Therapists in Saint Charles, IL

Photo of David Efken @ St. Charles Counseling, Licensed Professional Counselor in Saint Charles, IL
David Efken @ St. Charles Counseling
Licensed Professional Counselor, MA, LCPC
Verified Verified
1 Endorsed
Saint Charles, IL 60174
I very commonly work with clients who are dealing with anxiety, depression and other major life stressors related to change and transition. I also work with couples on their relationship or marriage. I particularly have a heart for, and have specialized in working with, people who are facing serious medical issues, including cancer, Alzheimer’s Disease, dementia, chronic and terminal illnesses, and the grief it can bring that is related to death and dying. I like to work with individuals who are experiencing an existential crisis of meaning. My style as a professional counselor is genuine, respectful, comforting and supportive.
I very commonly work with clients who are dealing with anxiety, depression and other major life stressors related to change and transition. I also work with couples on their relationship or marriage. I particularly have a heart for, and have specialized in working with, people who are facing serious medical issues, including cancer, Alzheimer’s Disease, dementia, chronic and terminal illnesses, and the grief it can bring that is related to death and dying. I like to work with individuals who are experiencing an existential crisis of meaning. My style as a professional counselor is genuine, respectful, comforting and supportive.
(630) 593-7235 View (630) 593-7235
Photo of St Charles Counseling, Licensed Professional Counselor in Saint Charles, IL
St Charles Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Charles, IL 60174
Being able to discuss our current challenges calls for a supportive conversation. Often these challenges contribute to depression, anxiety, and interpersonal conflicts if not addressed. I work with individuals from all walks of life whether you are looking for individual, couples, or group counseling; I will ensure that your voice is heard.
Being able to discuss our current challenges calls for a supportive conversation. Often these challenges contribute to depression, anxiety, and interpersonal conflicts if not addressed. I work with individuals from all walks of life whether you are looking for individual, couples, or group counseling; I will ensure that your voice is heard.
(630) 381-5817 View (630) 381-5817
Photo of Anita Funkhouser @ Calming Corner Therapy, Counselor in Saint Charles, IL
Anita Funkhouser @ Calming Corner Therapy
Counselor, LCPC
Verified Verified
Saint Charles, IL 60174
I am a Licensed Clinical Professional Counselor with a Master’s Degree in Clinical Counseling from Heidelberg University. I work with clients ranging from children, adolescents, adults, and parents who are dealing with depression, anxiety, self-esteem, self-injury, adjustment disorders, grief/loss, anger management, and mental Illness. ​
I am a Licensed Clinical Professional Counselor with a Master’s Degree in Clinical Counseling from Heidelberg University. I work with clients ranging from children, adolescents, adults, and parents who are dealing with depression, anxiety, self-esteem, self-injury, adjustment disorders, grief/loss, anger management, and mental Illness. ​
(630) 415-2809 View (630) 415-2809
Photo of Karissa Tobey, Counselor in Saint Charles, IL
Karissa Tobey
Counselor, LCPC, MA
Verified Verified
Saint Charles, IL 60174
For some of us our internal dialogue with ourselves could be described as anything but kind. We can be critical, self-deprecating, or devaluing of our experience due to past traumas that have informed a part of who we are, shame or guilt associated with our identity, or fear of experiencing ourselves as selfish. At times we can be so angry with ourselves for feeling that we are trapped in a cycle of attempting to do enough for others to finally have permission to be ourselves. This anger can give way to burn out, isolation, depression, and resignation. It can feel impossible to break out of that space.
For some of us our internal dialogue with ourselves could be described as anything but kind. We can be critical, self-deprecating, or devaluing of our experience due to past traumas that have informed a part of who we are, shame or guilt associated with our identity, or fear of experiencing ourselves as selfish. At times we can be so angry with ourselves for feeling that we are trapped in a cycle of attempting to do enough for others to finally have permission to be ourselves. This anger can give way to burn out, isolation, depression, and resignation. It can feel impossible to break out of that space.
(630) 869-5323 View (630) 869-5323
Photo of Lisa Herman, Clinical Social Work/Therapist in Saint Charles, IL
Lisa Herman
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Saint Charles, IL 60174
"Hope is the feeling you have that the feeling you have isn't permanent." This quote by Jean Kerr is the reason I do what I do. Hope is a powerful feeling that is unfortunately all too easy to lose sight of. Let's work together to restore hopefulness and make the life changes that best serve you. I strive to help clients learn to cope with difficulty and live productively. I believe that to lead a fulfilling life, people need to feel supported and know that stress and conflict can be managed.
