Photo of Anchor of Hope Therapy , Marriage & Family Therapist Associate in 78738, TX
Anchor of Hope Therapy
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
1 Endorsed
Austin, TX 78738
Hi! Are you looking for new ways to communicate and connect with your partner? Are you tired of repeated patterns of behavior or thought that lead only to frustration? Are you struggling with anxiety or depression and want more peace and fulfillment in your life? Do you notice past hurts that cause distress for yourself or in your relationships? I am dedicated to providing my clients a safe space where you can work on improving yourself and relationships to find lasting change!
Hi! Are you looking for new ways to communicate and connect with your partner? Are you tired of repeated patterns of behavior or thought that lead only to frustration? Are you struggling with anxiety or depression and want more peace and fulfillment in your life? Do you notice past hurts that cause distress for yourself or in your relationships? I am dedicated to providing my clients a safe space where you can work on improving yourself and relationships to find lasting change!
(830) 268-0102 View (830) 268-0102
Photo of Lauren Yelvington, Licensed Professional Counselor in 78738, TX
Lauren Yelvington
Licensed Professional Counselor, LPC
Verified Verified
Lakeway, TX 78738
Therapy is one of the most valuable measures of self-care one can take to live a well-balanced life. I am honored to support my clients as they navigate rocky or unfamiliar waters during periods of adjustment, anxiety and depression. These seasons of our lives can feel unsettling and cause us to feel “stuck” in an unpleasant place. Fortunately, they also present us with the opportunity for growth toward a more rewarding life. Unveiling anxiety, depression, unsettling thoughts, insecurities, trauma and disappointment requires courage- I commend you for taking this first step!
Therapy is one of the most valuable measures of self-care one can take to live a well-balanced life. I am honored to support my clients as they navigate rocky or unfamiliar waters during periods of adjustment, anxiety and depression. These seasons of our lives can feel unsettling and cause us to feel “stuck” in an unpleasant place. Fortunately, they also present us with the opportunity for growth toward a more rewarding life. Unveiling anxiety, depression, unsettling thoughts, insecurities, trauma and disappointment requires courage- I commend you for taking this first step!
(512) 400-3768 View (512) 400-3768
Photo of Anne Richmond Wakefield, Clinical Social Work/Therapist in 78738, TX
Anne Richmond Wakefield
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Austin, TX 78738  (Online Only)
Waitlist for new clients
You're exhausted from riding the restrict/binge roller coaster, obsessing about food, or hating your body. Each new lifestyle change, 30-day reset, and juice cleanse leaves you feeling more defeated than the last. Your negative thoughts and anxiety keep you from thoroughly enjoying life. You want to stop fighting and make peace with your body. Research suggests that looking at your thought patterns is a great place to start if you are interested in making changes in your life. To easily book a session using accepted insurance, visit https://headway.co/providers/anne-wakefield.
You're exhausted from riding the restrict/binge roller coaster, obsessing about food, or hating your body. Each new lifestyle change, 30-day reset, and juice cleanse leaves you feeling more defeated than the last. Your negative thoughts and anxiety keep you from thoroughly enjoying life. You want to stop fighting and make peace with your body. Research suggests that looking at your thought patterns is a great place to start if you are interested in making changes in your life. To easily book a session using accepted insurance, visit https://headway.co/providers/anne-wakefield.
(844) 968-3131 View (844) 968-3131
Photo of Mariellen McLean-Flores, Licensed Professional Counselor in 78738, TX
Mariellen McLean-Flores
Licensed Professional Counselor, MS, LPC
Verified Verified
Bee Cave, TX 78738  (Online Only)
Psychotherapy is the practice of talking things through with a skilled and trusted professional. Conversation lays out a frame of reference for solving problems in one's personal life and eases emotional pain. For anyone who seeks therapy, there is a desire to improve communication, to be better understood and connect with others. Finding the courage to change the way to communicate more effectively can be difficult. Unavoidably, there are times when we lose our way, have misunderstandings, or struggle with doubts about our own capabilities. An experienced therapist can help us find solutions to problems and relief from pain in a nonjudgmental atmosphere.
