Photo of Patricia Grego - Therapeutic Arts, Art Therapist, MS, LCAT, ATR-BC
Therapeutic Arts
Art Therapist, MS, LCAT, ATR-BC
Verified Verified
Pearl River, NY 10965
We provide a person-centered approach to therapy for anxiety, depression, grief, trauma, addiction, grief, career changes, and relationships. We provide virtual therapy for the convenience of adults seeking help with all of life's transitions and stressors. Each of our therapists have been trained in various techniques, and we are all licensed or permitted to practice creative arts therapy as well. The office of Therapeutic Arts is a special place for children and teens in need of therapy. We work with children of all ages providing a fun and relaxed atmosphere to help manage behaviors and anxiety.
We provide a person-centered approach to therapy for anxiety, depression, grief, trauma, addiction, grief, career changes, and relationships. We provide virtual therapy for the convenience of adults seeking help with all of life's transitions and stressors. Each of our therapists have been trained in various techniques, and we are all licensed or permitted to practice creative arts therapy as well. The office of Therapeutic Arts is a special place for children and teens in need of therapy. We work with children of all ages providing a fun and relaxed atmosphere to help manage behaviors and anxiety.
(845) 393-2188 View (845) 393-2188
Photo of Ed Joseph, MBA, MPS-ABA, BCBA, LBA
Ed Joseph
MBA, MPS-ABA, BCBA, LBA
Verified Verified
Pearl River, NY 10965
I am bi-lingual in English and Haitian Creole. As dual clinical licensed and behavior analyst (BCBA)-(LBA) with expertise in human behaviors and ACT Process-based Therapist for Selfing-Mastery. We help young adults (age 12-25) and adults (Save A Veteran Safe) liberate suffering-being (stress, anxiety, trauma, PTSD, sexual trauma, depression and behavioral disorders) to overcome their barriers and challenges; and habilitate or supported toward values-based, functionally social-emotional, behavioral skills for generative quality of life and well-being. Wi, nou pale Kréyol Ayitien. Merci!
I am bi-lingual in English and Haitian Creole. As dual clinical licensed and behavior analyst (BCBA)-(LBA) with expertise in human behaviors and ACT Process-based Therapist for Selfing-Mastery. We help young adults (age 12-25) and adults (Save A Veteran Safe) liberate suffering-being (stress, anxiety, trauma, PTSD, sexual trauma, depression and behavioral disorders) to overcome their barriers and challenges; and habilitate or supported toward values-based, functionally social-emotional, behavioral skills for generative quality of life and well-being. Wi, nou pale Kréyol Ayitien. Merci!
(845) 237-3845 View (845) 237-3845
Photo of Kristina DeLuccia, Counselor, LMHC, CASAC
Kristina DeLuccia
Counselor, LMHC, CASAC
Verified Verified
Pearl River, NY 10965
I provide my clients the coping skills needed to navigate through their individual and unique life challenges. I will help my clients better understand themselves and also help them reach their ultimate goals, all while doing so in a safe comforting environment. Lastly, I welcome all of my clients with warmth and empathy from the moment they begin therapy until their very last session. "Courage doesn't happen when you have all of the answers. It happens when you are ready to face the questions you have been avoiding your whole life".
I provide my clients the coping skills needed to navigate through their individual and unique life challenges. I will help my clients better understand themselves and also help them reach their ultimate goals, all while doing so in a safe comforting environment. Lastly, I welcome all of my clients with warmth and empathy from the moment they begin therapy until their very last session. "Courage doesn't happen when you have all of the answers. It happens when you are ready to face the questions you have been avoiding your whole life".
(845) 203-8576 View (845) 203-8576
Photo of Kayla Acevedo, LP-CAT
Kayla Acevedo
LP-CAT
Verified Verified
Pearl River, NY 10965
Sometimes using words can only paint a portion of the picture to reflect our current situation. Often I find that using other forms of expression can truly help depict the magnitude of how one may be feeling. Art therapy can be an effective tool in the therapeutic journey to bridge the gap between what is felt and what is said in sessions. In my sessions I enjoy trying to help clients understand themselves better and empower them in ways that promote healing.
Sometimes using words can only paint a portion of the picture to reflect our current situation. Often I find that using other forms of expression can truly help depict the magnitude of how one may be feeling. Art therapy can be an effective tool in the therapeutic journey to bridge the gap between what is felt and what is said in sessions. In my sessions I enjoy trying to help clients understand themselves better and empower them in ways that promote healing.
(845) 622-4801 View (845) 622-4801
