Therapists in 17059

Photo of Fred Benner, Licensed Professional Counselor, PhD, LPC, PMAC, CAADC, SAP
Fred Benner
Licensed Professional Counselor, PhD, LPC, PMAC, CAADC, SAP
Mifflintown, PA 17059
I am accepting Face-2-Face AND telehealth clients. I am equipped to provide HIPAA compliant telehealth services by voice or video. This has now been approved by all insurance carriers, and is an option which extends flexibility, but our office is also open . I have broad experience in working with mood and anxiety disorders, trauma, substance use disorders, and families struggling with addiction. I also help those with problems caused by alcohol or drugs, couples trying to save a relationship. and those in child custody disputes because of divorce or separation. I also help with process addictions like gambling and pornography.
I am accepting Face-2-Face AND telehealth clients. I am equipped to provide HIPAA compliant telehealth services by voice or video. This has now been approved by all insurance carriers, and is an option which extends flexibility, but our office is also open . I have broad experience in working with mood and anxiety disorders, trauma, substance use disorders, and families struggling with addiction. I also help those with problems caused by alcohol or drugs, couples trying to save a relationship. and those in child custody disputes because of divorce or separation. I also help with process addictions like gambling and pornography.
(717) 320-2303 View (717) 320-2303
Photo of Catherine McIntyre Welsh - GKSW / Crystal Group Associates, LLP, Clinical Social Work/Therapist, LCSW
GKSW / Crystal Group Associates, LLP
Clinical Social Work/Therapist, LCSW
Serves Area
GKSW has been providing comprehensive mental health services since 1978. Our interdisciplinary staff is fully accredited and licensed in their specific professions. We are committed to assisting people make the kinds of changes that enable them to live personally fulfilling and meaningful lives. We respect the dignity and diversity of all people with whom we have the privilege of working and strive to enable our clients to find unique paths in their journeys through life.
GKSW has been providing comprehensive mental health services since 1978. Our interdisciplinary staff is fully accredited and licensed in their specific professions. We are committed to assisting people make the kinds of changes that enable them to live personally fulfilling and meaningful lives. We respect the dignity and diversity of all people with whom we have the privilege of working and strive to enable our clients to find unique paths in their journeys through life.
(215) 233-3994 View (215) 233-3994
Photo of Danielle Marie Mink - Two Trails Mental Health & Wellness Center, LLC., Psychologist, PsyD
Two Trails Mental Health & Wellness Center, LLC.
Psychologist, PsyD
Serves Area
Let Two Trails Mental Health and Wellness Center provide the support and direction you are seeking. Our clinicians are here to help you with difficult life changes and to offer you support during the healing process. We can help you to feel better about yourself by helping you gain a sense of control over your moods and emotions, by helping you gain more satisfaction in your personal relationships and by helping you to overcome obstacles that may be interfering with your ability to achieve life goals. We will keep your concerns private and confidential.
Let Two Trails Mental Health and Wellness Center provide the support and direction you are seeking. Our clinicians are here to help you with difficult life changes and to offer you support during the healing process. We can help you to feel better about yourself by helping you gain a sense of control over your moods and emotions, by helping you gain more satisfaction in your personal relationships and by helping you to overcome obstacles that may be interfering with your ability to achieve life goals. We will keep your concerns private and confidential.
(717) 778-3250 View (717) 778-3250
Photo of Olivia Wise, Licensed Professional Counselor, MS, LPC
Olivia Wise
Licensed Professional Counselor, MS, LPC
Mifflintown, PA 17059
Waitlist for new clients
Have you experienced a traumatic event, or recently lost someone close to you? Have you been avoiding people, places and activities that may cause to you have intrusive thoughts, involuntary memories, or flashbacks? This can be extremely painful and debilitating but is a common response to trauma and loss. Unfortunately, many people learn to avoid topics related to their trauma or loss for fear that talking about it will cause uncontrollable painful emotions to arise. This can lead to feelings of guilt, shame, numbness, feeling detached from others and low self-esteem and can have negative long-term impacts.
Have you experienced a traumatic event, or recently lost someone close to you? Have you been avoiding people, places and activities that may cause to you have intrusive thoughts, involuntary memories, or flashbacks? This can be extremely painful and debilitating but is a common response to trauma and loss. Unfortunately, many people learn to avoid topics related to their trauma or loss for fear that talking about it will cause uncontrollable painful emotions to arise. This can lead to feelings of guilt, shame, numbness, feeling detached from others and low self-esteem and can have negative long-term impacts.
