Therapists in 53069

Krista Oelhafen
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
Krista Oelhafen is a Licensed Clinical Social Worker with over 5 years of experience specializing in eating disorders, anxiety, depression, OCD, grief, life transitions, and children s behavioral issues. Krista treats patients between the ages of 5 to 30 utilizing Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Exposure Response Prevention, Acceptance and Commitment Therapy, and Family Based Therapy.
Krista Oelhafen is a Licensed Clinical Social Worker with over 5 years of experience specializing in eating disorders, anxiety, depression, OCD, grief, life transitions, and children s behavioral issues. Krista treats patients between the ages of 5 to 30 utilizing Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Exposure Response Prevention, Acceptance and Commitment Therapy, and Family Based Therapy.
(920) 949-7190 View (920) 949-7190
Elizabeth Arndorfer
Licensed Professional Counselor, LPC
Serves Area
Elizabeth Arndorfer, LPC, supports adults and seniors across Wisconsin in navigating life’s transitions and emotional challenges with compassion, clinical expertise, and a deeply personalized approach. Through individual and family therapy, she helps clients address issues such as anxiety, depression, and substance use, creating a safe space where healing and change can begin. Whether someone is adjusting to a new life stage, managing symptoms of a mental health condition, or working through strained family dynamics, Elizabeth guides each client toward clarity and growth.
Elizabeth Arndorfer, LPC, supports adults and seniors across Wisconsin in navigating life’s transitions and emotional challenges with compassion, clinical expertise, and a deeply personalized approach. Through individual and family therapy, she helps clients address issues such as anxiety, depression, and substance use, creating a safe space where healing and change can begin. Whether someone is adjusting to a new life stage, managing symptoms of a mental health condition, or working through strained family dynamics, Elizabeth guides each client toward clarity and growth.
(920) 898-8328 View (920) 898-8328
August Viegut
Licensed Professional Counselor, MS, LPC
Serves Area
He also works with individuals, including those from the LGBTQ+ community, who are dealing with unique challenges such as postpartum depression, anxiety, and various personal issues, ensuring that all clients receive the care and attention they need to overcome life's hurdles. August is committed to using approaches like Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Dialectical Behavior Therapy (DBT) to help his clients build coping skills and resilience.
He also works with individuals, including those from the LGBTQ+ community, who are dealing with unique challenges such as postpartum depression, anxiety, and various personal issues, ensuring that all clients receive the care and attention they need to overcome life's hurdles. August is committed to using approaches like Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Dialectical Behavior Therapy (DBT) to help his clients build coping skills and resilience.
(920) 561-3809 View (920) 561-3809
LifeStance Health
Licensed Professional Counselor, MS, LPC
Serves Area
Caley Mamerow is a Licensed Professional Counselor in Wisconsin who has been practicing since 2004. She has an MS in Clinical Mental Health Counseling from Mount Mary University and a BS in Psychology with a minor in Human Development & Family Studies from University of Wisconsin-Stout. Caley’s approach to promote growth is to work collaboratively with clients using their strengths to help encourage change. Caley believes she can help clients to achieve long lasting skills by taking an integrative approach and using different modalities to best cater to each client and their specific needs.
Caley Mamerow is a Licensed Professional Counselor in Wisconsin who has been practicing since 2004. She has an MS in Clinical Mental Health Counseling from Mount Mary University and a BS in Psychology with a minor in Human Development & Family Studies from University of Wisconsin-Stout. Caley’s approach to promote growth is to work collaboratively with clients using their strengths to help encourage change. Caley believes she can help clients to achieve long lasting skills by taking an integrative approach and using different modalities to best cater to each client and their specific needs.
(920) 781-1900 View (920) 781-1900
Caley Deloris Mamerow
Licensed Professional Counselor, MS, LPC
Serves Area
Caley Mamerow is a Licensed Professional Counselor in Wisconsin who has been practicing since 2004. She has an MS in Clinical Mental Health Counseling from Mount Mary University and a BS in Psychology with a minor in Human Development Family Studies from University of Wisconsin-Stout. Caley s approach to promote growth is to work collaboratively with clients using their strengths to help encourage change. Caley believes she can help clients to achieve long lasting skills by taking an integrative approach and using different modalities to best cater to each client and their specific needs.
Caley Mamerow is a Licensed Professional Counselor in Wisconsin who has been practicing since 2004. She has an MS in Clinical Mental Health Counseling from Mount Mary University and a BS in Psychology with a minor in Human Development Family Studies from University of Wisconsin-Stout. Caley s approach to promote growth is to work collaboratively with clients using their strengths to help encourage change. Caley believes she can help clients to achieve long lasting skills by taking an integrative approach and using different modalities to best cater to each client and their specific needs.
