Therapists in 06102

Photo of Olga N Mikhailova, Clinical Social Work/Therapist, LCSW
Olga N Mikhailova
Clinical Social Work/Therapist, LCSW
Online Only
Starting therapy is not easy. But neither is living the life of disappointments and regrets. If you feel you are in a dead end, if your job is boring and ungratifying and the relationships are toxic or lack depth and zest, if you struggle with finding your place in this world or even question whether life is worth living, perhaps it is time to examine your life choices and remove the blocks that hold you from finding meaning, happiness, and purpose. I practice psychotherapy that is informed by the traditions of psychoanalysis and look at each individual in the context of this person's unique experiences and unique life story.
Starting therapy is not easy. But neither is living the life of disappointments and regrets. If you feel you are in a dead end, if your job is boring and ungratifying and the relationships are toxic or lack depth and zest, if you struggle with finding your place in this world or even question whether life is worth living, perhaps it is time to examine your life choices and remove the blocks that hold you from finding meaning, happiness, and purpose. I practice psychotherapy that is informed by the traditions of psychoanalysis and look at each individual in the context of this person's unique experiences and unique life story.
(860) 499-4054 View (860) 499-4054
Photo of Karina Andre, Licensed Professional Counselor, LPC, LADC
Karina Andre
Licensed Professional Counselor, LPC, LADC
3 Endorsed
Hartford, CT 06102
Thank you for visiting my page! As a therapist, I believe in combining compassion with evidence-based practices to help my clients achieve meaningful and lasting results. My approach is rooted in empathy and understanding, creating a safe and supportive space for individuals to explore their thoughts, emotions, and experiences. I am passionate about utilizing evidence-based techniques and interventions that have been proven effective in helping clients navigate through various challenges. My goal is to empower my clients to make positive changes in their lives and achieve personal growth and fulfillment.
Thank you for visiting my page! As a therapist, I believe in combining compassion with evidence-based practices to help my clients achieve meaningful and lasting results. My approach is rooted in empathy and understanding, creating a safe and supportive space for individuals to explore their thoughts, emotions, and experiences. I am passionate about utilizing evidence-based techniques and interventions that have been proven effective in helping clients navigate through various challenges. My goal is to empower my clients to make positive changes in their lives and achieve personal growth and fulfillment.
(203) 633-2052 View (203) 633-2052
Photo of Shanna Hebert McNamara, Clinical Social Work/Therapist, LICSW
Shanna Hebert McNamara
Clinical Social Work/Therapist, LICSW
5 Endorsed
Online Only
Currently Full-Hi! I am Shanna (Shay-nah) McNamara and I love my job! I have been working in the social work field for 13 years, and have been a therapist for over 8 years. Being a therapist is one of the most rewarding things I have accomplished, and I strive to work collaboratively with my clients to ensure we are on track towards their identified goals. I always prioritize the clients desires and needs out of treatment, and remind my clients I am not “magic,” I am a human helping others with life’s messy struggles, one step at a time. My clients have said they appreciate my honest approach with humor and laughter along the way.
Currently Full-Hi! I am Shanna (Shay-nah) McNamara and I love my job! I have been working in the social work field for 13 years, and have been a therapist for over 8 years. Being a therapist is one of the most rewarding things I have accomplished, and I strive to work collaboratively with my clients to ensure we are on track towards their identified goals. I always prioritize the clients desires and needs out of treatment, and remind my clients I am not “magic,” I am a human helping others with life’s messy struggles, one step at a time. My clients have said they appreciate my honest approach with humor and laughter along the way.
(413) 287-7856 View (413) 287-7856
Photo of Ramona Nellie Rivera - Royale Treatment LLC, Licensed Professional Counselor, MS, NCC, LPC
Royale Treatment LLC
Licensed Professional Counselor, MS, NCC, LPC
1 Endorsed
Online Only
Not accepting new clients
My focus is to help people heal, energize, and become aware of their inner strengths. This will be achieved by providing a neutral/safe space, by listening to your concerns, and by customizing a evidenced based treatment plan- for you. The promised goal is to be there for you every step of your journey. The goal is to help you grow from your struggles, heal from your pain, and move forward to where you want to be in your life.
