Photo of Tiera Williams, Licensed Professional Counselor
Tiera Williams
Licensed Professional Counselor
Verified Verified
Newport News, VA 23607
Hello, I am Dr. Tiera Williams, a Licensed Professional Counselor with a doctorate degree in community and care counseling who has provided mental health services to individuals and families for over 13 years. I specialize in helping manage issues of depression, anxiety, women issues, anger management, self-esteem, behavior issues, ADHD, adjustment/military, and trauma through a safe and supportive environment. My therapy approach is individualized and consists of Cognitive Behavioral Therapy , Cognitive Processing Therapy, Dialectical Behavior Therapy, and Motivational Interviewing to address challenging issues.
Hello, I am Dr. Tiera Williams, a Licensed Professional Counselor with a doctorate degree in community and care counseling who has provided mental health services to individuals and families for over 13 years. I specialize in helping manage issues of depression, anxiety, women issues, anger management, self-esteem, behavior issues, ADHD, adjustment/military, and trauma through a safe and supportive environment. My therapy approach is individualized and consists of Cognitive Behavioral Therapy , Cognitive Processing Therapy, Dialectical Behavior Therapy, and Motivational Interviewing to address challenging issues.
(804) 597-6379 View (804) 597-6379
Photo of Simone M Dreher, MSW, LCSW, CSOTP, Clinical Social Work/Therapist
Simone M Dreher
Clinical Social Work/Therapist, MSW, LCSW, CSOTP
Verified Verified
Newport News, VA 23607
Change is critical to our understanding of who and what we are as a human being. As a professional helper, I am best suited to work with clients who want to develop better managing and regulation of their depression, anger, anxiety, self-esteem and psychotic disorders. I truly enjoy providing mental health services and believe that everyone has potential for great things and when given the chance to explore/realize their potential can live life to the fullest. My goal is to work alongside you as you discover your strengths to heal from the inside out.
Change is critical to our understanding of who and what we are as a human being. As a professional helper, I am best suited to work with clients who want to develop better managing and regulation of their depression, anger, anxiety, self-esteem and psychotic disorders. I truly enjoy providing mental health services and believe that everyone has potential for great things and when given the chance to explore/realize their potential can live life to the fullest. My goal is to work alongside you as you discover your strengths to heal from the inside out.
(757) 610-9126 View (757) 610-9126
Photo of Teshera Cooper, MA, LMHP-R
Teshera Cooper
Resident in Counseling, MA, LMHP-R
Verified Verified
1 Endorsed
Newport News, VA 23607
“My mission in life is not merely to survive, but to thrive; and to do so with some passion, some compassion, some humor, and some style.” Overcoming takes time, possessing inner strength may have its hurdles, and transitioning into the very best version of oneself while living instead of just existing is sometimes a lifelong journey, but these things are all in your reach and can be done! In recognizing myself as an advocate for change, my hope is to lead with light while fostering an environment that is conducive to spiritual healing and growth.
“My mission in life is not merely to survive, but to thrive; and to do so with some passion, some compassion, some humor, and some style.” Overcoming takes time, possessing inner strength may have its hurdles, and transitioning into the very best version of oneself while living instead of just existing is sometimes a lifelong journey, but these things are all in your reach and can be done! In recognizing myself as an advocate for change, my hope is to lead with light while fostering an environment that is conducive to spiritual healing and growth.
(757) 720-2268 View (757) 720-2268
Photo of Natasha Mobley, MA, EdS, LPC, Licensed Professional Counselor
Natasha Mobley
Licensed Professional Counselor, MA, EdS, LPC
Verified Verified
Newport News, VA 23607  (Online Only)
Are you taking care of everyone else? Do you feel like you don’t have time for your own personal healing? I am here for you. Life can have challenges, but counseling can provide support, guidance and positive change. My goal is to help individuals, families, and couples embrace life’s transitions/changes, overcome obstacles, and develop effective coping skills.
Are you taking care of everyone else? Do you feel like you don’t have time for your own personal healing? I am here for you. Life can have challenges, but counseling can provide support, guidance and positive change. My goal is to help individuals, families, and couples embrace life’s transitions/changes, overcome obstacles, and develop effective coping skills.
