Photo of Timothy Blanton, LPC, MA, Licensed Professional Counselor
Timothy Blanton
Licensed Professional Counselor, LPC, MA
Verified Verified
Serves Area
In a nut shell, I care about people and have a desire to help others on their quest for healing, wholeness, and reaching their full potential. Life can be hard and sometimes we need a helping hand to navigate the murky waters, and that's okay. Respect for others and empathy in their circumstances is paramount in this profession and I keep that in mind in all situations.
In a nut shell, I care about people and have a desire to help others on their quest for healing, wholeness, and reaching their full potential. Life can be hard and sometimes we need a helping hand to navigate the murky waters, and that's okay. Respect for others and empathy in their circumstances is paramount in this profession and I keep that in mind in all situations.
(573) 367-5015 View (573) 367-5015

More Therapists Nearby

Photo of Andrea Wiele, MS, PLPC, Pre-Licensed Professional
Andrea Wiele
Pre-Licensed Professional, MS, PLPC
Verified Verified
2 Endorsed
Columbia, MO 65203
Do you find yourself struggling through day-to-day life? Whether you’re going through a big life transition such as a divorce or a new baby, or you find yourself anxious or depressed for a reason you can’t seem to figure out, you may need someone to help. I can walk with you through the ups and downs of your life, listening without judgment and helping you get to the root of the issue.
Do you find yourself struggling through day-to-day life? Whether you’re going through a big life transition such as a divorce or a new baby, or you find yourself anxious or depressed for a reason you can’t seem to figure out, you may need someone to help. I can walk with you through the ups and downs of your life, listening without judgment and helping you get to the root of the issue.
(573) 299-0943 View (573) 299-0943
Photo of Sara Thompson, MS, LPC, NCC, Licensed Professional Counselor
Sara Thompson
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Serves Area
I understand the importance of taking a holistic approach to mental health and wellness. I am passionate about helping individuals, couples and families improve their overall well-being by addressing not just their mental health concerns, but also their physical, emotional and spiritual needs. This approach recognizes that mental health is an integral part of overall wellness and that it is important to take care of the whole person to achieve optimal health.
I understand the importance of taking a holistic approach to mental health and wellness. I am passionate about helping individuals, couples and families improve their overall well-being by addressing not just their mental health concerns, but also their physical, emotional and spiritual needs. This approach recognizes that mental health is an integral part of overall wellness and that it is important to take care of the whole person to achieve optimal health.
(417) 660-2342 View (417) 660-2342
Photo of Kindra Krietemeyer, Clinical Social Work/Therapist
Kindra Krietemeyer
Clinical Social Work/Therapist
Verified Verified
Online Only
Are you needing someone to help you process and manage your anxiety, depression, trauma, stress, work-life balance, grief, or mood? Are you wanting to learn coping skills, how to set boundaries, or how to better manage your mental health? Therapy is not a one size fits all, and it is my goal to help you feel better by working just as hard as you do and tailoring your treatment to you. You will find I will help you learn more about yourself. I will teach you how to use that knowledge; empowering you to take control over your mental health and wellness.
Are you needing someone to help you process and manage your anxiety, depression, trauma, stress, work-life balance, grief, or mood? Are you wanting to learn coping skills, how to set boundaries, or how to better manage your mental health? Therapy is not a one size fits all, and it is my goal to help you feel better by working just as hard as you do and tailoring your treatment to you. You will find I will help you learn more about yourself. I will teach you how to use that knowledge; empowering you to take control over your mental health and wellness.
(314) 697-4804 View (314) 697-4804
Photo of Alexa Robinson, MA, LPC, Licensed Professional Counselor
Alexa Robinson
Licensed Professional Counselor, MA, LPC
Verified Verified
I've witnessed firsthand the transformative power of counseling in fostering resilience and personal growth. My approach is grounded in empathy and cultural sensitivity, creating a safe space where clients can explore their emotions, challenges, and aspirations freely. Whether you're navigating the complexities of adolescence, grappling with the pressures of young adulthood, or seeking clarity amidst life's transitions, I am here to support and guide you.
