Photo of Dr. Cheyenne Fisher, Psychologist, PsyD, LCP
Dr. Cheyenne Fisher
Psychologist, PsyD, LCP
Verified Verified
3 Endorsed
Online Only
One of my favorite things to do is understand how people work. This drives my treatment approach to include deep exploration of symptoms to get to the root of maladaptive patterns. I believe long term change stems from understanding and processing how one’s past is currently influencing one’s present. This includes a focus on using self-reflection and self-examination to explore and change the psychological root of emotional distress.
One of my favorite things to do is understand how people work. This drives my treatment approach to include deep exploration of symptoms to get to the root of maladaptive patterns. I believe long term change stems from understanding and processing how one’s past is currently influencing one’s present. This includes a focus on using self-reflection and self-examination to explore and change the psychological root of emotional distress.
(757) 828-5927 View (757) 828-5927
Photo of Barbara M Buchmann-Smith, Clinical Social Work/Therapist, MSW, LCSW
Barbara M Buchmann-Smith
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Virginia Beach, VA 23451
Working 20 + years in the mental health field, I have always been passionate about helping clients reach their full potential and live healthy and satisfying lives.
Working 20 + years in the mental health field, I have always been passionate about helping clients reach their full potential and live healthy and satisfying lives.
(757) 780-1766 View (757) 780-1766
Photo of Trasie Phillips, Clinical Social Work/Therapist
Trasie Phillips
Clinical Social Work/Therapist
Verified Verified
Online Only
License Independent Clinical Social Worker, in Washington State (2013), California (2019) and Virginia (2020) to present. 30 years of social work experience. I can help with with Child& Family Services, drugs treatment and recovery, 12 steps and inpatient treatment from a Christian view. Family Dynamics, and high-risk relationships, with high-risk families. I worked as a Military Family Life Consultant (MFLC), also I provided services as a VA therapist and social worker. I am certified as a YWCA, Domestic Violence, counselor. I use many modalities including Mindfulness, DBT, CBT, PTSD, combat PTSD.
License Independent Clinical Social Worker, in Washington State (2013), California (2019) and Virginia (2020) to present. 30 years of social work experience. I can help with with Child& Family Services, drugs treatment and recovery, 12 steps and inpatient treatment from a Christian view. Family Dynamics, and high-risk relationships, with high-risk families. I worked as a Military Family Life Consultant (MFLC), also I provided services as a VA therapist and social worker. I am certified as a YWCA, Domestic Violence, counselor. I use many modalities including Mindfulness, DBT, CBT, PTSD, combat PTSD.
(571) 240-4014 View (571) 240-4014
Photo of Callie Batkins, Licensed Professional Counselor, LPC, LCMHC, MS
Callie Batkins
Licensed Professional Counselor, LPC, LCMHC, MS
Verified Verified
2 Endorsed
Virginia Beach, VA 23451
I work with clients in all walks of life, though I find myself working most often with pre-teens, teens, young adults and moms. My goal as a therapist is to foster a safe, creative, and supportive space for clients to sift through uncomfortable thoughts and feelings that consistently pop up. My approach to therapy is all about empowerment and collaboration: you and I are on the same team, working towards the same goals. My role is to provide coping skills, help you to discover your natural strengths, nurture positive mental health practices, and empower you to live your life to the fullest!
I work with clients in all walks of life, though I find myself working most often with pre-teens, teens, young adults and moms. My goal as a therapist is to foster a safe, creative, and supportive space for clients to sift through uncomfortable thoughts and feelings that consistently pop up. My approach to therapy is all about empowerment and collaboration: you and I are on the same team, working towards the same goals. My role is to provide coping skills, help you to discover your natural strengths, nurture positive mental health practices, and empower you to live your life to the fullest!
(757) 859-0187 View (757) 859-0187
Photo of Kate Burleson, Licensed Professional Counselor, LPC, MSEd
Kate Burleson
Licensed Professional Counselor, LPC, MSEd
Verified Verified
Virginia Beach, VA 23451
I aim to provide a safe, collaborative space to explore your concerns, process life experiences, challenge unhelpful behaviors and thought patterns, and learn healthy coping skills. Together, we can work toward a life aligned with your values. I offer culturally alert, trauma-informed, and strengths-based counseling for adults, adolescents, and couples through an existential, developmental, and social justice lens. I utilize ACT, CBT, DBT, EFT, and holistic approaches in creating a treatment plan personalized to your goals. I also have training in EMDR trauma therapy and experience leading mindfulness and meditation exercises.