Photo of Clara I Rodriguez, Clinical Social Work/Therapist, PhD, LCSW-R
Clara I Rodriguez
Clinical Social Work/Therapist, PhD, LCSW-R
Verified Verified
Pearl River, NY 10965
I am a English/Spanish bilingual Licensed Clinical Social Worker with the psychotherapy privilege granted by the New York State Office of the Professions. I received my master's degree in Social Work from the Fordham University Graduate School of Social Service and have a doctorate in Social Welfare from the Wurzweiler School of Social Work of Yeshiva University. I have experience working with children, adolescents, women, couples, and families and have dedicated most of my career to working with individuals and families impacted by addiction. I also provide supervision for clinicians working towards licensure.
I am a English/Spanish bilingual Licensed Clinical Social Worker with the psychotherapy privilege granted by the New York State Office of the Professions. I received my master's degree in Social Work from the Fordham University Graduate School of Social Service and have a doctorate in Social Welfare from the Wurzweiler School of Social Work of Yeshiva University. I have experience working with children, adolescents, women, couples, and families and have dedicated most of my career to working with individuals and families impacted by addiction. I also provide supervision for clinicians working towards licensure.
(845) 262-2073 View (845) 262-2073
Photo of Rosemarie Livingston, Clinical Social Work/Therapist, LCSW
Rosemarie Livingston
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Does it feel like a struggle to find someone you actually connect with? Do you find yourself staying in relationships despite something feeling “off” or seeing the red flags? Maybe you are trying to bounce back from the ending of a relationship. You might be feeling stressed, confused, sad, or just exhausted of being stuck in a toxic cycle. You want a safe space to vent and process what you are feeling, so you can get unstuck, better understand your patterns, and improve your self esteem.
Does it feel like a struggle to find someone you actually connect with? Do you find yourself staying in relationships despite something feeling “off” or seeing the red flags? Maybe you are trying to bounce back from the ending of a relationship. You might be feeling stressed, confused, sad, or just exhausted of being stuck in a toxic cycle. You want a safe space to vent and process what you are feeling, so you can get unstuck, better understand your patterns, and improve your self esteem.
(845) 713-8201 View (845) 713-8201
Photo of Clara Rodriguez - New Fronteras Counseling & Psychotherapy, Clinical Social Work/Therapist
New Fronteras Counseling & Psychotherapy
Clinical Social Work/Therapist
Verified Verified
Pearl River, NY 10965
We are a group practice with compassionate clinicians who believe the therapeutic relationship is the most important contributing factor to positive outcomes in therapy. As such, We work on establishing a strong therapeutic relationship with you by providing a safe, trusting, and confidential space. Clinically, we work within a humanistic framework and are eclectic in our interventions. We are passionate about helping you improve your quality of life and assisting you achieve your therapeutic goals.
We are a group practice with compassionate clinicians who believe the therapeutic relationship is the most important contributing factor to positive outcomes in therapy. As such, We work on establishing a strong therapeutic relationship with you by providing a safe, trusting, and confidential space. Clinically, we work within a humanistic framework and are eclectic in our interventions. We are passionate about helping you improve your quality of life and assisting you achieve your therapeutic goals.
(845) 977-4078 View (845) 977-4078
Photo of Seagda Coyle, Marriage & Family Therapist, LMFT
Seagda Coyle
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Pearl River, NY 10965
Sometimes, everything can just feel like it’s too much. Between needing to get through day-to-day responsibilities, commitments with friends and family, and expectations of work and our ever-changing world, our lives can become a very stressful place. It is with all of this in mind that I want to help others discover the ways that they can change their relationship with all of life’s various stressors. Whether you are struggling due to a recent change in life, relationship difficulties, or not knowing what may come next, I am here to help you feel empowered to make necessary changes for yourself and to better manage in uncertainty.
Sometimes, everything can just feel like it’s too much. Between needing to get through day-to-day responsibilities, commitments with friends and family, and expectations of work and our ever-changing world, our lives can become a very stressful place. It is with all of this in mind that I want to help others discover the ways that they can change their relationship with all of life’s various stressors. Whether you are struggling due to a recent change in life, relationship difficulties, or not knowing what may come next, I am here to help you feel empowered to make necessary changes for yourself and to better manage in uncertainty.