(757) 231-3502 View (757) 231-3502
Photo of Coy Dreher, MBA,  MA, QMHP-A, LMHP-R
Coy Dreher
Resident in Counseling, MBA, MA, QMHP-A, LMHP-R
Verified Verified
1 Endorsed
Newport News, VA 23607
I am completely obligated in helping you reach your personal goals. My mission will be to encourage, educate, and empower you in taking your first steps. Together, while using a holistic approach, we will build a strong foundation which will lead to strength and wellness of your mental health. Being safe, we will use accountability to help create purpose in your most difficult time.
I am completely obligated in helping you reach your personal goals. My mission will be to encourage, educate, and empower you in taking your first steps. Together, while using a holistic approach, we will build a strong foundation which will lead to strength and wellness of your mental health. Being safe, we will use accountability to help create purpose in your most difficult time.
(757) 859-9413 View (757) 859-9413
Photo of Robin Rukin, LPC, Licensed Professional Counselor
Robin Rukin
Licensed Professional Counselor, LPC
Verified Verified
Newport News, VA 23607
Robin Rukin is a Licensed Professional Counselor in Virginia who has been practicing since 1998. She has a B. S in Psychology from Old Dominion University and an MS. Ed. in Counseling from Old Dominion University. Robin has experience with different populations treating developmental disabilities, has the ability to guide individuals towards meeting their goals, and incorporates client interests (music, poetry, writing) into the therapeutic process. Outside of work, Robin enjoys cooking, listening to music, supporting animal rescues, and spending time with family.
Robin Rukin is a Licensed Professional Counselor in Virginia who has been practicing since 1998. She has a B. S in Psychology from Old Dominion University and an MS. Ed. in Counseling from Old Dominion University. Robin has experience with different populations treating developmental disabilities, has the ability to guide individuals towards meeting their goals, and incorporates client interests (music, poetry, writing) into the therapeutic process. Outside of work, Robin enjoys cooking, listening to music, supporting animal rescues, and spending time with family.
(757) 210-7122 View (757) 210-7122
Photo of Jordan Dawson, MSW, LCSW, Clinical Social Work/Therapist
Jordan Dawson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Newport News, VA 23607
Jordan Dawson is a Licensed Clinical Social Worker in Virginia, practicing since 2017. Throughout her time in the field, she has worked individually and as a part of multidisciplinary teams in several practice settings, including long term residential and acute care environments where she has served diverse populations of adolescents and adults. She holds active licensure to practice Clinical Social Work in Texas and Virginia Jordan specializes in treating depression, anxiety, trauma, self-harm, self-esteem struggles and anger, as well as psychotic disorders, and mood disorders in preadolescents, adolescents, and young adults.
Jordan Dawson is a Licensed Clinical Social Worker in Virginia, practicing since 2017. Throughout her time in the field, she has worked individually and as a part of multidisciplinary teams in several practice settings, including long term residential and acute care environments where she has served diverse populations of adolescents and adults. She holds active licensure to practice Clinical Social Work in Texas and Virginia Jordan specializes in treating depression, anxiety, trauma, self-harm, self-esteem struggles and anger, as well as psychotic disorders, and mood disorders in preadolescents, adolescents, and young adults.
(757) 919-1430 View (757) 919-1430
Photo of Juliet Wilson, LCSW, Clinical Social Work/Therapist
Juliet Wilson
Clinical Social Work/Therapist, LCSW
Verified Verified
Newport News, VA 23607
Juliet Wilson, LCSW Juliet Wilson is a Licensed Clinical Social Worker in Virginia who has been practicing since 2020. She has a BS Degree in Social Science from Coppin State College and an MSW Degree from the University of Maryland School of Social Work. Juliet believes in a strength-based and person-centered treatment modality. She likes to meet people where they are and work from there. In her spare time, Juliet enjoys traveling, crocheting, exotic birds, and relaxing.
Juliet Wilson, LCSW Juliet Wilson is a Licensed Clinical Social Worker in Virginia who has been practicing since 2020. She has a BS Degree in Social Science from Coppin State College and an MSW Degree from the University of Maryland School of Social Work. Juliet believes in a strength-based and person-centered treatment modality. She likes to meet people where they are and work from there. In her spare time, Juliet enjoys traveling, crocheting, exotic birds, and relaxing.
(757) 996-4291 View (757) 996-4291