I aim to provide a safe, collaborative space to explore your concerns, process life experiences, challenge unhelpful behaviors and thought patterns, and learn healthy coping skills. Together, we can work toward a life aligned with your values. I offer culturally alert, trauma-informed, and strengths-based counseling for adults, adolescents, and couples through an existential, developmental, and social justice lens. I utilize ACT, CBT, DBT, EFT, and holistic approaches in creating a treatment plan personalized to your goals. I also have training in EMDR trauma therapy and experience leading mindfulness and meditation exercises.
(757) 856-6151 View (757) 856-6151
Photo of Kelly Wallis, Licensed Professional Counselor, LCPC, LPC
Kelly Wallis
Licensed Professional Counselor, LCPC, LPC
Verified Verified
Online Only
I am accepting new clients via telehealth appointments who are looking for an opportunity to take a deeper look into their behaviors and feelings to gain a better understanding of how emotions can impact their life. Whether it's grief, trauma, relationships, life balance, or the in between, my goal is to provide a safe and supportive environment for you to grow and embrace your authentic self.
I am accepting new clients via telehealth appointments who are looking for an opportunity to take a deeper look into their behaviors and feelings to gain a better understanding of how emotions can impact their life. Whether it's grief, trauma, relationships, life balance, or the in between, my goal is to provide a safe and supportive environment for you to grow and embrace your authentic self.
(757) 703-3867 View (757) 703-3867
Photo of Fonya Lord Helm, Psychologist, PhD, ABPP
Fonya Lord Helm
Psychologist, PhD, ABPP
Verified Verified
Virginia Beach, VA 23451
Educated at Harvard and George Washington University, I am a clinical psychologist and psychoanalyst with more than 30 years of experience. I can help you deal with stress, anxiety, depression and low self esteem. I can help you create the relationships you want and overcome the challenges of your life, in brief therapy or long-term therapy, depending on what you need. Therapy can help you use your talents more efficiently and creatively, and you will continue to grow after therapy is over. I will work with you as long as it takes and I can work with you in person or on Zoom or FaceTime.
Educated at Harvard and George Washington University, I am a clinical psychologist and psychoanalyst with more than 30 years of experience. I can help you deal with stress, anxiety, depression and low self esteem. I can help you create the relationships you want and overcome the challenges of your life, in brief therapy or long-term therapy, depending on what you need. Therapy can help you use your talents more efficiently and creatively, and you will continue to grow after therapy is over. I will work with you as long as it takes and I can work with you in person or on Zoom or FaceTime.
(757) 354-3885 View (757) 354-3885
Photo of Laura Bolt, Clinical Social Work/Therapist, LCSW
Laura Bolt
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
Currently accepting new clients. As a licensed therapist for over 11 years, I help clients who are facing issues including: perinatal/maternal mental health depression, anxiety, adjustment difficulties, daily life stressors, relationship/interpersonal conflict, self-esteem issues, and parenting challenges.
Currently accepting new clients. As a licensed therapist for over 11 years, I help clients who are facing issues including: perinatal/maternal mental health depression, anxiety, adjustment difficulties, daily life stressors, relationship/interpersonal conflict, self-esteem issues, and parenting challenges.
(757) 231-3595 View (757) 231-3595
Photo of Allison Tardif, Licensed Professional Counselor, LPC, ATR-BC, MAAT
Allison Tardif
Licensed Professional Counselor, LPC, ATR-BC, MAAT
Verified Verified
1 Endorsed
Virginia Beach, VA 23451
As a Licensed Professional Counselor (LPC) and Board Certified Registered Art Therapist (ATR-BC), my approach is strength-based, client-centered, mind-body focused, and holistically grounded. All of my treatment is trauma-informed, LGBTQ+ affirming, bridging somatic, body-based techniques, components of dialectical behavioral therapy (DBT), cognitive behavioral therapy (CBT), positive psychology, expressive arts, and motivational interviewing. I strive to create a nonjudgemental therapeutic space where my clients feel safe, grounded, and empowered to engage in their healing process.
