Photo of Ashley Morgan, PLPC
Ashley Morgan
PLPC
Verified Verified
1 Endorsed
Baton Rouge, LA 70809
Welcome! I am a nerdy, neurodivergent counselor who works with clients of all identities, spiritualities, and walks of life. If you desire someone who meets you where you are and fully embraces who you are, then we should connect! We all deserve to have each aspect of ourselves, our identities, and our experiences embraced in the counseling space, and I am honored to provide that space. I see clients ages 5+ and focus mostly on trauma, depression, anxiety, LGBTQ+ identities, and neurodivergence. I embrace humor and authenticity in our work, and I always keep a box of fidgets and art supplies on hand for creative minds.
Welcome! I am a nerdy, neurodivergent counselor who works with clients of all identities, spiritualities, and walks of life. If you desire someone who meets you where you are and fully embraces who you are, then we should connect! We all deserve to have each aspect of ourselves, our identities, and our experiences embraced in the counseling space, and I am honored to provide that space. I see clients ages 5+ and focus mostly on trauma, depression, anxiety, LGBTQ+ identities, and neurodivergence. I embrace humor and authenticity in our work, and I always keep a box of fidgets and art supplies on hand for creative minds.
(225) 777-6534 View (225) 777-6534
Photo of Viveca L. Johnson, MS, NCC, LPC, Licensed Professional Counselor
Viveca L. Johnson
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
3 Endorsed
Baton Rouge, LA 70809
Are you facing a difficult time? Are you stuck in emotional pain and ready to do something about it? Are you dealing with a traumatic event & unclear how to get through it? Are you tired of having unhealthy relationships? Would you like to discover tools to become your best self? Counseling provides the tools and answers to get through these type of difficult questions/circumstances. It is time for you to live your best life!! As a Licensed Professional Counselor with over ten years experience, I would like to take the journey with you in discovering your best life.
Are you facing a difficult time? Are you stuck in emotional pain and ready to do something about it? Are you dealing with a traumatic event & unclear how to get through it? Are you tired of having unhealthy relationships? Would you like to discover tools to become your best self? Counseling provides the tools and answers to get through these type of difficult questions/circumstances. It is time for you to live your best life!! As a Licensed Professional Counselor with over ten years experience, I would like to take the journey with you in discovering your best life.
(225) 395-9992 View (225) 395-9992
Photo of Lindsey Schexnayder, LMSW, Clinical Social Work/Therapist
Lindsey Schexnayder
Clinical Social Work/Therapist, LMSW
Verified Verified
Baton Rouge, LA 70809
Hello! I’m a Licensed Master of Social Work passionate about supporting teens and young adults through life’s challenges. I believe that everyone has the strength to overcome obstacles and find a path to wellness and fulfillment. My approach is compassionate and collaborative, drawing on evidence-based practices to empower you in making positive changes. Whether you’re dealing with overwhelming emotions, facing difficult life changes, or struggling with self-worth, I am here to listen, support, and guide you.
Hello! I’m a Licensed Master of Social Work passionate about supporting teens and young adults through life’s challenges. I believe that everyone has the strength to overcome obstacles and find a path to wellness and fulfillment. My approach is compassionate and collaborative, drawing on evidence-based practices to empower you in making positive changes. Whether you’re dealing with overwhelming emotions, facing difficult life changes, or struggling with self-worth, I am here to listen, support, and guide you.
(225) 523-2485 View (225) 523-2485
Photo of Gidget Fields, LCSW, RPT, Clinical Social Work/Therapist
Gidget Fields
Clinical Social Work/Therapist, LCSW, RPT
Verified Verified
1 Endorsed
Baton Rouge, LA 70809
I am a Licensed Clinical Social Worker (LCSW) in Baton Rouge, Louisiana. My clinical experience has been working with children and adolescents, providing individual, family, and play therapy. I also have extensive experience and specialized training in working with young children (zero to five). My clinical focus with children supports my belief that by fostering healthy social and emotional development and strengthening child-caregiver relationships, clients can and will begin to experience positive change.
I am a Licensed Clinical Social Worker (LCSW) in Baton Rouge, Louisiana. My clinical experience has been working with children and adolescents, providing individual, family, and play therapy. I also have extensive experience and specialized training in working with young children (zero to five). My clinical focus with children supports my belief that by fostering healthy social and emotional development and strengthening child-caregiver relationships, clients can and will begin to experience positive change.