(717) 864-8693 View (717) 864-8693
Photo of Allison D Norman - Awakenly Therapy, Clinical Social Work/Therapist, LCSW
Awakenly Therapy
Clinical Social Work/Therapist, LCSW
Online Only
You feel ready for something deeper than surface-level fixes. You're tired of just managing symptoms and want real transformation that honors your whole self. You've tried quick solutions, but you're looking for healing that addresses root causes, not just symptoms. You want to understand deeper patterns in your life and relationships, and you're motivated to do meaningful work that leads to lasting change. You deserve support that sees you as a complete person, not just problems to solve. You're seeking a therapist who understands that true healing happens when we work with your mind, emotions, body, and spirit.
You feel ready for something deeper than surface-level fixes. You're tired of just managing symptoms and want real transformation that honors your whole self. You've tried quick solutions, but you're looking for healing that addresses root causes, not just symptoms. You want to understand deeper patterns in your life and relationships, and you're motivated to do meaningful work that leads to lasting change. You deserve support that sees you as a complete person, not just problems to solve. You're seeking a therapist who understands that true healing happens when we work with your mind, emotions, body, and spirit.
(845) 769-0159 View (845) 769-0159
Photo of Erin E Myers - Reload Collaborative Counseling, LLC, Licensed Professional Counselor, LPC, CVMHP
Reload Collaborative Counseling, LLC
Licensed Professional Counselor, LPC, CVMHP
Online Only
Sharing openly and honestly about our struggles is powerful. Life's difficulties take many forms and may be uncomfortable to discuss, but often our tendency to hide them or wait for them to just go away leads us down a road of isolation and anger. Therapy is a place to seize control of your path and regain control of your life.
Sharing openly and honestly about our struggles is powerful. Life's difficulties take many forms and may be uncomfortable to discuss, but often our tendency to hide them or wait for them to just go away leads us down a road of isolation and anger. Therapy is a place to seize control of your path and regain control of your life.
(717) 788-8792 View (717) 788-8792
Photo of Tammy L Rumbaugh - Tammy L. Rumbaugh, M.A. LPC, Licensed Professional Counselor, MA, LPC
Tammy L. Rumbaugh, M.A. LPC
Licensed Professional Counselor, MA, LPC
2 Endorsed
Online Only
Are you seeking to create new possibilities or renewed vitality in your relationships, career, or spiritual, emotional or mental life? Are you standing at a crossroads, unsure of which path to take? Do you feel a desire to make a change, but don't know where to start? My name is Tammy. I would be honored to walk with you as you move forward in your life, at a pace that is comfortable and productive for you. Please, always remember that you are the Creator of the story that you live and adjust, each and every day.
Are you seeking to create new possibilities or renewed vitality in your relationships, career, or spiritual, emotional or mental life? Are you standing at a crossroads, unsure of which path to take? Do you feel a desire to make a change, but don't know where to start? My name is Tammy. I would be honored to walk with you as you move forward in your life, at a pace that is comfortable and productive for you. Please, always remember that you are the Creator of the story that you live and adjust, each and every day.
(717) 254-4715 View (717) 254-4715
Photo of Sherrie-An E Gerhart, Clinical Social Work/Therapist, LCSW, CDBT
Sherrie-An E Gerhart
Clinical Social Work/Therapist, LCSW, CDBT
Online Only
Have you ever felt overwhelmed by your emotions or you don't know what you're feeling at all? Do you feel as though people are taking advantage of you or you don't know who you are anymore? You're not alone, this is very common. I will partner with you and help you to identify not only what you're feeling, but also how to cope with those feelings so you can feel more empowered to navigate your life more effectively. I can also help you to find your voice, so you can connect with who you are and to begin to assert clear boundaries with others.
Have you ever felt overwhelmed by your emotions or you don't know what you're feeling at all? Do you feel as though people are taking advantage of you or you don't know who you are anymore? You're not alone, this is very common. I will partner with you and help you to identify not only what you're feeling, but also how to cope with those feelings so you can feel more empowered to navigate your life more effectively. I can also help you to find your voice, so you can connect with who you are and to begin to assert clear boundaries with others.
(717) 940-3853 View (717) 940-3853

