Therapists in 17745

Photo of Tammy Fitzpatrick, Licensed Professional Counselor, LPC
Tammy Fitzpatrick
Licensed Professional Counselor, LPC
Online Only
I am a Licensed Professional Counselor- licensed in Pennsylvania with over 17 years of experience. I have worked with clients with a wide range of concerns; such as depression, anxiety, relationship issues, parenting problems, career challenges, OCD and ADHD. I also helped many people who have experienced trauma, addiction and abuse. My counseling style is motivational and encouraging. I believe in treating people with respect, sensitivity, and compassion. Motivating people to help them help themselves has provided past clients with long term success.
I am a Licensed Professional Counselor- licensed in Pennsylvania with over 17 years of experience. I have worked with clients with a wide range of concerns; such as depression, anxiety, relationship issues, parenting problems, career challenges, OCD and ADHD. I also helped many people who have experienced trauma, addiction and abuse. My counseling style is motivational and encouraging. I believe in treating people with respect, sensitivity, and compassion. Motivating people to help them help themselves has provided past clients with long term success.
(272) 282-4818 View (272) 282-4818
Photo of Christina Lynn Robidoux, Licensed Professional Counselor, MS, LPC, NCC
Christina Lynn Robidoux
Licensed Professional Counselor, MS, LPC, NCC
Lock Haven, PA 17745
Hello! My name is Christina and I have been working in the field of human services since 2005 when I began my work as a hospice volunteer. I graduated from Pennsylvania College of Technology with my Associates Degree in Human Services in 2007 and completed my Bachelor of Science Degree in Applied Human Services in 2013. I completed my Master of Science Degree in Clinical Mental Health Counseling from Lock Haven University in 2016 with a concentration in Child Adolescents Therapy. I have a diverse background working in substance abuse, prison, and medical settings all while practicing from a trauma informed lens.
Hello! My name is Christina and I have been working in the field of human services since 2005 when I began my work as a hospice volunteer. I graduated from Pennsylvania College of Technology with my Associates Degree in Human Services in 2007 and completed my Bachelor of Science Degree in Applied Human Services in 2013. I completed my Master of Science Degree in Clinical Mental Health Counseling from Lock Haven University in 2016 with a concentration in Child Adolescents Therapy. I have a diverse background working in substance abuse, prison, and medical settings all while practicing from a trauma informed lens.
(272) 203-3594 View (272) 203-3594
Photo of Charles Tyson, Clinical Social Work/Therapist, LCSW
Charles Tyson
Clinical Social Work/Therapist, LCSW
Online Only
Deeply passionate about social justice and facilitating and guiding positive change and development in the lives of others, my name is Charles Tyson (they/them), and I am thrilled to connect with you as you begin your journey inward. Healing is truly the risk of showing up for yourself and your resistance to the temptation to go back to unsilenced needs, numbing out, disconnection, and erasure. As a Black, non-binary, Licensed Clinical Social Worker (LCSW) with over 10 years of wide-ranging clinical and field experience, I look forward to tailoring my approach to meet your needs and help you reach your goals.
Deeply passionate about social justice and facilitating and guiding positive change and development in the lives of others, my name is Charles Tyson (they/them), and I am thrilled to connect with you as you begin your journey inward. Healing is truly the risk of showing up for yourself and your resistance to the temptation to go back to unsilenced needs, numbing out, disconnection, and erasure. As a Black, non-binary, Licensed Clinical Social Worker (LCSW) with over 10 years of wide-ranging clinical and field experience, I look forward to tailoring my approach to meet your needs and help you reach your goals.
(717) 912-8876 View (717) 912-8876
Photo of Michaela Detrick, Licensed Professional Counselor, LPC, CCTP
Michaela Detrick
Licensed Professional Counselor, LPC, CCTP
Serves Area
If you feel unsure that the distress you are experiencing is “what therapy is for," then this is the ideal starting point. I use a flexible approach in screening for mental health disorders and collaborating on your diagnostic history to identify underlying trauma, attachment wounds, unresolved grief, or conflict contributing to your current distress. Often, our survival mode has been driving our routines and relationships for years and it’s a difficult change to take a seat in therapy and find a safe, healthy way to process the things we’ve tried to push through on our own.
If you feel unsure that the distress you are experiencing is “what therapy is for," then this is the ideal starting point. I use a flexible approach in screening for mental health disorders and collaborating on your diagnostic history to identify underlying trauma, attachment wounds, unresolved grief, or conflict contributing to your current distress. Often, our survival mode has been driving our routines and relationships for years and it’s a difficult change to take a seat in therapy and find a safe, healthy way to process the things we’ve tried to push through on our own.
(570) 530-8464 View (570) 530-8464
Photo of Hannah Freeman, Clinical Social Work/Therapist, LCSW, CCTP
Hannah Freeman
Clinical Social Work/Therapist, LCSW, CCTP
1 Endorsed
Serves Area
