Therapists in 55420

Photo of Amy Krueger, Counselor, MA, LPCC, LCMHC
Amy Krueger
Counselor, MA, LPCC, LCMHC
Online Only
As a former wilderness guide, and current Licensed Professional Clinical Counselor, I am dedicated to helping people take the difficult steps necessary to achieve meaningful change in their lives. I have experience working with a wide range of mental and chemical health challenges. My specialties include mood disorders, anxiety, self-esteem issues, navigating personal/professional changes, and recovery from addiction. I also have a great passion for supporting parents dealing with perinatal mood and anxiety disorders and more recently have become interested in supporting women through perimenopause.
As a former wilderness guide, and current Licensed Professional Clinical Counselor, I am dedicated to helping people take the difficult steps necessary to achieve meaningful change in their lives. I have experience working with a wide range of mental and chemical health challenges. My specialties include mood disorders, anxiety, self-esteem issues, navigating personal/professional changes, and recovery from addiction. I also have a great passion for supporting parents dealing with perinatal mood and anxiety disorders and more recently have become interested in supporting women through perimenopause.
(763) 600-7132 View (763) 600-7132
Photo of Patrick Tallon Schulte, Licensed Professional Counselor, MA, LPC
Patrick Tallon Schulte
Licensed Professional Counselor, MA, LPC
Bloomington, MN 55420
People seeking counseling may be troubled by 'external' challenges such as having to deal with difficult people or contend with serious financial issues. Or, problems may lie within the self--you may be stuck in patterns of feeling or behavior that sabotage your pursuit of happiness. Mostly, those entering counseling face both kinds of challenges. If you were to work with me, we would clearly identify and prioritize problems, choose appropriate strategies, and take action to resolve problems. We'll usually work extensively on thoughts and feelings before easing into behavior change.
People seeking counseling may be troubled by 'external' challenges such as having to deal with difficult people or contend with serious financial issues. Or, problems may lie within the self--you may be stuck in patterns of feeling or behavior that sabotage your pursuit of happiness. Mostly, those entering counseling face both kinds of challenges. If you were to work with me, we would clearly identify and prioritize problems, choose appropriate strategies, and take action to resolve problems. We'll usually work extensively on thoughts and feelings before easing into behavior change.
(612) 564-6367 View (612) 564-6367
Photo of Kristof Chara, Pre-Licensed Professional, MA
Kristof Chara
Pre-Licensed Professional, MA
Online Only
Immediate Openings! I want to guide people into becoming the greatest version of themselves. Many people become stuck in their development because they have encountered a blocker. A blocker in their performance. A blocker in their self discovery. Many people get stuck because they are living in a story that someone else has written for them, or that they wrote for themselves long ago and have not discarded. We can write our own story right now! You can get the most out your unique potential or discover parts of yourself that you have been unable or unwilling to encounter. I can help guide your own process of growth and healing.
Immediate Openings! I want to guide people into becoming the greatest version of themselves. Many people become stuck in their development because they have encountered a blocker. A blocker in their performance. A blocker in their self discovery. Many people get stuck because they are living in a story that someone else has written for them, or that they wrote for themselves long ago and have not discarded. We can write our own story right now! You can get the most out your unique potential or discover parts of yourself that you have been unable or unwilling to encounter. I can help guide your own process of growth and healing.
(651) 615-8304 View (651) 615-8304
Photo of Kay Cooper, Marriage & Family Therapist, LMFT
Kay Cooper
Marriage & Family Therapist, LMFT
1 Endorsed
Online Only
I specialize in dealing with the impact of depression, anxiety, grief and trauma that alters client’s lives. I help individuals, couples and families identify and work through abandonment and early attachment injuries to prevent current and future toxic relationship patterns. I am passionate about practicing a culturally specific and holistic approach to therapy.
I specialize in dealing with the impact of depression, anxiety, grief and trauma that alters client’s lives. I help individuals, couples and families identify and work through abandonment and early attachment injuries to prevent current and future toxic relationship patterns. I am passionate about practicing a culturally specific and holistic approach to therapy.
(952) 592-7949 View (952) 592-7949
Photo of Eugenia T Apaza - Esperanza Para Familias LLC, Clinical Social Work/Therapist, LICSW