Psychotherapy is the practice of talking things through with a skilled and trusted professional. Conversation lays out a frame of reference for solving problems in one's personal life and eases emotional pain. For anyone who seeks therapy, there is a desire to improve communication, to be better understood and connect with others. Finding the courage to change the way to communicate more effectively can be difficult. Unavoidably, there are times when we lose our way, have misunderstandings, or struggle with doubts about our own capabilities. An experienced therapist can help us find solutions to problems and relief from pain in a nonjudgmental atmosphere.
(512) 213-0034 View (512) 213-0034
Photo of Austin Couples Therapy and Marriage Counseling, Marriage & Family Therapist in 78738, TX
Austin Couples Therapy and Marriage Counseling
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Austin, TX 78738
Welcome! I am Covid-19 vaccinated. I offer a free phone consult to answer your questions and make sure we're a match. I am a Marriage & Family Therapist (TX), Licensed Psychologist (CA) with 35+ years experience. I have served my country with NASA and USMC. My passion is to transform your pain/confusion into peace and well-being. My work is commended by Mental Health Peers at Yale, Princeton, Notre Dame and Stanford. Sessions are weekly or bi-monthly. View my VIDEO TOUR at: "AustinPremierTherapy.com." You can talk to me from your own home by Video, or see me in person quickly. Brief Solution Focused Therapy brings rapid results.
Welcome! I am Covid-19 vaccinated. I offer a free phone consult to answer your questions and make sure we're a match. I am a Marriage & Family Therapist (TX), Licensed Psychologist (CA) with 35+ years experience. I have served my country with NASA and USMC. My passion is to transform your pain/confusion into peace and well-being. My work is commended by Mental Health Peers at Yale, Princeton, Notre Dame and Stanford. Sessions are weekly or bi-monthly. View my VIDEO TOUR at: "AustinPremierTherapy.com." You can talk to me from your own home by Video, or see me in person quickly. Brief Solution Focused Therapy brings rapid results.
(512) 518-5340 View (512) 518-5340
Photo of Melissa Chapman Pettit, Licensed Professional Counselor in 78738, TX
Melissa Chapman Pettit
Licensed Professional Counselor, PhD, LPC, Veteran
Verified Verified
Lakeway, TX 78738  (Online Only)
"Insanity is doing the same thing over and over again, expecting different results." ADDICTION & DEPENDENCY result from an unconscious refusal to move through the pain of withdrawal (from a chemical, thought-process, behavior, other person, etc.). The behavior gets repeated, accompanied by cycles of disappointment, shame, GRIEF, frustration and isolation. Having experienced this same cycle (more than once) I bring years of education, training, personal recovery experiences and compassion to our therapeutic relationship. My PERSONAL therapeutic process is on-going. I would be honored to help you in yours. EASY? Nope. WORTH IT? Yes!
"Insanity is doing the same thing over and over again, expecting different results." ADDICTION & DEPENDENCY result from an unconscious refusal to move through the pain of withdrawal (from a chemical, thought-process, behavior, other person, etc.). The behavior gets repeated, accompanied by cycles of disappointment, shame, GRIEF, frustration and isolation. Having experienced this same cycle (more than once) I bring years of education, training, personal recovery experiences and compassion to our therapeutic relationship. My PERSONAL therapeutic process is on-going. I would be honored to help you in yours. EASY? Nope. WORTH IT? Yes!
(830) 355-6156 View (830) 355-6156
Photo of Sarah Hall, Licensed Professional Counselor in 78738, TX
Sarah Hall
Licensed Professional Counselor, MS, EMDR
Verified Verified
4 Endorsed
Austin, TX 78738
I love that each one of us has unique life experiences. Each life experience is different, some cause us joy and happiness while others cause pain and suffering. These experiences help create our story. Let’s explore each chapter of your story in hopes to find healing where there is pain and hope where suffering has existed. Let’s walk on this healing journey together to uncover who you are, to discover what you already have inside of you and to provide you more tools to make this healing possible.
I love that each one of us has unique life experiences. Each life experience is different, some cause us joy and happiness while others cause pain and suffering. These experiences help create our story. Let’s explore each chapter of your story in hopes to find healing where there is pain and hope where suffering has existed. Let’s walk on this healing journey together to uncover who you are, to discover what you already have inside of you and to provide you more tools to make this healing possible.
(512) 764-3375 View (512) 764-3375
Photo of Justin M. Hill, Psychologist in 78738, TX
Justin M. Hill
Psychologist, PhD
Verified Verified
4 Endorsed
Austin, TX 78738
Not accepting new clients
