Photo of Achovia D Jones - Aspirations by Achovia PLLC, LCMHC, LCAS, CSI, NCC, Counselor
Aspirations by Achovia PLLC
Counselor, LCMHC, LCAS, CSI, NCC
Verified Verified
2 Endorsed
Online Only
I believe that your life has a purpose, and I am here to help you find YOUR Purpose! People asked all the time HOW?! How can I change, How Can I stop feeling this way? I say Be Honest, Be Open, Be Willing! Thank you for taking the time out of your busy schedule to acquire my services. I am ecstatic that you have chosen me to walk this path of life with you as you seek guidance in traveling though life’s many journeys.
I believe that your life has a purpose, and I am here to help you find YOUR Purpose! People asked all the time HOW?! How can I change, How Can I stop feeling this way? I say Be Honest, Be Open, Be Willing! Thank you for taking the time out of your busy schedule to acquire my services. I am ecstatic that you have chosen me to walk this path of life with you as you seek guidance in traveling though life’s many journeys.
(336) 606-4316 View (336) 606-4316
Photo of Randy Garcia Sex And Relationship Therapist (Español), LCMHCA, Counselor
Randy Garcia Sex And Relationship Therapist (Español)
Counselor, LCMHCA
Verified Verified
2 Endorsed
Serves Area
I know, right?!? Managing this thing called Life is hard work! You want an impartial person to help find solutions to lessen the struggle. And, there's been a load of struggle! It's been exhausting. Here's the deal: You don’t have to go it alone. All great superheroes need their sidekick. When the going gets tough, I’m here to join you to fight the good fight. I’ll direct you towards strategies for achieving your goals and moving you towards greater meaning and purpose. Sure, I can be tough and to the point. I expect great things from you. You deserve nothing less from your sidekick for your time, effort, and hard-earned money.
I know, right?!? Managing this thing called Life is hard work! You want an impartial person to help find solutions to lessen the struggle. And, there's been a load of struggle! It's been exhausting. Here's the deal: You don’t have to go it alone. All great superheroes need their sidekick. When the going gets tough, I’m here to join you to fight the good fight. I’ll direct you towards strategies for achieving your goals and moving you towards greater meaning and purpose. Sure, I can be tough and to the point. I expect great things from you. You deserve nothing less from your sidekick for your time, effort, and hard-earned money.
(336) 750-6313 View (336) 750-6313
Photo of Monica Hart, LCSW, Clinical Social Work/Therapist
Monica Hart
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
Hello! I'm Monica Hart, a licensed clinical social worker (LCSW) based outside of Charlotte, NC. I work statewide via telehealth to support clients on their journey to wellness. I work with children, adolescents, and adults that may need assistance with anxiety, depression, trauma, life transitions, grief, and other mental health concerns. I provide individual therapy for adults and adolescents struggling with anxiety, depression, trauma, life transitions, grief, and personal development.
Hello! I'm Monica Hart, a licensed clinical social worker (LCSW) based outside of Charlotte, NC. I work statewide via telehealth to support clients on their journey to wellness. I work with children, adolescents, and adults that may need assistance with anxiety, depression, trauma, life transitions, grief, and other mental health concerns. I provide individual therapy for adults and adolescents struggling with anxiety, depression, trauma, life transitions, grief, and personal development.
(980) 485-7577 View (980) 485-7577

