Photo of Jessica Little, Counselor, MA, LPC, ATR
Jessica Little
Counselor, MA, LPC, ATR
Verified Verified
Farmington Hills, MI 48336
I believe that every person has the capacity to make changes in their life. My goal as a therapist is to foster an environment where my clients decide to make changes for themselves, while working from a humanistic foundation. I work with clients of all ages and backgrounds experiencing a variety of mental health concerns. The relationships I build with my clients are genuine, nonjudgmental, and key to the process of change. Your journey is unique, so my focus is planning therapy around your individual goals and helping you to find emotional and spiritual wholeness.
I believe that every person has the capacity to make changes in their life. My goal as a therapist is to foster an environment where my clients decide to make changes for themselves, while working from a humanistic foundation. I work with clients of all ages and backgrounds experiencing a variety of mental health concerns. The relationships I build with my clients are genuine, nonjudgmental, and key to the process of change. Your journey is unique, so my focus is planning therapy around your individual goals and helping you to find emotional and spiritual wholeness.
(248) 306-8663 View (248) 306-8663
Photo of Tina Miller, Limited Licensed Psychologist, MS, LLP
Tina Miller
Limited Licensed Psychologist, MS, LLP
Verified Verified
Online Only
Do you have days when you feel like you're operating on autopilot? Or not enjoying things in your life the way you used to? Life is too short to be anxious, feel down all the time or let hurtful experiences take away from your ability to enjoy life. Pain 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 and that the bravest things you can do is to explore beyond what parts you show the world. Give yourself permission to open your mind to something different even if you don't know how you're going to do that yet.
Do you have days when you feel like you're operating on autopilot? Or not enjoying things in your life the way you used to? Life is too short to be anxious, feel down all the time or let hurtful experiences take away from your ability to enjoy life. Pain 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 and that the bravest things you can do is to explore beyond what parts you show the world. Give yourself permission to open your mind to something different even if you don't know how you're going to do that yet.
(248) 712-3184 View (248) 712-3184
Photo of Jocelyn K. LaVallee, Licensed Professional Counselor, MS, LPC
Jocelyn K. LaVallee
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
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
Photo of Jim Calkin, Licensed Professional Counselor, MA, LPC
Jim Calkin
Licensed Professional Counselor, MA, LPC
Verified Verified
Farmington Hills, MI 48336
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 Nicole Kadis, Marriage & Family Therapist, MA, LLMFT
Nicole Kadis
Marriage & Family Therapist, MA, LLMFT
Verified Verified
1 Endorsed
Online Only
Are you struggling with connecting to yourself or your partner? Does your ADHD or neurodivergence make things feel more difficult? Do you feel anxious or depressed? Are you and your partner feeling like you're at a loss on figuring out how to communicate? These are all experiences I would love to work with you on. Together, we’ll create goals that will lead you to the peace and security you seek within your life. This could look like addressing low self-esteem, increasing social skills, understanding the impact of neurodivergence within your relationship, and/or navigating life transitions within relationships.
Are you struggling with connecting to yourself or your partner? Does your ADHD or neurodivergence make things feel more difficult? Do you feel anxious or depressed? Are you and your partner feeling like you're at a loss on figuring out how to communicate? These are all experiences I would love to work with you on. Together, we’ll create goals that will lead you to the peace and security you seek within your life. This could look like addressing low self-esteem, increasing social skills, understanding the impact of neurodivergence within your relationship, and/or navigating life transitions within relationships.
(248) 965-5723 View (248) 965-5723
Photo of Caitlin Reid, Limited Licensed Psychologist, MA, LLP
Caitlin Reid
Limited Licensed Psychologist, MA, LLP
Verified Verified
Farmington, MI 48336
I have limited availability. I see patients in the office Mondays and Tuesday- Waitlist. I see patients virtually on Wednesdays and Thursdays with 3 total spots open. I work with individuals who are 16 years or older who have experienced traumatic events and are feeling stuck. I have extensive training and experience working with those who suffer with PTSD/CPTSD, OCD and other anxiety/depressive related disorders. I use an integrative humanistic approach to therapy. Meaning I view my patients as a whole, not just what has/hasn't happened to them or as just their diagnosis.
I have limited availability. I see patients in the office Mondays and Tuesday- Waitlist. I see patients virtually on Wednesdays and Thursdays with 3 total spots open. I work with individuals who are 16 years or older who have experienced traumatic events and are feeling stuck. I have extensive training and experience working with those who suffer with PTSD/CPTSD, OCD and other anxiety/depressive related disorders. I use an integrative humanistic approach to therapy. Meaning I view my patients as a whole, not just what has/hasn't happened to them or as just their diagnosis.