"Hope is the feeling you have that the feeling you have isn't permanent." This quote by Jean Kerr is the reason I do what I do. Hope is a powerful feeling that is unfortunately all too easy to lose sight of. Let's work together to restore hopefulness and make the life changes that best serve you. I strive to help clients learn to cope with difficulty and live productively. I believe that to lead a fulfilling life, people need to feel supported and know that stress and conflict can be managed.
(847) 278-2617 View (847) 278-2617
Photo of Brittany Snow, Psychologist in Saint Charles, IL
Brittany Snow
Psychologist, PsyD
Verified Verified
Saint Charles, IL 60174
Dr. Snow specializes in administering psychological and neuropsychological testing with children, adolescents, and adults. She frequently assesses learning disabilities, ADHD, autism, mood disorders, defiance, and conducts pre-surgical evaluations. She is trained in the ADOS-2, a measure that is considered the “gold standard” assessment for diagnosing autism. Her psychological reports include easy to read language and unique recommendations tailored to each client.
Dr. Snow specializes in administering psychological and neuropsychological testing with children, adolescents, and adults. She frequently assesses learning disabilities, ADHD, autism, mood disorders, defiance, and conducts pre-surgical evaluations. She is trained in the ADOS-2, a measure that is considered the “gold standard” assessment for diagnosing autism. Her psychological reports include easy to read language and unique recommendations tailored to each client.
(331) 979-3008 View (331) 979-3008
Photo of Emily A Kendall, Counselor in Saint Charles, IL
Emily A Kendall
Counselor, LCPC, NCC, CADC
Verified Verified
1 Endorsed
Saint Charles, IL 60174
Welcome, I'm glad you're here. Being here means you are taking the next step towards creating meaningful change in your life. Maybe you are struggling with depression and feel overwhelmed by difficult thoughts and emotions. Or perhaps you are searching for recovery from a substance use disorder. You may even be navigating through changes in life that are manifesting feelings of fear, anger, or hopelessness.
Welcome, I'm glad you're here. Being here means you are taking the next step towards creating meaningful change in your life. Maybe you are struggling with depression and feel overwhelmed by difficult thoughts and emotions. Or perhaps you are searching for recovery from a substance use disorder. You may even be navigating through changes in life that are manifesting feelings of fear, anger, or hopelessness.
(630) 222-7375 View (630) 222-7375
Photo of Jennifer Cataldo, Counselor in Saint Charles, IL
Jennifer Cataldo
Counselor, LCPC
Verified Verified
Saint Charles, IL 60174
Do you need a safe, confidential place where you can feel comfortable expressing thoughts and feelings? I understand the difficulty of discussing past hurts and experiences. I provide a nonjudgmental place to heal and find hope and humor along the way. In appointments, we will help you let go of dark times and find light in the present and future. Everyone struggles, we are all working to the best of our ability. I provide an objective, safe place with skilled guidance to help you heal and create hope.
Do you need a safe, confidential place where you can feel comfortable expressing thoughts and feelings? I understand the difficulty of discussing past hurts and experiences. I provide a nonjudgmental place to heal and find hope and humor along the way. In appointments, we will help you let go of dark times and find light in the present and future. Everyone struggles, we are all working to the best of our ability. I provide an objective, safe place with skilled guidance to help you heal and create hope.
(815) 426-9130 View (815) 426-9130
Photo of Agnieszka (Aga) Dabrowska, Licensed Clinical Professional Counselor in Saint Charles, IL
Agnieszka (Aga) Dabrowska
Licensed Clinical Professional Counselor, MA, LCPC
Not Verified Not Verified
Saint Charles, IL 60174
Are you a parent of a youth who struggles with behavioral difficulties, anxiety, sadness, low self-esteem or concentration? I am here to support you and guide your family from frustration and power struggles to emotionally balanced, calm & well connected family who laughs together. I believe that the healing process starts by building and restoring healthy connections, boundaries, trust and playfulness. Keeping these four elements in mind, my clinical focus is on guiding children and their parents, who have experienced balance disturbing events in life (trauma, grief, divorce, stress, change of schools), into well being again.
Are you a parent of a youth who struggles with behavioral difficulties, anxiety, sadness, low self-esteem or concentration? I am here to support you and guide your family from frustration and power struggles to emotionally balanced, calm & well connected family who laughs together. I believe that the healing process starts by building and restoring healthy connections, boundaries, trust and playfulness. Keeping these four elements in mind, my clinical focus is on guiding children and their parents, who have experienced balance disturbing events in life (trauma, grief, divorce, stress, change of schools), into well being again.
