Therapists in 68110

Photo of Misty A Gasa - Gasa Therapy LLC, Clinical Social Work/Therapist, LCSW, LIMHP
Gasa Therapy LLC
Clinical Social Work/Therapist, LCSW, LIMHP
2 Endorsed
Serves Area
I offer trauma-informed care; I am an EMDR-Certified Therapist & Consultant, Life Coach and Hypnotherapist. I offer telehealth and in-person sessions as my schedule allows. I also offer supervision to students and provisionally licensed practitioners and consultation for EMDR. Please reach out to me if you are looking for this kind of support.
I offer trauma-informed care; I am an EMDR-Certified Therapist & Consultant, Life Coach and Hypnotherapist. I offer telehealth and in-person sessions as my schedule allows. I also offer supervision to students and provisionally licensed practitioners and consultation for EMDR. Please reach out to me if you are looking for this kind of support.
(402) 347-7034 View (402) 347-7034
Photo of James Leonard Holt - James Holt LIMHP, Clinical Social Work/Therapist, LIMHP, LCSW, LISW, CADC
James Holt LIMHP
Clinical Social Work/Therapist, LIMHP, LCSW, LISW, CADC
1 Endorsed
Serves Area
I am a clinician with 30 years of experience helping clients with emotional, developmental, and traumatic issues. I take a solution-focused, strength-based, humanistic approach, empowering clients to be the best they want to be. I help clients with anxiety, relationship struggles. I emphasize helping clients with developing health coping strategies. I empower the client to focus on their strengths and their goals to heal .
I am a clinician with 30 years of experience helping clients with emotional, developmental, and traumatic issues. I take a solution-focused, strength-based, humanistic approach, empowering clients to be the best they want to be. I help clients with anxiety, relationship struggles. I emphasize helping clients with developing health coping strategies. I empower the client to focus on their strengths and their goals to heal .
(402) 313-4703 View (402) 313-4703
Photo of Roshawna (Rose) Jackson, Counselor, MS, PLMHP, PLADC
Roshawna (Rose) Jackson
Counselor, MS, PLMHP, PLADC
1 Endorsed
Serves Area
My ideal client are adults or teen who feel overwhelmed by addiction, early recovery, anger, anxiety, depression, or daily stressors. They may feel stuck in survival mode, carrying trauma, systemic stress, or family responsibilities, and are seeking stability, clarity, and healthier coping skills. They want practical tools, emotional support, and a safe, nonjudgmental space to heal, rebuild self-trust, and create meaningful, sustainable change for themselves and their relationships.
My ideal client are adults or teen who feel overwhelmed by addiction, early recovery, anger, anxiety, depression, or daily stressors. They may feel stuck in survival mode, carrying trauma, systemic stress, or family responsibilities, and are seeking stability, clarity, and healthier coping skills. They want practical tools, emotional support, and a safe, nonjudgmental space to heal, rebuild self-trust, and create meaningful, sustainable change for themselves and their relationships.
View
Photo of Natalie Holley, Marriage & Family Therapist, MS, LIMHP, LMFT
Natalie Holley
Marriage & Family Therapist, MS, LIMHP, LMFT
3 Endorsed
Serves Area
I work with individuals and couples who have experienced pain, trauma, stress or family relationship challenges. My approach is warm, collaborative, validating, and low-pressure—I aim to meet you where you’re at during each session. Whether you’re feeling overwhelmed, stuck, anxious, or disconnected, I strive to create a space where you feel safe, understood, and supported. Therapy with me has an approachable and laid-back feel while still being intentional. I offer individual and couples therapy, EMDR therapy, anxiety management techniques, relationship support and talk therapy. Therapy in my office is LGBTQ and poly inclusive.
I work with individuals and couples who have experienced pain, trauma, stress or family relationship challenges. My approach is warm, collaborative, validating, and low-pressure—I aim to meet you where you’re at during each session. Whether you’re feeling overwhelmed, stuck, anxious, or disconnected, I strive to create a space where you feel safe, understood, and supported. Therapy with me has an approachable and laid-back feel while still being intentional. I offer individual and couples therapy, EMDR therapy, anxiety management techniques, relationship support and talk therapy. Therapy in my office is LGBTQ and poly inclusive.
(402) 526-5582 View (402) 526-5582
Photo of LaTaunya Ava Riley - LaTaunya Riley, Licensed Professional Counselor, LADC, LPC, LIMHP
LaTaunya Riley
Licensed Professional Counselor, LADC, LPC, LIMHP
Serves Area
