Therapists in 20754

Photo of Deborah Ann Duley - Empowered Connections LLC, Clinical Social Work/Therapist, LCSW-C
Empowered Connections LLC
Clinical Social Work/Therapist, LCSW-C
1 Endorsed
Dunkirk, MD 20754
Immediate Openings. Scared. Worried. Anxious. Unsure. You look happy on the outside but inside, you're falling apart: you're feeling overwhelmed and having panic attacks out of the blue. You're a successful woman who is trying to do it all: it's a scary feeling, we know! Our team of women counselor's has been there ourselves & we can help you get your life back! We are also pleased to provide a girl/teen girl expert to help your daughter with the issues she may be struggling with such as self-esteem, anxiety, self-harming, etc. Two locations to better serve you: Leonardtown and Dunkirk.
Immediate Openings. Scared. Worried. Anxious. Unsure. You look happy on the outside but inside, you're falling apart: you're feeling overwhelmed and having panic attacks out of the blue. You're a successful woman who is trying to do it all: it's a scary feeling, we know! Our team of women counselor's has been there ourselves & we can help you get your life back! We are also pleased to provide a girl/teen girl expert to help your daughter with the issues she may be struggling with such as self-esteem, anxiety, self-harming, etc. Two locations to better serve you: Leonardtown and Dunkirk.
(240) 712-5327 x700 View (240) 712-5327 x700
Photo of Paula Newsome, Counselor, MS, LCPC
Paula Newsome
Counselor, MS, LCPC
Dunkirk, MD 20754
Are you having the same conflict over and over again with your partner, with no resolution? Do you need help learning how to communicate with your partner? Are you an adult who is feeling anxious? Are you dealing with depression or grief? Do things that used to bring you pleasure - relationships, work, and family events - now cause you feelings of dread or stress? Are you telling yourself: "I feel stuck", or "I'd like to do better", or "I could use some help talking through this situation"?
Are you having the same conflict over and over again with your partner, with no resolution? Do you need help learning how to communicate with your partner? Are you an adult who is feeling anxious? Are you dealing with depression or grief? Do things that used to bring you pleasure - relationships, work, and family events - now cause you feelings of dread or stress? Are you telling yourself: "I feel stuck", or "I'd like to do better", or "I could use some help talking through this situation"?
(443) 957-4151 View (443) 957-4151
Photo of Deborah A. Duley - Empowered Connections, LLC, Clinical Social Work/Therapist, MSW, LCSW-C
Empowered Connections, LLC
Clinical Social Work/Therapist, MSW, LCSW-C
5 Endorsed
Dunkirk, MD 20754
Scared. Worried. Anxious. Unsure. You look happy on the outside but inside, you're falling apart: you're feeling overwhelmed and having panic attacks out of the blue. You're a successful woman who is trying to do it all: it's a scary feeling, we know! Our team of women counselor's has been there ourselves & we can help you get your life back! We are also pleased to provide 4 girl/teen girl experts to help your daughter with the issues she may be struggling with such as self-esteem, anxiety, self-harming, etc. We have a new location in Bethesda now! Offering virtual therapy for the entire state of Maryland & DC!
Scared. Worried. Anxious. Unsure. You look happy on the outside but inside, you're falling apart: you're feeling overwhelmed and having panic attacks out of the blue. You're a successful woman who is trying to do it all: it's a scary feeling, we know! Our team of women counselor's has been there ourselves & we can help you get your life back! We are also pleased to provide 4 girl/teen girl experts to help your daughter with the issues she may be struggling with such as self-esteem, anxiety, self-harming, etc. We have a new location in Bethesda now! Offering virtual therapy for the entire state of Maryland & DC!
(301) 684-8042 View (301) 684-8042
Photo of Magda Rodriguez, Psychologist, PsyD, HSPP, APIT
Magda Rodriguez
Psychologist, PsyD, HSPP, APIT
2 Endorsed
Serves Area
