Therapists in 51101

Photo of Diana Castro-Moctezuma, Counselor, LMHC, LIMHP, IADC
Diana Castro-Moctezuma
Counselor, LMHC, LIMHP, IADC
Sioux City, IA 51101
I am a bilingual therapist licensed in Iowa, Nebraska, and South Dakota. I provide individual therapy services for adults and am passionate about supporting those experiencing anxiety, depression, addiction, and life transitions. I have extensive experience working with the Latino community and helping individuals navigate cultural challenges, identity-related concerns, and immigration-related stressors. I specialize in treating co-occurring disorders and have experience working with individuals facing depression, anxiety, grief, trauma, and substance use challenges.
I am a bilingual therapist licensed in Iowa, Nebraska, and South Dakota. I provide individual therapy services for adults and am passionate about supporting those experiencing anxiety, depression, addiction, and life transitions. I have extensive experience working with the Latino community and helping individuals navigate cultural challenges, identity-related concerns, and immigration-related stressors. I specialize in treating co-occurring disorders and have experience working with individuals facing depression, anxiety, grief, trauma, and substance use challenges.
(712) 214-7095 View (712) 214-7095
Photo of Samantha Rao, Clinical Social Work/Therapist, LMSW
Samantha Rao
Clinical Social Work/Therapist, LMSW
Sioux City, IA 51101
I am a Provisionally Licensed Social Worker with a Masters degree and accepting all clients! In a therapeutic environment, we look for a safe, non-judgmental space where we can talk about our life experiences. Using a generalist approach, I work with individuals who have experienced or are experiencing depression, anxiety, substance use and life problems, anger management, and other problems or concerns people face in today’s modern society. I utilize multiple evidence-based interventions that meet the specific needs of my clients. I work with all age groups. Through self-empowerment, I plan to guide you along your healing journey.
I am a Provisionally Licensed Social Worker with a Masters degree and accepting all clients! In a therapeutic environment, we look for a safe, non-judgmental space where we can talk about our life experiences. Using a generalist approach, I work with individuals who have experienced or are experiencing depression, anxiety, substance use and life problems, anger management, and other problems or concerns people face in today’s modern society. I utilize multiple evidence-based interventions that meet the specific needs of my clients. I work with all age groups. Through self-empowerment, I plan to guide you along your healing journey.
(712) 354-2510 View (712) 354-2510
Photo of Amy Lynn Koerselman, Counselor, LMHC, MA, NCC
Amy Lynn Koerselman
Counselor, LMHC, MA, NCC
Sioux City, IA 51101
Be empowered! I provide the tools to create wholeness and harmony in your life. Discover your best self (mind, body, and spirit). I tailor each session to fit the unique needs of each of my clients. I empower and inspire healing and growth- focusing on improving self-care, self-esteem, and self-compassion. I have a double masters treating dual diagnosis including mood disorders, depression, anxiety, eating disorders, trauma, adjustment disorders, personality, addictions, abuse, grief, and life issues. I provide a private fee schedule to fit your financial needs. I look forward to the opportunity to empower you to be your best!
Be empowered! I provide the tools to create wholeness and harmony in your life. Discover your best self (mind, body, and spirit). I tailor each session to fit the unique needs of each of my clients. I empower and inspire healing and growth- focusing on improving self-care, self-esteem, and self-compassion. I have a double masters treating dual diagnosis including mood disorders, depression, anxiety, eating disorders, trauma, adjustment disorders, personality, addictions, abuse, grief, and life issues. I provide a private fee schedule to fit your financial needs. I look forward to the opportunity to empower you to be your best!
(712) 274-3570 View (712) 274-3570
Photo of Janene Gorsett, Counselor, LMHC
Janene Gorsett
Counselor, LMHC
Sioux City, IA 51101
Are you feeling stuck, overwhelmed, or unsure how to move forward? Life can be challenging, especially when navigating the complexities of autism, ADHD, anxiety, depression, trauma, addiction, or relationship struggles. My goal is to provide a safe, supportive space where you can explore your experiences, develop new coping strategies, and create meaningful change.
Are you feeling stuck, overwhelmed, or unsure how to move forward? Life can be challenging, especially when navigating the complexities of autism, ADHD, anxiety, depression, trauma, addiction, or relationship struggles. My goal is to provide a safe, supportive space where you can explore your experiences, develop new coping strategies, and create meaningful change.
(712) 430-1850 View (712) 430-1850