You are 'Not' your problem. What do I mean? Stop identifying yourself by the challenges that have come upon you and led you to seek therapeutic services. There is nothing 'wrong' with you. Instead, 'what happened?' No one has sunk too low that they cannot change. Allow me the opportunity to empower, encourage and support your 'change', Mentally, Physically and Spiritually!
You are 'Not' your problem. What do I mean? Stop identifying yourself by the challenges that have come upon you and led you to seek therapeutic services. There is nothing 'wrong' with you. Instead, 'what happened?' No one has sunk too low that they cannot change. Allow me the opportunity to empower, encourage and support your 'change', Mentally, Physically and Spiritually!
(402) 542-5439 View (402) 542-5439
Photo of Michelle Roberts, Counselor, MS, PLMHP
Michelle Roberts
Counselor, MS, PLMHP
1 Endorsed
Serves Area
Waitlist for new clients
Many of my clients have done everything right. Years of therapy, deep self-awareness, and they still feel stuck in the same patterns. That gap between knowing and changing is where my work lives. I specialize in trauma, AuDHD and neurodivergence, chronic illness and medical trauma, attachment, BPD, grief, perfectionism, people pleasing, family estrangement, and recovery from emotional and narcissistic abuse. As a late-diagnosed AuDHD therapist, I know what it means to navigate systems that weren't built for you. You don't have to perform progress here. I'd be honored to walk alongside you during your healing journey.
Many of my clients have done everything right. Years of therapy, deep self-awareness, and they still feel stuck in the same patterns. That gap between knowing and changing is where my work lives. I specialize in trauma, AuDHD and neurodivergence, chronic illness and medical trauma, attachment, BPD, grief, perfectionism, people pleasing, family estrangement, and recovery from emotional and narcissistic abuse. As a late-diagnosed AuDHD therapist, I know what it means to navigate systems that weren't built for you. You don't have to perform progress here. I'd be honored to walk alongside you during your healing journey.
(402) 771-4683 View (402) 771-4683
Photo of Desiree Daniel, Licensed Professional Counselor, MA, LPC, NCC
Desiree Daniel
Licensed Professional Counselor, MA, LPC, NCC
Online Only
I am a Licensed Professional Counselor and a Nationally Certified Counselor practicing in Texas, Oregon, Nebraska, New Hampshire, Colorado, Wyoming and West Virginia. I use a therapeutic inclusive approach believing there is no "one size fits all" theory. I see my primary role in the therapeutic relationship as providing a safe environment where a client can explore life issues that might be problematic, then collaborate with each client and empower them to reach their full potential.
I am a Licensed Professional Counselor and a Nationally Certified Counselor practicing in Texas, Oregon, Nebraska, New Hampshire, Colorado, Wyoming and West Virginia. I use a therapeutic inclusive approach believing there is no "one size fits all" theory. I see my primary role in the therapeutic relationship as providing a safe environment where a client can explore life issues that might be problematic, then collaborate with each client and empower them to reach their full potential.
(830) 355-6606 View (830) 355-6606
Photo of Christina Chismar, Clinical Social Work/Therapist, MSW, LCSW
Christina Chismar
Clinical Social Work/Therapist, MSW, LCSW
Online Only
You do not have to walk your journey alone. I'm honored to have over 23 years of experience walking alongside life with my clients. Together, we sort out the chaos and figure out the pieces of the puzzle that lead to peace. I believe counseling is not guesswork. When we figure out what is causing the pain and find the solution, we can attain the health, wellness, and peace we seek. I believe understanding how the brain is processing information is one of the keys to understanding the healing journey. When we can understand how a person’s brain is processing information, we can unlock their ability to communicate healthily.
You do not have to walk your journey alone. I'm honored to have over 23 years of experience walking alongside life with my clients. Together, we sort out the chaos and figure out the pieces of the puzzle that lead to peace. I believe counseling is not guesswork. When we figure out what is causing the pain and find the solution, we can attain the health, wellness, and peace we seek. I believe understanding how the brain is processing information is one of the keys to understanding the healing journey. When we can understand how a person’s brain is processing information, we can unlock their ability to communicate healthily.
(737) 387-2051 View (737) 387-2051