(248) 368-0429 View (248) 368-0429
Photo of Scott Tomey, Limited Licensed Psychologist, MS, LLP
Scott Tomey
Limited Licensed Psychologist, MS, LLP
Verified Verified
1 Endorsed
Online Only
We each have our own unique stories and challenges, with most clients utilizing therapy to process life experiences. As a therapist, I work very well with clients seeking judgment-free support, especially those dealing with depression, anxiety, and career/school distress. Whether you’re facing specific challenges or seeking to better understand yourself, positive support and an active listener will always be present during our journey together. Just like a car with proper maintenance, therapy can be a vessel to help drive you closer towards your goals.
We each have our own unique stories and challenges, with most clients utilizing therapy to process life experiences. As a therapist, I work very well with clients seeking judgment-free support, especially those dealing with depression, anxiety, and career/school distress. Whether you’re facing specific challenges or seeking to better understand yourself, positive support and an active listener will always be present during our journey together. Just like a car with proper maintenance, therapy can be a vessel to help drive you closer towards your goals.
(734) 228-1899 View (734) 228-1899
Photo of Jim MacKenzie, Marriage & Family Therapist, LLMFT
Jim MacKenzie
Marriage & Family Therapist, LLMFT
Verified Verified
Online Only
Hello, my name is Jim MacKenzie and I just have to say that life can sure throw us some curveballs. I've seen my share I can assure you (I left full time church ministry and sold cars for a few years; Yah, sometimes curve balls!). Sometimes life's troubles can be hard to navigate. I would be honored and consider it a privilege if you would allow me to come alongside and help.
Hello, my name is Jim MacKenzie and I just have to say that life can sure throw us some curveballs. I've seen my share I can assure you (I left full time church ministry and sold cars for a few years; Yah, sometimes curve balls!). Sometimes life's troubles can be hard to navigate. I would be honored and consider it a privilege if you would allow me to come alongside and help.
(248) 988-0130 View (248) 988-0130
Photo of Demi Josephson, Psychologist, PhD, LP
Demi Josephson
Psychologist, PhD, LP
Verified Verified
Farmington Hills, MI 48336
Throughout life we can experience great change, filled with innumerable stressors—academic and athletic pressures, challenging social relationships, loss of family and friends, college/employment uncertainty, etc. This mounting stress can give way to anxiety, depression, self-doubt, loneliness, eating/sleeping difficulties, and a loss of hope. My goal is to work alongside my clients, navigating these crucial periods of change, helping them to build insight and awareness, strengthen their ability to effectively manage stress, and ease the physical and emotional suffering that is impacting their satisfaction with life.
Throughout life we can experience great change, filled with innumerable stressors—academic and athletic pressures, challenging social relationships, loss of family and friends, college/employment uncertainty, etc. This mounting stress can give way to anxiety, depression, self-doubt, loneliness, eating/sleeping difficulties, and a loss of hope. My goal is to work alongside my clients, navigating these crucial periods of change, helping them to build insight and awareness, strengthen their ability to effectively manage stress, and ease the physical and emotional suffering that is impacting their satisfaction with life.
(248) 422-0801 View (248) 422-0801
Photo of Child Therapist - Kimberly Alabi, Limited Licensed Psychologist, PsyS, LLP, LLPC
Child Therapist - Kimberly Alabi
Limited Licensed Psychologist, PsyS, LLP, LLPC
Verified Verified
Farmington Hills, MI 48336
I want you to know that your challenges are REAL and VALID! We all experience challenges in our lives no matter how young or old. As we grow , our evironment may need to change to help us continue to thrive. Consider partnering with me to overcome barriers to change. I enjoy sharing proven ways to reclaim balance and happiness. A life worth living can include your wishes, desires, and dreams.
I want you to know that your challenges are REAL and VALID! We all experience challenges in our lives no matter how young or old. As we grow , our evironment may need to change to help us continue to thrive. Consider partnering with me to overcome barriers to change. I enjoy sharing proven ways to reclaim balance and happiness. A life worth living can include your wishes, desires, and dreams.
(734) 627-6189 View (734) 627-6189
Photo of Charles D. Elias, Clinical Social Work/Therapist, LMSW, PhD
Charles D. Elias
Clinical Social Work/Therapist, LMSW, PhD
Verified Verified
Farmington Hills, MI 48336
The world is changing at an ever increasing pace! Up is down and down is up. We are all being asked to take on more responsibilities than ever. Career paths and personal roles are being disrupted and life feels uncertain. BREATHE! You’ve got this and I’ve got you. Whether working short-term or longer, ongoing or intermittent, I help guide clients through a process of self-discovery. Fresh insights and clarity emerge while unique natural guidance systems are developed. I work primarily through Individual and Couples Counseling, and Mentor/Supervise mental health professionals starting out.