Photo of Cynthia Pelton, Counselor, MA, NCC, LMHC
Cynthia Pelton
Counselor, MA, NCC, LMHC
Sioux City, IA 51101
There are times in life we need to be validated and told we are worthy. There are times in our life we feel overwhelmed or just not up to the expectations in front of us. Being mindful in the present moment and making decisions to live life now helps us to feel more positive. I will help you reach your goals to be happy and safe with improved self confidence to manage and enjoy life.
There are times in life we need to be validated and told we are worthy. There are times in our life we feel overwhelmed or just not up to the expectations in front of us. Being mindful in the present moment and making decisions to live life now helps us to feel more positive. I will help you reach your goals to be happy and safe with improved self confidence to manage and enjoy life.
(712) 373-2487 View (712) 373-2487
Photo of Dr. Robin M Capers, Clinical Social Work/Therapist, DSW, LISW
Dr. Robin M Capers
Clinical Social Work/Therapist, DSW, LISW
Sioux City, IA 51101
Life can feel overwhelming at times, and seeking support is an important step toward healing. Whether you are looking for help for yourself, your child, your adolescent, or your family, therapy can provide a safe space to navigate challenges, build resilience, and create positive change. I work with children, adolescents, adults, and families facing a variety of concerns, including anxiety, trauma, eating disorders, life transitions, and relationship difficulties. I strive to create a warm, compassionate, and nonjudgmental environment where clients feel heard, supported, and empowered.
Life can feel overwhelming at times, and seeking support is an important step toward healing. Whether you are looking for help for yourself, your child, your adolescent, or your family, therapy can provide a safe space to navigate challenges, build resilience, and create positive change. I work with children, adolescents, adults, and families facing a variety of concerns, including anxiety, trauma, eating disorders, life transitions, and relationship difficulties. I strive to create a warm, compassionate, and nonjudgmental environment where clients feel heard, supported, and empowered.
(712) 522-5723 View (712) 522-5723
Photo of Katy Heim, Counselor, MA, LMHC
Katy Heim
Counselor, MA, LMHC
2 Endorsed
Sioux City, IA 51101
All we have to decide is what to do with the time that is given us.- Gandalf, LOTR. I believe a small amount of hope helps a person get through most obstacles in life. Hope, to me, is the little bit of light in the darkness. My ultimate goal is to help my clients find their light. The common thread throughout my career as a therapist has been the treatment of trauma, adverse experiences, and toxic stress. Regardless of where a client is on their journey towards healing, I help them continue to take the steps to move forward.
All we have to decide is what to do with the time that is given us.- Gandalf, LOTR. I believe a small amount of hope helps a person get through most obstacles in life. Hope, to me, is the little bit of light in the darkness. My ultimate goal is to help my clients find their light. The common thread throughout my career as a therapist has been the treatment of trauma, adverse experiences, and toxic stress. Regardless of where a client is on their journey towards healing, I help them continue to take the steps to move forward.
(712) 217-0490 View (712) 217-0490
Photo of Mykl Harley Boyd, Pre-Licensed Professional, MA, CADC
Mykl Harley Boyd
Pre-Licensed Professional, MA, CADC
1 Endorsed
Sioux City, IA 51101
I have been providing services to individuals wanting to battle their addictions. I work in CBT, relapse prevention, individual and group settings.
I have been providing services to individuals wanting to battle their addictions. I work in CBT, relapse prevention, individual and group settings.
(712) 248-4446 View (712) 248-4446
Photo of Emily Ruppert, Counselor, MA, LMHC
Emily Ruppert
Counselor, MA, LMHC
1 Endorsed
Sioux City, IA 51101
As a therapist, it is my goal to bring genuineness, acceptance, and empathy to the counseling environment. I am here to meet you exactly where you are in life, without judgment or shame. The work of the client can be challenging, and often begins with the daunting task of coming in the doors on that first day. Change is uncomfortable, and often avoided. I am here to facilitate that change, walk alongside you, and provide new insight and understanding.
As a therapist, it is my goal to bring genuineness, acceptance, and empathy to the counseling environment. I am here to meet you exactly where you are in life, without judgment or shame. The work of the client can be challenging, and often begins with the daunting task of coming in the doors on that first day. Change is uncomfortable, and often avoided. I am here to facilitate that change, walk alongside you, and provide new insight and understanding.
(712) 423-5975 View (712) 423-5975
Photo of Melissa Schuldt, Clinical Social Work/Therapist, LISW