(225) 351-9908 View (225) 351-9908
Photo of Leah Stone, LPC, Licensed Professional Counselor
Leah Stone
Licensed Professional Counselor, LPC
Verified Verified
Baton Rouge, LA 70809  (Online Only)
Are you navigating life's transitions and seeking empowerment? I'm Leah, a Licensed Professional Counselor deeply committed to supporting individuals through their journeys. With a passion for empowering African American women and college students, I create a warm, inclusive environment where all backgrounds are welcomed. Whether you're seeking clarity in your identity or support through life transitions, let's work together to achieve your goals and foster growth.
Are you navigating life's transitions and seeking empowerment? I'm Leah, a Licensed Professional Counselor deeply committed to supporting individuals through their journeys. With a passion for empowering African American women and college students, I create a warm, inclusive environment where all backgrounds are welcomed. Whether you're seeking clarity in your identity or support through life transitions, let's work together to achieve your goals and foster growth.
(225) 325-2800 View (225) 325-2800
Photo of Gill W. Jasmine Jr. - As You Are Therapy and Wellness LLC, LPC, NCC, CCTP, Licensed Professional Counselor
As You Are Therapy and Wellness LLC
Licensed Professional Counselor, LPC, NCC, CCTP
Verified Verified
1 Endorsed
Baton Rouge, LA 70809  (Online Only)
Not accepting new clients
As You Are Therapy and Wellness services focus on meeting the client where they are, whether distressed or in disharmony, by teaching them skills that will help them hold themselves together during difficult times. The treatment modalities foster guidance, support, resilience, and self efficacy. We want to create a non-judgmental space that will assist clients on their journey to acceptance while committing to their journey of unshakable mental tranquility.
As You Are Therapy and Wellness services focus on meeting the client where they are, whether distressed or in disharmony, by teaching them skills that will help them hold themselves together during difficult times. The treatment modalities foster guidance, support, resilience, and self efficacy. We want to create a non-judgmental space that will assist clients on their journey to acceptance while committing to their journey of unshakable mental tranquility.
(225) 412-2371 View (225) 412-2371
Photo of Julie Christman, LPC, Licensed Professional Counselor
Julie Christman
Licensed Professional Counselor, LPC
Verified Verified
Baton Rouge, LA 70809  (Online Only)
Julie Christman is a Licensed Professional Counselor with 10 years experience in the mental health field. She is passionate about helping individuals develop more emotionally healthy skills and relationships. She specializes in depression, anxiety, trauma, anger management, and women's issues. Julie completed a Master of Arts degree in counseling psychology at McNeese State University and obtained her license after completing 3000 hours of counseling practice under supervision. She has been married for 25 years and has 3 children.
Julie Christman is a Licensed Professional Counselor with 10 years experience in the mental health field. She is passionate about helping individuals develop more emotionally healthy skills and relationships. She specializes in depression, anxiety, trauma, anger management, and women's issues. Julie completed a Master of Arts degree in counseling psychology at McNeese State University and obtained her license after completing 3000 hours of counseling practice under supervision. She has been married for 25 years and has 3 children.
(225) 277-8818 View (225) 277-8818
Photo of Samantha Rauber, LPC-S, NCC, PMH-C, Licensed Professional Counselor
Samantha Rauber
Licensed Professional Counselor, LPC-S, NCC, PMH-C
Verified Verified
4 Endorsed
Baton Rouge, LA 70809
Are you a mother feeling overwhelmed? Are you currently pregnant and navigating these intense emotions as you prepare to bring home baby? Are you a new mom and have met some difficult challenges? Was your birth experience not what you expected? Perhaps you are a new dad adjusting to life with a baby. Maybe you are looking for support through the journey of infertility and loss. If you can identify with any of these scenarios and have begun the search for counseling services, know how brave you already are. You will be met without judgement and limitless compassion as you embark on your journey into new parenthood wellness.