The world is changing at an ever increasing pace! Up is down and down is up. We are all being asked to take on more responsibilities than ever. Career paths and personal roles are being disrupted and life feels uncertain. BREATHE! You’ve got this and I’ve got you. Whether working short-term or longer, ongoing or intermittent, I help guide clients through a process of self-discovery. Fresh insights and clarity emerge while unique natural guidance systems are developed. I work primarily through Individual and Couples Counseling, and Mentor/Supervise mental health professionals starting out.
(248) 817-3818 View (248) 817-3818
Photo of Cornel Lynch, Clinical Social Work/Therapist, LLMSW
Cornel Lynch
Clinical Social Work/Therapist, LLMSW
Verified Verified
Farmington Hills, MI 48336
You may be a parent, guardian, or youth facing overwhelming challenges—academic struggles, behavioral concerns, family conflict, or the impact of trauma. You want stability, emotional support, and a plan to move forward. Your goal is to ensure success for yourself or your child, whether it’s improving school performance, managing emotions, or finding the right resources. You seek a compassionate professional who understands and advocates for your needs.
You may be a parent, guardian, or youth facing overwhelming challenges—academic struggles, behavioral concerns, family conflict, or the impact of trauma. You want stability, emotional support, and a plan to move forward. Your goal is to ensure success for yourself or your child, whether it’s improving school performance, managing emotions, or finding the right resources. You seek a compassionate professional who understands and advocates for your needs.
(248) 720-5839 View (248) 720-5839
Photo of Jennifer Sitto, Clinical Social Work/Therapist, LLMSW
Jennifer Sitto
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Farmington, MI 48336
As a dedicated Clinical Social Worker (LLMSW), I bring compassion, expertise, and a client-centered approach to every session. I believe that healing begins with understanding, and my goal is to create a safe, welcoming space where you—or your child—can feel truly supported and heard. I specialize in Art Therapy, Play Therapy, and Child and Family Therapy, working with individuals navigating grief, crisis, ADHD, anxiety, depression, school difficulties, learning disabilities, bullying, and behavioral concerns such as Oppositional Defiant Disorder (ODD).
As a dedicated Clinical Social Worker (LLMSW), I bring compassion, expertise, and a client-centered approach to every session. I believe that healing begins with understanding, and my goal is to create a safe, welcoming space where you—or your child—can feel truly supported and heard. I specialize in Art Therapy, Play Therapy, and Child and Family Therapy, working with individuals navigating grief, crisis, ADHD, anxiety, depression, school difficulties, learning disabilities, bullying, and behavioral concerns such as Oppositional Defiant Disorder (ODD).
(734) 600-8605 View (734) 600-8605
Photo of Adovia Alston, Clinical Social Work/Therapist, LLMSW
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 Dr. Andrea L Taylor (Looking For A Miracle), Psychologist, PsyD, LP, LPC, NCC
Dr. Andrea L Taylor (Looking For A Miracle)
Psychologist, PsyD, LP, LPC, NCC
Verified Verified
Farmington Hills, MI 48336
Life is stressful. The ups and downs, challenges and uncertainties can leave anyone feeling on edge, unmotivated, uninspired or apathetic. Are you finding it difficult to stay balanced? You're not alone and you don't have to go it alone. Whether you are interested in collaborating with a therapist one-on-one or prefer the group learning experience, I can help you reach your stress management and mental health goals in a safe and holistic atmosphere, either in person or digitally!
Life is stressful. The ups and downs, challenges and uncertainties can leave anyone feeling on edge, unmotivated, uninspired or apathetic. Are you finding it difficult to stay balanced? You're not alone and you don't have to go it alone. Whether you are interested in collaborating with a therapist one-on-one or prefer the group learning experience, I can help you reach your stress management and mental health goals in a safe and holistic atmosphere, either in person or digitally!
(248) 218-9969 View (248) 218-9969
Photo of Lisa Schuba Seidel, Licensed Professional Counselor, MA
Lisa Schuba Seidel
Licensed Professional Counselor, MA
Verified Verified
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 and talking with a professional in a safe and trusting space, can truly help guide and support the path to self-awareness and behavioral change. By utilizing various therapeutic techniques, we can approach your transformation together. Please contact me to discover if we are a good fit for 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 and talking with a professional in a safe and trusting space, can truly help guide and support the path to self-awareness and behavioral change. By utilizing various therapeutic techniques, we can approach your transformation together. Please contact me to discover if we are a good fit for your journey.
(248) 460-9093 View (248) 460-9093
Photo of Nicole Weber, Licensed Professional Counselor, LPC, NCC, CAADC, ACS
Nicole Weber
Licensed Professional Counselor, LPC, NCC, CAADC, ACS
Verified Verified
1 Endorsed
Online Only