Esperanza Para Familias LLC
Clinical Social Work/Therapist, LICSW
Bloomington, MN 55420
My motivation for becoming a clinical social work came about from my past experiences growing up. During my adolescent years I both witnessed and experienced families in crisis. This had a profound effect on me and after a process I have come to realize that my passion lies in helping people who are less advantaged. By listening, understanding, helping, and inspiring hope we can make differences in people's life.
My motivation for becoming a clinical social work came about from my past experiences growing up. During my adolescent years I both witnessed and experienced families in crisis. This had a profound effect on me and after a process I have come to realize that my passion lies in helping people who are less advantaged. By listening, understanding, helping, and inspiring hope we can make differences in people's life.
(952) 856-8691 View (952) 856-8691
Photo of Jesse Ellis, Marriage & Family Therapist, MA, LMFT
Jesse Ellis
Marriage & Family Therapist, MA, LMFT
Online Only
Not accepting new clients
I'm a Licensed Marriage & Family Therapist but that doesn't mean I only work with married couples or families! It means I have extensive training on how relationships & environments affect our mental & emotional health. I work with individuals, couples, & families of all cultures, including adults, teenagers, & children. I find satisfaction in helping people navigate through difficult life transitions & I strive to create an environment that is accepting & nonjudgmental.
I'm a Licensed Marriage & Family Therapist but that doesn't mean I only work with married couples or families! It means I have extensive training on how relationships & environments affect our mental & emotional health. I work with individuals, couples, & families of all cultures, including adults, teenagers, & children. I find satisfaction in helping people navigate through difficult life transitions & I strive to create an environment that is accepting & nonjudgmental.
(612) 887-2734 x3 View (612) 887-2734 x3
Elliott Manago-Lawler (Odendahl)
Clinical Social Work/Therapist, LICSW, PMH-C
Online Only
Do you feel like you’re carrying the weight of trauma— always tense, as if the people around you are walking on eggshells? Are you an adopted person who struggles to connect—even with yourself? Do you know the sting of being “the only one,” wrestling with loss, shame, or the sense that life is out of your control and no one truly understands? To feel whole again, many adoptees and trauma survivors need space to tell the truth of their experience—without judgment, dismissal, or pressure to “move on.” For many, wholeness also means reconnecting—with lost parts of self, with safe others, and with a story that finally makes sense.
Do you feel like you’re carrying the weight of trauma— always tense, as if the people around you are walking on eggshells? Are you an adopted person who struggles to connect—even with yourself? Do you know the sting of being “the only one,” wrestling with loss, shame, or the sense that life is out of your control and no one truly understands? To feel whole again, many adoptees and trauma survivors need space to tell the truth of their experience—without judgment, dismissal, or pressure to “move on.” For many, wholeness also means reconnecting—with lost parts of self, with safe others, and with a story that finally makes sense.
(612) 979-2555 View (612) 979-2555
Photo of Julia Hess, Drug & Alcohol Counselor, MA, LADC, LPCC
Julia Hess
Drug & Alcohol Counselor, MA, LADC, LPCC
3 Endorsed
Bloomington, MN 55420
The shame of not being in control of your life can feel so isolating and anxiety provoking. And the thought of talking about it with someone else can feel paralyzing at times. How did I get here? Why can't I fix this on my own? Why do I keep going back? What is wrong with me? Do I have a drinking problem? Why can't I sleep? Do I need to quit or can I just cut back? Why is my relationship so difficult? These nagging thoughts could go on and on.
The shame of not being in control of your life can feel so isolating and anxiety provoking. And the thought of talking about it with someone else can feel paralyzing at times. How did I get here? Why can't I fix this on my own? Why do I keep going back? What is wrong with me? Do I have a drinking problem? Why can't I sleep? Do I need to quit or can I just cut back? Why is my relationship so difficult? These nagging thoughts could go on and on.
(612) 887-9994 View (612) 887-9994
Photo of Octavia Brown, Licensed Professional Counselor, MA, LPCC
Octavia Brown
Licensed Professional Counselor, MA, LPCC
1 Endorsed
Online Only
Hey! If you’re here, chances are you’re overwhelmed, tired of all the chaos, and just want things to be better-sound about right? Well, take a breath. I got you. Reaching out for therapy is one of the hardest things to do, especially when it feels like you’re alone. You are not alone, in fact you made it all the way to this profile! Look at you, standing on business! I will walk alongside you while you figure things out. Together, we’ll help you feel more grounded, reconnect with yourself, and move through the hard stuff at your own pace.