Experiencing anxiety, emotional pain, feeling stuck, or feeling directionless at times are all very normal human experiences. Creating a warm and trusting environment where you can feel safe, listened to, and understood is vital for me to understand how you experience your pain in your own unique way. For over ten years I have used this style of treatment to flexibly and creatively tailor components from multiple evidence-based practices, including those that are cognitive- and acceptance-based, to create a therapeutic experience that best fits each individual and their own unique needs.
Experiencing anxiety, emotional pain, feeling stuck, or feeling directionless at times are all very normal human experiences. Creating a warm and trusting environment where you can feel safe, listened to, and understood is vital for me to understand how you experience your pain in your own unique way. For over ten years I have used this style of treatment to flexibly and creatively tailor components from multiple evidence-based practices, including those that are cognitive- and acceptance-based, to create a therapeutic experience that best fits each individual and their own unique needs.
(512) 910-7637 View (512) 910-7637
Photo of Daphne Jaguar Browell, Clinical Social Work/Therapist in 78738, TX
Daphne Jaguar Browell
Clinical Social Work/Therapist, LCSW, LCDC
Verified Verified
Austin, TX 78738  (Online Only)
So you are looking for a therapist and possibly wondering “why should I choose this therapist over any other?” Good question. Once you’ve found a therapist with a solid background in what you want to address, it is all about therapeutic approach and personality fit (the elusive rapport). In our initial introductory conversation (15 minute call) you can tell me about what you are looking for, I'll tell you about myself, and we’ll see if I am a fit. You can also visit my website for more details on me and my practice: TherapistBrowell.com
So you are looking for a therapist and possibly wondering “why should I choose this therapist over any other?” Good question. Once you’ve found a therapist with a solid background in what you want to address, it is all about therapeutic approach and personality fit (the elusive rapport). In our initial introductory conversation (15 minute call) you can tell me about what you are looking for, I'll tell you about myself, and we’ll see if I am a fit. You can also visit my website for more details on me and my practice: TherapistBrowell.com
(214) 833-7390 View (214) 833-7390
Photo of Amie Reed Skwiat, Licensed Professional Counselor in 78738, TX
Amie Reed Skwiat
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Austin, TX 78738
Not accepting new clients
***Unable to take on new clients at this time.*** If you are having a hard time finding your identity, you struggle with feelings of anxiety or depression, and/or you find yourself addicted to something that may not be very healthy... I completely understand the feeling...I've been there too. Those who have not been on "that side of the line" have a hard time understanding what it feels like. I am here to help.
***Unable to take on new clients at this time.*** If you are having a hard time finding your identity, you struggle with feelings of anxiety or depression, and/or you find yourself addicted to something that may not be very healthy... I completely understand the feeling...I've been there too. Those who have not been on "that side of the line" have a hard time understanding what it feels like. I am here to help.
(512) 549-6152 View (512) 549-6152
Photo of Kristin B Bowers, Licensed Professional Counselor in 78738, TX
Kristin B Bowers
Licensed Professional Counselor, MA, LPC, BCN
Verified Verified
2 Endorsed
Austin, TX 78738  (Online Only)
My 15 year of expertise lies in individual therapy for teens and adults, with a focus on evidence-based practices, such as EMDR. If you’re in Texas or Iowa and seeking professional support, consider connecting with Kristin for virtual counseling sessions. Her commitment to evidence-based methods ensures quality care.
My 15 year of expertise lies in individual therapy for teens and adults, with a focus on evidence-based practices, such as EMDR. If you’re in Texas or Iowa and seeking professional support, consider connecting with Kristin for virtual counseling sessions. Her commitment to evidence-based methods ensures quality care.
(512) 706-9327 View (512) 706-9327
Photo of Tanya Harter Pierce, Marriage & Family Therapist in 78738, TX
Tanya Harter Pierce
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Austin, TX 78738  (Online Only)
Hello! My specialties are: Couples Counseling, Anxiety, Depression, Trauma, Sexual Abuse, Substance Abuse, Domestic Abuse, Spiritual Confusion, and Non-drug approaches for ADHD. Currently, I also offer a number of Teletherapy times, which offer more flexibility in session availability. This can be particularly helpful for clients with busy or restricted schedules, especially couples and parents with young children.