(920) 561-2402 View (920) 561-2402
Dereck Wolfgram
Clinical Social Work/Therapist, LCSW
Serves Area
Dereck Wolfgram, LCSW, helps adolescents, teens, and adults across Wisconsin navigate life’s most challenging moments with compassion, clinical insight, and unwavering support. He offers individual and family therapy to clients ages 11 through 64, with a focus on building meaningful therapeutic relationships rooted in trust, respect, and collaboration. Whether a client is struggling with anxiety, mood disorders, or the effects of trauma, Dereck creates a safe space where growth and healing can begin.
Dereck Wolfgram, LCSW, helps adolescents, teens, and adults across Wisconsin navigate life’s most challenging moments with compassion, clinical insight, and unwavering support. He offers individual and family therapy to clients ages 11 through 64, with a focus on building meaningful therapeutic relationships rooted in trust, respect, and collaboration. Whether a client is struggling with anxiety, mood disorders, or the effects of trauma, Dereck creates a safe space where growth and healing can begin.
(920) 488-9481 View (920) 488-9481
Ann Kratzer
Licensed Professional Counselor, MS, LPC
Serves Area
Ann believes each client can learn and grow with the support of a therapist who cares. Clients come to therapy with challenges and figuring out a client's strengths and areas that need improvement can move a client through tough situations. It is important for a client to feel their therapy session is a safe place, free from judgement. Ann will use a person-centered approach and draw from many different techniques depending on the client's unique needs. She is excited to partner with clients to effectuate change that will be lasting and beneficial.
Ann believes each client can learn and grow with the support of a therapist who cares. Clients come to therapy with challenges and figuring out a client's strengths and areas that need improvement can move a client through tough situations. It is important for a client to feel their therapy session is a safe place, free from judgement. Ann will use a person-centered approach and draw from many different techniques depending on the client's unique needs. She is excited to partner with clients to effectuate change that will be lasting and beneficial.
(920) 598-5416 View (920) 598-5416
Kim Jaeger
Clinical Social Work/Therapist, MS, LCSW, CSAC
Serves Area
Kim has a master's degree in counseling and is a licensed substance abuse counselor and has been in practice since 1987. she believes her personal and professional experiences have helped her to be more understanding, more accepting and more honest with people who are seeking change or healing. She works with a variety of issues including addiction, eating disorders, depression, anxiety, relationship struggles and life stress. She works with adolescents and adults. In working with her, you can expect her to be an active listener, direct yet gentle, compassionate and encouraging.
Kim has a master's degree in counseling and is a licensed substance abuse counselor and has been in practice since 1987. she believes her personal and professional experiences have helped her to be more understanding, more accepting and more honest with people who are seeking change or healing. She works with a variety of issues including addiction, eating disorders, depression, anxiety, relationship struggles and life stress. She works with adolescents and adults. In working with her, you can expect her to be an active listener, direct yet gentle, compassionate and encouraging.
(920) 282-6738 View (920) 282-6738
Paityn Biro
Marriage & Family Therapist, MS, LMFT
Serves Area
Paityn Biro is a Licensed Marriage and Family Therapist in Wisconsin who has been practicing since 2018. She helps clients manage difficulties with stress and anxiety, relationships of all kinds, trauma and abuse, and parenting/ child development. Paityn has training and experience with attachment theory and other alternative treatments (Art Therapy, Safe and Sound ILS system, Neurofeedback). Paityn works with her clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgement. Taking the first step to seeking a more fulfilling and happier life takes courage.Paityn Biro is a License
Paityn Biro is a Licensed Marriage and Family Therapist in Wisconsin who has been practicing since 2018. She helps clients manage difficulties with stress and anxiety, relationships of all kinds, trauma and abuse, and parenting/ child development. Paityn has training and experience with attachment theory and other alternative treatments (Art Therapy, Safe and Sound ILS system, Neurofeedback). Paityn works with her clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgement. Taking the first step to seeking a more fulfilling and happier life takes courage.Paityn Biro is a License
(920) 795-7729 View (920) 795-7729
Stephanie Tsoris
Licensed Professional Counselor, MA, LPC
Serves Area
Stephanie offers a collaborative and reliable working relationship so clients can unleash their true potential. She will work with you to help bring into awareness the thoughts and feelings that may be interfering with your relationship to yourself and others. Stephanie has been a certified yoga teacher since 2005, and so has a mind, body, spirit approach to therapy that includes understanding the value of present moment awareness and how to master emotions rather than be at the mercy of them.Stephanie has been a certified yoga teacher since 2005 and brings a mind-body approach to therapy, emphasizing present-moment awareness and de