Hey! If you’re here, chances are you’re overwhelmed, tired of all the chaos, and just want things to be better-sound about right? Well, take a breath. I got you. Reaching out for therapy is one of the hardest things to do, especially when it feels like you’re alone. You are not alone, in fact you made it all the way to this profile! Look at you, standing on business! I will walk alongside you while you figure things out. Together, we’ll help you feel more grounded, reconnect with yourself, and move through the hard stuff at your own pace.
(612) 260-8868 View (612) 260-8868
Photo of Jamie Herman, Clinical Social Work/Therapist, MSW, LGSW, LADC
Jamie Herman
Clinical Social Work/Therapist, MSW, LGSW, LADC
Minneapolis, MN 55420
Hello! I'm so glad you stumbled upon my page. If you have found yourself here you may be wondering what therapy is all about, may be going through one or many of life's various struggles (as we all do), or maybe looking for some self-growth. Vulnerability can be a scary thing, but I truly believe it is what unlocks the doors to healing and allows us to live our lives as our truest, most authentic selves. What's beautiful about the therapeutic process is you are 100% in the driver's seat. I am there to provide an objective perspective to encourage, process, and at times challenge you in ways that you may have not been before.
Hello! I'm so glad you stumbled upon my page. If you have found yourself here you may be wondering what therapy is all about, may be going through one or many of life's various struggles (as we all do), or maybe looking for some self-growth. Vulnerability can be a scary thing, but I truly believe it is what unlocks the doors to healing and allows us to live our lives as our truest, most authentic selves. What's beautiful about the therapeutic process is you are 100% in the driver's seat. I am there to provide an objective perspective to encourage, process, and at times challenge you in ways that you may have not been before.
(952) 266-8759 View (952) 266-8759
Photo of Lauren Adsem, Drug & Alcohol Counselor, MS, LADC, MHP
Lauren Adsem
Drug & Alcohol Counselor, MS, LADC, MHP
2 Endorsed
Bloomington, MN 55420
I’ve been working in the addiction recovery field for over a decade, and in that time, I’ve seen how deeply substance use can affect not just individuals, but their entire support systems. That’s why I work with individuals, couples, and families—because healing is most powerful when it includes everyone impacted. Many of my clients come to therapy feeling disconnected from self or uncertain about what matters most. I offer a grounded, supportive space where you can reconnect with your thoughts and emotions, hear your own voice more clearly, and begin to understand what you truly need.
I’ve been working in the addiction recovery field for over a decade, and in that time, I’ve seen how deeply substance use can affect not just individuals, but their entire support systems. That’s why I work with individuals, couples, and families—because healing is most powerful when it includes everyone impacted. Many of my clients come to therapy feeling disconnected from self or uncertain about what matters most. I offer a grounded, supportive space where you can reconnect with your thoughts and emotions, hear your own voice more clearly, and begin to understand what you truly need.
(952) 592-5890 View (952) 592-5890
Photo of David Karlson, Marriage & Family Therapist, MA, LMFT
David Karlson
Marriage & Family Therapist, MA, LMFT
Online Only
I’m David Karlson—an LMFT with over 17 years of experience helping individuals, couples, and families navigate life transitions, anxiety, and relationship challenges. Whether you’re feeling stuck in old patterns, struggling to connect, or trying to find solid ground in the midst of change, therapy can be a space to rediscover your footing. I believe that change is possible when we feel truly seen and supported. I draw from evidence-based approaches to help you move toward clarity, connection, and action. My personal experiences—including nearly 20 years of military service—shapes my practical, resilient perspective.
I’m David Karlson—an LMFT with over 17 years of experience helping individuals, couples, and families navigate life transitions, anxiety, and relationship challenges. Whether you’re feeling stuck in old patterns, struggling to connect, or trying to find solid ground in the midst of change, therapy can be a space to rediscover your footing. I believe that change is possible when we feel truly seen and supported. I draw from evidence-based approaches to help you move toward clarity, connection, and action. My personal experiences—including nearly 20 years of military service—shapes my practical, resilient perspective.
(952) 900-2866 View (952) 900-2866
Photo of Mariya Javed-Payne, Clinical Social Work/Therapist, MSW, LICSW, LADC
Mariya Javed-Payne
Clinical Social Work/Therapist, MSW, LICSW, LADC
7 Endorsed
Bloomington, MN 55420
Waitlist for new clients