More Therapists Nearby

Photo of Rebecca Barclay, Licensed Professional Counselor, MA, LPC, NCC, CBC
Rebecca Barclay
Licensed Professional Counselor, MA, LPC, NCC, CBC
Carlisle, PA 17013
Feeling overwhelmed by the holiday season? The holidays can be joyful, but they can also bring stress, anxiety, and emotional exhaustion. If you're navigating family dynamics, financial pressure, grief, or the weight of expectations, you're not alone. I offer a supportive space to help you manage stress, set boundaries, and reconnect with what matters most. Together, we’ll build compassionate strategies to help you feel grounded and at peace, even during the busiest time of year.
Feeling overwhelmed by the holiday season? The holidays can be joyful, but they can also bring stress, anxiety, and emotional exhaustion. If you're navigating family dynamics, financial pressure, grief, or the weight of expectations, you're not alone. I offer a supportive space to help you manage stress, set boundaries, and reconnect with what matters most. Together, we’ll build compassionate strategies to help you feel grounded and at peace, even during the busiest time of year.
(223) 338-0798 View (223) 338-0798
Photo of Andrew J Kohlhepp, Licensed Professional Counselor, LPC, MS
Andrew J Kohlhepp
Licensed Professional Counselor, LPC, MS
Boalsburg, PA 16827
Are you trying to find purpose and meaning in your iife? Are you trying to overcome some sort of loss? Is anxiety and depression have a grip and just won't release? Does addiction have a grip? Have you experienced trama? Give me a call and we can figure out a plan and course of recovery....so you can find happiness and contentment again..
Are you trying to find purpose and meaning in your iife? Are you trying to overcome some sort of loss? Is anxiety and depression have a grip and just won't release? Does addiction have a grip? Have you experienced trama? Give me a call and we can figure out a plan and course of recovery....so you can find happiness and contentment again..
(814) 200-1618 View (814) 200-1618
Photo of Emily Fenner, Clinical Social Work/Therapist, LCSW
Emily Fenner
Clinical Social Work/Therapist, LCSW
Carlisle, PA 17013
Life stops for no one, under no circumstance. Sometimes it feels like you're standing still while the world moves around you. Maybe you are going through a phase of life you thought would bring joy, such as expanding your family or retiring from a job. But instead, you've found this change to be stressful and disappointing. Or maybe you're faced with one of life's challenges such as dealing with a new health condition or grieving the loss of a loved one. You're now questioning how to get through this time of your life.
Life stops for no one, under no circumstance. Sometimes it feels like you're standing still while the world moves around you. Maybe you are going through a phase of life you thought would bring joy, such as expanding your family or retiring from a job. But instead, you've found this change to be stressful and disappointing. Or maybe you're faced with one of life's challenges such as dealing with a new health condition or grieving the loss of a loved one. You're now questioning how to get through this time of your life.
(223) 218-4391 View (223) 218-4391
Photo of Corinne Creppage, Licensed Professional Counselor, MA, NCC, LPC
Corinne Creppage
Licensed Professional Counselor, MA, NCC, LPC
1 Endorsed
Serves Area
Hello, I'm Corinne Do you feel like everything is building up and it's hard to manage the stress around you? The expectations of school, work, family, friends, and relationships can feel overwhelming. I help support college-aged students and adults with adjusting to new situations, set boundaries, feel empowered, manage the demands of life, learn better coping and implement self-care. Together we can identify what's not working, explore thoughts, feelings, and core concerns, in order to create better balance.
Hello, I'm Corinne Do you feel like everything is building up and it's hard to manage the stress around you? The expectations of school, work, family, friends, and relationships can feel overwhelming. I help support college-aged students and adults with adjusting to new situations, set boundaries, feel empowered, manage the demands of life, learn better coping and implement self-care. Together we can identify what's not working, explore thoughts, feelings, and core concerns, in order to create better balance.
(814) 926-0179 View (814) 926-0179
Photo of Crystal Oakman, Social Worker , MSW, Author
Crystal Oakman
Social Worker , MSW, Author
Carlisle, PA 17013
I utilize a whole-person approach to mental wellness. My one-of-a-kind consulting mixes therapeutic techniques with a variety of practices, from the results-oriented work of coaching to the soul-finding guidance of world theologies and beliefs, allowing me to provide a different kind of service from traditional therapy or self-help. This unique fusion allows me to offer a service that goes beyond where others may have been unsuccessful, providing you with support unlike anything else. Our sacred space a collaborative endeavor. Your success is not just a destination; it's a testament to the real work we will do together.