As a dedicated Counselor and Clinical Supervisor of LLPC's I offer guidance to help with a variety of emotional and life challenges with a goal of enhancing psychological wellbeing and getting you back to the best version of yourself. I use a variety of approaches including, but not limited to, psychodynamic and cognitive behavioral therapy. I have experience in treating anger management, anxiety, depression, mood disorders, trauma, life transitions, serious mental illness and substance abuse. I will walk on your journey with you, and never judge you. Though connection, understanding and education we will discover and heal together
As a dedicated Counselor and Clinical Supervisor of LLPC's I offer guidance to help with a variety of emotional and life challenges with a goal of enhancing psychological wellbeing and getting you back to the best version of yourself. I use a variety of approaches including, but not limited to, psychodynamic and cognitive behavioral therapy. I have experience in treating anger management, anxiety, depression, mood disorders, trauma, life transitions, serious mental illness and substance abuse. I will walk on your journey with you, and never judge you. Though connection, understanding and education we will discover and heal together
(248) 516-7922 View (248) 516-7922
Photo of Deanna Iverson, Clinical Social Work/Therapist, LMSW
Deanna Iverson
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Online Only
Waitlist for new clients
First of all, you can call me Dee! Maybe you are feeling overwhelmed, burnt out, or stuck in old patterns that used to protect you but don’t serve you anymore. Whether this is your first time in therapy or you’ve been around the block before, I love working with clients who are ready to dig a little deeper and explore why things feel the way they do—so they can finally shift.
First of all, you can call me Dee! Maybe you are feeling overwhelmed, burnt out, or stuck in old patterns that used to protect you but don’t serve you anymore. Whether this is your first time in therapy or you’ve been around the block before, I love working with clients who are ready to dig a little deeper and explore why things feel the way they do—so they can finally shift.
(313) 362-6139 View (313) 362-6139
Photo of Diana Appleton - Diana Appleton (The Gentle Caress), Counselor, LLPC
Diana Appleton (The Gentle Caress)
Counselor, LLPC
Verified Verified
Online Only
On the Mental Health side we offer Counseling for Adults, Child, Adolescent, Relationship & Families. Monthly we have our "Mommy Circles" which give Mommies (pregnant, postpartum, experienced) a chance to discuss issues they face daily as a Mom. This allows them to vent, learn coping mechanisms & solutions to help reduce of postpartum or any form of depression. On the Physical Health side we have a physical trainer to help those that are struggling with any form depression and/or stress due to their unhappiness with their physical look. This service allows you to exercise your body after exercising your mind.
On the Mental Health side we offer Counseling for Adults, Child, Adolescent, Relationship & Families. Monthly we have our "Mommy Circles" which give Mommies (pregnant, postpartum, experienced) a chance to discuss issues they face daily as a Mom. This allows them to vent, learn coping mechanisms & solutions to help reduce of postpartum or any form of depression. On the Physical Health side we have a physical trainer to help those that are struggling with any form depression and/or stress due to their unhappiness with their physical look. This service allows you to exercise your body after exercising your mind.
(248) 422-1376 View (248) 422-1376
Photo of Nicole Cannonier - Hope and Thrive Counseling and Therapeutic Service, Clinical Social Work/Therapist, LMSW, CCTP, RYT
Hope and Thrive Counseling and Therapeutic Service
Clinical Social Work/Therapist, LMSW, CCTP, RYT
Verified Verified
1 Endorsed
Farmington Hills, MI 48336
Have you lost hope? Are you ready to thrive? Are you ready to begin your healing journey? Do you feel stuck and out of control? Is it time to forgive? Ready to explore? Maybe you're wanting to check in with yourself and evaluate any opportunities for reflection, growth, self compassion and change? These are common areas that we explore with clients. Allow our team at Hope and Thrive Counseling to walk with you and offer a judgement free, compassionate and safe space to connect, dig deeper and become the best version of yourself. Life can be hard and you need someone to be in that hard space with you at times.
Have you lost hope? Are you ready to thrive? Are you ready to begin your healing journey? Do you feel stuck and out of control? Is it time to forgive? Ready to explore? Maybe you're wanting to check in with yourself and evaluate any opportunities for reflection, growth, self compassion and change? These are common areas that we explore with clients. Allow our team at Hope and Thrive Counseling to walk with you and offer a judgement free, compassionate and safe space to connect, dig deeper and become the best version of yourself. Life can be hard and you need someone to be in that hard space with you at times.
(947) 333-8115 View (947) 333-8115
1

See more therapy options for 48336

How does your Therapist compare?

Number of Therapists in 48336

100+

Average cost per session

$150

Therapists in 48336 who prioritize treating:

95% Anxiety
91% Depression
80% Self Esteem
74% Coping Skills
73% Relationship Issues
69% Stress
63% Grief

Average years in practice

12 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
68% Aetna
63% Blue Care Network

How Therapists in 48336 see their clients

66% In Person and Online
34% Online Only

Gender breakdown

88% Female
12% 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.