Photo of Laura Mindell, MA, LPC, NCC, Counselor
Laura Mindell
Counselor, MA, LPC, NCC
Verified Verified
I am a psychotherapist who understands life can feel like a daily struggle. No one should have to endure these feelings alone. I listen and support clients discover how they can achieve a life that is truly meaningful. I offer a counseling relationship that provides opportunities for my clients to emotionally move forward and bring a healthy balance back into their lives. It is possible to heal, gain a sense of well-being, restore hope, thrive and rekindle happiness during the most challenging times. I engage in a compassionate therapeutic approach with adolescents, young adults, adults, elderly, and couples.
I am a psychotherapist who understands life can feel like a daily struggle. No one should have to endure these feelings alone. I listen and support clients discover how they can achieve a life that is truly meaningful. I offer a counseling relationship that provides opportunities for my clients to emotionally move forward and bring a healthy balance back into their lives. It is possible to heal, gain a sense of well-being, restore hope, thrive and rekindle happiness during the most challenging times. I engage in a compassionate therapeutic approach with adolescents, young adults, adults, elderly, and couples.
(248) 714-0471 View (248) 714-0471
Photo of Jim Calkin, MA, LPC, Licensed Professional Counselor
Jim Calkin
Licensed Professional Counselor, MA, LPC
Verified Verified
Your story is a great story. There may have been bumps along the way. Maybe you feel the story is not being written or told the way you wish. Maybe you need some redirection to write the story.
Your story is a great story. There may have been bumps along the way. Maybe you feel the story is not being written or told the way you wish. Maybe you need some redirection to write the story.
(248) 617-2738 View (248) 617-2738
Photo of Yalandria Womack (The Gentle Caress), Limited Licensed Psychologist
Yalandria Womack (The Gentle Caress)
Limited Licensed Psychologist
Verified Verified
1 Endorsed
Farmington, MI 48336  (Online Only)
Working out of 6 offices around the Metro Detroit area, We are a Mental & Physical Health service that offers Mental Therapy to exercise the mind and if requested we have Fitness Training to exercise the body. We put an emphasis on pregnant & postpartum mothers by offering monthly mommy fitness classes and monthly mommy discussion circles to help prevent or relieve postpartum depression. We have 3 highly educated Licensed therapists and a personal trainer on staff.
Working out of 6 offices around the Metro Detroit area, We are a Mental & Physical Health service that offers Mental Therapy to exercise the mind and if requested we have Fitness Training to exercise the body. We put an emphasis on pregnant & postpartum mothers by offering monthly mommy fitness classes and monthly mommy discussion circles to help prevent or relieve postpartum depression. We have 3 highly educated Licensed therapists and a personal trainer on staff.
(248) 247-7638 View (248) 247-7638
Photo of Amy L. Widenbaum, MSW, LMSW, CSW, ACSW, LMFT, Clinical Social Work/Therapist
Amy L. Widenbaum
Clinical Social Work/Therapist, MSW, LMSW, CSW, ACSW, LMFT
Verified Verified
Farmington, MI 48336
I have a gift of relating well with people, even with those who are uncomfortable with self disclosure. Clients are not kept waiting, and my office environment is extremely private. My passion and expertise is relationship counseling. I quickly identify problematic areas, facilitate open, loving communication, and re-establish your connections. I also specialize in depression, anxiety, adjustment/phase of life difficulties, ADHD, & sexual issues. I am skilled & work much more quickly than many Therapists, so you will gain personal growth & development and learn tools/skills quicker, therefore needing to come less frequently.
I have a gift of relating well with people, even with those who are uncomfortable with self disclosure. Clients are not kept waiting, and my office environment is extremely private. My passion and expertise is relationship counseling. I quickly identify problematic areas, facilitate open, loving communication, and re-establish your connections. I also specialize in depression, anxiety, adjustment/phase of life difficulties, ADHD, & sexual issues. I am skilled & work much more quickly than many Therapists, so you will gain personal growth & development and learn tools/skills quicker, therefore needing to come less frequently.
(248) 702-5481 View (248) 702-5481
Photo of Kelly Jagers, LMSW, LMFT, PC, Clinical Social Work/Therapist
Kelly Jagers
Clinical Social Work/Therapist, LMSW, LMFT, PC
Verified Verified
Clients who are anxious and depressed and want to work on facing and reducing their symptoms and behavioral tendencies usually find the most benefits from my work with them. Children, teens and adults are all welcome and we start where the most pain is identified as preventing happiness. Cognitive-Behavioral Therapy and Family Therapy are most often utilized.