I am a Licensed Clinical Social Worker who specializes in and is clinically certified in trauma (CCTP) and ADHD (ADHD-CCSP). For ongoing psychotherapy, I focus on clients ages 18+ and I assess and complete ADHD evaluations for individuals ages 6+ through adulthood. I have been in the social work field for 17 years working in child welfare, with medically compromised individuals, behavioral concerns for children in the school and community settings, and inpatient psychiatric units. I pride myself in having a judgment free space to meet with clients and strives to allow those from all diverse backgrounds to feel safe and understood.
I am a Licensed Clinical Social Worker who specializes in and is clinically certified in trauma (CCTP) and ADHD (ADHD-CCSP). For ongoing psychotherapy, I focus on clients ages 18+ and I assess and complete ADHD evaluations for individuals ages 6+ through adulthood. I have been in the social work field for 17 years working in child welfare, with medically compromised individuals, behavioral concerns for children in the school and community settings, and inpatient psychiatric units. I pride myself in having a judgment free space to meet with clients and strives to allow those from all diverse backgrounds to feel safe and understood.
(272) 225-5624 View (272) 225-5624
Photo of Lucy Heggenstaller, Clinical Social Work/Therapist, MSW, LCSW, BCD
Lucy Heggenstaller
Clinical Social Work/Therapist, MSW, LCSW, BCD
Serves Area
I enjoy helping people bring their best into the world. Whether that means to be a better partner, a more effective parent or simply to release negative beliefs that hold you back from using your talents to their fullest, I am honored to help. My warmth and curiosity can help you face whatever gets in your way. Sometimes that is grief, or trauma, sometimes unfinished business from childhood. I believe that everyone can tap into inner strength and wisdom, gaining confidence and greater joy in the process. A shift in consciousness can make a world of difference.
I enjoy helping people bring their best into the world. Whether that means to be a better partner, a more effective parent or simply to release negative beliefs that hold you back from using your talents to their fullest, I am honored to help. My warmth and curiosity can help you face whatever gets in your way. Sometimes that is grief, or trauma, sometimes unfinished business from childhood. I believe that everyone can tap into inner strength and wisdom, gaining confidence and greater joy in the process. A shift in consciousness can make a world of difference.
(570) 763-4607 View (570) 763-4607
Photo of Dr. Brian J. Schurr - Central Keystone Counseling, LLC, Psychologist
Central Keystone Counseling, LLC
Psychologist
Serves Area
Central Keystone Counseling is a therapy practice with easily accessible office space in downtown Williamsport, PA. We provide both in person and secure TeleHealth services. The practice is owned and operated by licensed psychologists, Dr. Brian Schurr and Dr. Kelly Kettlewell who have over 15 years of experience providing high quality and individualized outpatient services. We are proud to have a talented team of clinicians with varied clinical experiences/expertise making us uniquely equipped to address a variety of presenting concerns.
Central Keystone Counseling is a therapy practice with easily accessible office space in downtown Williamsport, PA. We provide both in person and secure TeleHealth services. The practice is owned and operated by licensed psychologists, Dr. Brian Schurr and Dr. Kelly Kettlewell who have over 15 years of experience providing high quality and individualized outpatient services. We are proud to have a talented team of clinicians with varied clinical experiences/expertise making us uniquely equipped to address a variety of presenting concerns.
(570) 601-4788 View (570) 601-4788
Photo of Heather Fowler - Before & After Counseling LLC, Licensed Professional Counselor, MA, LPC
Before & After Counseling LLC
Licensed Professional Counselor, MA, LPC
Serves Area
At Before & After Counseling LLC I am interested in working with people who want to change or who desire support in the struggles they are encountering. I work with adolescents to older adults offering a supportive, caring, comfortable, and safe environment where a therapeutic relationship is the first step in your journey to your ultimate goal.
At Before & After Counseling LLC I am interested in working with people who want to change or who desire support in the struggles they are encountering. I work with adolescents to older adults offering a supportive, caring, comfortable, and safe environment where a therapeutic relationship is the first step in your journey to your ultimate goal.
(570) 873-0343 View (570) 873-0343
Photo of Jamie Plocinski - Radiance Wellness Group LLC, Clinical Social Work/Therapist, LCSW
Radiance Wellness Group LLC
Clinical Social Work/Therapist, LCSW
Serves Area
We are a group practice with highly trained therapists who specialize in working with children, adolescents, adults, couples and families. Our approach is individualized and tailored to the person we are working with. Our clinical interests include, but are not limited to, working with anxiety, depression, trauma, post traumatic stress disorder, and LGBTQ-related concerns and gender affirming care.
We are a group practice with highly trained therapists who specialize in working with children, adolescents, adults, couples and families. Our approach is individualized and tailored to the person we are working with. Our clinical interests include, but are not limited to, working with anxiety, depression, trauma, post traumatic stress disorder, and LGBTQ-related concerns and gender affirming care.
(570) 980-1737 View (570) 980-1737
Photo of Michael Accardo, Psychologist, PhD
Michael Accardo
Psychologist, PhD
Online Only