Stephanie offers a collaborative and reliable working relationship so clients can unleash their true potential. She will work with you to help bring into awareness the thoughts and feelings that may be interfering with your relationship to yourself and others. Stephanie has been a certified yoga teacher since 2005, and so has a mind, body, spirit approach to therapy that includes understanding the value of present moment awareness and how to master emotions rather than be at the mercy of them.Stephanie has been a certified yoga teacher since 2005 and brings a mind-body approach to therapy, emphasizing present-moment awareness and de
(920) 880-7720 View (920) 880-7720
Emma Tomter
Licensed Professional Counselor, MS, LPC
Serves Area
Emma believes in a client-centered approach to therapy, primarily helping clients manage symptoms of anxiety, depression, ADHD, and trauma. She uses a combination of art and talk therapy to support the exploration of emotions and self-regulation within the therapeutic environment. In her spare time, Emma enjoys traveling, working out, making art, and spoiling her two cats.Emma believes in a client-centered approach to therapy, primarily helping clients manage symptoms of anxiety, depression, ADHD, and trauma. She uses a combination of art and talk therapy to support the exploration of emotions and self-regulation within the therape
Emma believes in a client-centered approach to therapy, primarily helping clients manage symptoms of anxiety, depression, ADHD, and trauma. She uses a combination of art and talk therapy to support the exploration of emotions and self-regulation within the therapeutic environment. In her spare time, Emma enjoys traveling, working out, making art, and spoiling her two cats.Emma believes in a client-centered approach to therapy, primarily helping clients manage symptoms of anxiety, depression, ADHD, and trauma. She uses a combination of art and talk therapy to support the exploration of emotions and self-regulation within the therape
(920) 310-8176 View (920) 310-8176
Heather Klemm
Clinical Social Work/Therapist, MSW, LCSW
Serves Area
Heather Klemm is a Licensed Clinical Social Worker who has been practicing since 2009. She graduated from Iowa State University before completing her education at UW-Milwaukee with a Masters in Social Work. Heather believes in a strength based approach and creating a safe space for each client to address their needs. The importance of telling your story, addressing unhelpful thought patterns, validating emotions, and setting goals for change will guide the therapeutic process. Her main areas of focus include treatment of anxiety, adjustment during life transitions, grief/loss, and eating disorders.
Heather Klemm is a Licensed Clinical Social Worker who has been practicing since 2009. She graduated from Iowa State University before completing her education at UW-Milwaukee with a Masters in Social Work. Heather believes in a strength based approach and creating a safe space for each client to address their needs. The importance of telling your story, addressing unhelpful thought patterns, validating emotions, and setting goals for change will guide the therapeutic process. Her main areas of focus include treatment of anxiety, adjustment during life transitions, grief/loss, and eating disorders.
(920) 504-2800 View (920) 504-2800
Amy Bourdo
Licensed Professional Counselor, MS, LPC
Serves Area
Amy also works extensively with issues of codependency, anxiety, depression, perfectionism, self-esteem and trauma. She is EMDR certified and has additional training in Gestalt therapy. Amy's mission is to provide a collaborative, safe space for self-exploration. She uses a variety of treatment modalities to guide you through complex emotions, help you identify ineffective thoughts and behavior patterns and create manageable steps toward authentic change.
Amy also works extensively with issues of codependency, anxiety, depression, perfectionism, self-esteem and trauma. She is EMDR certified and has additional training in Gestalt therapy. Amy's mission is to provide a collaborative, safe space for self-exploration. She uses a variety of treatment modalities to guide you through complex emotions, help you identify ineffective thoughts and behavior patterns and create manageable steps toward authentic change.
(920) 476-1179 View (920) 476-1179
Mary Eldridge Emdrpeople-Pleasing
Clinical Social Work/Therapist, LISW , LCSW
12 Endorsed
Online Only
You keep asking yourself, Why can’t I just let it go? You’ve tried to move on. You’ve buried the memories, pushed through the pain, told yourself it wasn’t that bad. But it still shows up—in your body, in your relationships, in those moments when you feel anxious, frozen, or overwhelmed. You’ve been told to forgive, to forget, to be strong—but deep down, you don’t feel safe. Maybe part of you still believes it was your fault. The truth is, you don’t need to ‘get over it.’ You need space to heal. Safely. Gently. In your own time. That’s where trauma therapy begins in IA (50067), WA (98520, 99166, 98841) & WI (54154, 54456, 54521).
You keep asking yourself, Why can’t I just let it go? You’ve tried to move on. You’ve buried the memories, pushed through the pain, told yourself it wasn’t that bad. But it still shows up—in your body, in your relationships, in those moments when you feel anxious, frozen, or overwhelmed. You’ve been told to forgive, to forget, to be strong—but deep down, you don’t feel safe. Maybe part of you still believes it was your fault. The truth is, you don’t need to ‘get over it.’ You need space to heal. Safely. Gently. In your own time. That’s where trauma therapy begins in IA (50067), WA (98520, 99166, 98841) & WI (54154, 54456, 54521).
(319) 346-3412 View (319) 346-3412