Clients who are anxious and depressed and want to work on facing and reducing their symptoms and behavioral tendencies usually find the most benefits from my work with them. Children, teens and adults are all welcome and we start where the most pain is identified as preventing happiness. Cognitive-Behavioral Therapy and Family Therapy are most often utilized.
(947) 207-3749 View (947) 207-3749
Photo of Delphine Elaine Jackson (The Gentle Caress), LLMSW, Clinical Social Work/Therapist
Delphine Elaine Jackson (The Gentle Caress)
Clinical Social Work/Therapist, LLMSW
Verified Verified
Farmington, MI 48336  (Online Only)
I believe therapy is a collaborative process. It is important to me that you feel comfortable sharing your thoughts and feelings with me, and that I understand your unique perspective. I will work with you to develop a treatment plan that is tailored to your individual needs and goals. Here are some additional things that I can do to build trust with my future clients. 1. I am honest and transparent about my qualifications and experience. 2. I am respectful of my clients privacy and confidentiality. 3. I am willing to listen to my clients and learn from them. and 4. I am open to feedback and I am always looking for ways to improve.
I believe therapy is a collaborative process. It is important to me that you feel comfortable sharing your thoughts and feelings with me, and that I understand your unique perspective. I will work with you to develop a treatment plan that is tailored to your individual needs and goals. Here are some additional things that I can do to build trust with my future clients. 1. I am honest and transparent about my qualifications and experience. 2. I am respectful of my clients privacy and confidentiality. 3. I am willing to listen to my clients and learn from them. and 4. I am open to feedback and I am always looking for ways to improve.
(248) 720-5844 View (248) 720-5844
Photo of Adovia Alston, LLMSW, Clinical Social Work/Therapist
Adovia Alston
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Farmington, MI 48336
My ideal clients are children and adolescents. In the world we live in today, kids go through more things than you could imagine. These issues range from social media to suicidal thoughts. Children and adolescents need support and resources. I am here to listen first and assist in any way I can.
My ideal clients are children and adolescents. In the world we live in today, kids go through more things than you could imagine. These issues range from social media to suicidal thoughts. Children and adolescents need support and resources. I am here to listen first and assist in any way I can.
(248) 900-1936 View (248) 900-1936
Photo of Jennifer L Trotter, PhD, Psychologist
Jennifer L Trotter
Psychologist, PhD
Verified Verified
1 Endorsed
I believe that in order for therapy to be effective, it has to be individualized to your specific needs, meaning my approach is flexible and responsive to your unique situation. The type of therapy I practice is meant to engage you in a collaborative working relationship, where your strengths are honored and respected, your feedback is taken seriously, and we work together to help address the challenges you are experiencing. I try to be respectful of and responsive to what will be helpful to you in session, to assist you in addressing the concerns that brought you to therapy.
I believe that in order for therapy to be effective, it has to be individualized to your specific needs, meaning my approach is flexible and responsive to your unique situation. The type of therapy I practice is meant to engage you in a collaborative working relationship, where your strengths are honored and respected, your feedback is taken seriously, and we work together to help address the challenges you are experiencing. I try to be respectful of and responsive to what will be helpful to you in session, to assist you in addressing the concerns that brought you to therapy.
(248) 236-1368 View (248) 236-1368
Photo of Juanicka Jackson, LLMSW, Clinical Social Work/Therapist
Juanicka Jackson
Clinical Social Work/Therapist, LLMSW
Verified Verified
Farmington Hills, MI 48336  (Online Only)
JuaNicka Jackson is dedicated and passionate about seeing and helping others succeed when they had every doubt that they could not. Life can be a gamble at times which can be rewarding or disappointing depending on the circumstances. JuaNicka is empathic and understanding especially when it comes to people and their livelihoods. Everyone experiences trials and tribulations but everyone does not have a support system to help them overcome obstacles. JuaNicka is equipped to assist children, adolescents’, families and individuals by delivering Cognitive Behavioral Therapy, Dialectical Behavioral Therapy and psychotherapy