My focus is to help people heal, energize, and become aware of their inner strengths. This will be achieved by providing a neutral/safe space, by listening to your concerns, and by customizing a evidenced based treatment plan- for you. The promised goal is to be there for you every step of your journey. The goal is to help you grow from your struggles, heal from your pain, and move forward to where you want to be in your life.
(860) 321-8069 View (860) 321-8069
Photo of Yvonne Sailor, Licensed Professional Counselor, MEd, LPC, NCC
Yvonne Sailor
Licensed Professional Counselor, MEd, LPC, NCC
1 Endorsed
Serves Area
Are you feeling hopeless, discouraged, or misunderstood? Are you struggling to overcome past trauma, anxieties, setting goals, and being your authentic self? I am not here to judge you but to walk with you through your process of healing. Too often we struggle in silence and taking the initiative to reach out for help is no easy task. However, it demonstrates you have a strong desire to improve your quality of life.
Are you feeling hopeless, discouraged, or misunderstood? Are you struggling to overcome past trauma, anxieties, setting goals, and being your authentic self? I am not here to judge you but to walk with you through your process of healing. Too often we struggle in silence and taking the initiative to reach out for help is no easy task. However, it demonstrates you have a strong desire to improve your quality of life.
(860) 530-2966 View (860) 530-2966
Photo of Diane L Samuels, Marriage & Family Therapist, LMFT
Diane L Samuels
Marriage & Family Therapist, LMFT
Serves Area
Not accepting new clients
The people I work with often do not understand why they are feeling depressed, anxious, angry, disappointed and so forth, let alone where it stems from or how to change it. I work using multiple therapy models tailored to an individual's needs and personality. We will work collaboratively to uncover the root of distress and develop the tools needed to overcome the challenges that are problematic.
The people I work with often do not understand why they are feeling depressed, anxious, angry, disappointed and so forth, let alone where it stems from or how to change it. I work using multiple therapy models tailored to an individual's needs and personality. We will work collaboratively to uncover the root of distress and develop the tools needed to overcome the challenges that are problematic.
(860) 357-6417 View (860) 357-6417
Photo of Reginald Harris, Marriage & Family Therapist, LMFT
Reginald Harris
Marriage & Family Therapist, LMFT
4 Endorsed
Serves Area
I specialize in working with at-risk youth who have experienced childhood adversity and/or trauma. Young people who are having difficulty navigating developmental tasks including setting boundaries, establishing healthy peer relationships, and setting future goals. I utilize EMDR and Ego State Therapy to support clients in healing from past experiences, improving self-esteem and launching into adulthood.
I specialize in working with at-risk youth who have experienced childhood adversity and/or trauma. Young people who are having difficulty navigating developmental tasks including setting boundaries, establishing healthy peer relationships, and setting future goals. I utilize EMDR and Ego State Therapy to support clients in healing from past experiences, improving self-esteem and launching into adulthood.
(860) 265-4267 View (860) 265-4267
Photo of Patrice Anthia Moulton, Licensed Professional Counselor, MS, LPC
Patrice Anthia Moulton
Licensed Professional Counselor, MS, LPC
1 Endorsed
Serves Area
Are you weighed down by worries, regrets, traumas, hurt, or pain? Everyone has a story and should have the opportunity to tell it in a non-judgmental environment. I am a Licensed Professional Counselor (LPC), and my areas of expertise include young through older adults with trauma, depression, anxiety, and substance use/co-occurring disorders. As an eclectic, person-centered therapist I believe in tailoring treatment to each client’s needs, so I do not use one modality across the board. I’ve always been highly empathic and view issues in a destigmatizing way: I don’t ask what is wrong with you, but what happened to you?
Are you weighed down by worries, regrets, traumas, hurt, or pain? Everyone has a story and should have the opportunity to tell it in a non-judgmental environment. I am a Licensed Professional Counselor (LPC), and my areas of expertise include young through older adults with trauma, depression, anxiety, and substance use/co-occurring disorders. As an eclectic, person-centered therapist I believe in tailoring treatment to each client’s needs, so I do not use one modality across the board. I’ve always been highly empathic and view issues in a destigmatizing way: I don’t ask what is wrong with you, but what happened to you?
(959) 201-9034 View (959) 201-9034
Photo of Jeremiah Karanja, Licensed Professional Counselor, MEd, CAGS, EdD
Jeremiah Karanja
Licensed Professional Counselor, MEd, CAGS, EdD
Serves Area
I am a Licensed professional counselor with more than twenty years of experience in the field of counseling. My goal as a clinician is to help individuals and familes deal with their struggles, working with them to build appropriate skills as necessary and harness strategies to effectively deal with them. In addition to being a professional, I am also a Christian therapist who values an individual's faith values. Faith can be an important component in therapy and when appropriate, I provide counseling from a Christian/ biblical world view too.