Many of us are navigating systems that were not designed to nourish us, and growing through hardships that leave us feeling isolated and overwhelmed. With an emphasis on personal liberation, I aim to empower those most marginalized (i.e. those who are LGBTQ+, POC, &/ Neurodiverse). I also specialize in managing Bipolar Disorder, OCD/OCD-spectrum disorders, PTSD, & Social Anxiety. Psychotherapy skills help us overcome obstacles and create a life of joy and wellbeing. By enhancing your strengths, reworking coping mechanisms, and reframing beliefs about yourself, you can find inner peace.
Many of us are navigating systems that were not designed to nourish us, and growing through hardships that leave us feeling isolated and overwhelmed. With an emphasis on personal liberation, I aim to empower those most marginalized (i.e. those who are LGBTQ+, POC, &/ Neurodiverse). I also specialize in managing Bipolar Disorder, OCD/OCD-spectrum disorders, PTSD, & Social Anxiety. Psychotherapy skills help us overcome obstacles and create a life of joy and wellbeing. By enhancing your strengths, reworking coping mechanisms, and reframing beliefs about yourself, you can find inner peace.
(412) 754-4628 View (412) 754-4628
Photo of Shane Landherr - Forward Path Counseling, Marriage & Family Therapist, LMFT
Forward Path Counseling
Marriage & Family Therapist, LMFT
3 Endorsed
Serves Area
As we journey through life, there are times our travel becomes weary. We may feel lost, plagued by doubt, or burdened by uncertainty. Yet we are strong, resilient, and determined. We simply need a guide to help us discover the path forward. That is where Forward Path Counseling can help.
As we journey through life, there are times our travel becomes weary. We may feel lost, plagued by doubt, or burdened by uncertainty. Yet we are strong, resilient, and determined. We simply need a guide to help us discover the path forward. That is where Forward Path Counseling can help.
(814) 531-5659 View (814) 531-5659
Photo of Paula Ann Stahl, Clinical Social Work/Therapist, LCSW
Paula Ann Stahl
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
I believe that the ability to grow and change lies within us all. My goal is to provide a supportive environment so that my clients can explore and discover their inner strengths. I enjoy helping individuals navigate through the obstacles and difficulties they are facing. I strive to assist clients in developing the skills necessary for self-empowerment, and improvement of the overall quality of their lives. I use an eclectic blend of therapeutic modalities to achieve this with the individuals that I work with.
I believe that the ability to grow and change lies within us all. My goal is to provide a supportive environment so that my clients can explore and discover their inner strengths. I enjoy helping individuals navigate through the obstacles and difficulties they are facing. I strive to assist clients in developing the skills necessary for self-empowerment, and improvement of the overall quality of their lives. I use an eclectic blend of therapeutic modalities to achieve this with the individuals that I work with.
(814) 389-1964 View (814) 389-1964
Photo of Colleen Druga, Licensed Professional Counselor, LPC
Colleen Druga
Licensed Professional Counselor, LPC
2 Endorsed
Online Only
If you are someone that forgets to put their own oxygen mask on before helping others then I might be the one for you. Do you feel like you are spinning your wheels for change and are unsure why nothing's improved? Do you experience physiological symptoms but there's nothing the doctors can find wrong? I'm here to help facilitate awareness, openness to foster growth, insight, and change. I specialize in Cognitive Behavioral Treatment taking a look at how our thoughts, feelings, behaviors relate and can sometimes manifest themselves into head, muscle tension, and stomach upset, I also specialize in Meditation and MIndfulness.
If you are someone that forgets to put their own oxygen mask on before helping others then I might be the one for you. Do you feel like you are spinning your wheels for change and are unsure why nothing's improved? Do you experience physiological symptoms but there's nothing the doctors can find wrong? I'm here to help facilitate awareness, openness to foster growth, insight, and change. I specialize in Cognitive Behavioral Treatment taking a look at how our thoughts, feelings, behaviors relate and can sometimes manifest themselves into head, muscle tension, and stomach upset, I also specialize in Meditation and MIndfulness.
(412) 837-0613 View (412) 837-0613
Photo of Jenn Lange, Licensed Professional Counselor, LPC, NCC, MS
Jenn Lange
Licensed Professional Counselor, LPC, NCC, MS
Serves Area
Not accepting new clients
I often introduce myself as one of the most awkward counselors people will meet, but only as a reminder that it’s okay to be human. Are you also neurospicy and maybe just need time to take off that mask? Let's do that. We can also develop tools needed to advocate against whichever systems of oppression you find yourself most affected and marginalized by. My clients often seek support for issues related to lifestyle design, behavior change, childhood trauma, identity + sexuality, gender affirming care, attachment issues, relationships, and substance use/abuse.
I often introduce myself as one of the most awkward counselors people will meet, but only as a reminder that it’s okay to be human. Are you also neurospicy and maybe just need time to take off that mask? Let's do that. We can also develop tools needed to advocate against whichever systems of oppression you find yourself most affected and marginalized by. My clients often seek support for issues related to lifestyle design, behavior change, childhood trauma, identity + sexuality, gender affirming care, attachment issues, relationships, and substance use/abuse.
(272) 788-2651 View (272) 788-2651