JuaNicka Jackson is dedicated and passionate about seeing and helping others succeed when they had every doubt that they could not. Life can be a gamble at times which can be rewarding or disappointing depending on the circumstances. JuaNicka is empathic and understanding especially when it comes to people and their livelihoods. Everyone experiences trials and tribulations but everyone does not have a support system to help them overcome obstacles. JuaNicka is equipped to assist children, adolescents’, families and individuals by delivering Cognitive Behavioral Therapy, Dialectical Behavioral Therapy and psychotherapy
(248) 803-0038 View (248) 803-0038
Photo of LaToya Dumas, LMSW, Clinical Social Work/Therapist
LaToya Dumas
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Are you dealing with a life challenge that is causing anxiety, depression/sadness, stress, issues in work-life balance or relationships? Are you having difficulty adjusting to your current circumstance? Do you struggle with caregiver burn-out, grief, past trauma, lack of purpose/direction? If so, be assured that on the journey of life, we all face challenging situations at some point or another. Thus having a designated support person +confidant to walk alongside you during difficult times providing guidance & encouragement can not only be reassuring & comforting, but also help you find or restore the hope needed to move forward.
Are you dealing with a life challenge that is causing anxiety, depression/sadness, stress, issues in work-life balance or relationships? Are you having difficulty adjusting to your current circumstance? Do you struggle with caregiver burn-out, grief, past trauma, lack of purpose/direction? If so, be assured that on the journey of life, we all face challenging situations at some point or another. Thus having a designated support person +confidant to walk alongside you during difficult times providing guidance & encouragement can not only be reassuring & comforting, but also help you find or restore the hope needed to move forward.
(248) 814-2954 View (248) 814-2954
Photo of Desiree A Sanders, LMSW, BSN, RN , Clinical Social Work/Therapist
Desiree A Sanders
Clinical Social Work/Therapist, LMSW, BSN, RN
Verified Verified
My goal as a mental health professional is to support you as you face challenges such as anxiety, depression, grief/loss and chronic disease. Through a client-centered partnership, my hope is to help you thrive in all aspects of your well-being.
My goal as a mental health professional is to support you as you face challenges such as anxiety, depression, grief/loss and chronic disease. Through a client-centered partnership, my hope is to help you thrive in all aspects of your well-being.
(248) 289-3140 View (248) 289-3140
Photo of Teresa Traverso, BSEd, MA, LPC, LLC, MITS, Licensed Professional Counselor
Teresa Traverso
Licensed Professional Counselor, BSEd, MA, LPC, LLC, MITS
Verified Verified
1 Endorsed
I am passionate and dedicated to supporting teens, adults, and families through life's challenges of school, work, relationships, and uncertainties. Healing past or current wounds of hurt, guilt and disappointment requires courage. Finding more effective ways to address current negative thinking patterns, beliefs, and experiences requires commitment. A collaborative therapeutic relationship in a non-judgemental and supportive environment allows the opportunity to find balance and hope as you achieve competency in new coping mechanisms. Whether you are feeling overwhelmed or confused, you are welcome as you are.
I am passionate and dedicated to supporting teens, adults, and families through life's challenges of school, work, relationships, and uncertainties. Healing past or current wounds of hurt, guilt and disappointment requires courage. Finding more effective ways to address current negative thinking patterns, beliefs, and experiences requires commitment. A collaborative therapeutic relationship in a non-judgemental and supportive environment allows the opportunity to find balance and hope as you achieve competency in new coping mechanisms. Whether you are feeling overwhelmed or confused, you are welcome as you are.
(248) 479-3538 View (248) 479-3538
Photo of Keith Herriman, MA, LLP, Limited Licensed Psychologist
Keith Herriman
Limited Licensed Psychologist, MA, LLP
Verified Verified
Farmington, MI 48336
I am very passionate about & love working with teenagers & young men especially those individuals struggling with ADHD, as well as those with video game addictions & other electronic-related problems. I also really enjoy working with many other clients regardless of their gender, age (10yo & older), etc. I believe I have a natural ability to quickly create a calm, safe & relaxed environment in sessions which is rooted in my steadfast belief that every client has value and every client’s situation contains hope.
I am very passionate about & love working with teenagers & young men especially those individuals struggling with ADHD, as well as those with video game addictions & other electronic-related problems. I also really enjoy working with many other clients regardless of their gender, age (10yo & older), etc. I believe I have a natural ability to quickly create a calm, safe & relaxed environment in sessions which is rooted in my steadfast belief that every client has value and every client’s situation contains hope.
