Therapists in Fort Wayne, IN

View neighborhoods in Fort Wayne
Photo of Jason Elliott, Counselor in Fort Wayne, IN
Jason Elliott
Counselor, MA, LMHC
Verified Verified
Fort Wayne, IN 46845
I am a licensed mental health counselor and therapist with The Aberdeen Group. I have dedicated a great deal of my academic studies to understanding the unique dynamics of relationships with our ourselves and others. I believe that as humans we all need to experience feelings of belonging and significance and strive to help others develop and maintain these two basic needs. I recognize that approaching a counselor for the first time takes courage and often comes at a difficult time in one's life. I hope you will find that our sessions are enjoyable and worthwhile.
I am a licensed mental health counselor and therapist with The Aberdeen Group. I have dedicated a great deal of my academic studies to understanding the unique dynamics of relationships with our ourselves and others. I believe that as humans we all need to experience feelings of belonging and significance and strive to help others develop and maintain these two basic needs. I recognize that approaching a counselor for the first time takes courage and often comes at a difficult time in one's life. I hope you will find that our sessions are enjoyable and worthwhile.
(260) 488-8018 View (260) 488-8018
Photo of Rachel Cashman, Pre-Licensed Professional in Fort Wayne, IN
Rachel Cashman
Pre-Licensed Professional, MS Ed, LMHC-A
Verified Verified
1 Endorsed
Fort Wayne, IN 46825
Not accepting new clients
I believe that every person possesses the inner wisdom and strength needed to overcome life’s challenges, they just need a little guidance and support!
I believe that every person possesses the inner wisdom and strength needed to overcome life’s challenges, they just need a little guidance and support!
(260) 217-5661 View (260) 217-5661
Photo of Jessi Mann, Counselor in Fort Wayne, IN
Jessi Mann
Counselor, MS, LMHCA
Verified Verified
1 Endorsed
Fort Wayne, IN 46804
Waitlist for new clients
It can take a lot of courage to schedule your first counseling session. The therapeutic process involves vulnerability. This might feel pretty intimidating if you’ve lacked a safe space to process your feelings in the past! However, beyond the field of intimidation lies a place of personal empowerment through the therapeutic process. Unprocessed trauma can often leave us feeling paralyzed in a suffocating shadow of our past. Every room in our head might appear dark & without direction. We may even begin to develop distorted perceptions of ourselves and the world around us; which can lead to a lack of clarity & peace.
It can take a lot of courage to schedule your first counseling session. The therapeutic process involves vulnerability. This might feel pretty intimidating if you’ve lacked a safe space to process your feelings in the past! However, beyond the field of intimidation lies a place of personal empowerment through the therapeutic process. Unprocessed trauma can often leave us feeling paralyzed in a suffocating shadow of our past. Every room in our head might appear dark & without direction. We may even begin to develop distorted perceptions of ourselves and the world around us; which can lead to a lack of clarity & peace.
(260) 344-8856 View (260) 344-8856
Photo of Alex Kellogg, Clinical Social Work/Therapist in Fort Wayne, IN
Alex Kellogg
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fort Wayne, IN 46825
I love working with young adults who are just discovering the independent life that is ahead of them. I also enjoy working with teenagers as they are learning to navigate their identity with other peers. I am a Licensed Clinical Social Worker. I have worked with a variety of concerns with adults including depression, anxiety, drug and alcohol problems, pornography addiction, and anger management.
I love working with young adults who are just discovering the independent life that is ahead of them. I also enjoy working with teenagers as they are learning to navigate their identity with other peers. I am a Licensed Clinical Social Worker. I have worked with a variety of concerns with adults including depression, anxiety, drug and alcohol problems, pornography addiction, and anger management.
(260) 308-4216 View (260) 308-4216
Photo of Leah Hall, Counselor in Fort Wayne, IN
Leah Hall
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Fort Wayne, IN 46804
I am a licensed mental health therapist who is passionate about working with adults to support them through life’s stressors. I value creating a safe, non-judgmental space to promote emotional processing and healing. My experience includes treating anxiety, depression, trauma, grief, bipolar disorder, relationship issues, as well as, assessing level of care. I am also an Intensive Outpatient Group Therapist at Parkview Behavioral Health. I look forward to starting this journey with you!