I've witnessed firsthand the transformative power of counseling in fostering resilience and personal growth. My approach is grounded in empathy and cultural sensitivity, creating a safe space where clients can explore their emotions, challenges, and aspirations freely. Whether you're navigating the complexities of adolescence, grappling with the pressures of young adulthood, or seeking clarity amidst life's transitions, I am here to support and guide you.
(573) 770-3861 View (573) 770-3861
Photo of Suzan Franck, MEd, MSW, LCSW, Clinical Social Work/Therapist
Suzan Franck
Clinical Social Work/Therapist, MEd, MSW, LCSW
Verified Verified
2 Endorsed
Serves Area
Jungian analytic work understands that life is unpredictable. Everyone struggles at some point in life. Sometimes the accompanying suffering tears at the very fabric of our understanding of ourselves and how we fit in the world. Life no longer makes sense. Life is not the way you thought it would be or should be. Unbidden desires, anxieties or depression come in to interfere with your ability to live the life you want. Others in your life behave in ways that disrupt your peace of mind and ability to live a meaningful life. Issues you thought you had dealt with long ago resurface in the present.
Jungian analytic work understands that life is unpredictable. Everyone struggles at some point in life. Sometimes the accompanying suffering tears at the very fabric of our understanding of ourselves and how we fit in the world. Life no longer makes sense. Life is not the way you thought it would be or should be. Unbidden desires, anxieties or depression come in to interfere with your ability to live the life you want. Others in your life behave in ways that disrupt your peace of mind and ability to live a meaningful life. Issues you thought you had dealt with long ago resurface in the present.
(573) 535-5614 View (573) 535-5614
Photo of Bethany Wybert, LPC, Counselor
Bethany Wybert
Counselor, LPC
Verified Verified
Serves Area
You’re feeling broken. I can help you pick up the pieces. You want more out of life. Maybe you want a more healthy, vibrant marriage. Maybe you want to let go of anger and resentments from past traumas that are stealing your peace and joy today. Maybe you want to say “no” more-without feeling guilty. You are not your problems. You are full of possibilities that are just waiting to be discovered.
You’re feeling broken. I can help you pick up the pieces. You want more out of life. Maybe you want a more healthy, vibrant marriage. Maybe you want to let go of anger and resentments from past traumas that are stealing your peace and joy today. Maybe you want to say “no” more-without feeling guilty. You are not your problems. You are full of possibilities that are just waiting to be discovered.
(573) 488-5811 View (573) 488-5811
Photo of Alwyn Whitehead, Psychologist
Alwyn Whitehead
Psychologist
Verified Verified
Online Only
I am a married father of 3 children (adults now) and 9 grandchildren.Regular Army veteran of 3 years. Life is good now, in spite of many challenges (which have helped me to better understand my client's difficulties!). The biggest challenge was overcoming an addiction to alcohol 42 years ago. There have also been divorces and marriages with estrangement of children and then reconcilliation with them. I have had successful businesses and failed ones. When I was a 50-year-old, I re-entered college and finished my doctorate 7 years later.
I am a married father of 3 children (adults now) and 9 grandchildren.Regular Army veteran of 3 years. Life is good now, in spite of many challenges (which have helped me to better understand my client's difficulties!). The biggest challenge was overcoming an addiction to alcohol 42 years ago. There have also been divorces and marriages with estrangement of children and then reconcilliation with them. I have had successful businesses and failed ones. When I was a 50-year-old, I re-entered college and finished my doctorate 7 years later.
(573) 490-2406 View (573) 490-2406
Photo of Jordan Cera, MA, LMFT, AAMFT, Marriage & Family Therapist
Jordan Cera
Marriage & Family Therapist, MA, LMFT, AAMFT
Verified Verified
Serves Area
Do you feel misunderstood, unseen, stuck in life, and/or lonely? I have been practicing therapy for nearly a decade and offer support in processing emotional pain and unpleasant feelings/thoughts. If you are experiencing anxiety/depression/nightmares/phobias, you’re in the right place. Together, we will develop tools & coping skills that help to lessen your daily struggles/worries. Talk therapy offers space to process emotions, increase self-esteem, and improve communication skills. Start healing today.
Do you feel misunderstood, unseen, stuck in life, and/or lonely? I have been practicing therapy for nearly a decade and offer support in processing emotional pain and unpleasant feelings/thoughts. If you are experiencing anxiety/depression/nightmares/phobias, you’re in the right place. Together, we will develop tools & coping skills that help to lessen your daily struggles/worries. Talk therapy offers space to process emotions, increase self-esteem, and improve communication skills. Start healing today.
(573) 837-1663 View (573) 837-1663
