Therapists in 74133

Olivia Alferink
Pre-Licensed Professional, LPC-C, MTBC, LPMT
1 Endorsed
Tulsa, OK 74133
Hi, I'm Olivia! My goal is to create a warm, supportive space where clients feel seen, heard, and understood as we work together toward growth and healing. I enjoy working with children, adolescents, and adults, with the most experience supporting children ages 5–12. My approach is integrative, drawing from Person-Centered Therapy, Cognitive Behavioral Therapy (CBT), and Existential Therapy. I believe meaningful change happens within a strong therapeutic relationship built on empathy, authenticity, and respect. When appropriate, I also incorporate music therapy techniques into sessions based on each client's needs and preferences.
Hi, I'm Olivia! My goal is to create a warm, supportive space where clients feel seen, heard, and understood as we work together toward growth and healing. I enjoy working with children, adolescents, and adults, with the most experience supporting children ages 5–12. My approach is integrative, drawing from Person-Centered Therapy, Cognitive Behavioral Therapy (CBT), and Existential Therapy. I believe meaningful change happens within a strong therapeutic relationship built on empathy, authenticity, and respect. When appropriate, I also incorporate music therapy techniques into sessions based on each client's needs and preferences.
(918) 303-0972 View (918) 303-0972
Donnie Davis
Licensed Professional Counselor, MS, MDiv, NCC, LPC
Tulsa, OK 74133
If you’re like most people you’re either coming out of, going into, or in the middle of life’s difficulties: a personal or family crisis, the end of a relationship, burnout, empty nest or a midlife crises. I want to encourage you not to “go it alone!” Find a counselor you connect with who is goal centric & will listen with empathy, mutual understanding and respect. Counseling is wisdom not weakness! If you feel we may have a connection let’s discuss further and see if we’re a good fit.
If you’re like most people you’re either coming out of, going into, or in the middle of life’s difficulties: a personal or family crisis, the end of a relationship, burnout, empty nest or a midlife crises. I want to encourage you not to “go it alone!” Find a counselor you connect with who is goal centric & will listen with empathy, mutual understanding and respect. Counseling is wisdom not weakness! If you feel we may have a connection let’s discuss further and see if we’re a good fit.
(918) 416-4761 View (918) 416-4761
Germaine Mikhail
Marriage & Family Therapist, EdD, MA, MDiv, LMFT
1 Endorsed
Tulsa, OK 74133
We all need a place to put our guard down, feel safe, and process life's challenges. I believe in the therapeutic process and compassionately challenging my clients to face difficulties while having my support. My joy is to help you identify or rediscover your purpose, reprocess past traumas, enjoy singleness, overcome depression, break-ups, and other obstacles. I hope to help you form healthy relationships via pre-engagement and pre-marital, marital, family, and peer relationships counseling. I have a "soft spot" for seeing international, and grad students succeed while maintaining a healthy balance and staying culturally relevant.
We all need a place to put our guard down, feel safe, and process life's challenges. I believe in the therapeutic process and compassionately challenging my clients to face difficulties while having my support. My joy is to help you identify or rediscover your purpose, reprocess past traumas, enjoy singleness, overcome depression, break-ups, and other obstacles. I hope to help you form healthy relationships via pre-engagement and pre-marital, marital, family, and peer relationships counseling. I have a "soft spot" for seeing international, and grad students succeed while maintaining a healthy balance and staying culturally relevant.
(539) 233-4233 View (539) 233-4233
Victoria Aviv
Licensed Professional Counselor, MA, LPC, RPT
6 Endorsed
Tulsa, OK 74133
My ideal clients are children, teens, and women navigating anxiety, behavioral challenges, learning struggles, or difficult transitions. They often arrive overwhelmed, unsure what's really going on, and worried they're missing something important. Using play therapy, CBT, DBT, and EMDR, I identify the patterns driving the difficulty and build practical strategies that fit real life. My approach is collaborative and straightforward, no jargon, no judgment, so families leave with tools they can actually use and a clearer path forward.
My ideal clients are children, teens, and women navigating anxiety, behavioral challenges, learning struggles, or difficult transitions. They often arrive overwhelmed, unsure what's really going on, and worried they're missing something important. Using play therapy, CBT, DBT, and EMDR, I identify the patterns driving the difficulty and build practical strategies that fit real life. My approach is collaborative and straightforward, no jargon, no judgment, so families leave with tools they can actually use and a clearer path forward.
(918) 303-7406 View (918) 303-7406
Diana Kay Loesch