More Therapists Nearby

Photo of Stevie Robertson, MA, LCAS-A, Pre-Licensed Professional
Stevie Robertson
Pre-Licensed Professional, MA, LCAS-A
Verified Verified
Serves Area
Making the first call is sometimes the hardest part of the therapeutic journey. We all will face times when our heart is in pain. We might suffer heartbreak, death, failure, disappointment, or man other challenges. In those times, how do you care for yourself? You have the power to heal your life, and you need to know that. I understand that life can throw curveballs that may make it hard to complete simple tasks like getting out of bed and enjoying the things you once found joy in. C.S. Lewis said " You can't go back and change the beginning but you can start where you are and change the ending." I provide to create a safe plac
Making the first call is sometimes the hardest part of the therapeutic journey. We all will face times when our heart is in pain. We might suffer heartbreak, death, failure, disappointment, or man other challenges. In those times, how do you care for yourself? You have the power to heal your life, and you need to know that. I understand that life can throw curveballs that may make it hard to complete simple tasks like getting out of bed and enjoying the things you once found joy in. C.S. Lewis said " You can't go back and change the beginning but you can start where you are and change the ending." I provide to create a safe plac
(984) 300-4218 View (984) 300-4218
Photo of Eva Lewis Supel, LCMHC, LCAS, CSOTS
Eva Lewis Supel
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CSOTS
Verified Verified
Snow Hill, NC 28580
My name is Eva Lewis Supel, owner of Journey Towards Improved Health. I use an eclectic treatment approach which can embrace people from all backgrounds. The one approach I do believe is appropriate for all is the Person Centered approach. You can never go wrong focusing on the person and tailoring treatment to the individual. My life experience affords me a practical approach not every therapist can experience from the classroom. I specialize in LBGQT+, trauma and substance abuse. I work with adults, young adults, teens, and couples.
My name is Eva Lewis Supel, owner of Journey Towards Improved Health. I use an eclectic treatment approach which can embrace people from all backgrounds. The one approach I do believe is appropriate for all is the Person Centered approach. You can never go wrong focusing on the person and tailoring treatment to the individual. My life experience affords me a practical approach not every therapist can experience from the classroom. I specialize in LBGQT+, trauma and substance abuse. I work with adults, young adults, teens, and couples.
(336) 920-8843 View (336) 920-8843
Photo of Elvin Peace, PhD, LCMHCA, LCASA, NCC
Elvin Peace
Licensed Clinical Mental Health Counselor, PhD, LCMHCA, LCASA, NCC
Verified Verified
Serves Area
In the intricate tapestry of life, there are patches woven with heartbreak, loneliness, and profound sorrow. Such periods, although deeply unsettling, also offer an opportunity—a chance to unearth the inherent strength that often remains dormant within us. If you find yourself amidst such a challenging phase, unsure of the way forward, and contemplating therapy, I invite you to embark on a transformative journey with me. A journey where we illuminate the path, turning overwhelming emotions into unwavering fortitude.
In the intricate tapestry of life, there are patches woven with heartbreak, loneliness, and profound sorrow. Such periods, although deeply unsettling, also offer an opportunity—a chance to unearth the inherent strength that often remains dormant within us. If you find yourself amidst such a challenging phase, unsure of the way forward, and contemplating therapy, I invite you to embark on a transformative journey with me. A journey where we illuminate the path, turning overwhelming emotions into unwavering fortitude.
(252) 501-6930 View (252) 501-6930
Photo of Yolonda Bledsoe, MSW, LCSW, Clinical Social Work/Therapist
Yolonda Bledsoe
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Online Only
Are you frustrated with family, friends, love life, or lack thereof? Are you struggling to create and/or maintain friendships? We aren't always able to choose the challenges we face in life, and, as a result, we may feel overwhelmed and powerless to change them. If you are struggling with communication in your relationships or have trouble creating and/or maintaining boundaries, I can help. Let's explore these challenges together, work on new ways to approach them, and examine how you can learn from these challenges to support improved relationships and decrease frustration.
Are you frustrated with family, friends, love life, or lack thereof? Are you struggling to create and/or maintain friendships? We aren't always able to choose the challenges we face in life, and, as a result, we may feel overwhelmed and powerless to change them. If you are struggling with communication in your relationships or have trouble creating and/or maintaining boundaries, I can help. Let's explore these challenges together, work on new ways to approach them, and examine how you can learn from these challenges to support improved relationships and decrease frustration.