I utilize a whole-person approach to mental wellness. My one-of-a-kind consulting mixes therapeutic techniques with a variety of practices, from the results-oriented work of coaching to the soul-finding guidance of world theologies and beliefs, allowing me to provide a different kind of service from traditional therapy or self-help. This unique fusion allows me to offer a service that goes beyond where others may have been unsuccessful, providing you with support unlike anything else. Our sacred space a collaborative endeavor. Your success is not just a destination; it's a testament to the real work we will do together.
(301) 539-9256 View (301) 539-9256
Photo of Christine M Samuelsen, Psychologist, PsyD
Christine M Samuelsen
Psychologist, PsyD
Serves Area
Reaching out for professional support when life is feeling challenging can be difficult, but know you are not alone. People decide to come to therapy for a wide variety of reasons- you may be struggling with mental or emotional distress, desire to change behaviors or you may want to gain a new perspective on your life. Whatever your reasons for seeking help, I am here to offer you a warm, supportive environment to help you work through the difficulties you are facing.
Reaching out for professional support when life is feeling challenging can be difficult, but know you are not alone. People decide to come to therapy for a wide variety of reasons- you may be struggling with mental or emotional distress, desire to change behaviors or you may want to gain a new perspective on your life. Whatever your reasons for seeking help, I am here to offer you a warm, supportive environment to help you work through the difficulties you are facing.
(717) 409-5414 View (717) 409-5414
Photo of Jessica Durst, Licensed Professional Counselor, LPC
Jessica Durst
Licensed Professional Counselor, LPC
2 Endorsed
Serves Area
7/17/25 Accepting New Clients As a licensed Mental Health Practitioner, I am deeply committed to supporting individuals in achieving optimal well-being through a balance of the mind and body. My approach combines mental health strategies with holistic practices to help clients overcome emotional, psychological, and physical challenges. I work with clients to address a variety of mental health concerns, such as stress, depression, burnout, and self-esteem issues, while also guiding them towards healthier lifestyle choices. Therapy can help you gain the tools and support needed to overcome obstacles and lead a more fulfilling life.
7/17/25 Accepting New Clients As a licensed Mental Health Practitioner, I am deeply committed to supporting individuals in achieving optimal well-being through a balance of the mind and body. My approach combines mental health strategies with holistic practices to help clients overcome emotional, psychological, and physical challenges. I work with clients to address a variety of mental health concerns, such as stress, depression, burnout, and self-esteem issues, while also guiding them towards healthier lifestyle choices. Therapy can help you gain the tools and support needed to overcome obstacles and lead a more fulfilling life.
(814) 376-1532 View (814) 376-1532
Photo of Teri Stephens, Clinical Social Work/Therapist, LCSW
Teri Stephens
Clinical Social Work/Therapist, LCSW
Carlisle, PA 17015
It's been my experience that people usually seek therapy when they have tried everything they know to improve their life and it's just not working. Clients are often quite desperate when they enter therapy. I believe my job as a therapist is to give people new options for what to do to make things better. I try to help with kindness and humor, drawing on a wealth of knowledge, information, and experience to help my clients achieve their goals, whatever they may be. I am continually awed by the amazing ability of the human spirit to grow, heal, and develop.
It's been my experience that people usually seek therapy when they have tried everything they know to improve their life and it's just not working. Clients are often quite desperate when they enter therapy. I believe my job as a therapist is to give people new options for what to do to make things better. I try to help with kindness and humor, drawing on a wealth of knowledge, information, and experience to help my clients achieve their goals, whatever they may be. I am continually awed by the amazing ability of the human spirit to grow, heal, and develop.
(717) 974-3449 View (717) 974-3449
Photo of Diana Brown, Psychologist, PsyD
Diana Brown
Psychologist, PsyD
3 Endorsed
Serves Area
Life is stressful enough and that can be made worse when you don't have the right person to talk with. It is often hard to gain clarity and find the right direction for yourself when stress, anxiety, depression, hurtful life factors and indecisiveness cloud your view. The good news is that I get that! I have a strong empathetic therapeutic style and I strive to create a warm, relaxing environment that is still conducive to the urgency you may need. I am highly trained in Cognitive Behavior Therapy (CBT), Family Systems, Emotion Focused Therapy (EFT), and Positive Psychology.