Licensed Professional Counselor, MA, LPC
Tulsa, OK 74133
Feeling overwhelmed by anxiety, stress, or life’s unexpected turns? Struggling with depression, trauma, or feeling stuck? You’re not alone—and change is possible. What would it look like to feel more grounded, confident, and at peace? I’m Diana Loesch, a Licensed Professional Counselor since 2006. I help clients navigate anxiety, depression, trauma, and relationship challenges with practical tools and compassionate support. My Christian faith shapes my belief in your inherent worth, purpose, and capacity for healing, and because of that, all clients are met with respect, care, and a safe, nonjudgmental space.
Feeling overwhelmed by anxiety, stress, or life’s unexpected turns? Struggling with depression, trauma, or feeling stuck? You’re not alone—and change is possible. What would it look like to feel more grounded, confident, and at peace? I’m Diana Loesch, a Licensed Professional Counselor since 2006. I help clients navigate anxiety, depression, trauma, and relationship challenges with practical tools and compassionate support. My Christian faith shapes my belief in your inherent worth, purpose, and capacity for healing, and because of that, all clients are met with respect, care, and a safe, nonjudgmental space.
(281) 947-2247 View (281) 947-2247
Cindy Ochoa
Clinical Social Work/Therapist, LCSW
Tulsa, OK 74133
Cindy Ochoa helps adults and older adults throughout Oklahoma navigate life's challenges with compassionate, practical, and personalized mental health care. At LifeStance Health, she provides individual therapy and case management services designed to help clients overcome obstacles, strengthen resilience, and improve emotional well-being. Cindy believes that healing begins with feeling understood, and she creates a supportive environment where clients can openly explore their experiences, identify meaningful goals, and work toward lasting positive change.
Cindy Ochoa helps adults and older adults throughout Oklahoma navigate life's challenges with compassionate, practical, and personalized mental health care. At LifeStance Health, she provides individual therapy and case management services designed to help clients overcome obstacles, strengthen resilience, and improve emotional well-being. Cindy believes that healing begins with feeling understood, and she creates a supportive environment where clients can openly explore their experiences, identify meaningful goals, and work toward lasting positive change.
(918) 290-4198 View (918) 290-4198
Tracey Middleton Jennings
Clinical Social Work/Therapist, MSW, LCSW , LADC
2 Endorsed
Tulsa, OK 74133
“Are you feeling unseen, unvalued, or disconnected?” You’ve spent much of your life caring for others— children, partner, family, work. Now things look different. The kids are grown. Your relationship may be shifting. You finally have more space for yourself… but you’re not sure who you are anymore. If you’re feeling restless, empty, or like you’ve lost your spark, you’re not alone. I work with adults who are ready to reconnect with themselves and create a new chapter that feels meaningful and true. Many of my clients have been in therapy before—but are looking for something deeper, more experiential, and more connected.
“Are you feeling unseen, unvalued, or disconnected?” You’ve spent much of your life caring for others— children, partner, family, work. Now things look different. The kids are grown. Your relationship may be shifting. You finally have more space for yourself… but you’re not sure who you are anymore. If you’re feeling restless, empty, or like you’ve lost your spark, you’re not alone. I work with adults who are ready to reconnect with themselves and create a new chapter that feels meaningful and true. Many of my clients have been in therapy before—but are looking for something deeper, more experiential, and more connected.
(918) 228-6845 View (918) 228-6845
Laura Fite
Licensed Professional Counselor, LPC
4 Endorsed
Tulsa, OK 74133
Taking the first steps for counseling can seem overwhelming. Sometimes life can be bombarded with anxiety, stressors, depression, or life transitions. It could be marriage difficulties or communication or infidelity traumas that need to be addressed. Or perhaps feeling disconnected from yourself and others due to PTSD. Perhaps it is a teenager wanting to stop self-harming and learn better ways to regulate feelings. Trauma and attachment issues can show up in many ways. Working through difficulties can bring hope empowerment connectedness and a sense of freedom in personal social spiritual areas of one's life.
Taking the first steps for counseling can seem overwhelming. Sometimes life can be bombarded with anxiety, stressors, depression, or life transitions. It could be marriage difficulties or communication or infidelity traumas that need to be addressed. Or perhaps feeling disconnected from yourself and others due to PTSD. Perhaps it is a teenager wanting to stop self-harming and learn better ways to regulate feelings. Trauma and attachment issues can show up in many ways. Working through difficulties can bring hope empowerment connectedness and a sense of freedom in personal social spiritual areas of one's life.