Hello! My specialties are: Couples Counseling, Anxiety, Depression, Trauma, Sexual Abuse, Substance Abuse, Domestic Abuse, Spiritual Confusion, and Non-drug approaches for ADHD. Currently, I also offer a number of Teletherapy times, which offer more flexibility in session availability. This can be particularly helpful for clients with busy or restricted schedules, especially couples and parents with young children.
(512) 982-4984 View (512) 982-4984
Photo of Emily Sousa in 78738, TX
Emily Sousa
LPC, CEC
Verified Verified
Austin, TX 78738
Many of us are taught to disregard the messages our bodies and emotions carry, initiating a distrusting and confusing relationship with ourselves and others. My work often focuses on giving you the tools and felt experience to release trauma from your nervous system, create inner safety, connect to agency, establish healthy boundaries, and re-connect to your intuition. Together we’ll work to (re)discover your relationship with your true inner voice. Through this connection and awareness, you can learn to trust yourselves and navigate through life’s obstacles and challenges with flexibility and resilience.
Many of us are taught to disregard the messages our bodies and emotions carry, initiating a distrusting and confusing relationship with ourselves and others. My work often focuses on giving you the tools and felt experience to release trauma from your nervous system, create inner safety, connect to agency, establish healthy boundaries, and re-connect to your intuition. Together we’ll work to (re)discover your relationship with your true inner voice. Through this connection and awareness, you can learn to trust yourselves and navigate through life’s obstacles and challenges with flexibility and resilience.
(512) 399-0041 View (512) 399-0041
Photo of Leigh Germann, Clinical Social Work/Therapist in 78738, TX
Leigh Germann
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78738
Life can feel hard, but it will get better! I’m trained to understand why you feel as you do and I can show you the way out of depression, anxiety and relationship problems. I can also show you how to stop being self-critical so you can love your life again. Clients can hope to walk away from our work together feeling more connected to themselves- understanding their thoughts and feelings and knowing how to confidently deal with them. I have over 30 years of experience helping people feel better and achieve their goals. Helping moms is close to my heart. Check out my website Leighgermann.com to find tools made for moms!
Life can feel hard, but it will get better! I’m trained to understand why you feel as you do and I can show you the way out of depression, anxiety and relationship problems. I can also show you how to stop being self-critical so you can love your life again. Clients can hope to walk away from our work together feeling more connected to themselves- understanding their thoughts and feelings and knowing how to confidently deal with them. I have over 30 years of experience helping people feel better and achieve their goals. Helping moms is close to my heart. Check out my website Leighgermann.com to find tools made for moms!
(512) 648-5077 View (512) 648-5077
Photo of Kelly Ellis, Marriage & Family Therapist in 78738, TX
Kelly Ellis
Marriage & Family Therapist, MFT, LMFT
Verified Verified
Bee Cave, TX 78738
Do you ever wonder how you are going to get through a major life transition? When life takes you to a place of uncertainty, and you begin to question yourself and your ability to make quality decisions, wondering, "is it normal to feel this way?" Whether your changing jobs, starting a career, moving to a new area, or have a chronic illness, change can be stressful and requires a series of adjustments to get back to a sense of life balance. Much of my professional expertise focuses on life transition and the impact of change throughout the lifespan, from young teens to older adults.
Do you ever wonder how you are going to get through a major life transition? When life takes you to a place of uncertainty, and you begin to question yourself and your ability to make quality decisions, wondering, "is it normal to feel this way?" Whether your changing jobs, starting a career, moving to a new area, or have a chronic illness, change can be stressful and requires a series of adjustments to get back to a sense of life balance. Much of my professional expertise focuses on life transition and the impact of change throughout the lifespan, from young teens to older adults.
(512) 515-9385 View (512) 515-9385
Photo of Kelly Alford, LPC Intern in 78738, TX
Kelly Alford
LPC Intern, MEd
Verified Verified
Austin, TX 78738
Not accepting new clients
I have always been drawn to listening to others and helping them process issues and achieve goals. I view the therapeutic relationship as an opportunity to partner with the client to process life's challenges and achieve a feeling of contentment and growth.