(845) 552-9128 View (845) 552-9128
Photo of Sonya Tulevech, Clinical Social Work/Therapist, LCSW-R
Sonya Tulevech
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Online Only
I am passionate about helping my clients find clarity, peace, and direction in their lives. With over 30 years of experience, I’ve worked with adults of all ages, supporting them through depression, anxiety, family and relationship struggles, PTSD, and crisis intervention. My approach is driven by a genuine desire to foster healing and growth, and I believe in the power of connection and understanding. I’ve also had the privilege of working with the LGBTQ+ community and individuals navigating bipolar disorder. My goal is to provide a safe, compassionate space where you feel heard and supported on your journey.
I am passionate about helping my clients find clarity, peace, and direction in their lives. With over 30 years of experience, I’ve worked with adults of all ages, supporting them through depression, anxiety, family and relationship struggles, PTSD, and crisis intervention. My approach is driven by a genuine desire to foster healing and growth, and I believe in the power of connection and understanding. I’ve also had the privilege of working with the LGBTQ+ community and individuals navigating bipolar disorder. My goal is to provide a safe, compassionate space where you feel heard and supported on your journey.
(845) 523-6598 View (845) 523-6598
Photo of Elizabeth C Bracken, Clinical Social Work/Therapist, LCSW
Elizabeth C Bracken
Clinical Social Work/Therapist, LCSW
Verified Verified
Pearl River, NY 10965
Are you feeling overwhelmed? Are you struggling through life experiencing little joy? Has someone hurt you in the past or present which feels insurmountable to move through? Are you on the fence going or coming back to therapy with some apprehension that it may not "work"? Then, I would suggest we talk and find out if I am a good match for you. As a sound compassionate therapist with over 30 years experience in the field, I still love helping clients to achieve more self-satisfaction, decreased stress, and healing from new or old wounds so that their lives improve often dramatically. I utilize psychodynamic theory and DBT.
Are you feeling overwhelmed? Are you struggling through life experiencing little joy? Has someone hurt you in the past or present which feels insurmountable to move through? Are you on the fence going or coming back to therapy with some apprehension that it may not "work"? Then, I would suggest we talk and find out if I am a good match for you. As a sound compassionate therapist with over 30 years experience in the field, I still love helping clients to achieve more self-satisfaction, decreased stress, and healing from new or old wounds so that their lives improve often dramatically. I utilize psychodynamic theory and DBT.
(845) 379-3096 View (845) 379-3096
Photo of Michelle Caruso, Clinical Social Work/Therapist, LCSW, LSW
Michelle Caruso
Clinical Social Work/Therapist, LCSW, LSW
Verified Verified
Pearl River, NY 10965
Not accepting new clients
Change can be difficult at any stage of life. Starting a new school/career, dealing with a medical diagnosis, divorce or grieving the loss of a loved one are just some of the many examples of the curveballs life throws at us. Although personal experiences vary, we as humans are connected through shared emotions. Choosing a therapist that empowers you to cope with these changes is vital to your healing.
Change can be difficult at any stage of life. Starting a new school/career, dealing with a medical diagnosis, divorce or grieving the loss of a loved one are just some of the many examples of the curveballs life throws at us. Although personal experiences vary, we as humans are connected through shared emotions. Choosing a therapist that empowers you to cope with these changes is vital to your healing.
(845) 209-1240 View (845) 209-1240
Photo of Trish Shine, Clinical Social Work/Therapist, LCSW, CCM
Trish Shine
Clinical Social Work/Therapist, LCSW, CCM
Verified Verified
Pearl River, NY 10965
With over 20 years of experience as a Licensed Clinical Social Worker, I have worked with adults of every age in a variety of Clinical and Healthcare settings, including Behavioral Health, Oncology, Palliative Care and Traumatic Brain Injury. I have extensive experience working with individuals who are experiencing symptoms of Anxiety and Depression, and those navigating Trauma, Grief and End of Life concerns. I also specialize in supporting individuals and their caregivers as they face the emotional impacts of Acute and Chronic illness/injury.