I am a licensed mental health therapist who is passionate about working with adults to support them through life’s stressors. I value creating a safe, non-judgmental space to promote emotional processing and healing. My experience includes treating anxiety, depression, trauma, grief, bipolar disorder, relationship issues, as well as, assessing level of care. I am also an Intensive Outpatient Group Therapist at Parkview Behavioral Health. I look forward to starting this journey with you!
(260) 235-4044 View (260) 235-4044
Photo of Brittany Sperka, Clinical Social Work/Therapist in Fort Wayne, IN
Brittany Sperka
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Fort Wayne, IN 46818
I appreciate someone with an open heart and a willingness to explore their inner self. I value individuals who are ready to engage and connect in meaningful conversations. I know it can be hard to take the first step for help, and look for someone who is committed to their own growth and willing to collaborate in their goals. Trust, honesty, and a desire to change create a supportive connecting environment where healing and transformation can take place.
I appreciate someone with an open heart and a willingness to explore their inner self. I value individuals who are ready to engage and connect in meaningful conversations. I know it can be hard to take the first step for help, and look for someone who is committed to their own growth and willing to collaborate in their goals. Trust, honesty, and a desire to change create a supportive connecting environment where healing and transformation can take place.
(260) 286-7612 View (260) 286-7612
Photo of Beth Pictor, Counselor in Fort Wayne, IN
Beth Pictor
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Fort Wayne, IN 46845
Beth creates a warm, safe, non-judgmental environment for individuals, couples, and families to address their hurt. She partners with her clients to explore their questions, concerns, and pain and to develop a plan to enhance well-being. Beth is trained to address interpersonal concerns, family conflict, relationship issues, as well as mental health disorders such as ADHD, depression, and anxiety. She also works through issues related to grief, loss, betrayal, and deception.
Beth creates a warm, safe, non-judgmental environment for individuals, couples, and families to address their hurt. She partners with her clients to explore their questions, concerns, and pain and to develop a plan to enhance well-being. Beth is trained to address interpersonal concerns, family conflict, relationship issues, as well as mental health disorders such as ADHD, depression, and anxiety. She also works through issues related to grief, loss, betrayal, and deception.
(260) 238-8774 View (260) 238-8774
Photo of Julie DeJesus, Counselor in Fort Wayne, IN
Julie DeJesus
Counselor, MS, LMHC-A
Verified Verified
1 Endorsed
Fort Wayne, IN 46825
Do irrational beliefs about yourself affect your confidence, relationships, work performance, goals, and overall happiness? Have you endured a traumatic event or did you have a traumatic childhood? I have a passion for helping adults through difficult times. I also believe our mental health is just as important as our physical health! My goal is to help you discover and learn a new belief system about yourself and to change assumptions that have been interfering with a healthy "you" for years. This is your trauma journey through healing and I am here to help navigate at your own pace.
Do irrational beliefs about yourself affect your confidence, relationships, work performance, goals, and overall happiness? Have you endured a traumatic event or did you have a traumatic childhood? I have a passion for helping adults through difficult times. I also believe our mental health is just as important as our physical health! My goal is to help you discover and learn a new belief system about yourself and to change assumptions that have been interfering with a healthy "you" for years. This is your trauma journey through healing and I am here to help navigate at your own pace.
(260) 344-4231 View (260) 344-4231
Photo of Rylie E Cook, Clinical Social Work/Therapist in Fort Wayne, IN
Rylie E Cook
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Fort Wayne, IN 46802
I have always had a passion for working with underserved populations and those in need. Most of my experience has been with providing therapy to children and adults who have experienced trauma, as well as those who have struggled with anxiety and addictions. I aim to create trusting and authentic partnerships between myself and clients on their journey to healing. I strive to utilize an anti-oppressive and trauma-informed approach to create a safe space for all clients to learn, grow, and embrace healthy connection, while acknowledging the impacts of environment and culture.
I have always had a passion for working with underserved populations and those in need. Most of my experience has been with providing therapy to children and adults who have experienced trauma, as well as those who have struggled with anxiety and addictions. I aim to create trusting and authentic partnerships between myself and clients on their journey to healing. I strive to utilize an anti-oppressive and trauma-informed approach to create a safe space for all clients to learn, grow, and embrace healthy connection, while acknowledging the impacts of environment and culture.