As a Licensed Professional Counselor (LPC) and Board Certified Registered Art Therapist (ATR-BC), my approach is strength-based, client-centered, mind-body focused, and holistically grounded. All of my treatment is trauma-informed, LGBTQ+ affirming, bridging somatic, body-based techniques, components of dialectical behavioral therapy (DBT), cognitive behavioral therapy (CBT), positive psychology, expressive arts, and motivational interviewing. I strive to create a nonjudgemental therapeutic space where my clients feel safe, grounded, and empowered to engage in their healing process.
(757) 731-5583 View (757) 731-5583
Photo of Heather Smith, Psychologist, PhD
Heather Smith
Psychologist, PhD
Verified Verified
Virginia Beach, VA 23451
I enjoy the privilege of working with my patients as they seek to improve their life satisfafction, develop coping skills, and change their symptoms into manageable aspects of their life. For over 30 years, I have worked with children, adolescents, adults, couples, and families. In addition to providing therapy, my experience includes testing and evaluations; university teaching and professional development seminars; as well as developing programs and clinics, serving as the Chief Behavioral Health Officer.
I enjoy the privilege of working with my patients as they seek to improve their life satisfafction, develop coping skills, and change their symptoms into manageable aspects of their life. For over 30 years, I have worked with children, adolescents, adults, couples, and families. In addition to providing therapy, my experience includes testing and evaluations; university teaching and professional development seminars; as well as developing programs and clinics, serving as the Chief Behavioral Health Officer.
(757) 502-8992 View (757) 502-8992
Photo of Amy Phillips, Clinical Social Work/Therapist, LCSW
Amy Phillips
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
People are all impacted by struggles in life and have the capacity to take these in and strive for more. I started my career from the end of life with 10 years in hospice work, which may seem a bit backwards to some. However, a decade of working with the dying taught me how to work more effectively with the living. I am a veteran of the field with 12 years of experience working with folks from all walks of life, mainly those with trauma, depression, and anxiety impacting their quality of life and performance. Together we will assess your strengths and identify patterns of behavior you desire to change.
People are all impacted by struggles in life and have the capacity to take these in and strive for more. I started my career from the end of life with 10 years in hospice work, which may seem a bit backwards to some. However, a decade of working with the dying taught me how to work more effectively with the living. I am a veteran of the field with 12 years of experience working with folks from all walks of life, mainly those with trauma, depression, and anxiety impacting their quality of life and performance. Together we will assess your strengths and identify patterns of behavior you desire to change.
(757) 665-2452 View (757) 665-2452
Photo of Laura Brighton, Clinical Social Work/Therapist, LCSW
Laura Brighton
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Virginia Beach, VA 23451
Imagine...feeling more connected and better able to communicate with your child. Perhaps the daily stresses have been piling up and your family needs support to re-balance. Maybe you are worried about your child and you need an experienced therapist to help problem solve. I have worked for over 20 years with children under stress due to school issues, divorce, family crisis, separation or deployment. I utilize a combination of play therapy, mindfulness and CBT to promote changes in thinking and behavior. Play therapy can especially benefit traumatized children, as it allows them to process the trauma at their own pace.
Imagine...feeling more connected and better able to communicate with your child. Perhaps the daily stresses have been piling up and your family needs support to re-balance. Maybe you are worried about your child and you need an experienced therapist to help problem solve. I have worked for over 20 years with children under stress due to school issues, divorce, family crisis, separation or deployment. I utilize a combination of play therapy, mindfulness and CBT to promote changes in thinking and behavior. Play therapy can especially benefit traumatized children, as it allows them to process the trauma at their own pace.
(757) 847-9055 View (757) 847-9055
Photo of Sasha Pierce, Clinical Social Work/Therapist, LCSW
Sasha Pierce
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
My approach is non-judgmental, adaptational, and strengths-based, working with each client to identify their unique strengths and build upon them to better meet their needs. I am passionate about exploring topics of parenting skills and coparenting, separation/divorce, neurodivergence, and mood and anxiety disorders.
