Photo of Michelle Caserta, Marriage & Family Therapist, LMFT
Michelle Caserta
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Life is full of expected and unexpected transitions which can feel overwhelming. Whether you're navigating a change in career, a new relationship, becoming a new parent or facing any personal or family changes, I firmly believe therapy can help navigate you through these challenging times with clarity and strength.
Life is full of expected and unexpected transitions which can feel overwhelming. Whether you're navigating a change in career, a new relationship, becoming a new parent or facing any personal or family changes, I firmly believe therapy can help navigate you through these challenging times with clarity and strength.
(475) 250-1254 View (475) 250-1254
Photo of Daniel Snow, Clinical Social Work/Therapist, LCSW
Daniel Snow
Clinical Social Work/Therapist, LCSW
Verified Verified
Southport, CT 06890
Specialized therapy for relationship distress. If you're living with stress in your relationship- whether it's fighting, feeling like you're drifting apart, or living with painful patterns between you, please read on. You've probably tried to improve things on your own, but the same problems repeat. This can be feeling like you're walking on eggshells around your partner... feeling alone... not feeling valued or understood... or always bracing for the next fight. My focus is on Relationship Therapy to help couples and individuals get past painful patterns and situations to a deeper, stable level of connection and understanding.
Specialized therapy for relationship distress. If you're living with stress in your relationship- whether it's fighting, feeling like you're drifting apart, or living with painful patterns between you, please read on. You've probably tried to improve things on your own, but the same problems repeat. This can be feeling like you're walking on eggshells around your partner... feeling alone... not feeling valued or understood... or always bracing for the next fight. My focus is on Relationship Therapy to help couples and individuals get past painful patterns and situations to a deeper, stable level of connection and understanding.
(203) 457-6155 View (203) 457-6155
Photo of Betsi Iris Mufson, Clinical Social Work/Therapist, LCSW
Betsi Iris Mufson
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Southport, CT 06890
Do you remember a time when you felt more positive, purposeful, happy...feelings you long for again? Whether it’s a break up, job loss, family conflict or the passing of a loved one..life throws us challenges! With 20 years of clinical experience, I will help you identify changes in your daily life that make a difference! My work includes Psychodynamic Psychotherapy, Mindfulness/Meditation skills, CBT/DBT and EMDR for trauma and emotional regulation. With decades of practice I can gently guide you through the stages of healing and renewal.
Do you remember a time when you felt more positive, purposeful, happy...feelings you long for again? Whether it’s a break up, job loss, family conflict or the passing of a loved one..life throws us challenges! With 20 years of clinical experience, I will help you identify changes in your daily life that make a difference! My work includes Psychodynamic Psychotherapy, Mindfulness/Meditation skills, CBT/DBT and EMDR for trauma and emotional regulation. With decades of practice I can gently guide you through the stages of healing and renewal.
(203) 904-2815 View (203) 904-2815
Photo of Cathy Utz, Marriage & Family Therapist, MA, LMFT
Cathy Utz
Marriage & Family Therapist, MA, LMFT
Verified Verified
Southport, CT 06890
If you are experiencing self doubt or struggling in an important relationship I can offer you a safe space, empathy, compassion and a professional therapeutic approach to work on what might be keeping you stuck. Whether it is anxiety or depression or any of the many difficult life circumstances; together we can identify ways to help you get back to enjoying your life fully. I am passionate about helping people on their way to a place of emotional well being.
If you are experiencing self doubt or struggling in an important relationship I can offer you a safe space, empathy, compassion and a professional therapeutic approach to work on what might be keeping you stuck. Whether it is anxiety or depression or any of the many difficult life circumstances; together we can identify ways to help you get back to enjoying your life fully. I am passionate about helping people on their way to a place of emotional well being.
(203) 687-4819 View (203) 687-4819
Photo of Kim Oliver, Clinical Social Work/Therapist, PhD, LCSW, CSAT
Kim Oliver
Clinical Social Work/Therapist, PhD, LCSW, CSAT
Verified Verified
Southport, CT 06890
Not accepting new clients
I believe that good therapy occurs through building a trusting and collaborative relationship together, where you feel supported, goal directed and empowered. In therapy, we become partners in a process of understanding your strengths as you develop the insight necessary to facilitate the changes you aspire toward. Therapy, at it’s best, serves as a fundamental step toward improving relationships, reducing anxiety and tending to other issues which may prevent you from engaging in life; with purpose and authenticity; with joy; with genuine wellbeing.