More Therapists Nearby

Photo of Brian Harr, Licensed Professional Counselor, MA, LPC
Brian Harr
Licensed Professional Counselor, MA, LPC
Serves Area
Welcome! I hope to provide a safe and encouraging environment regardless of the circumstances that led you here. I use an integrative approach to counseling, combining a variety of therapeutic techniques in order to meet a client's specific needs. I believe in placing emphasis on the relationship between the client and counselor and work hard to create an environment that leads to exploration, healing, and growth. I have experience working with clients with anxiety, depression, stress, and marriage and family concerns, among other things.
Welcome! I hope to provide a safe and encouraging environment regardless of the circumstances that led you here. I use an integrative approach to counseling, combining a variety of therapeutic techniques in order to meet a client's specific needs. I believe in placing emphasis on the relationship between the client and counselor and work hard to create an environment that leads to exploration, healing, and growth. I have experience working with clients with anxiety, depression, stress, and marriage and family concerns, among other things.
(814) 250-4246 View (814) 250-4246
Photo of David Durst - Integral Psychology, Psychologist, PhD
Integral Psychology
Psychologist, PhD
Bellefonte, PA 16823
7/15/25- Our therapists are currently accepting new individuals and couples with weekday and Saturday appointments available. Integral Psychology was established with one principle in mind, client-centered care. This means that the clinicians at Integral Psychology respect their clients' needs, time, and difficulties simply by being available and engaged. Whether it is symptom reduction due to situational stressors, trauma, or search for self, we strive to offer collaborative, positive, and challenging sessions to meet the goals of the client.
7/15/25- Our therapists are currently accepting new individuals and couples with weekday and Saturday appointments available. Integral Psychology was established with one principle in mind, client-centered care. This means that the clinicians at Integral Psychology respect their clients' needs, time, and difficulties simply by being available and engaged. Whether it is symptom reduction due to situational stressors, trauma, or search for self, we strive to offer collaborative, positive, and challenging sessions to meet the goals of the client.
(814) 801-3394 View (814) 801-3394
Photo of Nicole Shnyder, Counselor, LPC
Nicole Shnyder
Counselor, LPC
Online Only
Do you feel overwhelmed both mentally and physically? Are you not sure what the feelings that you're having are, why you are having them, or don't know how to cope with them? I currently help adolescents, and young adults learn about anxiety, depression, self-esteem, and trauma. I would love to also branch out and work with adults as well as the current population I work with, but just haven't got the chance yet! I also help clients identify where these uncomfortable feelings could be coming from and ways that they can manage those feelings to be able to increase their quality of life.
Do you feel overwhelmed both mentally and physically? Are you not sure what the feelings that you're having are, why you are having them, or don't know how to cope with them? I currently help adolescents, and young adults learn about anxiety, depression, self-esteem, and trauma. I would love to also branch out and work with adults as well as the current population I work with, but just haven't got the chance yet! I also help clients identify where these uncomfortable feelings could be coming from and ways that they can manage those feelings to be able to increase their quality of life.
(570) 608-8262 View (570) 608-8262
Photo of Cheryl Laroche, Licensed Professional Counselor, LPC, LMHC
Cheryl Laroche