I am a Licensed professional counselor with more than twenty years of experience in the field of counseling. My goal as a clinician is to help individuals and familes deal with their struggles, working with them to build appropriate skills as necessary and harness strategies to effectively deal with them. In addition to being a professional, I am also a Christian therapist who values an individual's faith values. Faith can be an important component in therapy and when appropriate, I provide counseling from a Christian/ biblical world view too.
(860) 969-2106 View (860) 969-2106
Photo of Jeffrey Ambroise - Courage Counseling Center, Licensed Professional Counselor, MS, LPC
Courage Counseling Center
Licensed Professional Counselor, MS, LPC
5 Endorsed
Serves Area
It takes COURAGE to seek out therapy and face your challenges. We also need COURAGE to trust a stranger to fully listen to you and treat your concerns with care and respect. As a Licensed Professional Counselor, I am here to work as a team to overcome barriers/obstacles. Therapy can be both challenging and rewarding. As your therapist, I will provide an empathetic ear, help find solutions, discuss underlying issues, identify unrealistic expectations placed on you or the world around you, teach coping skills and be a therapeutic ear as you build the COURAGE to face your challenges.
It takes COURAGE to seek out therapy and face your challenges. We also need COURAGE to trust a stranger to fully listen to you and treat your concerns with care and respect. As a Licensed Professional Counselor, I am here to work as a team to overcome barriers/obstacles. Therapy can be both challenging and rewarding. As your therapist, I will provide an empathetic ear, help find solutions, discuss underlying issues, identify unrealistic expectations placed on you or the world around you, teach coping skills and be a therapeutic ear as you build the COURAGE to face your challenges.
(860) 469-6122 View (860) 469-6122
Photo of Courtney Cacchione, Professional Counselor Associate, MS, LPCA
Courtney Cacchione
Professional Counselor Associate, MS, LPCA
Online Only
I enjoy working with individuals living with a wide range of anxiety disorders, including obsessive compulsive disorder. With a background in criminal justice, I am a safe space for justice involved individuals navigating their return to the community. I am also experienced in working with individuals with substance use disorders.
I enjoy working with individuals living with a wide range of anxiety disorders, including obsessive compulsive disorder. With a background in criminal justice, I am a safe space for justice involved individuals navigating their return to the community. I am also experienced in working with individuals with substance use disorders.
(475) 303-5658 View (475) 303-5658
Photo of Jenny Alzate - Jenny Alzate LPC LLC, Licensed Professional Counselor, MS, LPC
Jenny Alzate LPC LLC
Licensed Professional Counselor, MS, LPC
Serves Area
Waitlist for new clients
Hello, my name is Jenny Alzate. I am a Bilingual Licensed Professional Counselor. I have been working in the mental health field for over 25 years. I provide a safe and nurturing environment so that true healing can occur. My specialty is integrating mind-body medicine, energy medicine, spirituality and somatic therapy into my clinical practice. Because of my passion to help others heal, I have co-founded The Enlightenment Counseling Center. An integrative, holistic group practice. We specialize in helping the whole person heal. We combine traditional psychotherapy with Complimentary and Alternative practices and medicines.
Hello, my name is Jenny Alzate. I am a Bilingual Licensed Professional Counselor. I have been working in the mental health field for over 25 years. I provide a safe and nurturing environment so that true healing can occur. My specialty is integrating mind-body medicine, energy medicine, spirituality and somatic therapy into my clinical practice. Because of my passion to help others heal, I have co-founded The Enlightenment Counseling Center. An integrative, holistic group practice. We specialize in helping the whole person heal. We combine traditional psychotherapy with Complimentary and Alternative practices and medicines.
(860) 566-8930 View (860) 566-8930
Photo of Joan C Miller, Clinical Social Work/Therapist, LCSW
Joan C Miller
Clinical Social Work/Therapist, LCSW
Serves Area
My work with individual adults and couples is a combination of Traditional Psychology, evidence-based Positive Psychology and the practical application of Polyvagal Theory as a bridge between the two. Traditional psychotherapy focuses on problem solution and symptom reduction. Evidence-based Positive Psychology focuses on our strengths and the development of habits that can create a lasting sense of happiness, wellbeing and meaning in our lives. Polyvagal work offers practical and concrete ways to self-regulate our natural mindstates so we can intentionally move from stressful to more relaxed ways of being in the world.