Melissa Schuldt
Clinical Social Work/Therapist, LISW
Sioux City, IA 51101
I earned my Masters degree in Social Work from the University of Iowa and my Bachelors degree in Psychology and Social Work from the University of South Dakota. I have over 15 years of experience working in the mental health field. I have experience treating all age groups from diverse backgrounds and for a variety of concerns. Including, mental illness, addiction, abuse/neglect, domestic violence, adjustment issues, anxiety and panic disorders, depression, life transitions, mood disorders, relationship problems and self-esteem issues. I am a trained EMDR therapist and specialize in treating trauma survivors.
I earned my Masters degree in Social Work from the University of Iowa and my Bachelors degree in Psychology and Social Work from the University of South Dakota. I have over 15 years of experience working in the mental health field. I have experience treating all age groups from diverse backgrounds and for a variety of concerns. Including, mental illness, addiction, abuse/neglect, domestic violence, adjustment issues, anxiety and panic disorders, depression, life transitions, mood disorders, relationship problems and self-esteem issues. I am a trained EMDR therapist and specialize in treating trauma survivors.
(720) 726-1468 View (720) 726-1468
Photo of Kimberly J Cournoyer, Licensed Professional Counselor, EdS, LPC-MH, QMHP
Kimberly J Cournoyer
Licensed Professional Counselor, EdS, LPC-MH, QMHP
Serves Area
My name is Kimberly and I am an LPC-MH and Education Specialist (Ed.S.) I will strive to assist families and individuals navigate through life's transitions and identify specific strategies to use through the next journey as well. I target current relief and management of symptoms related to trauma, conflict, and relationship issues or management of emotions such as anger, grief and self-harm. My training in TF-CBT (Trauma-focused Cognitive Behavioral Therapy) and being trauma-responsive in identifying emerging defense responses to trauma and resolving current unmet attachment needs.
My name is Kimberly and I am an LPC-MH and Education Specialist (Ed.S.) I will strive to assist families and individuals navigate through life's transitions and identify specific strategies to use through the next journey as well. I target current relief and management of symptoms related to trauma, conflict, and relationship issues or management of emotions such as anger, grief and self-harm. My training in TF-CBT (Trauma-focused Cognitive Behavioral Therapy) and being trauma-responsive in identifying emerging defense responses to trauma and resolving current unmet attachment needs.
(605) 644-6920 View (605) 644-6920
Photo of Peter Odegaard, Mental Health Counselor, MA, LMHC, LPC, PATP
Peter Odegaard
Mental Health Counselor, MA, LMHC, LPC, PATP
2 Endorsed
Serves Area
I take a holistic, non-judgmental approach to therapy. Instead of just targeting “symptoms,” we get curious about what your anxiety, low mood, or patterns in relationships might be trying to tell us. Often these are understandable responses to stress, trauma, or old roles you had to play. Over time, some parts of you may have gotten stuck in those old stories. When you’re ready, we’ll turn inward, together, in order to update and integrate those parts in the present, so you can feel more at ease and able to live an authentic, value-centered life.
I take a holistic, non-judgmental approach to therapy. Instead of just targeting “symptoms,” we get curious about what your anxiety, low mood, or patterns in relationships might be trying to tell us. Often these are understandable responses to stress, trauma, or old roles you had to play. Over time, some parts of you may have gotten stuck in those old stories. When you’re ready, we’ll turn inward, together, in order to update and integrate those parts in the present, so you can feel more at ease and able to live an authentic, value-centered life.
(563) 522-5860 View (563) 522-5860
Photo of Sarah Herbolsheimer, Mental Health Counselor, LIMHP, CMSW, LICSW
Sarah Herbolsheimer
Mental Health Counselor, LIMHP, CMSW, LICSW
Serves Area
If you've been in therapy before and found that coping skills, homework, or workbooks only got you so far, you may be ready for something different. Psychoanalytic psychotherapy focuses on understanding your symptoms, not just managing them. Through an ongoing therapeutic relationship, we explore the unconscious patterns and early relational experiences that quietly shape how you see yourself and others today. This kind of therapy asks something a bit unusual of you: to show up without an agenda and say whatever comes to mind. Some of the most meaningful sessions begin with "I don't even know what I want to talk about today".