(918) 818-3494 View (918) 818-3494
Jeremy Ferguson
Marriage & Family Therapist, LMFT
2 Endorsed
Tulsa, OK 74133
Do your problems appear so big that you need help finding a way through them? Some of our problems can be because we need the skills necessary to address them. Knowing how to manage stress, especially in relationships, can be vital in creating the change that we need. If you feel you or your family is in this situation, I can help you, your child or your family navigate a way to freedom.
Do your problems appear so big that you need help finding a way through them? Some of our problems can be because we need the skills necessary to address them. Knowing how to manage stress, especially in relationships, can be vital in creating the change that we need. If you feel you or your family is in this situation, I can help you, your child or your family navigate a way to freedom.
(918) 417-1739 View (918) 417-1739
Richard Failla
Licensed Professional Counselor, LPC, NCC
Tulsa, OK 74133
Do you wake up feeling like a stranger in your own life, wondering how things got to this point? Do guilt and frustration weigh you down, keeping you trapped in cycles that no longer serve you? Maybe you’ve tried to escape through work, alcohol, sex, or distractions—only to find the problems piling up faster than you can outrun them. You know you want more, but you don’t know where to start. Change is possible. Many people spend years stuck in self-destructive patterns, unhealthy relationships, and bottled-up resentment. But the turning point comes when you decide to face it head-on and start building something better.
Do you wake up feeling like a stranger in your own life, wondering how things got to this point? Do guilt and frustration weigh you down, keeping you trapped in cycles that no longer serve you? Maybe you’ve tried to escape through work, alcohol, sex, or distractions—only to find the problems piling up faster than you can outrun them. You know you want more, but you don’t know where to start. Change is possible. Many people spend years stuck in self-destructive patterns, unhealthy relationships, and bottled-up resentment. But the turning point comes when you decide to face it head-on and start building something better.
(918) 215-7108 View (918) 215-7108
Kara Drake
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Tulsa, OK 74133
I am passionate about helping people heal from difficult life situations and find new ways to feel grounded and connected. My goal is to provide a safe and supportive space where you can work through challenges at your own pace and rediscover your strengths. Together, we can build tools that foster growth, balance, and lasting changes in your life!
I am passionate about helping people heal from difficult life situations and find new ways to feel grounded and connected. My goal is to provide a safe and supportive space where you can work through challenges at your own pace and rediscover your strengths. Together, we can build tools that foster growth, balance, and lasting changes in your life!
(918) 212-5612 View (918) 212-5612
Valerie Larson-Howard
Clinical Social Work/Therapist, LCSW, LLC
1 Endorsed
Tulsa, OK 74133
Fall is a season of transition and change. What if you embrace this transition season by choosing to face the hard parts of your life, have honest conversations, make tough decisions, and create a life that fits you? I have over 20 years of experience providing a judgement-free space where no topic is off-limits and you are free to be your unfiltered self. In our sessions, we will sort through the difficult areas of your life while also practicing how to treat yourself with compassion. I specialize in depression, anxiety, grief, relationship issues, life transitions, and the uncertainty many people feel right now.
Fall is a season of transition and change. What if you embrace this transition season by choosing to face the hard parts of your life, have honest conversations, make tough decisions, and create a life that fits you? I have over 20 years of experience providing a judgement-free space where no topic is off-limits and you are free to be your unfiltered self. In our sessions, we will sort through the difficult areas of your life while also practicing how to treat yourself with compassion. I specialize in depression, anxiety, grief, relationship issues, life transitions, and the uncertainty many people feel right now.
(918) 937-4978 View (918) 937-4978
Julie Robinson
Marriage & Family Therapist, LMFT
3 Endorsed
Tulsa, OK 74133
I believe deeply in the healing power of the therapeutic relationship and the importance of creating a space where clients feel genuinely seen and supported. I am passionate about hearing each person’s unique story and walking alongside them through life’s transitions, challenges, or seasons of growth. No one is immune to the struggles of everyday life, and I believe healing begins when people are met with compassion, understanding, and hope. My goal is to help clients identify the changes they want to make in their lives and move toward lasting growth and healing.