With over 20 years of experience as a Licensed Clinical Social Worker, I have worked with adults of every age in a variety of Clinical and Healthcare settings, including Behavioral Health, Oncology, Palliative Care and Traumatic Brain Injury. I have extensive experience working with individuals who are experiencing symptoms of Anxiety and Depression, and those navigating Trauma, Grief and End of Life concerns. I also specialize in supporting individuals and their caregivers as they face the emotional impacts of Acute and Chronic illness/injury.
(845) 385-2978 View (845) 385-2978
Photo of Elizabeth Bracken, Clinical Social Work/Therapist, LCSW
Elizabeth Bracken
Clinical Social Work/Therapist, LCSW
Verified Verified
Pearl River, NY 10965
I imagine you might have tried feeling better on your own before you reached this point. Perhaps you tried therapy before and it didn’t do much. Desperation, frustration, grief or pain have brought you here. I have 30 years of professional advanced experience helping people achieve more satisfaction in their life be it decreasing stress, working through childhood trauma, recovering from past or present narcissistic abuse, substance abuse along with helping adolescents and young adults increase their coping skills. Do you feel as though you are stuck in old wounds repeating the same patterns? Then, I would love to speak with you.
I imagine you might have tried feeling better on your own before you reached this point. Perhaps you tried therapy before and it didn’t do much. Desperation, frustration, grief or pain have brought you here. I have 30 years of professional advanced experience helping people achieve more satisfaction in their life be it decreasing stress, working through childhood trauma, recovering from past or present narcissistic abuse, substance abuse along with helping adolescents and young adults increase their coping skills. Do you feel as though you are stuck in old wounds repeating the same patterns? Then, I would love to speak with you.
(845) 470-6275 View (845) 470-6275
Photo of Jordan Boston - Jordan Boston LMHC, Counselor, LMHC
Jordan Boston LMHC
Counselor, LMHC
Verified Verified
1 Endorsed
Online Only
Ready to give therapy a try? I know that seeking help can be a difficult decision, and there is no greater importance than finding the right fit for you and your needs. Together, we will work towards navigating relationship difficulties, life transitions, complex traumas, mood dysregulation, substance use, and overall improving your daily functioning. You can expect to be met by unwavering support and tailored interventions to address your goals. My practice is centered around a non-judgmental perspective, and I often use a healthy dose of humor in our sessions to lighten the mood and make therapy a more enjoyable experience!
Ready to give therapy a try? I know that seeking help can be a difficult decision, and there is no greater importance than finding the right fit for you and your needs. Together, we will work towards navigating relationship difficulties, life transitions, complex traumas, mood dysregulation, substance use, and overall improving your daily functioning. You can expect to be met by unwavering support and tailored interventions to address your goals. My practice is centered around a non-judgmental perspective, and I often use a healthy dose of humor in our sessions to lighten the mood and make therapy a more enjoyable experience!
(845) 552-2429 View (845) 552-2429
Photo of Michael J Swanwick - Hudson Valley Counseling LLC, Clinical Social Work/Therapist, LCSW
Hudson Valley Counseling LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Pearl River, NY 10965
Hudson Valley Counseling offers individual, group and family therapy. Our therapeutic approach recognizes the quality of the therapeutic relationship as an essential element in the therapy process.We look to collaborate with clients to identify core challenges in their life and assist them in developing treatment goals and objectives which ultimately empower them to take charge of the design and direction of their life.
Hudson Valley Counseling offers individual, group and family therapy. Our therapeutic approach recognizes the quality of the therapeutic relationship as an essential element in the therapy process.We look to collaborate with clients to identify core challenges in their life and assist them in developing treatment goals and objectives which ultimately empower them to take charge of the design and direction of their life.
(917) 994-9213 View (917) 994-9213
Photo of Guadalupe Hernandez - Therapeutic Arts, Art Therapist, MPS, LCAT, ATR
Therapeutic Arts
Art Therapist, MPS, LCAT, ATR
Verified Verified
Pearl River, NY 10965
Guadalupe Hernandez is a psychotherapist and art therapist. She is especially compassionate and her approach is creative and person-centered. She works with clients with depressed mood, anxiety, in recovery from addiction, trauma and familial difficulties. She has worked with diverse populations. She will be able to help you seek solutions and express yourself. She is fluent in English and Spanish.