(947) 222-7072 View (947) 222-7072
Photo of Lisa Schuba Seidel, MA, Licensed Professional Counselor
Lisa Schuba Seidel
Licensed Professional Counselor, MA
Verified Verified
Farmington Hills, MI 48336  (Online Only)
Does life sometimes feel like a puzzle without all the pieces? Do you often feel weighed down by your thoughts and feelings, leaving you searching for answers, and unable to determine a solution? I believe that we all have the potential to grow and evolve from our life experiences. Talking with a professional can truly help guide and support the path to self-awareness and behavioral change, which can lead to a more fulfilling and meaningful life. By utilizing various therapeutic techniques, we can approach your transformation together. Please give me a call to discover if we are a good fit on your journey.
Does life sometimes feel like a puzzle without all the pieces? Do you often feel weighed down by your thoughts and feelings, leaving you searching for answers, and unable to determine a solution? I believe that we all have the potential to grow and evolve from our life experiences. Talking with a professional can truly help guide and support the path to self-awareness and behavioral change, which can lead to a more fulfilling and meaningful life. By utilizing various therapeutic techniques, we can approach your transformation together. Please give me a call to discover if we are a good fit on your journey.
(248) 460-9093 View (248) 460-9093
Photo of Tina Miller, MS, TLLP, Pre-Licensed Professional
Tina Miller
Pre-Licensed Professional, MS, TLLP
Verified Verified
Farmington Hills, MI 48336  (Online Only)
Are you moving through life on autopilot? Is there a disconnect between what you know and what you do when it comes to taking care of yourself? I believe one of the bravest things you can do is to explore beyond what parts you show the world and get to know your true self. You deserve to live unshackled by pain so you can live joyously and authentically. Life is too short to be anxious, down all the time, or let traumas and hurtful experiences control us. Trauma makes us who we are not and the more you heal, the more you become your authentic self. I believe this is possible for you even if you don't know how to get there yet.
Are you moving through life on autopilot? Is there a disconnect between what you know and what you do when it comes to taking care of yourself? I believe one of the bravest things you can do is to explore beyond what parts you show the world and get to know your true self. You deserve to live unshackled by pain so you can live joyously and authentically. Life is too short to be anxious, down all the time, or let traumas and hurtful experiences control us. Trauma makes us who we are not and the more you heal, the more you become your authentic self. I believe this is possible for you even if you don't know how to get there yet.
(248) 712-3184 View (248) 712-3184
Photo of Brandy Litwin, LCSW, LMSW, Clinical Social Work/Therapist
Brandy Litwin
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
Farmington, MI 48336
I provide in person and virtual sessions in MI and virtual sessions in VA and AZ. I specialize in working with anxiety, depression, process grief, life transitions, and relationship dynamics. It can be difficult to recognize unhealthy patterns and there are many tools available to help develop new and healthy ways of thinking, interacting, and responding to life’s circumstances. I support you working towards goals that may include deeper sense of self awareness, better communication skills, reducing stress, strategies to manage responses to trauma, better relationship dynamics and tools for coping with anxiety and depression.
I provide in person and virtual sessions in MI and virtual sessions in VA and AZ. I specialize in working with anxiety, depression, process grief, life transitions, and relationship dynamics. It can be difficult to recognize unhealthy patterns and there are many tools available to help develop new and healthy ways of thinking, interacting, and responding to life’s circumstances. I support you working towards goals that may include deeper sense of self awareness, better communication skills, reducing stress, strategies to manage responses to trauma, better relationship dynamics and tools for coping with anxiety and depression.
(248) 963-1553 View (248) 963-1553
Photo of Dr. Christine Sebastian, PsyD, DLLP, Limited Licensed Psychologist
Dr. Christine Sebastian
Limited Licensed Psychologist, PsyD, DLLP
Verified Verified
As a part of the first responder community, I have a special interest in the mental health and wellbeing of our public safety professionals, including fire, law enforcement, medic, dispatch, military, and veterans of all of these occupations. My experience as the spouse of a first responder has led me to specialize in work with individuals in these professions, as well as the loved ones who share these unique lifestyles and circumstances.