Your feelings and thoughts get the best of you and you have trouble managing them. You don't need to suffer alone; there are effective treatments to improve your quality of life. If you want to feel like you know where your treatment is going and work with a collaborative, empathic person by your side, call now for a free 15-minute consultation. I work with you to develop a resilient mind filled with the knowledge and skills needed to better manage your thoughts and regulate your emotions.
Your feelings and thoughts get the best of you and you have trouble managing them. You don't need to suffer alone; there are effective treatments to improve your quality of life. If you want to feel like you know where your treatment is going and work with a collaborative, empathic person by your side, call now for a free 15-minute consultation. I work with you to develop a resilient mind filled with the knowledge and skills needed to better manage your thoughts and regulate your emotions.
(240) 847-3131 View (240) 847-3131
Photo of Danielle Behrens - Between The Lines Counseling, Licensed Clinical Professional Counselor, MS, LCPC
Between The Lines Counseling
Licensed Clinical Professional Counselor, MS, LCPC
1 Endorsed
Serves Area
Between the Lines Counseling is currently accepting new clients. In attempts to meet the needs of the community I have added a clinician and a student intern to the team. I have 15 years of experience and Kathryn has 12 years of experience working in all levels of care with a wide variety of populations. We specialize in the treatment of eating disorders, trauma, neurodiversity and co-occurring jazz across the life span.
Between the Lines Counseling is currently accepting new clients. In attempts to meet the needs of the community I have added a clinician and a student intern to the team. I have 15 years of experience and Kathryn has 12 years of experience working in all levels of care with a wide variety of populations. We specialize in the treatment of eating disorders, trauma, neurodiversity and co-occurring jazz across the life span.
(443) 578-3232 View (443) 578-3232
Photo of Mary Woznysmith, Clinical Social Work/Therapist, LCSW-C
Mary Woznysmith
Clinical Social Work/Therapist, LCSW-C
Serves Area
How might your life be different if there was a place for you to reflect and heal . . . a time set aside to connect with your inner wisdom and strength . . . a person there to offer guidance and support as you sorted through life's tough stuff and began to heal what hurts . . . a place where you might create the life you most want to live? I bring a creative and spiritual approach to counseling and life journey mentoring. I speak plainly and with compassion. I help you recognize the patterns of thoughts and behaviors that have shaped your life thus far.
How might your life be different if there was a place for you to reflect and heal . . . a time set aside to connect with your inner wisdom and strength . . . a person there to offer guidance and support as you sorted through life's tough stuff and began to heal what hurts . . . a place where you might create the life you most want to live? I bring a creative and spiritual approach to counseling and life journey mentoring. I speak plainly and with compassion. I help you recognize the patterns of thoughts and behaviors that have shaped your life thus far.
(410) 575-4879 View (410) 575-4879
Photo of Tammera Ann Schmalz - Chesapeake Neuro-Behavioral Health LLC, Psychologist, PhD
Chesapeake Neuro-Behavioral Health LLC
Psychologist, PhD
1 Endorsed
Serves Area
Chesapeake Neuro-Behavioral Health, LLC (CNBH). is a multidisciplinary practice. Our team is comprised of clinical registered nurse practitioners, licensed psychologist, licensed clinical social workers, licensed clinical professional counselors & BCIA certified neuro-therapists specializing in the area of neuro-behavioral health. At CNBH, our mission is to enhance cognitive, emotional, and physical functioning with the goal of achieving peak performance. Diagnostic and treatment services include brain mapping, psychological testing, psychotherapy, and neuromodulation/neurofeedback.
Chesapeake Neuro-Behavioral Health, LLC (CNBH). is a multidisciplinary practice. Our team is comprised of clinical registered nurse practitioners, licensed psychologist, licensed clinical social workers, licensed clinical professional counselors & BCIA certified neuro-therapists specializing in the area of neuro-behavioral health. At CNBH, our mission is to enhance cognitive, emotional, and physical functioning with the goal of achieving peak performance. Diagnostic and treatment services include brain mapping, psychological testing, psychotherapy, and neuromodulation/neurofeedback.