More Therapists Nearby

Mary-Beth A Golden
Clinical Social Work/Therapist, PhD, LCSW, CST, MT-BC
Milwaukee, WI 53210
I am a direct, interactive, and insightful psychotherapist who has a thoughtful, patient, and collaborative approach to therapy. My clinical practice focuses on sexual and reproductive health as well as relationship issues in individuals and couples. Therapy is about improving relationships with oneself and others by working through unexpected difficulties and changes which occur in life and creating better possibilities for the future. Therapy can help explore patterns of relating, both past and present, and find alternative ways of expressing these thoughts and feelings so that one may achieve increased life satisfaction.
I am a direct, interactive, and insightful psychotherapist who has a thoughtful, patient, and collaborative approach to therapy. My clinical practice focuses on sexual and reproductive health as well as relationship issues in individuals and couples. Therapy is about improving relationships with oneself and others by working through unexpected difficulties and changes which occur in life and creating better possibilities for the future. Therapy can help explore patterns of relating, both past and present, and find alternative ways of expressing these thoughts and feelings so that one may achieve increased life satisfaction.
(872) 274-2544 View (872) 274-2544
Bree Baylor
Marriage & Family Therapist, MFT-IT
Greenfield, WI 53221
Clients can expect Bree to be genuine and show up as her authentic self, because she values true human connection with clients. It is from this warm and validating place that you can leave your comfort zone and make changes in your life. Bree helps clients reduce emotional distress, manage difficult relationships, and begin thriving, not just surviving. Whether you are looking to become your best self or survive until the next day, Bree will meet you where you are at. Her philosophy is that no one is "untreatable," and everyone can benefit from therapy, so she is here to support you in good times and bad.
Clients can expect Bree to be genuine and show up as her authentic self, because she values true human connection with clients. It is from this warm and validating place that you can leave your comfort zone and make changes in your life. Bree helps clients reduce emotional distress, manage difficult relationships, and begin thriving, not just surviving. Whether you are looking to become your best self or survive until the next day, Bree will meet you where you are at. Her philosophy is that no one is "untreatable," and everyone can benefit from therapy, so she is here to support you in good times and bad.
(608) 549-5208 View (608) 549-5208
Pamela Chesky Johnson
Pre-Licensed Professional, LPC-IT, NCC, MAEd
Oconomowoc, WI 53066
Sometimes life can feel heavy or uncertain. You may be navigating life changes, a loss, or relationship or parenting challenges. You might also feel overwhelmed managing ADHD or a chronic illness. People come to therapy for many reasons, and I take a personalized approach. From the start, my goal is to help you feel comfortable, understood, and supported. I work with you to make sense of your experiences, understand what’s getting in the way, and find realistic, meaningful ways to move forward.
Sometimes life can feel heavy or uncertain. You may be navigating life changes, a loss, or relationship or parenting challenges. You might also feel overwhelmed managing ADHD or a chronic illness. People come to therapy for many reasons, and I take a personalized approach. From the start, my goal is to help you feel comfortable, understood, and supported. I work with you to make sense of your experiences, understand what’s getting in the way, and find realistic, meaningful ways to move forward.
(262) 381-2983 View (262) 381-2983
Eric Lovan
Counselor, LPC
3 Endorsed
Shorewood, WI 53211