(919) 695-3576 View (919) 695-3576
Photo of Irma Abrego-Lappin, MSW, LCSWA, LCASA, Clinical Social Work/Therapist
Irma Abrego-Lappin
Clinical Social Work/Therapist, MSW, LCSWA, LCASA
Verified Verified
Serves Area
Waitlist for new clients
As a therapist, I believe people have deep-rooted aspirations for well-being in many areas of their lives, including emotional, physical, social, and spiritual wellness. I strive to make a safe and trusting relationship with clients so that they can improve in each of these areas and feel more balanced and fulfilled. I collaboratively work with clients, valuing their unique strengths, interests, and aspirations. I enjoy working with clients dealing with anxiety, depression, trauma and PTSD, grief, life transitions, career/vocational concerns, spirituality, weight management and body image concerns, and relationship issues.
As a therapist, I believe people have deep-rooted aspirations for well-being in many areas of their lives, including emotional, physical, social, and spiritual wellness. I strive to make a safe and trusting relationship with clients so that they can improve in each of these areas and feel more balanced and fulfilled. I collaboratively work with clients, valuing their unique strengths, interests, and aspirations. I enjoy working with clients dealing with anxiety, depression, trauma and PTSD, grief, life transitions, career/vocational concerns, spirituality, weight management and body image concerns, and relationship issues.
(252) 379-0066 View (252) 379-0066
Photo of Margurite Reaves, LCSW, Clinical Social Work/Therapist
Margurite Reaves
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
Hello, my name is Margurite Reaves; I am a licensed clinical social worker (LCSW). I approach the therapeutic process with an individualized approach. My areas of expertise include mood disorders, unhealthy attachment patterns, trauma, and conduct disorders. I have several years of experience working with adults, children/adolescence, and families in areas that include but are not limited to depression, bipolar disorder, anxiety, relationship issues, adjustment issues, defiant behaviors, stress management, and trauma.
Hello, my name is Margurite Reaves; I am a licensed clinical social worker (LCSW). I approach the therapeutic process with an individualized approach. My areas of expertise include mood disorders, unhealthy attachment patterns, trauma, and conduct disorders. I have several years of experience working with adults, children/adolescence, and families in areas that include but are not limited to depression, bipolar disorder, anxiety, relationship issues, adjustment issues, defiant behaviors, stress management, and trauma.
(704) 368-4959 View (704) 368-4959
Photo of Lexie Daniels, LCMHCA
Lexie Daniels
Licensed Clinical Mental Health Counselor Associate, LCMHCA
Verified Verified
Online Only
I aim to empower clients to explore their thoughts and feelings, to provide a safe space for self-paced introspection, healing, and cognitive/behavioral change. My parents were military, I married into the military, served 20 years myself in the military and believe in the power of resilience, adaptability, and the importance of connection! I understand therapy to be a collaborative experience, where the client is the expert on themselves, just needing help navigating current issues in life. The therapist isn’t an enlightened being! We are all climbing mountains in life.
I aim to empower clients to explore their thoughts and feelings, to provide a safe space for self-paced introspection, healing, and cognitive/behavioral change. My parents were military, I married into the military, served 20 years myself in the military and believe in the power of resilience, adaptability, and the importance of connection! I understand therapy to be a collaborative experience, where the client is the expert on themselves, just needing help navigating current issues in life. The therapist isn’t an enlightened being! We are all climbing mountains in life.
(252) 486-6443 View (252) 486-6443
Photo of Berta Chavez - Strive to Thrive Counseling, MSW, LCSW, Clinical Social Work/Therapist
Strive to Thrive Counseling
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Serves Area
Waitlist for new clients
Trauma specialist. No matter what you have gone through, you have the ability to heal, achieve resilience, and sustain improvement while achieving your goals. You don’t have to deal with this alone. I’ve got your back every step of the way! Let’s start this journey together.
Trauma specialist. No matter what you have gone through, you have the ability to heal, achieve resilience, and sustain improvement while achieving your goals. You don’t have to deal with this alone. I’ve got your back every step of the way! Let’s start this journey together.
(910) 812-4125 View (910) 812-4125
Photo of Wanda Collazo, LCMHC
Wanda Collazo
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Mount Olive, NC 28365
Hello, my name is Wanda Collazo. As we prepare to begin the therapeutic process and continue to develop a working relationship, I believe it is very helpful for you to learn some information regarding my professional background and counseling philosophy. I consider counseling as an interactive process during which we collaborate, exchange ideas, and design a plan of action with the intent of identifying your concerns and build the skills necessary to express your thoughts and feelings, overcome challenges, and gain a new life perspective. I look forward to our work together as we embark in this empowering experience.