My approach is non-judgmental, adaptational, and strengths-based, working with each client to identify their unique strengths and build upon them to better meet their needs. I am passionate about exploring topics of parenting skills and coparenting, separation/divorce, neurodivergence, and mood and anxiety disorders.
(757) 801-2653 View (757) 801-2653
Photo of Brook A. Fulton-DeLong, Licensed Professional Counselor, MS, LCPC, NCC, CCMHC
Brook A. Fulton-DeLong
Licensed Professional Counselor, MS, LCPC, NCC, CCMHC
Verified Verified
2 Endorsed
Virginia Beach, VA 23451
Are life's stressors, anxiety, depression, or identity issues overwhelming you? I'm here to help. In our sessions, your voice will be heard, and together, we'll uncover coping skills to ground and support you. My mission is to see you overcome obstacles and become your authentic self. Feelings of hopelessness, uncertainty, and frustration are challenging, but you don't have to face them alone. As your collaborative co-pilot, I'll help you navigate your journey and meet your social and emotional goals. Let's work together to enhance your life's journey and achieve lasting emotional well-being. Start your journey of healing and grow.
Are life's stressors, anxiety, depression, or identity issues overwhelming you? I'm here to help. In our sessions, your voice will be heard, and together, we'll uncover coping skills to ground and support you. My mission is to see you overcome obstacles and become your authentic self. Feelings of hopelessness, uncertainty, and frustration are challenging, but you don't have to face them alone. As your collaborative co-pilot, I'll help you navigate your journey and meet your social and emotional goals. Let's work together to enhance your life's journey and achieve lasting emotional well-being. Start your journey of healing and grow.
(757) 844-5409 View (757) 844-5409
Photo of Heather V Kight - Kight Training & Consulting, LLC, Clinical Social Work/Therapist, LCSW
Kight Training & Consulting, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
You’ve been carrying the weight of past experiences for far too long—memories that feel overwhelming, emotions that surface unexpectedly, and patterns that hold you back. Anxiety, trauma, and self-doubt may have shaped your story, but they don’t have to define your future. You want to heal, to feel lighter, and to finally move forward, but you're unsure how to begin.
You’ve been carrying the weight of past experiences for far too long—memories that feel overwhelming, emotions that surface unexpectedly, and patterns that hold you back. Anxiety, trauma, and self-doubt may have shaped your story, but they don’t have to define your future. You want to heal, to feel lighter, and to finally move forward, but you're unsure how to begin.
(757) 863-8511 View (757) 863-8511
Photo of Lexie Braza, Licensed Professional Counselor, LPC
Lexie Braza
Licensed Professional Counselor, LPC
Verified Verified
Virginia Beach, VA 23451
Seeking help can be a challenging first step. I believe that with guidance and tools, clients can feel empowered to take charge of their wellness and embark on a path toward healing. My mission is to create a safe, inclusive, and supportive therapeutic space. I work with individuals and couples facing challenges such as depression, anxiety, trauma, loss, and relationship difficulties. Therapy goals are tailored to meet the unique needs of each person or couple. I am passionate about supporting teens, adults, and couples, including those navigating complex traumas.
Seeking help can be a challenging first step. I believe that with guidance and tools, clients can feel empowered to take charge of their wellness and embark on a path toward healing. My mission is to create a safe, inclusive, and supportive therapeutic space. I work with individuals and couples facing challenges such as depression, anxiety, trauma, loss, and relationship difficulties. Therapy goals are tailored to meet the unique needs of each person or couple. I am passionate about supporting teens, adults, and couples, including those navigating complex traumas.
(757) 349-1483 View (757) 349-1483
Photo of Priscilla Ballsun, Clinical Social Work/Therapist, LCSW
Priscilla Ballsun
Clinical Social Work/Therapist, LCSW
Verified Verified
Virginia Beach, VA 23451
Hello, this is Priscilla Ballsun. I have moved to Virgnia Beach. I am now licensed in Virginia. I have opened my general practice to individuals 18 years and older. I have a New Business. SilkyPinkRoad It is a motivation program for women who are perimenopausal and post menopausal. Please see the website SilkyPinkRoad restore and restore. I also have a FaceBook page under Priscilla Ballsuna dn SilkyPink Road