Photo of Michelle Johnson, LCSW, Clinical Social Work/Therapist
Michelle Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
Newport News, VA 23607
Michelle Johnson is a Licensed Clinical Social Worker, Certified Substance Abuse Counselor, Master of Addictions Counselor, and Certified Trauma Specialist who provides mental and behavioral health via face-to-face and telehealth. She graduated from Thomas Nelson Community College with her Associates Degree in Public Administration with Specialization in Human Services. She received her Bachelor of Social Work and Masters of Social Work from Norfolk State University and is pursuing her PhD in Social Work. Ms. Johnson is a person of lived experiences from whom we can learn valuable lessons about life and resiliency.
Michelle Johnson is a Licensed Clinical Social Worker, Certified Substance Abuse Counselor, Master of Addictions Counselor, and Certified Trauma Specialist who provides mental and behavioral health via face-to-face and telehealth. She graduated from Thomas Nelson Community College with her Associates Degree in Public Administration with Specialization in Human Services. She received her Bachelor of Social Work and Masters of Social Work from Norfolk State University and is pursuing her PhD in Social Work. Ms. Johnson is a person of lived experiences from whom we can learn valuable lessons about life and resiliency.
(757) 909-6321 View (757) 909-6321
Photo of Sharena Goosun, LRC
Sharena Goosun
Resident in Counseling, LRC
Verified Verified
Newport News, VA 23607
Sharena Goosun, QMHP-T Sharena Goosun is a Qualified Mental Health Professional Trainee in Virginia who has been practicing since 2020. She has a Bachelor of Science in Criminal Justice from Virginia Commonwealth University and a Master of Arts in Professional Counseling from Liberty University. Sharena believes in an approach to mental health therapy that is diverse among utilizing various theoretical approaches including cognitive-behavioral therapy, person-centered therapy, solution-focused therapy, trauma-informed, and strengths-based perspectives.
Sharena Goosun, QMHP-T Sharena Goosun is a Qualified Mental Health Professional Trainee in Virginia who has been practicing since 2020. She has a Bachelor of Science in Criminal Justice from Virginia Commonwealth University and a Master of Arts in Professional Counseling from Liberty University. Sharena believes in an approach to mental health therapy that is diverse among utilizing various theoretical approaches including cognitive-behavioral therapy, person-centered therapy, solution-focused therapy, trauma-informed, and strengths-based perspectives.
(757) 654-5596 View (757) 654-5596
Photo of Kathryn Beddow, LMSW, Clinical Social Work/Therapist
Kathryn Beddow
Clinical Social Work/Therapist, LMSW
Verified Verified
Newport News, VA 23607
Kathryn Beddow is a Licensed Master Social Worker in Virginia who has been practicing since 2020. She has two Bachelor's degrees (Psychology and Justice and Law Administration) and one Master's degree (Social Work). It took time for her to earn each of these, and she did not do them the easy way by any means. She has taken her own path in her academic education and in real-life education. Kathryn is a Veteran and Army spouse, with a passion for helping others. She has worked in the mental health field since 2014 in multiple settings, in several states. She is an ally to all, who sees people for how they are, where they are.
Kathryn Beddow is a Licensed Master Social Worker in Virginia who has been practicing since 2020. She has two Bachelor's degrees (Psychology and Justice and Law Administration) and one Master's degree (Social Work). It took time for her to earn each of these, and she did not do them the easy way by any means. She has taken her own path in her academic education and in real-life education. Kathryn is a Veteran and Army spouse, with a passion for helping others. She has worked in the mental health field since 2014 in multiple settings, in several states. She is an ally to all, who sees people for how they are, where they are.
(757) 993-7556 View (757) 993-7556
Photo of undefined - Transitions Counseling, LLC, LPC, LMFT, NBCC, NBCCH, PlayThe, Marriage & Family Therapist
Transitions Counseling, LLC
Marriage & Family Therapist, LPC, LMFT, NBCC, NBCCH, PlayThe
Verified Verified
Newport News, VA 23607
I enjoy working with clients who are dealing with life changes and transitions. I like to show people different ways of thinking about their issues. I have a number of ways to help people to get in touch with their feelings and to change the way they respond to situations and handle conflict in relationships. I help them to find ways to compromise, use the energy that comes from strong feelings, and to slow down their reactivity before they do harm to others. I deal with grief, anger, pain, loss, depression, and anxiety. I provide a safe place for clients.