(240) 549-6863 View (240) 549-6863
Photo of Ashley Miller, Clinical Social Work/Therapist, LCSW-C
Ashley Miller
Clinical Social Work/Therapist, LCSW-C
Dunkirk, MD 20754
Waitlist for new clients
I work with adults (18+) who are navigating a range of mental health challenges, including adjustment disorders, anxiety, depression, trauma, and PTSD. I believe that trust is the foundation of a strong therapeutic relationship. My goal is to create a safe, supportive, and non-judgmental space where you can feel heard, understood, and empowered. Whether you're beginning therapy for the first time or continuing your healing journey, I’m here to walk alongside you every step of the way.
I work with adults (18+) who are navigating a range of mental health challenges, including adjustment disorders, anxiety, depression, trauma, and PTSD. I believe that trust is the foundation of a strong therapeutic relationship. My goal is to create a safe, supportive, and non-judgmental space where you can feel heard, understood, and empowered. Whether you're beginning therapy for the first time or continuing your healing journey, I’m here to walk alongside you every step of the way.
(410) 291-1771 View (410) 291-1771
Photo of Sarah Ackley, Counselor, EdS, NCSP, LGPC
Sarah Ackley
Counselor, EdS, NCSP, LGPC
Dunkirk, MD 20754
Waitlist for new clients
I believe that we all harbor strength and resilience within, yet we sometimes need help recognizing and building these traits. In therapy, I meet you where you are and take time to honor individual needs while building skills. My goal is to motivate and empower clients to not only make positive changes in their lives, but to thrive. In addition to providing therapy, I have 15 years of experience as a school psychologist providing comprehensive psychoeducational assessments for various developmental, learning, and emotional needs including Autism, ADHD, and Specific Learning Disabilities.
I believe that we all harbor strength and resilience within, yet we sometimes need help recognizing and building these traits. In therapy, I meet you where you are and take time to honor individual needs while building skills. My goal is to motivate and empower clients to not only make positive changes in their lives, but to thrive. In addition to providing therapy, I have 15 years of experience as a school psychologist providing comprehensive psychoeducational assessments for various developmental, learning, and emotional needs including Autism, ADHD, and Specific Learning Disabilities.
(410) 989-4850 View (410) 989-4850
Photo of Pat Baker, Clinical Social Work/Therapist, LCSW-C, BCD
Pat Baker
Clinical Social Work/Therapist, LCSW-C, BCD
Dunkirk, MD 20754
Not accepting new clients
Through my ongoing experience as an Active Duty Mental Health Provider, I have developed clinical expertise in treating the spectrum of trauma disorders, depression, anxiety, relationship problems, and complex bereavement.
Through my ongoing experience as an Active Duty Mental Health Provider, I have developed clinical expertise in treating the spectrum of trauma disorders, depression, anxiety, relationship problems, and complex bereavement.
(301) 769-7958 View (301) 769-7958
Photo of Naquita Gross, Clinical Social Work/Therapist, LMSW, CTP, CGP
Naquita Gross
Clinical Social Work/Therapist, LMSW, CTP, CGP
1 Endorsed
Online Only
Not accepting new clients
Currently not accepting new clients until Jan 2026. My ideal client is an everyday person that knows life is hard. My clients are people who are hoping to alleviate some of the burdens life has handed them and feel joy again. My goal is to help you awaken to a softer side of life. I work with people to overcome depression, anxiety, mood disorders, grief, trauma, sexuality and identity issues, and social injustice.
Currently not accepting new clients until Jan 2026. My ideal client is an everyday person that knows life is hard. My clients are people who are hoping to alleviate some of the burdens life has handed them and feel joy again. My goal is to help you awaken to a softer side of life. I work with people to overcome depression, anxiety, mood disorders, grief, trauma, sexuality and identity issues, and social injustice.
(410) 724-1135 View (410) 724-1135