(260) 238-9494 View (260) 238-9494
Photo of Rebecca Austin, Clinical Social Work/Therapist in Fort Wayne, IN
Rebecca Austin
Clinical Social Work/Therapist, LCSW
Verified Verified
Fort Wayne, IN 46818
I am a Licensed Social Worker with a passion for decreasing the stigma surrounding mental health and promoting the health and well being of my clients. For my undergraduate degree, I moved from Central Jersey (Yes! It exists!) to South Jersey to attend Stockton University. I received a Bachelor of Science Degree in Social Work with a Minor in Behavioral Neuroscience from Stockton, and then moved on to attend graduate school in Philadelphia. I received my Master of Social Work Degree with a clinical concentration from the University of Pennsylvania’s School of Social Policy and Practice in May of 2020.
I am a Licensed Social Worker with a passion for decreasing the stigma surrounding mental health and promoting the health and well being of my clients. For my undergraduate degree, I moved from Central Jersey (Yes! It exists!) to South Jersey to attend Stockton University. I received a Bachelor of Science Degree in Social Work with a Minor in Behavioral Neuroscience from Stockton, and then moved on to attend graduate school in Philadelphia. I received my Master of Social Work Degree with a clinical concentration from the University of Pennsylvania’s School of Social Policy and Practice in May of 2020.
(260) 217-5685 View (260) 217-5685
Photo of Aaron Kimble, Counselor in Fort Wayne, IN
Aaron Kimble
Counselor, LMHCA, MSEd
Verified Verified
Fort Wayne, IN 46815
I am very passionate about working with young adults, children (5-10), teens (15-18), and families. I identify as gay and strive to work with the LGBTQ+ community. Through my educational training and application of theoretical counseling practices, I strive to help clients navigate their way through anxiety, depression, past/present trauma, and other struggles. I believe that each individual is the expert of their own life, but sometimes needs assistance in navigating life’s curveballs. I am fully affirming and strive to assist the LGBTQ+ Community in finding love and acceptance from others, but more importantly, for themselves.
I am very passionate about working with young adults, children (5-10), teens (15-18), and families. I identify as gay and strive to work with the LGBTQ+ community. Through my educational training and application of theoretical counseling practices, I strive to help clients navigate their way through anxiety, depression, past/present trauma, and other struggles. I believe that each individual is the expert of their own life, but sometimes needs assistance in navigating life’s curveballs. I am fully affirming and strive to assist the LGBTQ+ Community in finding love and acceptance from others, but more importantly, for themselves.
(260) 624-0559 View (260) 624-0559
Photo of Catanna Roberson, Marriage & Family Therapist in Fort Wayne, IN
Catanna Roberson
Marriage & Family Therapist, LMFT, MSEd
Verified Verified
Fort Wayne, IN 46804
I am passionate about mental health and am grateful I have worked in this field over the last 14 years. As a Marriage and Family therapist for 5 years, I have found my calling working with professional helpers such as first responders, veterans, and military service members. I have a specific interest and expertise in working with professional helpers who have a hard time accepting or asking for help themselves. I have gotten to know the struggles of the professional helpers and their loved ones that I have had the honor to work with.
I am passionate about mental health and am grateful I have worked in this field over the last 14 years. As a Marriage and Family therapist for 5 years, I have found my calling working with professional helpers such as first responders, veterans, and military service members. I have a specific interest and expertise in working with professional helpers who have a hard time accepting or asking for help themselves. I have gotten to know the struggles of the professional helpers and their loved ones that I have had the honor to work with.
(260) 202-1144 View (260) 202-1144
Photo of Amy Sordelet, Counselor in Fort Wayne, IN
Amy Sordelet
Counselor, LMHCA
Verified Verified
Fort Wayne, IN 46825
Hello, I'm Amy. I provide space where you can move toward authentic connection with yourself, the environment, and others. I go beyond traditional talk therapy by guiding you to rediscover the fullness of who you are. Whether you are experiencing life on autopilot, interpersonal stress, work-life imbalances, find yourself in the midst of grief, or are confronting unresolved trauma, you don't have to experience it alone. I will meet you in the discomfort and we can walk through it side by side.