I have always been drawn to listening to others and helping them process issues and achieve goals. I view the therapeutic relationship as an opportunity to partner with the client to process life's challenges and achieve a feeling of contentment and growth.
(512) 893-7393 View (512) 893-7393
Photo of Natalie Dickey, Licensed Professional Counselor in 78738, TX
Natalie Dickey
Licensed Professional Counselor, MS, LPC
Verified Verified
Lakeway, TX 78738
Open for NEW clients! Your deep emotions of guilt, pain, hopelessness, and sadness are not forever. Expending all your energy, worrying about the needs of others, striving to meet the never-ending demands and unreachable standards is not forever! This is not your forever! Together we will work to help you find joy and fulfillment in life again. We will examine how past experiences have influenced the lens you experience the world while working to regulate and manage your future.
Open for NEW clients! Your deep emotions of guilt, pain, hopelessness, and sadness are not forever. Expending all your energy, worrying about the needs of others, striving to meet the never-ending demands and unreachable standards is not forever! This is not your forever! Together we will work to help you find joy and fulfillment in life again. We will examine how past experiences have influenced the lens you experience the world while working to regulate and manage your future.
(512) 546-6850 View (512) 546-6850
Photo of J Friedman, Marriage & Family Therapist in 78738, TX
J J Friedman
Marriage & Family Therapist, MS, LMHC, MFT
Verified Verified
Bee Cave, TX 78738  (Online Only)
As a practical, interactive, solution-focused therapist, my treatment approach is to provide support and practical feedback. My objective is for clients to resolve current issues and long-standing, potentially negative behavioral patterns via video therapy. I also assist clients find solutions to a wide range of life challenges and psychological issues. By utilizing a number of conventional and individually tailored approaches, I look to focus on which methodologies are most helpful for you as an individual.
As a practical, interactive, solution-focused therapist, my treatment approach is to provide support and practical feedback. My objective is for clients to resolve current issues and long-standing, potentially negative behavioral patterns via video therapy. I also assist clients find solutions to a wide range of life challenges and psychological issues. By utilizing a number of conventional and individually tailored approaches, I look to focus on which methodologies are most helpful for you as an individual.
(512) 359-7472 View (512) 359-7472
Photo of Rebecca Opamen, Licensed Professional Counselor in 78738, TX
Rebecca Opamen
Licensed Professional Counselor, LPC-S, NCC, TCYM
Verified Verified
2 Endorsed
Austin, TX 78738
Waitlist for new clients
A holistic mental health clinician, I am passionate about collaborating with people seeking guidance and methods to assist them through mental health issues and stresses, understanding themselves.
A holistic mental health clinician, I am passionate about collaborating with people seeking guidance and methods to assist them through mental health issues and stresses, understanding themselves.
(210) 934-7881 View (210) 934-7881
Photo of Jennifer Courreges, Licensed Professional Counselor in 78738, TX
Jennifer Courreges
Licensed Professional Counselor, MS, LPC
Verified Verified
Bee Cave, TX 78738  (Online Only)
Are you looking to find harmony and intimacy while increasing communication in your interpersonal relationships? I am an active listener and I want to help you process your tough issues while giving you feedback on what to do outside of the therapy relationship. I can help you implement and maintain lasting change in your everyday life. I use humor, warmth and empathy to engage every person who walks through my door and I want nothing more than for you to feel at home and comfortable as you work hard toward emotional healing.
Are you looking to find harmony and intimacy while increasing communication in your interpersonal relationships? I am an active listener and I want to help you process your tough issues while giving you feedback on what to do outside of the therapy relationship. I can help you implement and maintain lasting change in your everyday life. I use humor, warmth and empathy to engage every person who walks through my door and I want nothing more than for you to feel at home and comfortable as you work hard toward emotional healing.
(512) 641-3253 View (512) 641-3253

How does your Therapist compare?

Number of Therapists in 78738

100+

Average cost per session

$150

Therapists in 78738 who prioritize treating:

96% Anxiety
93% Depression
85% Relationship Issues
84% Self Esteem
76% Coping Skills
69% Stress
67% Grief

Average years in practice

13 Years

Top 3 insurances accepted

72% Aetna
66% UnitedHealthcare UHC | UBH
64% BlueCross and BlueShield

How Therapists in 78738 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 78738?

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.