My work with individual adults and couples is a combination of Traditional Psychology, evidence-based Positive Psychology and the practical application of Polyvagal Theory as a bridge between the two. Traditional psychotherapy focuses on problem solution and symptom reduction. Evidence-based Positive Psychology focuses on our strengths and the development of habits that can create a lasting sense of happiness, wellbeing and meaning in our lives. Polyvagal work offers practical and concrete ways to self-regulate our natural mindstates so we can intentionally move from stressful to more relaxed ways of being in the world.
(860) 566-8959 View (860) 566-8959
Photo of Rebecca D Dreyer - Within Reach (Becky Dreyer), Clinical Social Work/Therapist, LCSW
Within Reach (Becky Dreyer)
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
**ACCEPTING NEW CLIENTS** Reaching out for help can be challenging but it can also be the first step towards a better life. I believe in taking a holistic approach to wellbeing for long lasting change. I am a Licensed Clinical Social Worker with experience providing counseling to children, adolescents, families, couples, and adults. I work with individuals with life transitions, grief, divorce, relationship issues, insomnia, mood disorders, depression, anxiety, ADHD, PTSD, eating disorders, and substance use disorders. Most recently I have been working in a hospital outpatient setting providing individual and family therapy.
**ACCEPTING NEW CLIENTS** Reaching out for help can be challenging but it can also be the first step towards a better life. I believe in taking a holistic approach to wellbeing for long lasting change. I am a Licensed Clinical Social Worker with experience providing counseling to children, adolescents, families, couples, and adults. I work with individuals with life transitions, grief, divorce, relationship issues, insomnia, mood disorders, depression, anxiety, ADHD, PTSD, eating disorders, and substance use disorders. Most recently I have been working in a hospital outpatient setting providing individual and family therapy.
(959) 500-6728 View (959) 500-6728
Photo of Bria Stavnezer - Ellie Mental Health, LCSW, LPC, LMFT
Ellie Mental Health
Verified Verified
1 Endorsed
Serves Area
Ellie Mental Health in West Hartford, Connecticut isn’t your average therapy clinic. We’ve created a comfortable, judgment-free zone where you can be authentic, get real about where you’re at in your mental health, and receive the compassionate care you deserve. We strive to break down treatment barriers and provide you with customized counseling services that meet your therapy needs. Our lovely and amazing therapists see clients ages 3-end of life, and work with individuals, couples, and families.
Ellie Mental Health in West Hartford, Connecticut isn’t your average therapy clinic. We’ve created a comfortable, judgment-free zone where you can be authentic, get real about where you’re at in your mental health, and receive the compassionate care you deserve. We strive to break down treatment barriers and provide you with customized counseling services that meet your therapy needs. Our lovely and amazing therapists see clients ages 3-end of life, and work with individuals, couples, and families.
(860) 775-6142 View (860) 775-6142
Photo of Purvi Shah Vanderploeg, Psychologist, PhD
Purvi Shah Vanderploeg
Psychologist, PhD
Serves Area
Welcome! You are destined to have a thriving life and if that is not what you are living right now, I can help! I partner with clients who are interested in growing and facing the barriers that get in the way of their health. Maybe you are struggling with depression or anxiety. Maybe you are living with a chronic disease that has changed how you live. Maybe you have some habits that are taking away from your health. I will work with you to gain an understanding and acceptance of what is going on, so we can then take action and move towards THRIVING!
Welcome! You are destined to have a thriving life and if that is not what you are living right now, I can help! I partner with clients who are interested in growing and facing the barriers that get in the way of their health. Maybe you are struggling with depression or anxiety. Maybe you are living with a chronic disease that has changed how you live. Maybe you have some habits that are taking away from your health. I will work with you to gain an understanding and acceptance of what is going on, so we can then take action and move towards THRIVING!
(860) 333-6892 View (860) 333-6892
Photo of Shioban N Gordon, Clinical Social Work/Therapist, LCSW
Shioban N Gordon
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
One can have the desire to change, but it’s the Courage to take the first step that produces change. You are making a Courageous decision today and I applaud you for that! Therapy is a collaborative effort where we continually take steps to identify and create the change one seeks. My goal as a clinical social worker is three-fold: 1. To help you attain clarity in the matters that negatively impact your life, and 2. To support you as we identify options for dealing with those matters and create the change.