Hello, my name is Wanda Collazo. As we prepare to begin the therapeutic process and continue to develop a working relationship, I believe it is very helpful for you to learn some information regarding my professional background and counseling philosophy. I consider counseling as an interactive process during which we collaborate, exchange ideas, and design a plan of action with the intent of identifying your concerns and build the skills necessary to express your thoughts and feelings, overcome challenges, and gain a new life perspective. I look forward to our work together as we embark in this empowering experience.
(984) 217-1365 View (984) 217-1365
Photo of Stacia Marie Harlan, MA, LCMHC, Counselor
Stacia Marie Harlan
Counselor, MA, LCMHC
Verified Verified
Goldsboro, NC 27530
My heart has always been drawn to helping and encouraging others. My desire and passion is working with children, adolescents, and women who are going through life challenges or have experienced events in their past that need to be brought to the surface so that true, lasting healing can occur. I believe that the most important aspect of counseling is my relationship with the client and that is my main focus with my clients. I am currently accepting BCBS, Med Cost, and self pay If you are interested in my services, please call me so that we can discuss fees.
My heart has always been drawn to helping and encouraging others. My desire and passion is working with children, adolescents, and women who are going through life challenges or have experienced events in their past that need to be brought to the surface so that true, lasting healing can occur. I believe that the most important aspect of counseling is my relationship with the client and that is my main focus with my clients. I am currently accepting BCBS, Med Cost, and self pay If you are interested in my services, please call me so that we can discuss fees.
(984) 205-9340 View (984) 205-9340
Photo of Daniel Walker, MS, LCMHC, LCAS, Counselor
Daniel Walker
Counselor, MS, LCMHC, LCAS
Verified Verified
1 Endorsed
Online Only
Immediate afternoon openings now available. Navigating life can be challenging and exhausting. My goal is to help you regain control and fulfillment. My name is Daniel Walker, I'm a Licensed Clinical Mental Health Counselor and Licensed Clinical Addictions Specialist serving North Carolina. I enjoy guiding individuals toward a path of self-discovery, empowerment, and mental well-being. I believe in creating an open and safe space using a blend of person-centered counseling, mindfulness, and cognitive-behavioral therapy. Whether you're an adult, young adult, or teen, I'm here to support you on your positive change journey.
Immediate afternoon openings now available. Navigating life can be challenging and exhausting. My goal is to help you regain control and fulfillment. My name is Daniel Walker, I'm a Licensed Clinical Mental Health Counselor and Licensed Clinical Addictions Specialist serving North Carolina. I enjoy guiding individuals toward a path of self-discovery, empowerment, and mental well-being. I believe in creating an open and safe space using a blend of person-centered counseling, mindfulness, and cognitive-behavioral therapy. Whether you're an adult, young adult, or teen, I'm here to support you on your positive change journey.
(252) 427-0391 View (252) 427-0391
Photo of Kennedy Brown Porter, MSW, LCSW, Clinical Social Work/Therapist
Kennedy Brown Porter
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Serves Area
My goal as a therapist is to create a safe space for clients to enhance the most important relationship they have, the one with themselves. I work with clients to enhance their self-awareness by identifying limiting beliefs and patterns of behavior that prevent satisfaction and peace in their lives.
My goal as a therapist is to create a safe space for clients to enhance the most important relationship they have, the one with themselves. I work with clients to enhance their self-awareness by identifying limiting beliefs and patterns of behavior that prevent satisfaction and peace in their lives.
(252) 591-3262 View (252) 591-3262
Photo of Anita Starkey, MS, LCMHC-A, NCC, Counselor
Anita Starkey
Counselor, MS, LCMHC-A, NCC
Verified Verified
Kinston, NC 28501
Life can be unpredictable, and with all its twists and turns, it can bring many challenges. My goal is to help you navigate through those challenges to support you on your journey of self-reflection and healing. I aim to provide a safe space to talk, cry, and express your thoughts and feelings without judgment. This will also be a space where you will be heard, challenged, and validated. I love working with people, and I have a passion for it. I bring a wealth of knowledge to counseling through my education, training, work history, and life experiences. I am equipped to work with people to help motivate, encourage, and inspire.