Hi! I'm so glad you found my page. I'm a licensed therapist that specializes in trauma, addiction, and ketamine assisted psychotherapy. Clients work with me to engage in deeper, somatic psychotherapy to free themselves from complex traumas, addictions, burdens, and problems that they've not been able to resolve on their own. Those struggling with PTSD, addictions, identity issues, depression, anxiety, or those who have done lots of therapy without achieving the results they want may benefit from the trauma healing intensives that I do. This setting allows us to get to the core of your issues without the limits of a one hour session.
Hi! I'm so glad you found my page. I'm a licensed therapist that specializes in trauma, addiction, and ketamine assisted psychotherapy. Clients work with me to engage in deeper, somatic psychotherapy to free themselves from complex traumas, addictions, burdens, and problems that they've not been able to resolve on their own. Those struggling with PTSD, addictions, identity issues, depression, anxiety, or those who have done lots of therapy without achieving the results they want may benefit from the trauma healing intensives that I do. This setting allows us to get to the core of your issues without the limits of a one hour session.
(952) 209-3257 View (952) 209-3257
Photo of Eric Murtha - Open Fields Therapy PLLC, Clinical Social Work/Therapist, LICSW
Open Fields Therapy PLLC
Clinical Social Work/Therapist, LICSW
Bloomington, MN 55420
At Open Fields Therapy, we understand and support adults who experience anxiety, depressed mood, and relationship difficulties. We all develop patterns of thinking, feeling, and relating to others. Often these patterns have served us in the past. However, during times of stress, loss, or traumatic experience, these patterns may be unhelpful, and we can feel stuck. This is when therapy can make a big difference in feeling better and help us live more effectively. At Open Fields Therapy we seek to understand your unique situation and help to remove the obstacles that interfere with living out the values that are important to you.
At Open Fields Therapy, we understand and support adults who experience anxiety, depressed mood, and relationship difficulties. We all develop patterns of thinking, feeling, and relating to others. Often these patterns have served us in the past. However, during times of stress, loss, or traumatic experience, these patterns may be unhelpful, and we can feel stuck. This is when therapy can make a big difference in feeling better and help us live more effectively. At Open Fields Therapy we seek to understand your unique situation and help to remove the obstacles that interfere with living out the values that are important to you.
(952) 592-9862 View (952) 592-9862
Photo of Brad W Houghton, Psychologist, PsyD, LP
Brad W Houghton
Psychologist, PsyD, LP
1 Endorsed
Bloomington, MN 55420
Not accepting new clients
Congratulations on getting this far on your journey. I am going to entertain the idea that you are interested in changing aspects of yourself or your life so that you can move towards a personal goal, life satisfaction or general happiness. You have a child or teen you are worried about. We will work as a team and not keep anyone in therapy any longer than is necessary for the goal(s) to be realized. Please be advised that I expect challenging questions and hard work AND want you to want the same.
Congratulations on getting this far on your journey. I am going to entertain the idea that you are interested in changing aspects of yourself or your life so that you can move towards a personal goal, life satisfaction or general happiness. You have a child or teen you are worried about. We will work as a team and not keep anyone in therapy any longer than is necessary for the goal(s) to be realized. Please be advised that I expect challenging questions and hard work AND want you to want the same.
(612) 429-4035 View (612) 429-4035
Photo of Angela Daniels, Pre-Licensed Professional, MA
Angela Daniels
Pre-Licensed Professional, MA
Minneapolis, MN 55420
Many of us struggle with feelings we don't know how to cope with, and behaviors we don't feel good about. Without the appropriate tools you can stay stuck in this cycle. Therapy provides support and a safe space to learn to cope with our challenges and facilitate change in a healthy way. Whether you wish to process issues from the past, address challenges in the present, or focus on a hopeful future - I provide a validating and affirming space to partner with you to reach your goals and gain hope for a better life and equip you with the skills you need to sustain it.
Many of us struggle with feelings we don't know how to cope with, and behaviors we don't feel good about. Without the appropriate tools you can stay stuck in this cycle. Therapy provides support and a safe space to learn to cope with our challenges and facilitate change in a healthy way. Whether you wish to process issues from the past, address challenges in the present, or focus on a hopeful future - I provide a validating and affirming space to partner with you to reach your goals and gain hope for a better life and equip you with the skills you need to sustain it.