As a part of the first responder community, I have a special interest in the mental health and wellbeing of our public safety professionals, including fire, law enforcement, medic, dispatch, military, and veterans of all of these occupations. My experience as the spouse of a first responder has led me to specialize in work with individuals in these professions, as well as the loved ones who share these unique lifestyles and circumstances.
(734) 336-1703 View (734) 336-1703
Photo of Madeleine Pazzi, MA, LLPC, ATR-P
Madeleine Pazzi
MA, LLPC, ATR-P
Verified Verified
Farmington Hills, MI 48336  (Online Only)
Life can present you with all kinds of challenges and you do not need to face them alone. Aside from the treatment of mental illness, people attend therapy for many different reasons: to cope with a sudden loss or traumatic event, to learn how to better communicate in their relationships, to explore feelings following a divorce or another big life change, to manage work stress and more. Everyone’s story is different, and I am here to listen to yours. As a therapist, I strive to create a caring and accepting environment. I believe that everyone has the ability to improve their life, build resilience, and find happiness.
Life can present you with all kinds of challenges and you do not need to face them alone. Aside from the treatment of mental illness, people attend therapy for many different reasons: to cope with a sudden loss or traumatic event, to learn how to better communicate in their relationships, to explore feelings following a divorce or another big life change, to manage work stress and more. Everyone’s story is different, and I am here to listen to yours. As a therapist, I strive to create a caring and accepting environment. I believe that everyone has the ability to improve their life, build resilience, and find happiness.
(248) 694-3162 View (248) 694-3162
Photo of Stephanie Crane, LMSW, CCM, CPT, CIHC, Clinical Social Work/Therapist
Stephanie Crane
Clinical Social Work/Therapist, LMSW, CCM, CPT, CIHC
Verified Verified
Farmington, MI 48336
Waitlist for new clients
I have been a practicing clinician for over 30 years in a variety of settings. I believe in a holistic approach to wellness, and incorporate positive psychology, behavioral modification, cognitive behavioral therapy, mindfulness, and health/wellness into my therapeutic practice. I am especially passionate with helping parents who are raising children with special needs. I am a certified personal trainer and a life coach, and believe in integrating mind, body and spirit into my practice. If you are feeling stressed, overwhelmed, or just need someone to help you move forward, contact me for a free initial phone consultation.
I have been a practicing clinician for over 30 years in a variety of settings. I believe in a holistic approach to wellness, and incorporate positive psychology, behavioral modification, cognitive behavioral therapy, mindfulness, and health/wellness into my therapeutic practice. I am especially passionate with helping parents who are raising children with special needs. I am a certified personal trainer and a life coach, and believe in integrating mind, body and spirit into my practice. If you are feeling stressed, overwhelmed, or just need someone to help you move forward, contact me for a free initial phone consultation.
(947) 800-4693 View (947) 800-4693
Photo of Jocelyn K. LaVallee, MS, LPC, Licensed Professional Counselor
Jocelyn K. LaVallee
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Farmington, MI 48336  (Online Only)
Not accepting new clients
Are you struggling with how to navigate circumstances that life throws at you? Sometimes we all need help finding our path through a difficult situation or relationship and I believe talking to a compassionate and empathetic person can be an invaluable asset on your journey. It can take a lot of courage to reach out to a stranger and talk about your problems, but once taking that step, you will be on a path to health and healing. Together, we can work through many of the tough issues you might be facing.
Are you struggling with how to navigate circumstances that life throws at you? Sometimes we all need help finding our path through a difficult situation or relationship and I believe talking to a compassionate and empathetic person can be an invaluable asset on your journey. It can take a lot of courage to reach out to a stranger and talk about your problems, but once taking that step, you will be on a path to health and healing. Together, we can work through many of the tough issues you might be facing.
(248) 218-9419 View (248) 218-9419
1

How does your Therapist compare?

Number of Therapists in 48336

100+

Average cost per session

$147

Therapists in 48336 who prioritize treating:

95% Anxiety
93% Depression
82% Self Esteem
77% Relationship Issues
75% Coping Skills
71% Stress
66% Grief

Average years in practice

11 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
62% Aetna
60% Blue Care Network

How Therapists in 48336 see their clients

68% In Person and Online
32% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 48336?

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.