Are you a mother feeling overwhelmed? Are you currently pregnant and navigating these intense emotions as you prepare to bring home baby? Are you a new mom and have met some difficult challenges? Was your birth experience not what you expected? Perhaps you are a new dad adjusting to life with a baby. Maybe you are looking for support through the journey of infertility and loss. If you can identify with any of these scenarios and have begun the search for counseling services, know how brave you already are. You will be met without judgement and limitless compassion as you embark on your journey into new parenthood wellness.
(225) 412-6253 View (225) 412-6253
Photo of Alicia H Kelly, LPC, Licensed Professional Counselor
Alicia H Kelly
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Baton Rouge, LA 70809
Waitlist for new clients
Seeking support during a time of need shows courage and strength. I provide a calm, compassionate, and nurturing space so that we may work together to find happiness and peace, whatever your struggles may be.
Seeking support during a time of need shows courage and strength. I provide a calm, compassionate, and nurturing space so that we may work together to find happiness and peace, whatever your struggles may be.
(225) 401-6871 View (225) 401-6871
Photo of Christine Ackermann, LCSW, PMH-C, Clinical Social Work/Therapist
Christine Ackermann
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
4 Endorsed
Baton Rouge, LA 70809
Not accepting new clients
Welcome! Every individual deserves to live their truth and be their most authentic self, and I want to help you do the same. My approach to therapy is an eclectic and flexible mix of strength-based, mindful, and trauma-informed processes. Sessions are tailored to your specific needs and goals, and I practice with gender identity affirmation and inclusivity. I look forward to assisting you in developing the coping skills, tools and confidence to deal with whatever life throws at you.
Welcome! Every individual deserves to live their truth and be their most authentic self, and I want to help you do the same. My approach to therapy is an eclectic and flexible mix of strength-based, mindful, and trauma-informed processes. Sessions are tailored to your specific needs and goals, and I practice with gender identity affirmation and inclusivity. I look forward to assisting you in developing the coping skills, tools and confidence to deal with whatever life throws at you.
(225) 243-1702 View (225) 243-1702
Photo of Crystal M. Manning, LCSW, Clinical Social Work/Therapist
Crystal M. Manning
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Baton Rouge, LA 70809
Do you feel you are at a crossroad in your life, and something needs to change? Are you struggling with identifying unwanted triggers of emotional distress from anxiety, trauma, or a transition in life affecting your mind, body and overall well-being? If you landed here, hopefully this means you are motivated and ready to show up for yourself with curiosity, intention, and self-compassion. Parents are you seeking counseling for your school-age child experiencing a shift in mood and emotions due to transitioning developmental stages (elementary, middle, high school, and open to some implementation of modern-day parenting techniques?
Do you feel you are at a crossroad in your life, and something needs to change? Are you struggling with identifying unwanted triggers of emotional distress from anxiety, trauma, or a transition in life affecting your mind, body and overall well-being? If you landed here, hopefully this means you are motivated and ready to show up for yourself with curiosity, intention, and self-compassion. Parents are you seeking counseling for your school-age child experiencing a shift in mood and emotions due to transitioning developmental stages (elementary, middle, high school, and open to some implementation of modern-day parenting techniques?
(225) 425-7893 View (225) 425-7893
Photo of Hannah Hopkins, LPC, NCC, Licensed Professional Counselor
Hannah Hopkins
Licensed Professional Counselor, LPC, NCC
Verified Verified
Baton Rouge, LA 70809
I am the clinical director at Genesis Behavioral Health Services in the young adult and adolescent intensive outpatient programs. I also see clients on a private practice basis through Genesis Behavioral Health Services. I use a multidimensional approach in counseling to meet clients where they are at and develop individualized treatment plans to work towards their goals. My counseling philosophy is aimed at helping clients utilize their inner strengths to navigate through life struggles and find contentment in their daily living.
I am the clinical director at Genesis Behavioral Health Services in the young adult and adolescent intensive outpatient programs. I also see clients on a private practice basis through Genesis Behavioral Health Services. I use a multidimensional approach in counseling to meet clients where they are at and develop individualized treatment plans to work towards their goals. My counseling philosophy is aimed at helping clients utilize their inner strengths to navigate through life struggles and find contentment in their daily living.