One can have the desire to change, but it’s the Courage to take the first step that produces change. You are making a Courageous decision today and I applaud you for that! Therapy is a collaborative effort where we continually take steps to identify and create the change one seeks. My goal as a clinical social worker is three-fold: 1. To help you attain clarity in the matters that negatively impact your life, and 2. To support you as we identify options for dealing with those matters and create the change.
(860) 926-2617 View (860) 926-2617
Photo of Cindy Claffey, Clinical Social Work/Therapist, MS, LCSW
Cindy Claffey
Clinical Social Work/Therapist, MS, LCSW
Serves Area
Is anxiety holding you back from things that you want in your life? Are you having trouble with your child? Parenting concerns? Stress at work or in your relationship? Feeling depressed or battling high levels of anxiety? Did you lose someone important recently in your life? Are you suspecting your child could have attentional issues? Life can be challenging at times and we all go through periods of needing some extra support as we navigate our way through. Therapy is a structured setting to simply get that support as you determine where you want your next steps to lead you.
Is anxiety holding you back from things that you want in your life? Are you having trouble with your child? Parenting concerns? Stress at work or in your relationship? Feeling depressed or battling high levels of anxiety? Did you lose someone important recently in your life? Are you suspecting your child could have attentional issues? Life can be challenging at times and we all go through periods of needing some extra support as we navigate our way through. Therapy is a structured setting to simply get that support as you determine where you want your next steps to lead you.
(860) 288-2956 View (860) 288-2956
Photo of Janet Schrager, Psychologist, PhD
Janet Schrager
Psychologist, PhD
Serves Area
With 30 years of experience as a clinical psychologist, I have successfully treated children, adolescents, adults, couples and families. I work with a well-established, multi-disciplinary group of mental health professionals in West Hartford. I treat a range of issues, including adjustment disorders, depression and anxiety, divorce, learning disabilities, attention deficit disorders, dyslexia, and executive function disorders. In my practice, I encourage clients to develop the strategies to make use of their strengths as they reduce distress and manage the obstacles in their lives. I find each person who enters my office to be unique and interesting.
With 30 years of experience as a clinical psychologist, I have successfully treated children, adolescents, adults, couples and families. I work with a well-established, multi-disciplinary group of mental health professionals in West Hartford. I treat a range of issues, including adjustment disorders, depression and anxiety, divorce, learning disabilities, attention deficit disorders, dyslexia, and executive function disorders. In my practice, I encourage clients to develop the strategies to make use of their strengths as they reduce distress and manage the obstacles in their lives. I find each person who enters my office to be unique and interesting.
(860) 553-3985 View (860) 553-3985
Photo of Sallene S Murphy, Clinical Social Work/Therapist, LCSW
Sallene S Murphy
Clinical Social Work/Therapist, LCSW
Serves Area
We offer same day teletherapy or in person appointments. In selecting me as your therapist, you will have the option to have services provided in the comfort of your home or on an outpatient basis. I use a person centered, holistic approach. Whether you're dealing with anxiety, depression, relationship or adjusting to life changing issues you can feel confident in knowing you have made the right decision in seeking my services.
We offer same day teletherapy or in person appointments. In selecting me as your therapist, you will have the option to have services provided in the comfort of your home or on an outpatient basis. I use a person centered, holistic approach. Whether you're dealing with anxiety, depression, relationship or adjusting to life changing issues you can feel confident in knowing you have made the right decision in seeking my services.
(860) 590-2557 View (860) 590-2557

See more therapy options for 06102

How does your Therapist compare?

Number of Therapists in 06102

50+

Average cost per session

$150

Therapists in 06102 who prioritize treating:

90% Depression
88% Anxiety
82% Relationship Issues
76% Self Esteem
73% Coping Skills
71% Grief
59% Trauma and PTSD

Average years in practice

19 Years

Top 3 insurances accepted

67% Cigna and Evernorth
67% Anthem
67% HUSKY Health

How Therapists in 06102 see their clients

71% In Person and Online
29% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 06102?

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.