If you've been in therapy before and found that coping skills, homework, or workbooks only got you so far, you may be ready for something different. Psychoanalytic psychotherapy focuses on understanding your symptoms, not just managing them. Through an ongoing therapeutic relationship, we explore the unconscious patterns and early relational experiences that quietly shape how you see yourself and others today. This kind of therapy asks something a bit unusual of you: to show up without an agenda and say whatever comes to mind. Some of the most meaningful sessions begin with "I don't even know what I want to talk about today".
(402) 256-5794 View (402) 256-5794
Photo of Amy Davis, Clinical Social Work/Therapist, tLMHC, NCC
Amy Davis
Clinical Social Work/Therapist, tLMHC, NCC
2 Endorsed
Serves Area
Have you ever looked around and thought, "How is everyone else keeping it together?" Meanwhile, you're carrying the weight of past experiences, taking care of everyone else's needs, and wondering when it's finally your turn to feel okay. Maybe you've spent years surviving. Pushing through. Being the strong one. But somewhere along the way, you've lost sight of what you need, what you value, and who you are outside of the roles you play for everyone else. This is where therapy can help. I am passionate about helping people heal from trauma, reconnect with their strengths, and build a life that feels aligned with what matters most.
Have you ever looked around and thought, "How is everyone else keeping it together?" Meanwhile, you're carrying the weight of past experiences, taking care of everyone else's needs, and wondering when it's finally your turn to feel okay. Maybe you've spent years surviving. Pushing through. Being the strong one. But somewhere along the way, you've lost sight of what you need, what you value, and who you are outside of the roles you play for everyone else. This is where therapy can help. I am passionate about helping people heal from trauma, reconnect with their strengths, and build a life that feels aligned with what matters most.
(712) 526-4900 View (712) 526-4900
Photo of Tiffany Holbrook, Counselor, LMHC
Tiffany Holbrook
Counselor, LMHC
1 Endorsed
Serves Area
Trauma leaves us feeling broken, damaged, and disconnected from our true selves. You are goal-oriented but still find yourself having difficulty maintaining focus and presence of mind? feeling defeated and unlovable. You want to experience connection and meaningful relationships but seem to push people away or end up relationships that hurt you. But you are ready to make a change. You are ready to resolve core conflict. You are ready to change maladaptive coping mechanism. Most of all, you are ready to engage in healthy and meaningful relationships with others. I want to help you get there.
Trauma leaves us feeling broken, damaged, and disconnected from our true selves. You are goal-oriented but still find yourself having difficulty maintaining focus and presence of mind? feeling defeated and unlovable. You want to experience connection and meaningful relationships but seem to push people away or end up relationships that hurt you. But you are ready to make a change. You are ready to resolve core conflict. You are ready to change maladaptive coping mechanism. Most of all, you are ready to engage in healthy and meaningful relationships with others. I want to help you get there.
(712) 208-8452 View (712) 208-8452
Photo of Kyle F. Richards, Counselor, MS, LPC-MH, LMHC, ATR, NCC
Kyle F. Richards
Counselor, MS, LPC-MH, LMHC, ATR, NCC
2 Endorsed
Online Only
Corporate or government crisis? Are you having a conflict with your mental health or faith? Do you struggle to stay satisfied in your marriage or content with your career? Is it difficult to stay motivated, feel happy, or be comfortable with your body image? Did someone important in your life leave or pass away? Maybe you already have a strong community to speak with, but you fear what they may think if you really opened up. These are common thoughts and feelings addressed in our time together. You are not alone. I am licensed in BOTH South Dakota & Iowa!
Corporate or government crisis? Are you having a conflict with your mental health or faith? Do you struggle to stay satisfied in your marriage or content with your career? Is it difficult to stay motivated, feel happy, or be comfortable with your body image? Did someone important in your life leave or pass away? Maybe you already have a strong community to speak with, but you fear what they may think if you really opened up. These are common thoughts and feelings addressed in our time together. You are not alone. I am licensed in BOTH South Dakota & Iowa!
(712) 540-4090 View (712) 540-4090
Photo of Rebekah Jones, MS, LMFT, LIMHP, LCMFT
Rebekah Jones
Verified Verified
Online Only
When you feel stuck in patterns you want to break—ashamed, overwhelmed, or not yourself, repeating behaviors you swore you'd change or feel like the “black sheep,” you end up feeling disconnected, hopeless and struggle to set boundaries and acknowledge your needs. You feel drained and tired. But you don't have to keep carrying this alone. Therapy can be a place where you begin to untangle those old patterns and rediscover who you really are. Together, we can work toward healing past hurts, building self-trust, strengthening your relationships, and helping you feel more confident and at peace in your own life.