I enjoy working with clients who are dealing with life changes and transitions. I like to show people different ways of thinking about their issues. I have a number of ways to help people to get in touch with their feelings and to change the way they respond to situations and handle conflict in relationships. I help them to find ways to compromise, use the energy that comes from strong feelings, and to slow down their reactivity before they do harm to others. I deal with grief, anger, pain, loss, depression, and anxiety. I provide a safe place for clients.
(757) 372-4389 View (757) 372-4389
Photo of Vonetta C Thompson, PsyD, LCSW, BCD, Clinical Social Work/Therapist
Vonetta C Thompson
Clinical Social Work/Therapist, PsyD, LCSW, BCD
Verified Verified
Newport News, VA 23607
I am a Clinical Psychologist and Licensed Clinical Social Worker with a very diverse professional background. I have worked in inpatient, outpatient, forensic, and military settings within private and government agencies. I have worked with high functioning adults and adolescents, the severely mentally ill, service members and their families and persons involved in domestic violence incidents. I am considered a specialist in conducting individual assessments as well as educational, group, and couple's therapy. Some of the treatment approaches I have used are Cognitive Behavioral Therapy, Solution Focused therapy, Patient Center therapy, Integrative Behavioral Health, Motivational interviewing, Behavioral Modification and psychotherapeutic interventions.
I am a Clinical Psychologist and Licensed Clinical Social Worker with a very diverse professional background. I have worked in inpatient, outpatient, forensic, and military settings within private and government agencies. I have worked with high functioning adults and adolescents, the severely mentally ill, service members and their families and persons involved in domestic violence incidents. I am considered a specialist in conducting individual assessments as well as educational, group, and couple's therapy. Some of the treatment approaches I have used are Cognitive Behavioral Therapy, Solution Focused therapy, Patient Center therapy, Integrative Behavioral Health, Motivational interviewing, Behavioral Modification and psychotherapeutic interventions.
(757) 600-0117 View (757) 600-0117
Photo of Pam Pare, PhD, Licensed Professional Counselor
Pam Pare
Licensed Professional Counselor, PhD
Verified Verified
Newport News, VA 23607
I enjoy working with women. My 14 years of clinical experience is in treating women's issues, depression/anxiety, trauma/PTSD, loss of infant/child/spouse, and pet bereavement. I am certified in use of EMDR and hypnotherapy, as well as CBT, psychomotor therapy, and psychodynamic (family history) approaches. I am gentle and soft spoken with a great sense of humor, and can also be no-nonsense if needed.
I enjoy working with women. My 14 years of clinical experience is in treating women's issues, depression/anxiety, trauma/PTSD, loss of infant/child/spouse, and pet bereavement. I am certified in use of EMDR and hypnotherapy, as well as CBT, psychomotor therapy, and psychodynamic (family history) approaches. I am gentle and soft spoken with a great sense of humor, and can also be no-nonsense if needed.
(757) 785-9092 View (757) 785-9092
Photo of Diane J Green, LPC, LSATP, Licensed Professional Counselor
Diane J Green
Licensed Professional Counselor, LPC, LSATP
Verified Verified
1 Endorsed
Newport News, VA 23607
“You can’t go back and change the beginning, but you can start where you are and change the ending.”– C.S. Lewis. Are you struggling to be your best self? Are you stuck in a cycle of alcohol or drug addiction? Are you feeling sad, anxious, depressed, or stressed? Do others see you as bad or broken when all you need is help to bridge the gap and become the person you desire to be? If you answered yes to any of those questions, and you are ready to change your ending, I would love to help you learn skills to discover your strengths, connect with your core goodness, and bridge the gap so you can be the best version of you again.
“You can’t go back and change the beginning, but you can start where you are and change the ending.”– C.S. Lewis. Are you struggling to be your best self? Are you stuck in a cycle of alcohol or drug addiction? Are you feeling sad, anxious, depressed, or stressed? Do others see you as bad or broken when all you need is help to bridge the gap and become the person you desire to be? If you answered yes to any of those questions, and you are ready to change your ending, I would love to help you learn skills to discover your strengths, connect with your core goodness, and bridge the gap so you can be the best version of you again.
(757) 997-7645 View (757) 997-7645
Photo of Frances McBride, DHA, LPC, LSATP, , Licensed Professional Counselor
Frances McBride
Licensed Professional Counselor, DHA, LPC, LSATP