Life can be unpredictable, and with all its twists and turns, it can bring many challenges. My goal is to help you navigate through those challenges to support you on your journey of self-reflection and healing. I aim to provide a safe space to talk, cry, and express your thoughts and feelings without judgment. This will also be a space where you will be heard, challenged, and validated. I love working with people, and I have a passion for it. I bring a wealth of knowledge to counseling through my education, training, work history, and life experiences. I am equipped to work with people to help motivate, encourage, and inspire.
(252) 591-6798 View (252) 591-6798
Photo of Krystal Bullard, CCTP, MSW, LCSW, Clinical Social Work/Therapist
Krystal Bullard
Clinical Social Work/Therapist, CCTP, MSW, LCSW
Verified Verified
2 Endorsed
Online Only
Hello, I am Krystal Bullard, and I provide trauma informed care to teens and adults. Empowering, educating, and evolving others is my passion! Benjamin Disraeli said, “the greatest good you can do for another is not just share your riches, but to reveal to him his own.” As a clinician, it is a privilege to share my riches (the skills and experience that I have gained over the years) while guiding others to realize or even rediscover their own. Each client is met where they are with using an integrative, evidenced- based approach, tailored to the needs of each individual.
Hello, I am Krystal Bullard, and I provide trauma informed care to teens and adults. Empowering, educating, and evolving others is my passion! Benjamin Disraeli said, “the greatest good you can do for another is not just share your riches, but to reveal to him his own.” As a clinician, it is a privilege to share my riches (the skills and experience that I have gained over the years) while guiding others to realize or even rediscover their own. Each client is met where they are with using an integrative, evidenced- based approach, tailored to the needs of each individual.
(919) 948-7105 View (919) 948-7105
Photo of Michael Wayne Herring - Herring Human Services, PA, LCSW, LCAS, CCS, Clinical Social Work/Therapist
Herring Human Services, PA
Clinical Social Work/Therapist, LCSW, LCAS, CCS
Verified Verified
Goldsboro, NC 27534
My approach to therapy is to assist individuals in accomplishing their goals in this journey we call life. I feel our expectations of others, ourselves and our environment create more stress than we often realize. The good news is we can tame those expectations in order to live a more purposeful life, less driven by stress and greatly assisted by the skills acquired in therapy.
My approach to therapy is to assist individuals in accomplishing their goals in this journey we call life. I feel our expectations of others, ourselves and our environment create more stress than we often realize. The good news is we can tame those expectations in order to live a more purposeful life, less driven by stress and greatly assisted by the skills acquired in therapy.
(919) 584-9306 View (919) 584-9306
Photo of Kerin E Cornett, MA, LCMHCA, NCC, Counselor
Kerin E Cornett
Counselor, MA, LCMHCA, NCC
Verified Verified
Princeton, NC 27569
Navigating life's journey can be overwhelming. For over twenty years, it has been my privilege to meet people where they are and partner with them in difficult seasons. It is my experience that having someone to share your burdens can often provide healing and the courage to seek physical, mental, and spiritual wellness.
Navigating life's journey can be overwhelming. For over twenty years, it has been my privilege to meet people where they are and partner with them in difficult seasons. It is my experience that having someone to share your burdens can often provide healing and the courage to seek physical, mental, and spiritual wellness.
(919) 799-2265 View (919) 799-2265
Photo of Lauren Michelle Grantham, MS, LCMHC
Lauren Michelle Grantham
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
Goldsboro, NC 27534
Iam a Licensed Clinical Mental Health Counselor (LCMHC) who currently resides in North Carolina. I received my degree online Capella University. I have been practicing for 10 years and I help men and women deal with anxiety, depression and also help married couples with relationship issues. I believe in supporting the total person since everything is connected, mind, body and spirit.
Iam a Licensed Clinical Mental Health Counselor (LCMHC) who currently resides in North Carolina. I received my degree online Capella University. I have been practicing for 10 years and I help men and women deal with anxiety, depression and also help married couples with relationship issues. I believe in supporting the total person since everything is connected, mind, body and spirit.
(984) 314-5121 View (984) 314-5121

See more therapy options for 28578

How does your Therapist compare?

Number of Therapists in 28578

< 10

Therapists in 28578 who prioritize treating:

100% Anxiety
67% Relationship Issues
67% Depression
67% Divorce
67% Domestic Violence
67% Career Counseling
67% Behavioral Issues

Average years in practice

5 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
67% Cigna and Evernorth

How Therapists in 28578 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 28578?

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.