Photo of Callie Scholting, Pre-Licensed Professional
Callie Scholting
Pre-Licensed Professional
Verified Verified
Columbia, MO 65203
My professional goals are to be curious, gain practical experience utilizing person-centered play therapy skills and techniques, apply my prior knowledge as a behavior technician and from graduate courses, and learn from my co-workers and supervisors. I am interested in working with neurodiverse children and adolescents, parenting, parents’ mental health, women’s mental health, and specific mental health challenges such as anxiety, autism, learning differences, and ADHD. I have experience working with anxiety, autism, ADHD, life transitions, depression, and self-esteem.
My professional goals are to be curious, gain practical experience utilizing person-centered play therapy skills and techniques, apply my prior knowledge as a behavior technician and from graduate courses, and learn from my co-workers and supervisors. I am interested in working with neurodiverse children and adolescents, parenting, parents’ mental health, women’s mental health, and specific mental health challenges such as anxiety, autism, learning differences, and ADHD. I have experience working with anxiety, autism, ADHD, life transitions, depression, and self-esteem.
View
Photo of LeAnna Fowlds, LCSW, Clinical Social Work/Therapist
LeAnna Fowlds
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
You need relief from depression, anxiety, relationships, and trauma. You have come to the right place! You now have an amazing team that will immediately get you into services to meet your needs. We want to help you live your best life. We will work with you to seek healing and relief from the pain you are experiencing. Don't wait another moment call today, Stephanie or I will help you to begin living your best life.
You need relief from depression, anxiety, relationships, and trauma. You have come to the right place! You now have an amazing team that will immediately get you into services to meet your needs. We want to help you live your best life. We will work with you to seek healing and relief from the pain you are experiencing. Don't wait another moment call today, Stephanie or I will help you to begin living your best life.
(573) 577-3601 View (573) 577-3601
Photo of Kate Kolb, MSW, LCSW, Clinical Social Work/Therapist
Kate Kolb
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
I am passionate about helping adolescents and adults find healing and personal growth. As someone who entered my first counseling session in 2012, I understand the anxiety and fear of putting yourself out there to begin working with a therapist on issues that are personal and unique to you. I strive to help all of my clients feel safe, comfortable, and always offer a judgement free zone. That being said, I may not always say what you want to hear. I may offer a gentle push or assist you in recognizing some behavioral patterns that are holding you back. We all have them! I'm excited to walk next to you on your journey for growth!
I am passionate about helping adolescents and adults find healing and personal growth. As someone who entered my first counseling session in 2012, I understand the anxiety and fear of putting yourself out there to begin working with a therapist on issues that are personal and unique to you. I strive to help all of my clients feel safe, comfortable, and always offer a judgement free zone. That being said, I may not always say what you want to hear. I may offer a gentle push or assist you in recognizing some behavioral patterns that are holding you back. We all have them! I'm excited to walk next to you on your journey for growth!
(573) 227-5663 View (573) 227-5663
Photo of Bethany Nunnelly, Licensed Professional Counselor
Bethany Nunnelly
Licensed Professional Counselor
Verified Verified
2 Endorsed
Columbia, MO 65203
Life is full of many ups, downs, and in-betweens. It is challenging and even devastating. If you are in a place in your life that is difficult, counseling can be helpful. A key part of counseling is the therapeutic relationship established between client and therapist. I will give you a safe space where you can come as you are, without judgement, to feel seen and heard. I believe in slowing down and looking at the emotions we hold. Our emotions are important in guiding us in life with our belief systems.
Life is full of many ups, downs, and in-betweens. It is challenging and even devastating. If you are in a place in your life that is difficult, counseling can be helpful. A key part of counseling is the therapeutic relationship established between client and therapist. I will give you a safe space where you can come as you are, without judgement, to feel seen and heard. I believe in slowing down and looking at the emotions we hold. Our emotions are important in guiding us in life with our belief systems.
(573) 415-8449 View (573) 415-8449
Photo of Rick H Lancaster, MEd, Licensed Professional Counselor
Rick H Lancaster
Licensed Professional Counselor, MEd
Verified Verified