I believe that good therapy occurs through building a trusting and collaborative relationship together, where you feel supported, goal directed and empowered. In therapy, we become partners in a process of understanding your strengths as you develop the insight necessary to facilitate the changes you aspire toward. Therapy, at it’s best, serves as a fundamental step toward improving relationships, reducing anxiety and tending to other issues which may prevent you from engaging in life; with purpose and authenticity; with joy; with genuine wellbeing.
(203) 222-0746 View (203) 222-0746
Photo of Angelina Miceli, Clinical Social Work/Therapist, MSW, LCSW
Angelina Miceli
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Southport, CT 06890
By now, you’ve probably scrolled through countless profiles, thinking, "None of these people feel right for me—who even are they?" Maybe you’ve tried therapy before but never felt like your therapist truly "got it." And yet, you know it can be helpful. Something has got to change because the way things are right now just... isn’t... working. You’ve managed to get by—you’ve handled the worries, feel like you've (mostly) moved past the traumas (if you can even call them that, you wonder). But "getting by" isn’t enough anymore.
By now, you’ve probably scrolled through countless profiles, thinking, "None of these people feel right for me—who even are they?" Maybe you’ve tried therapy before but never felt like your therapist truly "got it." And yet, you know it can be helpful. Something has got to change because the way things are right now just... isn’t... working. You’ve managed to get by—you’ve handled the worries, feel like you've (mostly) moved past the traumas (if you can even call them that, you wonder). But "getting by" isn’t enough anymore.
(475) 476-1689 View (475) 476-1689
Photo of Susie Basler - Sabita Holistic Center, Clinical Social Work/Therapist, MS, LMSW
Sabita Holistic Center
Clinical Social Work/Therapist, MS, LMSW
Verified Verified
Southport, CT 06890
Sabita Holistic Centeris located in Southport, Connecticut, dedicated to integrative health and holistic healing for over 20 years. Our compassionate team of skilled practitioners offers personalized services, including massage therapy, acupuncture, naturopathic medicine, lymphatic drainage, craniosacral therapy, cupping, and wellness coaching. We blend Eastern and Western approaches to support clients’ physical, mental, and emotional health, empowering them to achieve balance and wellness in every aspect of life.
Sabita Holistic Centeris located in Southport, Connecticut, dedicated to integrative health and holistic healing for over 20 years. Our compassionate team of skilled practitioners offers personalized services, including massage therapy, acupuncture, naturopathic medicine, lymphatic drainage, craniosacral therapy, cupping, and wellness coaching. We blend Eastern and Western approaches to support clients’ physical, mental, and emotional health, empowering them to achieve balance and wellness in every aspect of life.
(475) 405-1995 View (475) 405-1995
Photo of Linda S Smith, Psychologist, PhD
Linda S Smith
Psychologist, PhD
Verified Verified
Southport, CT 06890
Most clients are looking for a better understanding of themselves and their current life circumstances. They want to know how they got to where they are. Most importantly, they want to move forward. By the time someone has made a decision to start therapy, there is often already a high level of pain, stress, and difficulty in their lives. They want relief and change, and they want it quickly. My therapeutic services are unique in that they are a blend of therapy and coaching. With compassion, insight, direct coaching, and a wide variety of tools and techniques, I will help you to craft the future life you are seeking.
Most clients are looking for a better understanding of themselves and their current life circumstances. They want to know how they got to where they are. Most importantly, they want to move forward. By the time someone has made a decision to start therapy, there is often already a high level of pain, stress, and difficulty in their lives. They want relief and change, and they want it quickly. My therapeutic services are unique in that they are a blend of therapy and coaching. With compassion, insight, direct coaching, and a wide variety of tools and techniques, I will help you to craft the future life you are seeking.
(475) 500-7111 View (475) 500-7111
Photo of Allie Lewin Deehan, Clinical Social Work/Therapist, LCSW
Allie Lewin Deehan
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
In today’s day and age, we’re surrounded by constant pressure and expectations for how to live our lives, be happy and successful. It’s easy to find yourself getting caught up in negative self-talk, experiencing symptoms of depression and anxiety, consumed by thoughts of food and dieting or engaging in other self-defeating behaviors to cope with insecurities and uncomfortable emotions. Whatever you’re going through, talking to someone who is objective, caring, and understanding can make a huge difference in building self-awareness and implementing change to start living life to the fullest.