More Therapists Nearby

Photo of Reina Arevalo - The Therapy Factory, LLC Reina Arevalo, Counselor, MEd, LCPC, CTRP-C
The Therapy Factory, LLC Reina Arevalo
Counselor, MEd, LCPC, CTRP-C
3 Endorsed
Bethesda, MD 20814
Are you feeling overwhelmed by anxiety or sadness? Struggling to manage ADHD symptoms that impact your daily life? I'm here to support you on your journey toward greater well-being and personal growth. My approach is warm, empathetic, and tailored to your unique needs. I believe in a collaborative and strengths-based approach to therapy. With years of experience, I've helped countless individuals navigate these challenges and discover effective strategies for managing their symptoms. Together, we'll set achievable goals to empower you to live a balanced life.
Are you feeling overwhelmed by anxiety or sadness? Struggling to manage ADHD symptoms that impact your daily life? I'm here to support you on your journey toward greater well-being and personal growth. My approach is warm, empathetic, and tailored to your unique needs. I believe in a collaborative and strengths-based approach to therapy. With years of experience, I've helped countless individuals navigate these challenges and discover effective strategies for managing their symptoms. Together, we'll set achievable goals to empower you to live a balanced life.
(240) 226-3874 View (240) 226-3874
Photo of Steve Wechsler, Clinical Social Work/Therapist, LCSW-C
Steve Wechsler
Clinical Social Work/Therapist, LCSW-C
1 Endorsed
Serves Area
My practice is a mixture of traditional counseling, coaching, and social work case management. Many people come to me because of a specific issue like job stress which is causing anxiety and disrupting family life. Or maybe you are just looking to find sustained and meaningful employment in a challenging economy. Or perhaps you have been affected by our current political climate and need someone to help process your feelings.Whether you fit into these catagories or related mental health issues, I would like to hear from you.
My practice is a mixture of traditional counseling, coaching, and social work case management. Many people come to me because of a specific issue like job stress which is causing anxiety and disrupting family life. Or maybe you are just looking to find sustained and meaningful employment in a challenging economy. Or perhaps you have been affected by our current political climate and need someone to help process your feelings.Whether you fit into these catagories or related mental health issues, I would like to hear from you.
(301) 747-3920 View (301) 747-3920
Photo of Gloria Saez - Salus Vita, LLC, Clinical Social Work/Therapist, LCSW-C, LICSW, LCSW, LCSWC
Salus Vita, LLC
Clinical Social Work/Therapist, LCSW-C, LICSW, LCSW, LCSWC
2 Endorsed
Serves Area
Licensed in Va, DC, MD and Ill. "Our wounds (trauma) are often the openings into the best and most beautiful part of us" (David Richo). 70% of us lay claim to at least one traumatic event in our lifetime. Trauma creates change in you that you don't choose. Healing is about creating change you do choose. My vision is to empower you on your healing journey toward to a greater sense of Self-Worth, Awesomeness, Learning, Understanding, Synergy, Veraciousness, Inspiration to Triumph so you can live out you life with dignity and peace. Se habla Espanol
Licensed in Va, DC, MD and Ill. "Our wounds (trauma) are often the openings into the best and most beautiful part of us" (David Richo). 70% of us lay claim to at least one traumatic event in our lifetime. Trauma creates change in you that you don't choose. Healing is about creating change you do choose. My vision is to empower you on your healing journey toward to a greater sense of Self-Worth, Awesomeness, Learning, Understanding, Synergy, Veraciousness, Inspiration to Triumph so you can live out you life with dignity and peace. Se habla Espanol
(571) 982-8050 View (571) 982-8050
Photo of Carman M. Klassen, Licensed Clinical Professional Counselor, LCPC, LCADC, CCDP, CHT
Carman M. Klassen
Licensed Clinical Professional Counselor, LCPC, LCADC, CCDP, CHT
Annapolis, MD 21401
My goal is to help individuals overcome emotional, mental & spiritual obstacles that prevent them from living life to the fullest and living up to your potentional without guilt. Combined with different modes of therapy to help you overcome addiction, trauma, grief and relationship issues.
My goal is to help individuals overcome emotional, mental & spiritual obstacles that prevent them from living life to the fullest and living up to your potentional without guilt. Combined with different modes of therapy to help you overcome addiction, trauma, grief and relationship issues.
(410) 202-0316 View (410) 202-0316
The Bowen Center
Licensed Professional Counselor
Serves Area
The Bowen Center for the Study of the Family Clinic is a non-profit organization that has been offering the community affordable psychotherapy to individuals and families for over 35 years. Our experienced clinicians help the client devote his or her best thinking and energy to working on self in the broader context of important relationships.
The Bowen Center for the Study of the Family Clinic is a non-profit organization that has been offering the community affordable psychotherapy to individuals and families for over 35 years. Our experienced clinicians help the client devote his or her best thinking and energy to working on self in the broader context of important relationships.
(202) 601-3485 View (202) 601-3485
Photo of Nancy R Goodman, Psychologist, PhD, FIPA
Nancy R Goodman
Psychologist, PhD, FIPA
Bethesda, MD 20814