Hello, I'm Amy. I provide space where you can move toward authentic connection with yourself, the environment, and others. I go beyond traditional talk therapy by guiding you to rediscover the fullness of who you are. Whether you are experiencing life on autopilot, interpersonal stress, work-life imbalances, find yourself in the midst of grief, or are confronting unresolved trauma, you don't have to experience it alone. I will meet you in the discomfort and we can walk through it side by side.
(260) 297-3952 View (260) 297-3952
Photo of Haley Bubser, Counselor in Fort Wayne, IN
Haley Bubser
Counselor, MSEd, LMHCA
Verified Verified
Fort Wayne, IN 46835
Waitlist for new clients
Are you surrounded by people, but still feel utterly alone? Are you just plain sick and tired of pretending you are “fine”, when underneath it all you are barely hanging on? Are you looking for a safe place where you can truly feel heard and understood, even when you don’t have the exact words for what you are feeling? I know how important it is to have a safe space where you are free to just be. To be understood, seen, and heard when you are at your lowest. You don't have to suffer silently & alone.
Are you surrounded by people, but still feel utterly alone? Are you just plain sick and tired of pretending you are “fine”, when underneath it all you are barely hanging on? Are you looking for a safe place where you can truly feel heard and understood, even when you don’t have the exact words for what you are feeling? I know how important it is to have a safe space where you are free to just be. To be understood, seen, and heard when you are at your lowest. You don't have to suffer silently & alone.
(260) 233-9059 View (260) 233-9059
Photo of Melissa (Missy) Blackmer, Counselor in Fort Wayne, IN
Melissa (Missy) Blackmer
Counselor, LMFT, LMHC
Verified Verified
Fort Wayne, IN 46825
I believe one of the bravest things you can do is begin to understand your own story. When you dare to delve into the intricate pages of your personal narrative, you will find yourself on a path toward self-awareness and self-acceptance. This journey can involve unearthing your past experiences, understanding your thought patterns, and recognizing the emotional landscapes that have shaped your life. It's a process that calls for introspection and vulnerability, but in return, it offers the potential for profound transformation. Exploration of self has the power to reshape your existence in ways you might have never thought possible
I believe one of the bravest things you can do is begin to understand your own story. When you dare to delve into the intricate pages of your personal narrative, you will find yourself on a path toward self-awareness and self-acceptance. This journey can involve unearthing your past experiences, understanding your thought patterns, and recognizing the emotional landscapes that have shaped your life. It's a process that calls for introspection and vulnerability, but in return, it offers the potential for profound transformation. Exploration of self has the power to reshape your existence in ways you might have never thought possible
(260) 370-8434 x700 View (260) 370-8434 x700
Photo of Ginger & Iru, LLC, Counselor in Fort Wayne, IN
Ginger & Iru, LLC
Counselor, LMHC, CSAYC
Verified Verified
Fort Wayne, IN 46809
Hello, My name is Robin. Our Mission: “To help individuals who are struggling with depression, stress, anxiety, and other mental health issues; to learn and grow from past mistakes, overcome barriers that prevents healing, and who are willing to undergo distress with support.” I can help provide rationale for tolerating distress in hopes of changing thoughts, managing emotions, and improving behaviors
Hello, My name is Robin. Our Mission: “To help individuals who are struggling with depression, stress, anxiety, and other mental health issues; to learn and grow from past mistakes, overcome barriers that prevents healing, and who are willing to undergo distress with support.” I can help provide rationale for tolerating distress in hopes of changing thoughts, managing emotions, and improving behaviors
(260) 305-1203 View (260) 305-1203
Photo of Charlotte Elliott, Clinical Social Work/Therapist in Fort Wayne, IN
Charlotte Elliott
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Fort Wayne, IN 46804
I have been in the mental health field for over 25 years. I work with clients who are dealing with the struggles of every day life. Those who are struggling with depression and anxiety, those who have been abused physically, sexually or emotionally at any time in their life as well as grief and loss of any kind. I work with First Responders, Medical Professionals and other Therapists as well as the general public. I am Certified in Prenatal & Postpartum mental health related to postpartum anxiety or depression, infertility, miscarriage, stillbirth and abortion loss. I offer Christian Counseling for those who request it.