Life is stressful enough and that can be made worse when you don't have the right person to talk with. It is often hard to gain clarity and find the right direction for yourself when stress, anxiety, depression, hurtful life factors and indecisiveness cloud your view. The good news is that I get that! I have a strong empathetic therapeutic style and I strive to create a warm, relaxing environment that is still conducive to the urgency you may need. I am highly trained in Cognitive Behavior Therapy (CBT), Family Systems, Emotion Focused Therapy (EFT), and Positive Psychology.
(717) 904-7854 View (717) 904-7854
Photo of Cindy Devine, Licensed Professional Counselor, LPC
Cindy Devine
Licensed Professional Counselor, LPC
Serves Area
Sometimes life just feels like too much. No matter what you do, you might feel stuck or overwhelmed by your emotions. Maybe you’re dealing with anger, sadness, anxiety, or loneliness—or you’re caught in self-doubt and unsure of your next steps. You might be feeling the weight of relationship conflict, disconnection, or unclear boundaries and just want a sense of peace and clarity. You may be looking for support, practical tools, or a space where you simply feel heard—where healing feels possible and you're not carrying it all alone.
Sometimes life just feels like too much. No matter what you do, you might feel stuck or overwhelmed by your emotions. Maybe you’re dealing with anger, sadness, anxiety, or loneliness—or you’re caught in self-doubt and unsure of your next steps. You might be feeling the weight of relationship conflict, disconnection, or unclear boundaries and just want a sense of peace and clarity. You may be looking for support, practical tools, or a space where you simply feel heard—where healing feels possible and you're not carrying it all alone.
(717) 899-1256 View (717) 899-1256
Photo of Jessica Simmons, Clinical Social Work/Therapist, LCSW
Jessica Simmons
Clinical Social Work/Therapist, LCSW
3 Endorsed
Dauphin, PA 17018
Hello! My name is Jess and I have been a practicing clinician for the last 12 years, specializing in treating PTSD, depression, anxiety, substance abuse, and personality disorders. I work with clients ages 14 and up. My goal for each session to make sure that you feel heard and validated. Sometimes our emotions can be so complex that it is difficult to understand them and even more difficult to explain them. I am here for you and we can take the time to figure out what you are feeling and how to cope with those feelings to live your best life.... whatever that looks like for you.
Hello! My name is Jess and I have been a practicing clinician for the last 12 years, specializing in treating PTSD, depression, anxiety, substance abuse, and personality disorders. I work with clients ages 14 and up. My goal for each session to make sure that you feel heard and validated. Sometimes our emotions can be so complex that it is difficult to understand them and even more difficult to explain them. I am here for you and we can take the time to figure out what you are feeling and how to cope with those feelings to live your best life.... whatever that looks like for you.
(717) 539-3901 View (717) 539-3901
Photo of Cody Love, Counselor, LAPC, MEd, NCC
Cody Love
Counselor, LAPC, MEd, NCC
State College, PA 16801
As a mental health counselor, I work with individuals across the lifespan, with a special interest in supporting men with men's issues such as shame, anger and guilt. I am passionate about helping people navigate the unique challenges of today’s world and empowering them to express themselves without judgment. Grounded in a present-focused approach, I emphasize the power of the ‘here and now’ to help individuals connect with their emotions, build awareness, and develop meaningful insight in real time. My goal is to support mental well-being, resilience, and personal growth at every stage of life.
As a mental health counselor, I work with individuals across the lifespan, with a special interest in supporting men with men's issues such as shame, anger and guilt. I am passionate about helping people navigate the unique challenges of today’s world and empowering them to express themselves without judgment. Grounded in a present-focused approach, I emphasize the power of the ‘here and now’ to help individuals connect with their emotions, build awareness, and develop meaningful insight in real time. My goal is to support mental well-being, resilience, and personal growth at every stage of life.
(814) 471-5647 View (814) 471-5647

How does your Therapist compare?

Number of Therapists in 17059

< 10

Therapists in 17059 who prioritize treating:

100% Anxiety
88% Depression
88% Self Esteem
75% Grief
75% Trauma and PTSD
63% Relationship Issues
63% Spirituality

Average years in practice

13 Years

Top 3 insurances accepted

88% Aetna
88% Highmark
88% Optum

How Therapists in 17059 see their clients

50% In Person and Online
50% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 17059?

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.