My goal is to welcome you with a warm, open, and collaborative space to explore your life, relationships, values, and needs. I work with all adults, but I do have specialized training with LGBTQ+, ADHD/Neurodivergent, attachment concerns, trauma, narcissistic abuse, and ENM/Poly. Our work together can help you process your experiences, build coping skills, make changes in relationships, and uncover patterns that may drive your relationships with others and self.
My goal is to welcome you with a warm, open, and collaborative space to explore your life, relationships, values, and needs. I work with all adults, but I do have specialized training with LGBTQ+, ADHD/Neurodivergent, attachment concerns, trauma, narcissistic abuse, and ENM/Poly. Our work together can help you process your experiences, build coping skills, make changes in relationships, and uncover patterns that may drive your relationships with others and self.
(414) 946-6143 View (414) 946-6143
Veronica Pyatt
Licensed Professional Counselor, MSc, LPC
Mequon, WI 53092
Veronica assesses the client's needs and applies the therapeutic techniques that best meet those needs. An individual's experience is tailored to them, which they are an active part of. This provides the client with a person - centered, strength-based approach. Veronica enjoys art and will often apply that to enhance the therapeutic process. Other techniques commonly used include Cognitive Behavioral Therapy (CBT), Dialectical behavior therapy (DBT), Trauma informed care, Solution Focused Therapy, Motivational Interviewing, play therapy, parenting skills training, coping skills training, and psychoeducation.
Veronica assesses the client's needs and applies the therapeutic techniques that best meet those needs. An individual's experience is tailored to them, which they are an active part of. This provides the client with a person - centered, strength-based approach. Veronica enjoys art and will often apply that to enhance the therapeutic process. Other techniques commonly used include Cognitive Behavioral Therapy (CBT), Dialectical behavior therapy (DBT), Trauma informed care, Solution Focused Therapy, Motivational Interviewing, play therapy, parenting skills training, coping skills training, and psychoeducation.
(262) 588-4304 View (262) 588-4304
Alison Ho
Licensed Professional Counselor, LPC
Glendale, WI 53209
Alison Ho, LPC, helps individuals and families build practical skills to navigate life’s challenges, improve emotional well-being, and strengthen relationships. Serving clients across Wisconsin, she provides a supportive, structured environment where teens and adults can address concerns such as anxiety, depression, and trauma-related stress. Alison collaborates with each client to create individualized treatment plans that promote resilience, clarity, and long-term growth. Alison has experience supporting diverse populations, including individuals on the autism spectrum and members of the LGBTQ+ community.
Alison Ho, LPC, helps individuals and families build practical skills to navigate life’s challenges, improve emotional well-being, and strengthen relationships. Serving clients across Wisconsin, she provides a supportive, structured environment where teens and adults can address concerns such as anxiety, depression, and trauma-related stress. Alison collaborates with each client to create individualized treatment plans that promote resilience, clarity, and long-term growth. Alison has experience supporting diverse populations, including individuals on the autism spectrum and members of the LGBTQ+ community.
(414) 875-3820 View (414) 875-3820

See more therapy options for 53069

How does your Therapist compare?

Number of Therapists in 53069

10+

Average cost per session

$140

Therapists in 53069 who prioritize treating:

93% Depression
93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
79% Trauma and PTSD
79% Complex PTSD

Average years in practice

11 Years

Top 3 insurances accepted

100% Aetna
93% The Alliance
93% Cigna and Evernorth

How Therapists in 53069 see their clients

93% In Person and Online
7% Online Only

Gender breakdown

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

How can I find a therapist in 53069?

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.