More Therapists Nearby

Photo of Alice Spence, Licensed Mental Health Counselor, LMHC, LIMHP
Alice Spence
Licensed Mental Health Counselor, LMHC, LIMHP
Serves Area
I enjoy working with people’s strengths no matter the problems they encounter. I have experience helping those with mood disorders, behavior disorders, grief, trauma, and big life changes. In addition, I have years of play therapy training and work with children of divorce, blended families, adoption, learning disorders and developmental adjustments. Brain development and new discoveries about the brain are one of my areas of interest.
I enjoy working with people’s strengths no matter the problems they encounter. I have experience helping those with mood disorders, behavior disorders, grief, trauma, and big life changes. In addition, I have years of play therapy training and work with children of divorce, blended families, adoption, learning disorders and developmental adjustments. Brain development and new discoveries about the brain are one of my areas of interest.
(712) 372-3709 View (712) 372-3709
Photo of Lori A Wingerter, Counselor, MA, LIMHP, NBCC, LPC
Lori A Wingerter
Counselor, MA, LIMHP, NBCC, LPC
Serves Area
"Life is not the way it's supposed to be. It's the way it is. The way you deal with it is what makes the difference." ~ Virginia Satir. The journey of life is filled with so many "bumps in the road" - illness, loss, family adjustments, physical changes. It can leave you feeling overwhelmed, anxious, depressed and out of balance, making it increasingly difficult to function in daily life. It's important to take the time to recognize and heal the emotional change that accompanies life's unexpected twists and turns. I look forward to walking this path with you...it is an honor.
"Life is not the way it's supposed to be. It's the way it is. The way you deal with it is what makes the difference." ~ Virginia Satir. The journey of life is filled with so many "bumps in the road" - illness, loss, family adjustments, physical changes. It can leave you feeling overwhelmed, anxious, depressed and out of balance, making it increasingly difficult to function in daily life. It's important to take the time to recognize and heal the emotional change that accompanies life's unexpected twists and turns. I look forward to walking this path with you...it is an honor.
(307) 488-4518 View (307) 488-4518
Photo of Erin Talbert, Counselor, LIMHP, LPC, CST
Erin Talbert
Counselor, LIMHP, LPC, CST
2 Endorsed
Omaha, NE 68124
I am an LGBTQ+ Certified Sex Therapist at Erin Talbert Counseling in Omaha, NE. I work with adults, families, couples, and military personnel in my career, and I enjoy every minute. I love seeing the progress individuals and groups make throughout the therapeutic process, and seeing how strong people can be on a daily basis. I enjoy seeing my clients realize they are in charge of their own lives and witnessing the confidence that builds within them.
I am an LGBTQ+ Certified Sex Therapist at Erin Talbert Counseling in Omaha, NE. I work with adults, families, couples, and military personnel in my career, and I enjoy every minute. I love seeing the progress individuals and groups make throughout the therapeutic process, and seeing how strong people can be on a daily basis. I enjoy seeing my clients realize they are in charge of their own lives and witnessing the confidence that builds within them.
(402) 703-2361 View (402) 703-2361
Photo of Susan Walsh, Provisional Mental Health Practitioner, PLMHP, PCMSW
Susan Walsh
Provisional Mental Health Practitioner, PLMHP, PCMSW
2 Endorsed
Omaha, NE 68144
My ideal clients are children, teens, and adults who feel overwhelmed by trauma, anxiety, depression, or major life transitions. Many are used to being the “strong one” but are exhausted from carrying too much alone. They want relief from emotional distress, healthier coping skills, and stronger relationships. They are looking for a safe, steady space to process experiences, understand their reactions, and regain a sense of control, stability, and confidence in their daily lives.
My ideal clients are children, teens, and adults who feel overwhelmed by trauma, anxiety, depression, or major life transitions. Many are used to being the “strong one” but are exhausted from carrying too much alone. They want relief from emotional distress, healthier coping skills, and stronger relationships. They are looking for a safe, steady space to process experiences, understand their reactions, and regain a sense of control, stability, and confidence in their daily lives.
(402) 701-4765 View (402) 701-4765
Photo of Jennifer Martin, Counselor, LIMHP, PC
Jennifer Martin
Counselor, LIMHP, PC
2 Endorsed
Omaha, NE 68137