(952) 900-7212 View (952) 900-7212
Photo of Trisha Falvey, Marriage & Family Therapist, LMFT
Trisha Falvey
Marriage & Family Therapist, LMFT
1 Endorsed
Bloomington, MN 55420
15+ years experience working with LGBTQ+ individuals, families and those who love them. Certified ADHD Clinical services Provider. Life transitions, Anxiety, Depression, ADHD, Autism, Relationships, Parenting, Parenting higher need kids.
15+ years experience working with LGBTQ+ individuals, families and those who love them. Certified ADHD Clinical services Provider. Life transitions, Anxiety, Depression, ADHD, Autism, Relationships, Parenting, Parenting higher need kids.
(952) 592-0868 View (952) 592-0868
Photo of Kim Oglesby, Drug & Alcohol Counselor, MA, LADC
Kim Oglesby
Drug & Alcohol Counselor, MA, LADC
Bloomington, MN 55420
At Planting Seeds Recovery, I work with adults facing substance use and behavioral addictions (like gaming, shopping, gambling, and food), as well as codependency, religious or cultural trauma, and intergenerational trauma. I have a deep passion for supporting those navigating major life transitions—whether that’s empty nesting, retirement, divorce, or simply the question of “what now?” In a world that often overlooks the complexities of aging, I provide a space where clients can explore their evolving identities with curiosity, self-compassion, and renewed purpose.
At Planting Seeds Recovery, I work with adults facing substance use and behavioral addictions (like gaming, shopping, gambling, and food), as well as codependency, religious or cultural trauma, and intergenerational trauma. I have a deep passion for supporting those navigating major life transitions—whether that’s empty nesting, retirement, divorce, or simply the question of “what now?” In a world that often overlooks the complexities of aging, I provide a space where clients can explore their evolving identities with curiosity, self-compassion, and renewed purpose.
(952) 260-5908 View (952) 260-5908
Photo of Jan Weber - Therapy Place Services LLC, Clinical Social Work/Therapist, MSW, LICSW
Therapy Place Services LLC
Clinical Social Work/Therapist, MSW, LICSW
Bloomington, MN 55420
I work with people who are interested in holistic health and traditional methods. I see motivated folx who invest in getting better by working outside sessions. I see people from difficult families, with mood, career, family, couple, chronic medical/cancer, obsessive/compulsive, attention, spiritual issues, and people who want to be more successful in relationships and with themselves. I see adults and elders, people from various cultures, countries and religions. I offer Saturday and evening appointments. I research concerns and network with holistic health professionals for your needs.
I work with people who are interested in holistic health and traditional methods. I see motivated folx who invest in getting better by working outside sessions. I see people from difficult families, with mood, career, family, couple, chronic medical/cancer, obsessive/compulsive, attention, spiritual issues, and people who want to be more successful in relationships and with themselves. I see adults and elders, people from various cultures, countries and religions. I offer Saturday and evening appointments. I research concerns and network with holistic health professionals for your needs.
(952) 679-6924 View (952) 679-6924
Photo of Mikaela K. Ward, Pre-Licensed Professional
Mikaela K. Ward
Pre-Licensed Professional
Bloomington, MN 55420
Waitlist for new clients
It is difficult walking through life with feelings of anxiety, depression, and negative self beliefs that pull you from being present in your every day life. I believe therapy is a courageous step towards self understanding and I would love to walk this journey with you. Many of my clients experience relational problems, the weight of social comparison, trauma, and/or struggling with major decisions - all which have an impact on their life.
It is difficult walking through life with feelings of anxiety, depression, and negative self beliefs that pull you from being present in your every day life. I believe therapy is a courageous step towards self understanding and I would love to walk this journey with you. Many of my clients experience relational problems, the weight of social comparison, trauma, and/or struggling with major decisions - all which have an impact on their life.
(763) 496-4996 View (763) 496-4996

See more therapy options for 55420

How does your Therapist compare?

Number of Therapists in 55420

90+

Average cost per session

$175

Therapists in 55420 who prioritize treating:

96% Anxiety
91% Depression
86% Relationship Issues
82% Self Esteem
81% Trauma and PTSD
70% Coping Skills
69% Stress

Average years in practice

12 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
75% HealthPartners of MN and WI
73% Aetna

How Therapists in 55420 see their clients

76% In Person and Online
24% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 55420?

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.