I believe deeply in the healing power of the therapeutic relationship and the importance of creating a space where clients feel genuinely seen and supported. I am passionate about hearing each person’s unique story and walking alongside them through life’s transitions, challenges, or seasons of growth. No one is immune to the struggles of everyday life, and I believe healing begins when people are met with compassion, understanding, and hope. My goal is to help clients identify the changes they want to make in their lives and move toward lasting growth and healing.
(918) 609-2202 View (918) 609-2202
Madeleine Harrigill
Licensed Professional Counselor, LPC
1 Endorsed
Tulsa, OK 74133
Maddie is a Licensed Professional Counselor (LPC) with 2 years of experience providing compassionate mental health counseling. She earned her undergraduate degree in Psychology with a minor in Health and Exercise Science from the University of Oklahoma and her graduate degree in Mental Health Counseling from Oklahoma State University. Maddie currently works inpatient with adolescents struggling with eating disorders full-time, while also offering outpatient part-time services at Flourish Wellness.
Maddie is a Licensed Professional Counselor (LPC) with 2 years of experience providing compassionate mental health counseling. She earned her undergraduate degree in Psychology with a minor in Health and Exercise Science from the University of Oklahoma and her graduate degree in Mental Health Counseling from Oklahoma State University. Maddie currently works inpatient with adolescents struggling with eating disorders full-time, while also offering outpatient part-time services at Flourish Wellness.
(918) 233-3574 View (918) 233-3574
Rachel Calvert
Licensed Professional Counselor, LPC, RYT200, TIYT
2 Endorsed
Tulsa, OK 74133
Are you seeking a supportive, grounded connection — one that feels natural and restorative rather than clinical or overwhelming? Most of my clients arrive carrying anxiety, burnout, or a quiet sense of disconnection from themselves. Many are remote and hybrid workers, business owners, shift workers, students, retirees, and parents with their school hours free — people who'd rather not save their hardest conversation for the end of an already draining day. Together we'll slow things down, make sense of what you're carrying, and build tools you can actually use. You're welcome here, exactly as you are.
Are you seeking a supportive, grounded connection — one that feels natural and restorative rather than clinical or overwhelming? Most of my clients arrive carrying anxiety, burnout, or a quiet sense of disconnection from themselves. Many are remote and hybrid workers, business owners, shift workers, students, retirees, and parents with their school hours free — people who'd rather not save their hardest conversation for the end of an already draining day. Together we'll slow things down, make sense of what you're carrying, and build tools you can actually use. You're welcome here, exactly as you are.
(918) 233-8782 View (918) 233-8782
Alena Hallum
Licensed Professional Counselor, LPC
Tulsa, OK 74133
You may be feeling overwhelmed, disconnected, stuck in familiar patterns, or simply unsure of what comes next. Perhaps relationships feel difficult, past experiences continue to show up in the present, or you’ve spent so much time caring for others that you’ve lost touch with yourself. I work with adolescents, teens, and adults, as well as couples and families, navigating anxiety, depression, trauma, grief, relationship concerns, life transitions, and questions of identity and self-understanding. Together, we’ll make sense of what you’re experiencing and work toward meaningful, lasting change.
You may be feeling overwhelmed, disconnected, stuck in familiar patterns, or simply unsure of what comes next. Perhaps relationships feel difficult, past experiences continue to show up in the present, or you’ve spent so much time caring for others that you’ve lost touch with yourself. I work with adolescents, teens, and adults, as well as couples and families, navigating anxiety, depression, trauma, grief, relationship concerns, life transitions, and questions of identity and self-understanding. Together, we’ll make sense of what you’re experiencing and work toward meaningful, lasting change.
(539) 265-9992 View (539) 265-9992
Josephine Marin Beeson
Marriage & Family Therapist, LMFT
2 Endorsed
Tulsa, OK 74133
You know what’s not working, but you’re stuck on how to fix it. On paper, you’re high-achieving and emotionally intelligent. In reality, you feel like roommates—unheard, disconnected, and spinning your wheels. You’ve tried self-help books, weekend workshops, or even individual therapy that felt like venting without real momentum. You worry that this unfulfilling distance is just how life will be from now on. You don't need another therapist to just mediate arguments; you need a relational specialist who understands the deeper systems keeping you stuck and knows how to guide you out.