Welcome! I’m a provisionally licensed mental health professional, EMDR-trained, ego state and IFS-informed therapist passionate about supporting individuals on their journeys to healing and self-discovery. I also have training in dissociation and mindfulness and specialize in managing anxiety, mood disorders, intellectualization, trauma, and more. I work primarily with teens and young adults, including the LGBTQ+ community, providing affirming care and promoting self-compassion. I consider it an honor to be a part of other's healing journeys. I offer telehealth and outpatient services to meet clients’ needs and help them thrive.
Welcome! I’m a provisionally licensed mental health professional, EMDR-trained, ego state and IFS-informed therapist passionate about supporting individuals on their journeys to healing and self-discovery. I also have training in dissociation and mindfulness and specialize in managing anxiety, mood disorders, intellectualization, trauma, and more. I work primarily with teens and young adults, including the LGBTQ+ community, providing affirming care and promoting self-compassion. I consider it an honor to be a part of other's healing journeys. I offer telehealth and outpatient services to meet clients’ needs and help them thrive.
(402) 848-4959 View (402) 848-4959
Photo of María Delia Morales-Santos, Counselor, LMHP
María Delia Morales-Santos
Counselor, LMHP
Omaha, NE 68144
I am a bilingual (English and Spanish) Licensed Mental Health Practitioner in Nebraska with a Master of Science in Clinical Mental Health from the University of Nebraska at Kearney. Drawing on my background as a teacher and school counselor, I support individuals across the lifespan. As a faith-forward therapist, I integrate Christian theology and biblical truth into evidence-based care, helping clients heal, grow, and discover purpose rooted in hope, grace, and restoration.
I am a bilingual (English and Spanish) Licensed Mental Health Practitioner in Nebraska with a Master of Science in Clinical Mental Health from the University of Nebraska at Kearney. Drawing on my background as a teacher and school counselor, I support individuals across the lifespan. As a faith-forward therapist, I integrate Christian theology and biblical truth into evidence-based care, helping clients heal, grow, and discover purpose rooted in hope, grace, and restoration.
(402) 749-5898 View (402) 749-5898
Photo of Jaclyn K Woods, Independent Mental Health Practitioner, MA, LMFT
Jaclyn K Woods
Independent Mental Health Practitioner, MA, LMFT
1 Endorsed
Omaha, NE 68144
I am passionate in supporting a variety of clients including couples in varying stages of marital growth and repair and individuals of all ages processing childhood trauma, anxiety, grief processing, and a variety of mental health needs. My typical client is motivated for change and growth after identifying areas in their life they are wanting to change or improve. I love to be a support, empathizer, and encourager as you navigate the personal goals you have set for your growth and healing.
I am passionate in supporting a variety of clients including couples in varying stages of marital growth and repair and individuals of all ages processing childhood trauma, anxiety, grief processing, and a variety of mental health needs. My typical client is motivated for change and growth after identifying areas in their life they are wanting to change or improve. I love to be a support, empathizer, and encourager as you navigate the personal goals you have set for your growth and healing.
(402) 523-1530 View (402) 523-1530
Photo of Natalie J Storm, Marriage & Family Therapist, LMFT, LMHP, LIMHP
Natalie J Storm
Marriage & Family Therapist, LMFT, LMHP, LIMHP
1 Endorsed
Serves Area
Have you been feeling depressed or anxious? Overwhelmed with life and not sure where to start? Plain and simple, life can be difficult. You don't have to navigate your problems on your own. As your therapist, I will meet you where you are and provide a safe and supportive environment in which you can begin to work towards making meaningful changes in your life. I want you to walk away from each therapy session feeling like you got something out of our time together and that it was valuable to you.
Have you been feeling depressed or anxious? Overwhelmed with life and not sure where to start? Plain and simple, life can be difficult. You don't have to navigate your problems on your own. As your therapist, I will meet you where you are and provide a safe and supportive environment in which you can begin to work towards making meaningful changes in your life. I want you to walk away from each therapy session feeling like you got something out of our time together and that it was valuable to you.
(605) 359-0534 View (605) 359-0534
Photo of Albert Todd Sparks, Counselor, LIMHP
Albert Todd Sparks
Counselor, LIMHP
1 Endorsed
Omaha, NE 68106
“A step may be the beginning of a great journey” In life the first step is always the most difficult for people, the same can be said about therapy. Introducing oneself to someone they just met, trusting a stranger with their thoughts and feelings can be a truly intimidating experience. The purpose of therapy is to provide a safe space for a person to take the first step on the journey of healing and the personal growth that follows. Therapy is fluidic and follows an integrative, and adaptable path determined by the client’s goals.