In today’s day and age, we’re surrounded by constant pressure and expectations for how to live our lives, be happy and successful. It’s easy to find yourself getting caught up in negative self-talk, experiencing symptoms of depression and anxiety, consumed by thoughts of food and dieting or engaging in other self-defeating behaviors to cope with insecurities and uncomfortable emotions. Whatever you’re going through, talking to someone who is objective, caring, and understanding can make a huge difference in building self-awareness and implementing change to start living life to the fullest.
(203) 916-5924 View (203) 916-5924
Photo of Elizabeth Miller, Psychologist, PsyD
Elizabeth Miller
Psychologist, PsyD
Verified Verified
Southport, CT 06890
Finding a therapist can be overwhelming, but you are already on the right path. I am a clinical psychologist with over ten years of experience and have learned that one of the most important parts of therapy is building a strong relationship between clinician and client. I strive to create a warm, nonjudgmental environment where you feel comfortable, supported, and empowered to get the most out of therapy.
Finding a therapist can be overwhelming, but you are already on the right path. I am a clinical psychologist with over ten years of experience and have learned that one of the most important parts of therapy is building a strong relationship between clinician and client. I strive to create a warm, nonjudgmental environment where you feel comfortable, supported, and empowered to get the most out of therapy.
(475) 251-7189 View (475) 251-7189
Photo of Alyssa Kolesar - Coastal Connecticut Counseling, Marriage & Family Therapist, LCSW, LMFT, LPC
Coastal Connecticut Counseling
Marriage & Family Therapist, LCSW, LMFT, LPC
Verified Verified
Southport, CT 06890
Are you struggling with feelings of anxiety, sadness, or feeling stuck in life? You're not alone, and you don't have to face these difficulties by yourself. At Coastal, we understand how overwhelming these feelings can be, and we are here to offer a warm, empathetic, and non-judgmental space for you to explore your emotions. Together, we can identify your strengths and work towards healing and personal growth. Your well-being is important, and we are committed to being with you every step of the way on your journey to a healthier, happier you!
Are you struggling with feelings of anxiety, sadness, or feeling stuck in life? You're not alone, and you don't have to face these difficulties by yourself. At Coastal, we understand how overwhelming these feelings can be, and we are here to offer a warm, empathetic, and non-judgmental space for you to explore your emotions. Together, we can identify your strengths and work towards healing and personal growth. Your well-being is important, and we are committed to being with you every step of the way on your journey to a healthier, happier you!
(475) 471-1804 View (475) 471-1804
Photo of Joelle Smorada, Clinical Social Work/Therapist, LCSW
Joelle Smorada
Clinical Social Work/Therapist, LCSW
Verified Verified
Southport, CT 06890
I hold the philosophy that everyone has the tools within themselves to reach their goals, especially when given the right opportunity and support. Therapy can be an opportunity to find balance by getting in touch with who you are and providing direction for where you want to go. Recognizing that it can be challenging to open up to someone, I believe in building a strong therapeutic relationship and providing a safe space to express and process life's events and accompanying emotions. I use a warm and friendly approach to help clients to identify their strengths while empowering them as they work toward their goals.
I hold the philosophy that everyone has the tools within themselves to reach their goals, especially when given the right opportunity and support. Therapy can be an opportunity to find balance by getting in touch with who you are and providing direction for where you want to go. Recognizing that it can be challenging to open up to someone, I believe in building a strong therapeutic relationship and providing a safe space to express and process life's events and accompanying emotions. I use a warm and friendly approach to help clients to identify their strengths while empowering them as they work toward their goals.
(203) 842-8557 View (203) 842-8557
Photo of Joseph P Brady, Clinical Social Work/Therapist, LCSW
Joseph P Brady
Clinical Social Work/Therapist, LCSW
Verified Verified
Southport, CT 06890
I know reaching out for therapy takes strength. My goal is to provide a safe, supportive space where you feel accepted and confident that therapy is helping you move forward. Together, we’ll build insights and tools so you can ultimately support your own growth and change. I base my services on the following principles—upholding unconditional regard for you, meeting you ‘where you are,’ collaborating with you, and guiding therapy at your pace.