2 Endorsed
I have a new website. People ask, why do I feel a lack of energy to even do the simplest things? I know what that is like. Self regulation, mental anguish and confusion may not improve on its own. Identifiable symptoms include memory loss, overthinking, avoidance, emptiness, sadness, panic attacks, and more. So, let’s take a step! I would ask you to fill out an assessment to help identify the problem that brought you to counseling. Once the problem is identified, I would like to help you develop measurable and productive mental health goals. With your goals we can look at your strengths and a pathways to foster healing and hope.
I have a new website. People ask, why do I feel a lack of energy to even do the simplest things? I know what that is like. Self regulation, mental anguish and confusion may not improve on its own. Identifiable symptoms include memory loss, overthinking, avoidance, emptiness, sadness, panic attacks, and more. So, let’s take a step! I would ask you to fill out an assessment to help identify the problem that brought you to counseling. Once the problem is identified, I would like to help you develop measurable and productive mental health goals. With your goals we can look at your strengths and a pathways to foster healing and hope.
(573) 641-8317 View (573) 641-8317
Photo of Patricia Alewel, MS, LCSW, Clinical Social Work/Therapist
Patricia Alewel
Clinical Social Work/Therapist, MS, LCSW
Verified Verified
Are you feeling stuck and confused about how to manage stress in your life? Do you have a problem(s)/decision(s) that you are not sure how to resolve? Sometimes the thought of seeking a therapist can be scary and intimidating. You may discover, it can ease the struggles that often appear in one's life. I have been a clinician for over 20 yrs with experience from a variety of settings, such as, private practice, in-patient and outpatient behavioral health. I am dedicated to making your journey easier. Whether you are faced with a daily stressor or have major concerns, I am here to support you to find comfort and solutions regarding your challenges.
Are you feeling stuck and confused about how to manage stress in your life? Do you have a problem(s)/decision(s) that you are not sure how to resolve? Sometimes the thought of seeking a therapist can be scary and intimidating. You may discover, it can ease the struggles that often appear in one's life. I have been a clinician for over 20 yrs with experience from a variety of settings, such as, private practice, in-patient and outpatient behavioral health. I am dedicated to making your journey easier. Whether you are faced with a daily stressor or have major concerns, I am here to support you to find comfort and solutions regarding your challenges.
(573) 284-8225 View (573) 284-8225
Photo of Angela Pearman, MEd, Pre-Licensed Professional
Angela Pearman
Pre-Licensed Professional, MEd
Verified Verified
2 Endorsed
Columbia, MO 65203
Hi, I’m Angela. My specialty is guiding adults through difficult life transitions. I can help you through the stress and anxiety of a career change, divorce, a move, a new role or identity, or the ending of an era. I’m especially experienced and passionate about helping women through the menopausal transition. These transitions are often met with loss of identity, anxiety, loneliness, stigma or dismissal, where women feel lost, overwhelmed and misunderstood. I’m deeply committed to empowering others, helping them rediscover their identities and values in the midst of a significant life change, as well as developing coping skills.
Hi, I’m Angela. My specialty is guiding adults through difficult life transitions. I can help you through the stress and anxiety of a career change, divorce, a move, a new role or identity, or the ending of an era. I’m especially experienced and passionate about helping women through the menopausal transition. These transitions are often met with loss of identity, anxiety, loneliness, stigma or dismissal, where women feel lost, overwhelmed and misunderstood. I’m deeply committed to empowering others, helping them rediscover their identities and values in the midst of a significant life change, as well as developing coping skills.
(573) 284-3456 View (573) 284-3456
Photo of Dala Hemeyer, MSW, LCSW, Clinical Social Work/Therapist
Dala Hemeyer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Online Only
Does your life feel like a performance? Like you're constantly striving to "do it all and have it all" all while making it look effortless? If people knew how you felt, they'd find you stressed, worried, burned out, overwhelmed, irritable, disconnected, or depressed. Has the grind of life left your feeling defeated and disappointment but you life with the pressure that “the show must go on?" I say: “Eff. That!”. When you work with me we prioritize purpose, meaning, and intentional living . I believe you can HAVE it all without DOING it all.