“A step may be the beginning of a great journey” In life the first step is always the most difficult for people, the same can be said about therapy. Introducing oneself to someone they just met, trusting a stranger with their thoughts and feelings can be a truly intimidating experience. The purpose of therapy is to provide a safe space for a person to take the first step on the journey of healing and the personal growth that follows. Therapy is fluidic and follows an integrative, and adaptable path determined by the client’s goals.
(402) 698-4627 View (402) 698-4627
Photo of Brandy M Soto, Clinical Social Work/Therapist, LICSW, LISW
Brandy M Soto
Clinical Social Work/Therapist, LICSW, LISW
1 Endorsed
Omaha, NE 68114
I am a client-centered and strengths based therapist. I have experience in various programs and settings providing mental health therapy and counseling services to children, adolescents, adults and family systems. Over the years I have worked with individuals seeking support and guidance in a variety of areas; mainly focused in the areas of trauma, anxiety, depression, ADD/ADHD, mood disorders, family dynamics, and social relationships.
I am a client-centered and strengths based therapist. I have experience in various programs and settings providing mental health therapy and counseling services to children, adolescents, adults and family systems. Over the years I have worked with individuals seeking support and guidance in a variety of areas; mainly focused in the areas of trauma, anxiety, depression, ADD/ADHD, mood disorders, family dynamics, and social relationships.
(402) 207-9434 View (402) 207-9434
Photo of Peach Arnegard, Provisional Mental Health Practitioner, PLMHP
Peach Arnegard
Provisional Mental Health Practitioner, PLMHP
Bellevue, NE 68005
Peach Arnegard is a compassionate therapist who brings warmth, curiosity, and lived experience into her work with clients. She grew up in an adoptive home in Auburn, Nebraska, an upbringing that shaped her deep appreciation for resilience, connection, and the many ways families and identities are formed. Patrice earned a degree at the University of Nebraska Omaha, where she developed a strong foundation in understanding human behavior and emotional well-being.
Peach Arnegard is a compassionate therapist who brings warmth, curiosity, and lived experience into her work with clients. She grew up in an adoptive home in Auburn, Nebraska, an upbringing that shaped her deep appreciation for resilience, connection, and the many ways families and identities are formed. Patrice earned a degree at the University of Nebraska Omaha, where she developed a strong foundation in understanding human behavior and emotional well-being.
(402) 771-4756 View (402) 771-4756
Photo of Taina R. Collazo, Provisional Mental Health Practitioner, PhD, PCMSW, PLMHP
Taina R. Collazo
Provisional Mental Health Practitioner, PhD, PCMSW, PLMHP
Omaha, NE 68164
Hello! My name is Taina (ty-ee-na). As a clinician with advanced training (PhD) and clinical credentials (PLMHP, PCMSW), I bring both depth of knowledge and a practical, down-to-earth approach to therapy. I believe therapy should be a space where you can show up as you are—without judgment, pressure, or the need to have everything figured out. My approach is collaborative, grounded, and focused on helping you better understand your experiences so you can move forward with greater clarity and confidence. I specialize in working with individuals navigating anxiety, depression, mood and personality disorders, and life transitions.
Hello! My name is Taina (ty-ee-na). As a clinician with advanced training (PhD) and clinical credentials (PLMHP, PCMSW), I bring both depth of knowledge and a practical, down-to-earth approach to therapy. I believe therapy should be a space where you can show up as you are—without judgment, pressure, or the need to have everything figured out. My approach is collaborative, grounded, and focused on helping you better understand your experiences so you can move forward with greater clarity and confidence. I specialize in working with individuals navigating anxiety, depression, mood and personality disorders, and life transitions.
(402) 703-2385 View (402) 703-2385

See more therapy options for 68110

How does your Therapist compare?

Number of Therapists in 68110

< 10

Therapists in 68110 who prioritize treating:

88% Depression
88% Anxiety
88% Self Esteem
88% Stress
88% Social Anxiety
88% Health Anxiety
88% Driving Anxiety

Average years in practice

19 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
75% Aetna
63% UnitedHealthcare UHC | UBH

How Therapists in 68110 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 68110?

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.