I know reaching out for therapy takes strength. My goal is to provide a safe, supportive space where you feel accepted and confident that therapy is helping you move forward. Together, we’ll build insights and tools so you can ultimately support your own growth and change. I base my services on the following principles—upholding unconditional regard for you, meeting you ‘where you are,’ collaborating with you, and guiding therapy at your pace.
(203) 779-6423 View (203) 779-6423
Photo of Stacey Casparius, Marriage & Family Therapist, LMFT
Stacey Casparius
Marriage & Family Therapist, LMFT
Verified Verified
Southport, CT 06890
When life becomes challenging, therapy can be a useful tool to help establish resolutions that bring balance and happiness back into your life. My passion is to help clients make informed healthy decisions about themselves and their relationships enabling them to forge ahead, create change and build a promising future. By creating a safe therapeutic environment, I work collaboratively with my clients suffering from a myriad of symptoms.
When life becomes challenging, therapy can be a useful tool to help establish resolutions that bring balance and happiness back into your life. My passion is to help clients make informed healthy decisions about themselves and their relationships enabling them to forge ahead, create change and build a promising future. By creating a safe therapeutic environment, I work collaboratively with my clients suffering from a myriad of symptoms.
(203) 970-7896 View (203) 970-7896
Photo of Caroline J Temple, Clinical Social Work/Therapist, MSW, LCSW
Caroline J Temple
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Southport, CT 06890
If you are seeking help right now, you probably want something in your life to change. You might feel overwhelmed, sad, or anxious, out of balance, lacking in joy or energy, or just plain unhappy. In this fast-paced life where stress has become commonplace and acceptable, it may be time for you to take a "pause" to reflect on your life and re-align with your best self. In a safe, comfortable environment, together we will open the doors of self-awareness and trust, breaking down resistances and building a bridge to living your life with greater joy and ease. The first step is to be willing to take a peek at what's holding you back!
If you are seeking help right now, you probably want something in your life to change. You might feel overwhelmed, sad, or anxious, out of balance, lacking in joy or energy, or just plain unhappy. In this fast-paced life where stress has become commonplace and acceptable, it may be time for you to take a "pause" to reflect on your life and re-align with your best self. In a safe, comfortable environment, together we will open the doors of self-awareness and trust, breaking down resistances and building a bridge to living your life with greater joy and ease. The first step is to be willing to take a peek at what's holding you back!
(203) 318-4714 View (203) 318-4714
Photo of Peggy-Sue Forster, Marriage & Family Therapist, MA, LMFT
Peggy-Sue Forster
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Southport, CT 06890
Whether you have been struggling with a long-term issue like depression or anxiety, or have only more recently found yourself facing a difficult life change, finding a therapist that works with your particular strengths in a warm, supportive environment that is also challenging, can mean the difference between spinning your wheels and creating meaningful change. Utilizing a blend of evidence-based solution-focused, cognitive-behavioral and family systems interventions, I will work collaboratively with you and possibly other important people in your life to identify your unique goals and develop a treatment plan to address your needs.
Whether you have been struggling with a long-term issue like depression or anxiety, or have only more recently found yourself facing a difficult life change, finding a therapist that works with your particular strengths in a warm, supportive environment that is also challenging, can mean the difference between spinning your wheels and creating meaningful change. Utilizing a blend of evidence-based solution-focused, cognitive-behavioral and family systems interventions, I will work collaboratively with you and possibly other important people in your life to identify your unique goals and develop a treatment plan to address your needs.
(203) 490-2194 View (203) 490-2194
Photo of Dr. Sooyeon Lee-Garland, Marriage & Family Therapist, PhD, LMFT
Dr. Sooyeon Lee-Garland
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Southport, CT 06890
I have extensive years of clinical experiences working with individuals with various emotional struggles with depression, anxiety, traumatic life events, and/or relationship problems. I am committed to helping people recognize their own strengths and find solutions to problems. As a bilingual clinician, fluent in Korean and English, my special interest is to work with immigrant families, assisting with their adjustments in a new country dealing with cultural differences and generational conflicts within family systems. I also would like to help military personnel and their families.