I have been in the mental health field for over 25 years. I work with clients who are dealing with the struggles of every day life. Those who are struggling with depression and anxiety, those who have been abused physically, sexually or emotionally at any time in their life as well as grief and loss of any kind. I work with First Responders, Medical Professionals and other Therapists as well as the general public. I am Certified in Prenatal & Postpartum mental health related to postpartum anxiety or depression, infertility, miscarriage, stillbirth and abortion loss. I offer Christian Counseling for those who request it.
(260) 218-0205 View (260) 218-0205
Photo of Maya Dannaoui, Pre-Licensed Professional in Fort Wayne, IN
Maya Dannaoui
Pre-Licensed Professional, MA
Verified Verified
Fort Wayne, IN 46804  (Online Only)
My name is Maya Dannaoui and I recently graduated from Huntington University with an MA in Clinical Mental Health Counseling. I have experience helping individuals with depression, anxiety, self-esteem, boundary setting, and working through trauma. I enjoy working with adults navigating through challenges in their lives. I am passionate about helping individuals work towards a state of optimal mental health. I am currently under the supervision of Nicole Gaedtke at Gaedtke Counseling, LLC in Indiana. Sessions are telehealth only.
My name is Maya Dannaoui and I recently graduated from Huntington University with an MA in Clinical Mental Health Counseling. I have experience helping individuals with depression, anxiety, self-esteem, boundary setting, and working through trauma. I enjoy working with adults navigating through challenges in their lives. I am passionate about helping individuals work towards a state of optimal mental health. I am currently under the supervision of Nicole Gaedtke at Gaedtke Counseling, LLC in Indiana. Sessions are telehealth only.
(260) 635-3964 View (260) 635-3964
Photo of Kate Pickens, Pre-Licensed Professional in Fort Wayne, IN
Kate Pickens
Pre-Licensed Professional, MS
Verified Verified
Fort Wayne, IN 46804
As a United States Navy veteran, I understand and connect with veterans however, I also work with adolescent and adult clients with a variety of mental health issues. I would like to work together to deepen your awareness and understanding of your needs, desires, and patterns of relating, so you may experience a more authentic and fulfilling life. It is my belief that emphasizing your positive traits and behaviors will promote growth, healing, and fulfillment within yourself. To do this I utilize a combination of mind and body-based approaches such as talk therapy, CBT, CPT, self-compassion, and mindfulness practices.
As a United States Navy veteran, I understand and connect with veterans however, I also work with adolescent and adult clients with a variety of mental health issues. I would like to work together to deepen your awareness and understanding of your needs, desires, and patterns of relating, so you may experience a more authentic and fulfilling life. It is my belief that emphasizing your positive traits and behaviors will promote growth, healing, and fulfillment within yourself. To do this I utilize a combination of mind and body-based approaches such as talk therapy, CBT, CPT, self-compassion, and mindfulness practices.
(260) 508-1621 View (260) 508-1621
Photo of Janet Mitchell, Clinical Social Work/Therapist in Fort Wayne, IN
Janet Mitchell
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
Fort Wayne, IN 46825
Not accepting new clients
I look at my life experiences, choices I've made, my victories and failures and I know this is exactly where I am supposed to be. I love what I do and the gifts I have been provided and want to assist you on finding the path you are to be on. Whether you have recently experienced a loss, have a lifetime of feeling defeated or have felt limited in your abilities to handle day to day situations, I want to walk along side you and explore what your best version of you can look like.
I look at my life experiences, choices I've made, my victories and failures and I know this is exactly where I am supposed to be. I love what I do and the gifts I have been provided and want to assist you on finding the path you are to be on. Whether you have recently experienced a loss, have a lifetime of feeling defeated or have felt limited in your abilities to handle day to day situations, I want to walk along side you and explore what your best version of you can look like.
(260) 255-5085 View (260) 255-5085

How does your Therapist compare?

Number of Therapists in Fort Wayne, IN

300+

Average cost per session

$120

Therapists in Fort Wayne, IN who prioritize treating:

91% Anxiety
88% Depression
77% Trauma and PTSD
67% Relationship Issues
67% Self Esteem
65% Coping Skills
63% Stress

Average years in practice

9 Years

Top 3 insurances accepted

79% Anthem | Elevance
75% BlueCross and BlueShield
71% Aetna

How Therapists in Fort Wayne, IN see their clients

76% In Person and Online
24% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Fort Wayne?

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.