Guadalupe Hernandez is a psychotherapist and art therapist. She is especially compassionate and her approach is creative and person-centered. She works with clients with depressed mood, anxiety, in recovery from addiction, trauma and familial difficulties. She has worked with diverse populations. She will be able to help you seek solutions and express yourself. She is fluent in English and Spanish.
(845) 622-6011 View (845) 622-6011
Photo of Bridget Darby Ryan, Clinical Social Work/Therapist, LCSW
Bridget Darby Ryan
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I am a licensed clinical social worker who has experience providing therapeutic services to children, adolescents, and adults with a range of needs. I will take an individualized approach to therapy, tailoring it to the client’s needs. My goal is to meet you where you are in the therapeutic process and create a safe space to let you be yourself, be understood, and reach your goals.
I am a licensed clinical social worker who has experience providing therapeutic services to children, adolescents, and adults with a range of needs. I will take an individualized approach to therapy, tailoring it to the client’s needs. My goal is to meet you where you are in the therapeutic process and create a safe space to let you be yourself, be understood, and reach your goals.
(845) 583-0375 View (845) 583-0375
Photo of Kristen A Stewart, Counselor, LMHC, CCTP, LPC
Kristen A Stewart
Counselor, LMHC, CCTP, LPC
Verified Verified
4 Endorsed
Pearl River, NY 10965
Not accepting new clients
People need people. Trust your gut to know that something led you to reach out. You are stronger than you feel. It's possible for things to be different. I offer support dealing with trauma, sudden loss, relationship struggles, & major life changes. NEW group options available for mother's support/connections. What happened does not have to define you. I specialize in helping with depressive struggles to feel connected again and empowered. I work to build self-esteem back. Speaking the truth can feel like a weight is finally lifted. Grounding techniques can help you feel more in control. You deserve to be listened to right now.
People need people. Trust your gut to know that something led you to reach out. You are stronger than you feel. It's possible for things to be different. I offer support dealing with trauma, sudden loss, relationship struggles, & major life changes. NEW group options available for mother's support/connections. What happened does not have to define you. I specialize in helping with depressive struggles to feel connected again and empowered. I work to build self-esteem back. Speaking the truth can feel like a weight is finally lifted. Grounding techniques can help you feel more in control. You deserve to be listened to right now.
(845) 535-4389 View (845) 535-4389
Photo of Kathleen Marie Decker, Counselor, RN, LMHC, BCC
Kathleen Marie Decker
Counselor, RN, LMHC, BCC
Verified Verified
Online Only
Being involved in the process of helping people deal with their struggles and difficulties in life is a privilege. Every individual is different, with different personalities and backgrounds, however with encouragement and support, we all have the ability to look within ourselves and move forward in our growth as human beings. I offer you a safe environment where together we can explore your inner conflicts that either have you stuck, or prevent you from being as happy as you deserve to be.
Being involved in the process of helping people deal with their struggles and difficulties in life is a privilege. Every individual is different, with different personalities and backgrounds, however with encouragement and support, we all have the ability to look within ourselves and move forward in our growth as human beings. I offer you a safe environment where together we can explore your inner conflicts that either have you stuck, or prevent you from being as happy as you deserve to be.
(845) 669-0889 View (845) 669-0889
Photo of Eileen Flynn Tucci, Clinical Social Work/Therapist, LCSW
Eileen Flynn Tucci
Clinical Social Work/Therapist, LCSW
Verified Verified
Pearl River, NY 10965
Not accepting new clients
I am a licensed clinical social worker who provides counseling to individuals and families from 18 years of age through senior citizens. I received my masters degree from New York University.
I am a licensed clinical social worker who provides counseling to individuals and families from 18 years of age through senior citizens. I received my masters degree from New York University.
(845) 653-3207 View (845) 653-3207
1

See more therapy options for 10965

How does your Therapist compare?

Number of Therapists in 10965

60+

Average cost per session

$175

Therapists in 10965 who prioritize treating:

97% Anxiety
88% Depression
78% Trauma and PTSD
67% Relationship Issues
63% Life Transitions
61% Grief
58% Family Conflict

Average years in practice

14 Years

Top 3 insurances accepted

76% Aetna
76% Cigna and Evernorth
59% UnitedHealthcare UHC | UBH

How Therapists in 10965 see their clients

83% In Person and Online
17% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 10965?

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.