I have extensive years of clinical experiences working with individuals with various emotional struggles with depression, anxiety, traumatic life events, and/or relationship problems. I am committed to helping people recognize their own strengths and find solutions to problems. As a bilingual clinician, fluent in Korean and English, my special interest is to work with immigrant families, assisting with their adjustments in a new country dealing with cultural differences and generational conflicts within family systems. I also would like to help military personnel and their families.
(855) 423-6843 View (855) 423-6843
Photo of Rebecca Ruff, Professional Counselor Associate, MA, LPCA, NCC
Rebecca Ruff
Professional Counselor Associate, MA, LPCA, NCC
Verified Verified
1 Endorsed
Southport, CT 06890
I am a Licensed Professional Counselor with an integrated approach born out of the wellness model, incorporating mind, body, and spirit. I take an interactive approach, believing that counseling is a collaborative process in which my clients have the solutions to their dilemmas within themselves, the freedom to choose what directions their lives take, and the ability to take control of that freedom.
I am a Licensed Professional Counselor with an integrated approach born out of the wellness model, incorporating mind, body, and spirit. I take an interactive approach, believing that counseling is a collaborative process in which my clients have the solutions to their dilemmas within themselves, the freedom to choose what directions their lives take, and the ability to take control of that freedom.
(475) 215-2634 View (475) 215-2634
Photo of Lyn Sommer, Psychologist, PhD, ABBP, CGP
Lyn Sommer
Psychologist, PhD, ABBP, CGP
Verified Verified
Southport, CT 06890
My practice is located in Southport, CT. While my approach is tailored to each unique individual (no manualized therapy here!), our focus will be on improving quality of life. In essence, I help you learn more effective ways to manage painful feelings, anxieties, and memories, while building more loving relationships. I specialize with couples, as well as individuals who need to grow and thrive after suffering with addictions and trauma. We work together intensively to improve self-care and confidence. I enjoy group work because it provides a powerful setting for expressing feelings, shedding shame, and creating intimacy.
My practice is located in Southport, CT. While my approach is tailored to each unique individual (no manualized therapy here!), our focus will be on improving quality of life. In essence, I help you learn more effective ways to manage painful feelings, anxieties, and memories, while building more loving relationships. I specialize with couples, as well as individuals who need to grow and thrive after suffering with addictions and trauma. We work together intensively to improve self-care and confidence. I enjoy group work because it provides a powerful setting for expressing feelings, shedding shame, and creating intimacy.
(203) 286-5887 View (203) 286-5887
Photo of Janet Aspen, Psychologist, PhD
Janet Aspen
Psychologist, PhD
Verified Verified
Southport, CT 06890
I am a clinical psychologist/yoga instructor with over 25 years of training, research and clinical work. The foundation of my practice is Psychodynamic Psychotherapy and my therapeutic approach has evolved considerably since I first began. While traditional talk therapy itself is extremely beneficial, current research suggests that a holistic approach to treatment can often enhance or accelerate the healing process. Typically, my clients begin with traditional talk therapy, and based upon their individual needs, goals, preferences and lifestyle, I will offer a variety of modalities/tools/practices - but the choice is always theirs.
I am a clinical psychologist/yoga instructor with over 25 years of training, research and clinical work. The foundation of my practice is Psychodynamic Psychotherapy and my therapeutic approach has evolved considerably since I first began. While traditional talk therapy itself is extremely beneficial, current research suggests that a holistic approach to treatment can often enhance or accelerate the healing process. Typically, my clients begin with traditional talk therapy, and based upon their individual needs, goals, preferences and lifestyle, I will offer a variety of modalities/tools/practices - but the choice is always theirs.
(203) 779-6086 View (203) 779-6086
1

How does your Therapist compare?

Number of Therapists in 06890

40+

Average cost per session

$200

Therapists in 06890 who prioritize treating:

92% Anxiety
85% Depression
77% Relationship Issues
73% Self Esteem
69% Coping Skills
67% Parenting
65% Life Transitions

Average years in practice

16 Years

Top 3 insurances accepted

58% Aetna
50% Anthem
50% HUSKY Health

How Therapists in 06890 see their clients

84% In Person and Online
16% Online Only

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 06890?

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.