Does your life feel like a performance? Like you're constantly striving to "do it all and have it all" all while making it look effortless? If people knew how you felt, they'd find you stressed, worried, burned out, overwhelmed, irritable, disconnected, or depressed. Has the grind of life left your feeling defeated and disappointment but you life with the pressure that “the show must go on?" I say: “Eff. That!”. When you work with me we prioritize purpose, meaning, and intentional living . I believe you can HAVE it all without DOING it all.
(573) 345-2485 View (573) 345-2485
Photo of Barbara J. Scott, PLPC, NCC, MSCC, Pre-Licensed Professional
Barbara J. Scott
Pre-Licensed Professional, PLPC, NCC, MSCC
Verified Verified
Columbia, MO 65203
Counseling is a wonderful investment in yourself and your relationships, but finding the right counselor is tough. I provide a safe space for clients to pause, reflect, feel, and find their way... Struggling with anxiety, relationship conflict/divorce, loneliness, grief, loss, or major life changes? I bring a depth of life experience and professional training in communication, grief/loss counseling, taming anxiety, & de-escalating/healing relationships. I bring an open, caring, inquisitive, and deeply compassionate presence to our time together. I'm here to sit with you—sometimes to challenge you—but always to truly listen.
Counseling is a wonderful investment in yourself and your relationships, but finding the right counselor is tough. I provide a safe space for clients to pause, reflect, feel, and find their way... Struggling with anxiety, relationship conflict/divorce, loneliness, grief, loss, or major life changes? I bring a depth of life experience and professional training in communication, grief/loss counseling, taming anxiety, & de-escalating/healing relationships. I bring an open, caring, inquisitive, and deeply compassionate presence to our time together. I'm here to sit with you—sometimes to challenge you—but always to truly listen.
(573) 515-2986 View (573) 515-2986
Photo of Marilyn Coffman - Answers Through Christian Counseling, LLC, MA, LPC, Licensed Professional Counselor
Answers Through Christian Counseling, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Eldon, MO 65026
I have over 36 years experience treating depression and anxiety. I believe that depression/anxiety often has root causes from childhood abuse of a verbal, sexual or physical nature or perhaps regrets resulting from your own choices. I have successfully treated all kinds of PTSD, post abortion syndrome, sexual identity issues, anger, and grief through loss. I help married women to learn to live with difficult husbands when divorce is not their option. I help couples to resolve conflict and learn to live in love and respect.
I have over 36 years experience treating depression and anxiety. I believe that depression/anxiety often has root causes from childhood abuse of a verbal, sexual or physical nature or perhaps regrets resulting from your own choices. I have successfully treated all kinds of PTSD, post abortion syndrome, sexual identity issues, anger, and grief through loss. I help married women to learn to live with difficult husbands when divorce is not their option. I help couples to resolve conflict and learn to live in love and respect.
(314) 485-4723 View (314) 485-4723
Photo of Christina Spies, Clinical Social Work/Therapist
Christina Spies
Clinical Social Work/Therapist
Verified Verified
Online Only
Hello and welcome. I'm a Licensed Clinical Social Worker with over 10 years of experience in social work. I am an English speaker but understand Patoi as well. I have particular focus and education in trauma treatment and substance use. I hold an additional license as a Clinical Addictions Specialist. I am trained in trauma interventions to include Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Processing Therapy (CPT). My theoretical background is heavily taken from attachment theories and the importance of recognizing relationships as necessary for healing and developmen.
Hello and welcome. I'm a Licensed Clinical Social Worker with over 10 years of experience in social work. I am an English speaker but understand Patoi as well. I have particular focus and education in trauma treatment and substance use. I hold an additional license as a Clinical Addictions Specialist. I am trained in trauma interventions to include Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Processing Therapy (CPT). My theoretical background is heavily taken from attachment theories and the importance of recognizing relationships as necessary for healing and developmen.
(573) 685-4325 View (573) 685-4325

How does your Therapist compare?

Number of Therapists in 65074

< 10

Therapists in 65074 who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Child
100% ADHD
100% Parenting
100% Spirituality

Average years in practice

10 Years

Top 3 insurances accepted

100% Cigna and Evernorth
100% Humana
100% Medicaid

How Therapists in 65074 see their clients

100% In Person and Online

Gender breakdown

100% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 65074?

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.