You know what’s not working, but you’re stuck on how to fix it. On paper, you’re high-achieving and emotionally intelligent. In reality, you feel like roommates—unheard, disconnected, and spinning your wheels. You’ve tried self-help books, weekend workshops, or even individual therapy that felt like venting without real momentum. You worry that this unfulfilling distance is just how life will be from now on. You don't need another therapist to just mediate arguments; you need a relational specialist who understands the deeper systems keeping you stuck and knows how to guide you out.
(918) 200-9131 View (918) 200-9131
Alissa Scharf
Marriage & Family Therapist, MS, LMFT
3 Endorsed
Tulsa, OK 74133
As a Licensed Marriage and Family Therapist, I view my client through a systemic lens. I am mindful of relational patterns even when working with individuals. I enjoy helping my clients process through life events and gain new skills to find holistic healing. I work with teenagers and adults with mental and relational issues. I have helped adults navigate personal traumas as well as relationships with their children and spouses. Teenagers find comfort in the confidentiality of therapy as I assist them to see their parents' viewpoint differently and create a mutual relationship of understanding between parent and child.
As a Licensed Marriage and Family Therapist, I view my client through a systemic lens. I am mindful of relational patterns even when working with individuals. I enjoy helping my clients process through life events and gain new skills to find holistic healing. I work with teenagers and adults with mental and relational issues. I have helped adults navigate personal traumas as well as relationships with their children and spouses. Teenagers find comfort in the confidentiality of therapy as I assist them to see their parents' viewpoint differently and create a mutual relationship of understanding between parent and child.
(918) 517-8563 View (918) 517-8563
Cathy Sexton
Licensed Professional Counselor, LPC
1 Endorsed
Tulsa, OK 74133
You find yourself feeling drained from constantly managing unpredictable emotions and staying on guard. It can be exhausting to balance a true desire for close relationships with the fear of getting hurt or letting people in. When past experiences keep your stress levels high, it is easy to feel isolated and misunderstood by those around you. You are likely tired of the unsettling shifts in your mood and are ready to find steady balance, clarity, and inner peace. You do not have to navigate these storms alone; together, we can safely untangle the pain of your past and build the calm, secure future you deserve.
You find yourself feeling drained from constantly managing unpredictable emotions and staying on guard. It can be exhausting to balance a true desire for close relationships with the fear of getting hurt or letting people in. When past experiences keep your stress levels high, it is easy to feel isolated and misunderstood by those around you. You are likely tired of the unsettling shifts in your mood and are ready to find steady balance, clarity, and inner peace. You do not have to navigate these storms alone; together, we can safely untangle the pain of your past and build the calm, secure future you deserve.
(918) 362-2625 View (918) 362-2625
Ryan Boyls
Licensed Professional Counselor, LPC
1 Endorsed
Tulsa, OK 74133
Do you ever feel like your mind is never off duty — analyzing every social interaction afterward, rehearsing what to say (or what you shouldn’t have said), struggling to filter out overwhelming noise or sensations, lying awake with a loop of worry you can’t shut off? If so, you’re not alone. Many people I work with — especially those who are neurodivergent or who have experienced trauma — report feeling utterly exhausted. Whether you or your child is navigating a lifelong struggle or facing a short-term challenge, we all need space to breathe, feel, and talk it through.
Do you ever feel like your mind is never off duty — analyzing every social interaction afterward, rehearsing what to say (or what you shouldn’t have said), struggling to filter out overwhelming noise or sensations, lying awake with a loop of worry you can’t shut off? If so, you’re not alone. Many people I work with — especially those who are neurodivergent or who have experienced trauma — report feeling utterly exhausted. Whether you or your child is navigating a lifelong struggle or facing a short-term challenge, we all need space to breathe, feel, and talk it through.
(918) 233-0752 View (918) 233-0752

See more therapy options for 74133

How does your Therapist compare?

Number of Therapists in 74133

200+

Average cost per session

$140

Therapists in 74133 who prioritize treating:

93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
89% Depression
80% Trauma and PTSD
80% Complex PTSD

Average years in practice

10 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
83% Aetna
68% Health Choice

How Therapists in 74133 see their clients

81% In Person and Online
19% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 74133?

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.