(225) 401-0976 View (225) 401-0976
Photo of Lisa L Lipsey, LCSW, BCD, ACSW, Clinical Social Work/Therapist
Lisa L Lipsey
Clinical Social Work/Therapist, LCSW, BCD, ACSW
Verified Verified
Baton Rouge, LA 70809
Not accepting new clients
I am a licensed clinical social worker with more than 35 years of experience and work with adults and young adults 18 and older. I work with individuals and groups and provide consultation and supervision to other therapists. I tend to be eclectic in my style and tailor it according to the individual and their specific circumstances. I work with a variety of issues, including grief, depression, anxiety and stress, self esteem and self compassion enhancement. I also address relationship concerns, relapse prevention, and work with family members coping with loved ones who have Alzheimer's/dementia and substance abuse disorders.
I am a licensed clinical social worker with more than 35 years of experience and work with adults and young adults 18 and older. I work with individuals and groups and provide consultation and supervision to other therapists. I tend to be eclectic in my style and tailor it according to the individual and their specific circumstances. I work with a variety of issues, including grief, depression, anxiety and stress, self esteem and self compassion enhancement. I also address relationship concerns, relapse prevention, and work with family members coping with loved ones who have Alzheimer's/dementia and substance abuse disorders.
(225) 923-0444 View (225) 923-0444
Photo of Logan Foley, MHS, LPC, Licensed Professional Counselor
Logan Foley
Licensed Professional Counselor, MHS, LPC
Verified Verified
Baton Rouge, LA 70809
Not accepting new clients
A specialist in Anxiety and Mood Disorders, I have over 24 years of experience in the mental health field as a clinical therapist. My ideal client is someone in need of assistance with Anxiety and/or Depression.
A specialist in Anxiety and Mood Disorders, I have over 24 years of experience in the mental health field as a clinical therapist. My ideal client is someone in need of assistance with Anxiety and/or Depression.
(225) 217-2595 View (225) 217-2595
Photo of Katherine Kirsch, LCSW, Clinical Social Work/Therapist
Katherine Kirsch
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Baton Rouge, LA 70809
I earned my MSW in 2019 and am currently a PhD candidate at LSU. As an LCSW, I have worked in many settings, including the Baton Rouge Children’s Advocacy Center, an inpatient adolescent psychiatric unit, private practice, and as an adjunct instructor at LSU. My interests and approaches include trauma-informed care, attachment, play therapy, and parent-child interactions. I am trained and utilize a variety of modalities, including TraumaPlay and Eye Movement Desensitization and Reprocessing (EMDR).
I earned my MSW in 2019 and am currently a PhD candidate at LSU. As an LCSW, I have worked in many settings, including the Baton Rouge Children’s Advocacy Center, an inpatient adolescent psychiatric unit, private practice, and as an adjunct instructor at LSU. My interests and approaches include trauma-informed care, attachment, play therapy, and parent-child interactions. I am trained and utilize a variety of modalities, including TraumaPlay and Eye Movement Desensitization and Reprocessing (EMDR).
(225) 623-4283 View (225) 623-4283
Photo of Johanna Martinez Rink, LPC, NCC, Licensed Professional Counselor
Johanna Martinez Rink
Licensed Professional Counselor, LPC, NCC
Verified Verified
3 Endorsed
Baton Rouge, LA 70809
Are you struggling with anxiety, depression, past trauma, interpersonal/relationship problems, difficult transitions etc.? My goal as a therapist is to help you learn new ways of coping with challenging situations, replace unhealthy patterns/ habits and heal from past experiences. My focus is working with individuals struggling with depression, anxiety, and unresolved trauma.
Are you struggling with anxiety, depression, past trauma, interpersonal/relationship problems, difficult transitions etc.? My goal as a therapist is to help you learn new ways of coping with challenging situations, replace unhealthy patterns/ habits and heal from past experiences. My focus is working with individuals struggling with depression, anxiety, and unresolved trauma.
(225) 922-9122 View (225) 922-9122
Photo of Joshua Leaumont, MA, NCC, PLPC, Pre-Licensed Professional
Joshua Leaumont
Pre-Licensed Professional, MA, NCC, PLPC
Verified Verified
Baton Rouge, LA 70809
I see counseling as a process in which the Client and I, the PLPC, will build a therapeutic relationship based on understanding and trust. Seeking counseling is the first step in the right direction towards happiness and personal freedom. I would love to assist and guide you through the next steps towards positive changes. Whether you are experiencing difficulties in your relationship, struggling to cope with a loss, hoping to manage symptoms of anxiety or depression more effectively or just needing guidance managing what life throws at you, I can help.