I believe individuals come to talk to a therapist when in emotional pain-- sadness, fear, loneliness, depression, traumas, and uncertainties. I want to help people express their deep concerns and learn what emotional conflicts and transitions are causing discomforts. Understanding inner experience is very helpful with a psychoanalytic therapist who creates with you a trusting place for speaking. Knowing oneself deeply can bring about transformations in the way you feel, have a relationship, and are able to work and create. I look forward to speaking with you and listening to what you need to talk about.
I believe individuals come to talk to a therapist when in emotional pain-- sadness, fear, loneliness, depression, traumas, and uncertainties. I want to help people express their deep concerns and learn what emotional conflicts and transitions are causing discomforts. Understanding inner experience is very helpful with a psychoanalytic therapist who creates with you a trusting place for speaking. Knowing oneself deeply can bring about transformations in the way you feel, have a relationship, and are able to work and create. I look forward to speaking with you and listening to what you need to talk about.
(301) 861-4938 View (301) 861-4938
Photo of Christine E. Buckingham, Licensed Clinical Professional Counselor, PhD, LCPC, LPC, NCC
Christine E. Buckingham
Licensed Clinical Professional Counselor, PhD, LCPC, LPC, NCC
Upper Marlboro, MD 20772
If your life is not working as well as you believe it should and you are willing to investigate why, you are my ideal client. You may be angry, depressed, anxious, or using food to deal with emotional pain. You may be reeling from the effects of childhood issues, abuse, or PTSD, or in such turmoil that you don't know what is real anymore. You may just need a sounding board. You may be struggling with aspects of your identity, or looking for a way to heal from infidelity, trauma, grief, or loss. We will explore that together.
If your life is not working as well as you believe it should and you are willing to investigate why, you are my ideal client. You may be angry, depressed, anxious, or using food to deal with emotional pain. You may be reeling from the effects of childhood issues, abuse, or PTSD, or in such turmoil that you don't know what is real anymore. You may just need a sounding board. You may be struggling with aspects of your identity, or looking for a way to heal from infidelity, trauma, grief, or loss. We will explore that together.
(240) 392-1292 View (240) 392-1292
Photo of Dara Goldberg, Clinical Social Work/Therapist, MSW, LCSW-C
Dara Goldberg
Clinical Social Work/Therapist, MSW, LCSW-C
1 Endorsed
Serves Area
Reaching out to a therapist can be a difficult decision and a brave choice. In my practice, I work with my clients to build upon strengths that already exist to help you gain the skills to reach their fullest potential. I would like to work wit you to have the opportunity to create meaningful change in your daily lives. I provide psychotherapy to, adolescents, and adults who are seeking support to cope with anxiety, depression, stress, ADHD, and learning challenges.
Reaching out to a therapist can be a difficult decision and a brave choice. In my practice, I work with my clients to build upon strengths that already exist to help you gain the skills to reach their fullest potential. I would like to work wit you to have the opportunity to create meaningful change in your daily lives. I provide psychotherapy to, adolescents, and adults who are seeking support to cope with anxiety, depression, stress, ADHD, and learning challenges.
(301) 861-0746 View (301) 861-0746
Photo of Julia Han, Psychologist, PhD
Julia Han
Psychologist, PhD
Serves Area
Welcome to my site. With 20+ years as a psychologist, I will share with you how clients experience me. Most have said they really appreciate how engaged & active I am; I help them understand themselves better; help them understand how stress affects their body; how they internalize thoughts of self & others; that I give tools to help with difficult emotions; how to communicate their needs to their partner & listen better. I specialize in: 1) postpartum, 2) trauma/grief, 3) non-traditional families, 4) adoption, 5) ThirdCultureKid, 6) LGBTQ. I am open to explore non-traditional methods to assist you in the healing process.
Welcome to my site. With 20+ years as a psychologist, I will share with you how clients experience me. Most have said they really appreciate how engaged & active I am; I help them understand themselves better; help them understand how stress affects their body; how they internalize thoughts of self & others; that I give tools to help with difficult emotions; how to communicate their needs to their partner & listen better. I specialize in: 1) postpartum, 2) trauma/grief, 3) non-traditional families, 4) adoption, 5) ThirdCultureKid, 6) LGBTQ. I am open to explore non-traditional methods to assist you in the healing process.
(202) 643-2966 View (202) 643-2966

See more therapy options for 20754

How does your Therapist compare?

Number of Therapists in 20754

10+

Average cost per session

$155

Therapists in 20754 who prioritize treating:

91% Depression
91% Anxiety
82% Relationship Issues
82% Coping Skills
73% Self Esteem
73% Stress
64% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
83% Cigna and Evernorth
67% Blue Cross

How Therapists in 20754 see their clients

91% In Person and Online
9% Online Only

Gender breakdown

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

How can I find a therapist in 20754?

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.