Hello, this is Priscilla Ballsun. I have moved to Virgnia Beach. I am now licensed in Virginia. I have opened my general practice to individuals 18 years and older. I have a New Business. SilkyPinkRoad It is a motivation program for women who are perimenopausal and post menopausal. Please see the website SilkyPinkRoad restore and restore. I also have a FaceBook page under Priscilla Ballsuna dn SilkyPink Road
(240) 607-5559 View (240) 607-5559
Photo of Hope Whelan, Resident in Counseling, MSEd
Hope Whelan
Resident in Counseling, MSEd
Verified Verified
1 Endorsed
Virginia Beach, VA 23451
Hi! My name is Hope Whelan, and I am a Resident in Counseling with a Master’s in Clinical Mental Health Counseling from Old Dominion University. I use a person-centered approach and integrate techniques from cognitive behavioral therapy, dialectical behavior therapy, mindfulness, and other modalities. I have experience working with adolescents and young adults addressing a range of concerns to include anxiety, ADHD, depression, relationship issues, and life transitions.
Hi! My name is Hope Whelan, and I am a Resident in Counseling with a Master’s in Clinical Mental Health Counseling from Old Dominion University. I use a person-centered approach and integrate techniques from cognitive behavioral therapy, dialectical behavior therapy, mindfulness, and other modalities. I have experience working with adolescents and young adults addressing a range of concerns to include anxiety, ADHD, depression, relationship issues, and life transitions.
(757) 233-1500 View (757) 233-1500
Photo of Annie L Phillips, Licensed Professional Counselor, PhD, MA, LCP, LPC
Annie L Phillips
Licensed Professional Counselor, PhD, MA, LCP, LPC
Verified Verified
2 Endorsed
Online Only
I am a licensed professional counselor and a licensed professional psychologist. Many of my clients need help with self-esteem, PTSD, ADHD, mother/daughter issues, depression, anxiety, panic attacks, emotional & narcissistic abuse, postpartum depression, infertility, trauma, child development, parenting issues, and relationship issues. I have over 20 years of experience with children, families, teenage girls, college girls, and women. We will work together to help you find your way no matter what the circumstances may be. I am practical, compassionate, and nonjudgmental and will be invested in your care.
I am a licensed professional counselor and a licensed professional psychologist. Many of my clients need help with self-esteem, PTSD, ADHD, mother/daughter issues, depression, anxiety, panic attacks, emotional & narcissistic abuse, postpartum depression, infertility, trauma, child development, parenting issues, and relationship issues. I have over 20 years of experience with children, families, teenage girls, college girls, and women. We will work together to help you find your way no matter what the circumstances may be. I am practical, compassionate, and nonjudgmental and will be invested in your care.
(757) 354-4813 View (757) 354-4813
Photo of Rebecca Houvener, Psychologist, PsyD, LCP
Rebecca Houvener
Psychologist, PsyD, LCP
Verified Verified
1 Endorsed
Virginia Beach, VA 23451
As a testing psychologist, I specialize in diagnosing complex mental health concerns, such as personality disorders (e.g. Borderline, Dependent, Histrionic, Paranoid, Schizoid, Avoidant), eating disorders, trauma, mood, and thought disorders. The personality spectra is my niche, and I especially enjoy coming alongside clients who are wanting to learn more about how their behaviors and drives affect relationships in their life. Utilizing multiple personality classifications (e.g. DSM, psychodynamic), I assist patients in having more insight into problematic personality patterns that reinforce other clinical conditions.
As a testing psychologist, I specialize in diagnosing complex mental health concerns, such as personality disorders (e.g. Borderline, Dependent, Histrionic, Paranoid, Schizoid, Avoidant), eating disorders, trauma, mood, and thought disorders. The personality spectra is my niche, and I especially enjoy coming alongside clients who are wanting to learn more about how their behaviors and drives affect relationships in their life. Utilizing multiple personality classifications (e.g. DSM, psychodynamic), I assist patients in having more insight into problematic personality patterns that reinforce other clinical conditions.
(757) 517-0875 View (757) 517-0875

How does your Therapist compare?

Number of Therapists in 23451

100+

Average cost per session

$147

Therapists in 23451 who prioritize treating:

94% Anxiety
87% Depression
70% Trauma and PTSD
69% Stress
68% Relationship Issues
68% Life Transitions
67% Self Esteem

Average years in practice

11 Years

Top 3 insurances accepted

71% Anthem
69% BlueCross and BlueShield
66% Aetna

How Therapists in 23451 see their clients

54% In Person and Online
46% Online Only

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 23451?

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.