
(385) 474-4947 View (385) 474-4947
Photo of Danny Sturtevant, Counselor in Orem, UT
Danny Sturtevant
Counselor, MA, LPC, CMHC
Verified Verified
1 Endorsed
Orem, UT 84058
I believe we all have within us what it takes to grow, heal, and work towards our goals, and I am honored to be a part of this journey with my clients. If you’re not sure what to expect from counseling, that’s okay! Working with me starts with getting to know your story, what you’re struggling with, and what your goals are. You can ask me questions about my training, experience, and philosophy to help you determine if I could be a good fit for you.
I believe we all have within us what it takes to grow, heal, and work towards our goals, and I am honored to be a part of this journey with my clients. If you’re not sure what to expect from counseling, that’s okay! Working with me starts with getting to know your story, what you’re struggling with, and what your goals are. You can ask me questions about my training, experience, and philosophy to help you determine if I could be a good fit for you.
(385) 899-2618 View (385) 899-2618
Photo of Bowman Blake in Orem, UT
Bowman Blake
FNP
Verified Verified
Orem, UT 84058
The ideal client would be anyone who is struggling with a mental health disorder and is in need of professional help. They are needing help getting the correct medication provided to them and their goal is to improve daily life with the help of treatment and medication. They want medication management to relieve their symptoms.
The ideal client would be anyone who is struggling with a mental health disorder and is in need of professional help. They are needing help getting the correct medication provided to them and their goal is to improve daily life with the help of treatment and medication. They want medication management to relieve their symptoms.
(385) 485-5642 View (385) 485-5642
Photo of Jeff Jensen, Counselor in Orem, UT
Jeff Jensen
Counselor, LCMHC
Verified Verified
1 Endorsed
Orem, UT 84058
When working with clients, my main focus is the therapeutic relationship. I like my clients to feel comfortable working with me and being able to give me feedback to help the relationship be as effective as it can. I strive to be genuine and authentic with my clients and to empathize with them using my life experiences and challenges I have overcome.
When working with clients, my main focus is the therapeutic relationship. I like my clients to feel comfortable working with me and being able to give me feedback to help the relationship be as effective as it can. I strive to be genuine and authentic with my clients and to empathize with them using my life experiences and challenges I have overcome.
(385) 412-6657 View (385) 412-6657
Photo of Harmon Psychotherapy & Consulting, Clinical Social Work/Therapist in Orem, UT
Harmon Psychotherapy & Consulting
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Orem, UT 84097
Hello, my name is Jordan K. Harmon, and I am owner, clinical director, and practitioner at Harmon Psychotherapy & Consulting. I provide treatment for chronic suicidality and self-harm, trauma, anxiety, depression, life transitions, and relationship struggles. If you are a parent of a teen or young adult with complex behavioral issues, you may feel that weekly individual and family therapy isn't enough. We offer an innovative, intensive family program at a level of care that reaches the family system in between outpatient and residential levels of care. Visit our website harmonpsychotherapy.com for more details.
Hello, my name is Jordan K. Harmon, and I am owner, clinical director, and practitioner at Harmon Psychotherapy & Consulting. I provide treatment for chronic suicidality and self-harm, trauma, anxiety, depression, life transitions, and relationship struggles. If you are a parent of a teen or young adult with complex behavioral issues, you may feel that weekly individual and family therapy isn't enough. We offer an innovative, intensive family program at a level of care that reaches the family system in between outpatient and residential levels of care. Visit our website harmonpsychotherapy.com for more details.
(801) 509-9542 View (801) 509-9542
Photo of Carolyn louise Fjeldsted, Marriage & Family Therapist Associate in Orem, UT
Carolyn louise Fjeldsted
Marriage & Family Therapist Associate, AMFT
Verified Verified
Orem, UT 84057
In my mind, the ideal client a person who has identified that some aspect of their life has stopped working for them. That person wants the help to make their life back to a working order. I enjoy helping with a variety of clientele, couples, and individuals. People who seek out a counselor to validate the fact that change is necessary, and desire professional help to collaborate in identifying their own natural strengths (or at least potential capabilities) towards overcoming difficulties seem to be very goal oriented. These people are exciting to work with. My hope is that my warm and inviting office atmosphere and my own upbeat a
In my mind, the ideal client a person who has identified that some aspect of their life has stopped working for them. That person wants the help to make their life back to a working order. I enjoy helping with a variety of clientele, couples, and individuals. People who seek out a counselor to validate the fact that change is necessary, and desire professional help to collaborate in identifying their own natural strengths (or at least potential capabilities) towards overcoming difficulties seem to be very goal oriented. These people are exciting to work with. My hope is that my warm and inviting office atmosphere and my own upbeat a
(801) 618-3153 View (801) 618-3153

How does your Therapist compare?

Number of Therapists in Orem, UT

400+

Average cost per session

$135

Therapists in Orem, UT who prioritize treating:

93% Anxiety
89% Depression
77% Trauma and PTSD
74% Relationship Issues
74% Self Esteem
63% Coping Skills
63% Stress

Average years in practice

8 Years

Top 3 insurances accepted

80% EMI Health
79% SelectHealth
68% BlueCross and BlueShield

How Therapists in Orem, UT see their clients

88% In Person and Online
12% Online Only

Gender breakdown

65% Female
35% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Orem?

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.