Licensed Professional Counselor, LPC, LMHC
Online Only
Waitlist for new clients
Mental health professionals play a crucial role in supporting individuals seeking well-being. A solution-focused approach empowers clients to discover their own strengths and coping mechanisms. Empathy is essential for building trust and rapport within the therapeutic relationship. The journey towards mental wellness is a collaborative effort between professional and client. Positive change is possible with dedicated support and guidance.
Mental health professionals play a crucial role in supporting individuals seeking well-being. A solution-focused approach empowers clients to discover their own strengths and coping mechanisms. Empathy is essential for building trust and rapport within the therapeutic relationship. The journey towards mental wellness is a collaborative effort between professional and client. Positive change is possible with dedicated support and guidance.
(570) 665-6747 View (570) 665-6747
Photo of Jackie Zielewicz, Clinical Social Work/Therapist, LCSW
Jackie Zielewicz
Clinical Social Work/Therapist, LCSW
Online Only
Hey there! Welcome! I'm Jackie and I'm a licensed clinical social worker (LCSW) in Pennsylvania. I received my bachelors from Keuka College and my masters from Binghamton University. I have over 15 years of experience working in a variety of behavioral health settings, including an emergency department, outpatient clinic, and local school districts. I enjoy working with children, adolescents, and adults. I look forward to building a therapeutic alliance with you and helping you achieve your goals!
Hey there! Welcome! I'm Jackie and I'm a licensed clinical social worker (LCSW) in Pennsylvania. I received my bachelors from Keuka College and my masters from Binghamton University. I have over 15 years of experience working in a variety of behavioral health settings, including an emergency department, outpatient clinic, and local school districts. I enjoy working with children, adolescents, and adults. I look forward to building a therapeutic alliance with you and helping you achieve your goals!
(272) 808-0801 View (272) 808-0801
Photo of Katelynn Bender-Hubbard, Licensed Professional Counselor, MA, LPC, NCC
Katelynn Bender-Hubbard
Licensed Professional Counselor, MA, LPC, NCC
1 Endorsed
Bellefonte, PA 16823
Are you struggling to adjust to college, a job or another life event? Are you feeling stressed, overwhelmed or burned out? Do you have a history of mental health concerns such as bipolar disorder, anxiety, depression, eating disorders, dissociation or low self-worth? You are not alone. I strive to provide an unconditionally accepting environment where you will feel free and comfortable to be yourself while supporting you to overcome the obstacles you experience.
Are you struggling to adjust to college, a job or another life event? Are you feeling stressed, overwhelmed or burned out? Do you have a history of mental health concerns such as bipolar disorder, anxiety, depression, eating disorders, dissociation or low self-worth? You are not alone. I strive to provide an unconditionally accepting environment where you will feel free and comfortable to be yourself while supporting you to overcome the obstacles you experience.
(814) 318-8513 View (814) 318-8513

How does your Therapist compare?

Number of Therapists in 17745

10+

Average cost per session

$115

Therapists in 17745 who prioritize treating:

93% Anxiety
86% Trauma and PTSD
79% Depression
79% Coping Skills
79% Self Esteem
71% Relationship Issues
64% Grief

Average years in practice

15 Years

Top 3 insurances accepted

93% Highmark
86% Aetna
79% UnitedHealthcare UHC | UBH

How Therapists in 17745 see their clients

71% In Person and Online
29% Online Only

Gender breakdown

80% Female
10% Male
10% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 17745?

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.