I see counseling as a process in which the Client and I, the PLPC, will build a therapeutic relationship based on understanding and trust. Seeking counseling is the first step in the right direction towards happiness and personal freedom. I would love to assist and guide you through the next steps towards positive changes. Whether you are experiencing difficulties in your relationship, struggling to cope with a loss, hoping to manage symptoms of anxiety or depression more effectively or just needing guidance managing what life throws at you, I can help.
(225) 434-4380 View (225) 434-4380
Photo of Sam Giamanco, PLPC, NCC, MS, Counselor
Sam Giamanco
Counselor, PLPC, NCC, MS
Verified Verified
1 Endorsed
Baton Rouge, LA 70809
I specialize in providing therapy focusing on a wide range of presenting issues such as; trauma, grief, crisis, addiction, depression and anxiety. My goal is to help clients work to facilitate healthy behavior change, help clients to establish and maintain healthy relationships and boundaries, help set personal goals, enhance clients effectiveness and ability to cope, and promote clients potential with implementing a healthy decision making processes.
I specialize in providing therapy focusing on a wide range of presenting issues such as; trauma, grief, crisis, addiction, depression and anxiety. My goal is to help clients work to facilitate healthy behavior change, help clients to establish and maintain healthy relationships and boundaries, help set personal goals, enhance clients effectiveness and ability to cope, and promote clients potential with implementing a healthy decision making processes.
(225) 529-1762 View (225) 529-1762
Photo of Terry Rouprich, LCSW, Reiki, Clinical Social Work/Therapist
Terry Rouprich
Clinical Social Work/Therapist, LCSW, Reiki
Verified Verified
Baton Rouge, LA 70809
Are you going through a difficult transition like the end of a relationship or some other type of loss or change? Are you wanting to heal old traumas that keep resurfacing? Challenges are a common occurrence in life, though they often can seem quite overwhelming and discouraging. Navigating through them is possible and I can help you. I am certified in Energy Psychology and utilize a holistic and innovative approach with a focus on mind, body and spirit for emotional wellness. As a therapist, I strive to offer a nurturing and nonjudgmental space where clients feel safe and supported.
Are you going through a difficult transition like the end of a relationship or some other type of loss or change? Are you wanting to heal old traumas that keep resurfacing? Challenges are a common occurrence in life, though they often can seem quite overwhelming and discouraging. Navigating through them is possible and I can help you. I am certified in Energy Psychology and utilize a holistic and innovative approach with a focus on mind, body and spirit for emotional wellness. As a therapist, I strive to offer a nurturing and nonjudgmental space where clients feel safe and supported.
(225) 412-6789 View (225) 412-6789
Photo of Cindy Pechon, MSW, LCSW, Clinical Social Work/Therapist
Cindy Pechon
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Baton Rouge, LA 70809  (Online Only)
Not accepting new clients
At some point in their lives, most people struggle with a mental or emotional issue, perhaps resulting from unwanted changes, inability to cope, loss, abuse, or something else. I am skilled in dealing with mood disorders, personality disorders and some substance use disorders. Further, I have extensive experience in the area of domestic violence. While I do see some clients in person, most of my practice is online/telehealth through the SimplePractice platform. I'm licensed to see clients in Louisiana and Mississippi.
At some point in their lives, most people struggle with a mental or emotional issue, perhaps resulting from unwanted changes, inability to cope, loss, abuse, or something else. I am skilled in dealing with mood disorders, personality disorders and some substance use disorders. Further, I have extensive experience in the area of domestic violence. While I do see some clients in person, most of my practice is online/telehealth through the SimplePractice platform. I'm licensed to see clients in Louisiana and Mississippi.
(985) 236-4714 View (985) 236-4714

How does your Therapist compare?

Number of Therapists in 70809

100+

Average cost per session

$120

Therapists in 70809 who prioritize treating:

89% Anxiety
86% Depression
74% Relationship Issues
74% Self Esteem
71% Coping Skills
65% Stress
61% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
58% Aetna
58% UnitedHealthcare UHC | UBH

How Therapists in 70809 see their clients

83% In Person and Online
17% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 70809?

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.