Verified Verified
2 Endorsed
Newport News, VA 23607
Please Note: Not taking clients at this time. Feel free to call the office to be added to the waitlist for psychotherapy or NeurOptimal(R) neurofeedback. “We May Encounter Many Defeats But We Must Not Be Defeated.” –Maya Angelou– Gain the tools to create your best life today. I am a licensed mental health professional and registered yoga teacher. I focus on workplace behavioral health support, trauma, and substance abuse. I have many years of experience helping adults, families, and adolescents with complex issues. I believe everyone has the ability to live a happy and healthy life if given the tools to overcome everyday stressors.
Please Note: Not taking clients at this time. Feel free to call the office to be added to the waitlist for psychotherapy or NeurOptimal(R) neurofeedback. “We May Encounter Many Defeats But We Must Not Be Defeated.” –Maya Angelou– Gain the tools to create your best life today. I am a licensed mental health professional and registered yoga teacher. I focus on workplace behavioral health support, trauma, and substance abuse. I have many years of experience helping adults, families, and adolescents with complex issues. I believe everyone has the ability to live a happy and healthy life if given the tools to overcome everyday stressors.
(757) 856-6096 View (757) 856-6096
Photo of Pamela L Collins, MS, Pre-Licensed Professional
Pamela L Collins
Pre-Licensed Professional, MS
Verified Verified
1 Endorsed
Newport News, VA 23607
I am a Licensed Resident in Counseling who helps men, women, and children worry less, feel less depressed, feel comfortable in their identity, build stronger relationships, get over bad break-ups/divorce, and much more.
I am a Licensed Resident in Counseling who helps men, women, and children worry less, feel less depressed, feel comfortable in their identity, build stronger relationships, get over bad break-ups/divorce, and much more.
(757) 699-5144 View (757) 699-5144
Photo of Tele Wilson, LCSW, Clinical Social Work/Therapist
Tele Wilson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Newport News, VA 23607  (Online Only)
Hi! Are you looking for a safe space to improve your mental health? Symptoms such as anxiety, depression, dissatisfaction in relationships, and feeling lost are cues to investigate what is truly happening within our BODY and attend to it in therapy. Together, we'll embark on a gentle and gradual journey, committed to integrity and transparency. Therapy with me will be a safe space to explore uncomfortable feelings, fostering understanding and learning to expand your window of tolerance. We will focus on your needs and goals as we develop a personalized treatment plan.
Hi! Are you looking for a safe space to improve your mental health? Symptoms such as anxiety, depression, dissatisfaction in relationships, and feeling lost are cues to investigate what is truly happening within our BODY and attend to it in therapy. Together, we'll embark on a gentle and gradual journey, committed to integrity and transparency. Therapy with me will be a safe space to explore uncomfortable feelings, fostering understanding and learning to expand your window of tolerance. We will focus on your needs and goals as we develop a personalized treatment plan.
(646) 328-6937 View (646) 328-6937
Photo of undefined - NU Vision Counseling and Consulting Services LLC, BC-TMH, LCSW, NCCE, ACM, SAP, Clinical Social Work/Therapist
NU Vision Counseling and Consulting Services LLC
Clinical Social Work/Therapist, BC-TMH, LCSW, NCCE, ACM, SAP
Verified Verified
Newport News, VA 23607  (Online Only)
We are a private practice of licensed clinical staff serving several states throughout the east coast, via traditional and non-traditional mental health services and caregiver support. We support our local domestic courts and partner with local community agencies, small businesses, and other mental health clinicians.
We are a private practice of licensed clinical staff serving several states throughout the east coast, via traditional and non-traditional mental health services and caregiver support. We support our local domestic courts and partner with local community agencies, small businesses, and other mental health clinicians.
(757) 384-9636 View (757) 384-9636

How does your Therapist compare?

Number of Therapists in 23607

10+

Average cost per session

$107

Therapists in 23607 who prioritize treating:

89% Depression
89% Anxiety
84% Trauma and PTSD
63% Coping Skills
58% Relationship Issues
58% Women's Issues
53% Child

Average years in practice

14 Years

Top 3 insurances accepted

89% UnitedHealthcare UHC | UBH
83% Aetna
83% BlueCross and BlueShield

How Therapists in 23607 see their clients

85% In Person and Online
15% Online Only

Gender breakdown

89% Female
11% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 23607?

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.