When you feel stuck in patterns you want to break—ashamed, overwhelmed, or not yourself, repeating behaviors you swore you'd change or feel like the “black sheep,” you end up feeling disconnected, hopeless and struggle to set boundaries and acknowledge your needs. You feel drained and tired. But you don't have to keep carrying this alone. Therapy can be a place where you begin to untangle those old patterns and rediscover who you really are. Together, we can work toward healing past hurts, building self-trust, strengthening your relationships, and helping you feel more confident and at peace in your own life.
(712) 458-6573 View (712) 458-6573
Photo of Laurel Ann Meine, Counselor, MA, LMHC, NCC
Laurel Ann Meine
Counselor, MA, LMHC, NCC
Online Only
Do you want to make changes in your life? I want to help you explore your options. I want to help you become the person you want to be. We live in a very complicated and changing world having to navigate many different situations and experiences; that we don't always feel equipped to handle emotionally. I believe we are all here on this earth to help each other and my goal is to help you become the best you can be.
Do you want to make changes in your life? I want to help you explore your options. I want to help you become the person you want to be. We live in a very complicated and changing world having to navigate many different situations and experiences; that we don't always feel equipped to handle emotionally. I believe we are all here on this earth to help each other and my goal is to help you become the best you can be.
(704) 318-4755 View (704) 318-4755
Photo of Kara Richard, Pre-Licensed Professional, LMSW
Kara Richard
Pre-Licensed Professional, LMSW
1 Endorsed
Online Only
As a therapist, I welcome you as you are. My passion is empowering young people on the path to flourishing and abundant life while honoring the family system and recognizing the value of healthy attachment. I have experience supporting foster, adoptive, and kinship families, single mothers, and individuals in hospice care. I have also worked alongside adolescents through a youth-development curriculum designed to empower teens. I strive to help individuals break free from childhood trauma, toxic stress, and emotional neglect.
As a therapist, I welcome you as you are. My passion is empowering young people on the path to flourishing and abundant life while honoring the family system and recognizing the value of healthy attachment. I have experience supporting foster, adoptive, and kinship families, single mothers, and individuals in hospice care. I have also worked alongside adolescents through a youth-development curriculum designed to empower teens. I strive to help individuals break free from childhood trauma, toxic stress, and emotional neglect.
(515) 738-3207 View (515) 738-3207
Photo of Emili Lair, Counselor, LMHC, LPCC, MA, MEd
Emili Lair
Counselor, LMHC, LPCC, MA, MEd
1 Endorsed
Online Only
Not accepting new clients
Emili has experience treating individuals struggling with anxiety disorders, all severities of depression, employment issues, chronic health issues, relationship distress, as well post-traumatic stress disorder. She is most passionate about helping individuals struggling to cope with the complexities of grief and loss of all forms, including those struggling to understand the most unimaginable tragedies in life. Emili has an interest providing couple’s counseling to partners wanting to improve communication, addressing ongoing conflict and/or betrayal in relationships, and experiencing new stages.
Emili has experience treating individuals struggling with anxiety disorders, all severities of depression, employment issues, chronic health issues, relationship distress, as well post-traumatic stress disorder. She is most passionate about helping individuals struggling to cope with the complexities of grief and loss of all forms, including those struggling to understand the most unimaginable tragedies in life. Emili has an interest providing couple’s counseling to partners wanting to improve communication, addressing ongoing conflict and/or betrayal in relationships, and experiencing new stages.
(712) 214-1187 View (712) 214-1187

See more therapy options for 51101

How does your Therapist compare?

Number of Therapists in 51101

20+

Average cost per session

$190

Therapists in 51101 who prioritize treating:

100% Anxiety
100% Social Anxiety
100% Health Anxiety
100% Driving Anxiety
95% Depression
91% Trauma and PTSD
91% Complex PTSD

Average years in practice

9 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
77% Aetna
77% Wellmark BCBS

How Therapists in 51101 see their clients

68% In Person and Online
32% Online Only

Gender breakdown

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

How can I find a therapist in 51101?

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.