(331) 979-3091 View (331) 979-3091
Photo of Jenny Diamond, Clinical Social Work/Therapist in Saint Charles, IL
Jenny Diamond
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Saint Charles, IL 60174  (Online Only)
You may be at a point where you have exhausted all of your resources and known means of coping, and are seeking support in a trusting and nonjudgmental environment. Perhaps you're returning to therapy or trying it out for the first time. Either way, I can offer a neutral sounding board for challenges you are facing, and we can work together to develop strategies that work best for you and your experiences. You may also be a parent seeking ways to improve communication with your child/teen and guide them in a world where the influence of peers, social media, and other factors play a huge part in their view and means of coping.
You may be at a point where you have exhausted all of your resources and known means of coping, and are seeking support in a trusting and nonjudgmental environment. Perhaps you're returning to therapy or trying it out for the first time. Either way, I can offer a neutral sounding board for challenges you are facing, and we can work together to develop strategies that work best for you and your experiences. You may also be a parent seeking ways to improve communication with your child/teen and guide them in a world where the influence of peers, social media, and other factors play a huge part in their view and means of coping.
(630) 749-2207 View (630) 749-2207
Photo of Emily Frey, Psychologist in Saint Charles, IL
Emily Frey
Psychologist, PsyD, LCP, LCPC
Verified Verified
3 Endorsed
Saint Charles, IL 60174
Do you feel like you're stuck? Or that it is difficult to manage your life or emotions? It is not easy to take the first step in seeking therapy but it can honestly change your life in the ways you are hoping. If you are struggling to find energy, motivation, quality relationships, or purpose, now is the time to take that first step to help yourself. This includes developing the capacity for emotion regulation, learning to self-soothe, assertiveness training, and building insight into the self. Dr. Emily Frey provides a warm, genuine, empathic environment for clients, while fostering sensitivity and vulnerability.
Do you feel like you're stuck? Or that it is difficult to manage your life or emotions? It is not easy to take the first step in seeking therapy but it can honestly change your life in the ways you are hoping. If you are struggling to find energy, motivation, quality relationships, or purpose, now is the time to take that first step to help yourself. This includes developing the capacity for emotion regulation, learning to self-soothe, assertiveness training, and building insight into the self. Dr. Emily Frey provides a warm, genuine, empathic environment for clients, while fostering sensitivity and vulnerability.
(847) 380-8502 View (847) 380-8502
Photo of Rita Rippentrop, LCPC, Counselor in Saint Charles, IL
Rita Rippentrop, LCPC
Counselor, MDiv, LCPC
Verified Verified
Saint Charles, IL 60175
Do you struggle with feeling disconnected from yourself and others? Do you put yourself at the bottom of the to-do list? Do you wonder if life ought feel somehow better? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers, and their lives. Pushing away your needs & not not taking time for yourself can lead to long-term issues for your mind and body. We believe it ought not be so hard to live a more fulfilling life.
Do you struggle with feeling disconnected from yourself and others? Do you put yourself at the bottom of the to-do list? Do you wonder if life ought feel somehow better? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers, and their lives. Pushing away your needs & not not taking time for yourself can lead to long-term issues for your mind and body. We believe it ought not be so hard to live a more fulfilling life.
(708) 726-0078 View (708) 726-0078
Photo of Lindsay Hertzmann, Pre-Licensed Professional in Saint Charles, IL
Lindsay Hertzmann
Pre-Licensed Professional, PsyD
Verified Verified
Saint Charles, IL 60174
I believe building a strong therapeutic relationship in a safe, nonjudgmental space is imperative to successful treatment. I specialize in working with individuals who struggle with anxiety, depression, life transitions, relationship difficulties, and trauma. I work from a values-based approach that aims to improve your ability to overcome past unhelpful thoughts and future anxieties to assist you in living your life in the present moment.
I believe building a strong therapeutic relationship in a safe, nonjudgmental space is imperative to successful treatment. I specialize in working with individuals who struggle with anxiety, depression, life transitions, relationship difficulties, and trauma. I work from a values-based approach that aims to improve your ability to overcome past unhelpful thoughts and future anxieties to assist you in living your life in the present moment.
(630) 647-5958 x708 View (630) 647-5958 x708
Photo of Warren Matson, Counselor in Saint Charles, IL
Warren Matson
Counselor, MSEd, LCPC
Verified Verified
Saint Charles, IL 60174
After serving a wide range of clients, I have focused in on family systems and working with family members to insure the best outcomes for parents, cohesion for couples, and stability for children, thus working with individuals of all ages, families and couples. In family work I have had extensive experience with issues related to adoption and foster parenting. I also work with individuals addressing a wide range of issues that may or may not be directly related to family and relationships. In addition, I facilitate equine assisted therapy, focusing on addressing boundaries, assertiveness, emotional regulation, and confidence.
After serving a wide range of clients, I have focused in on family systems and working with family members to insure the best outcomes for parents, cohesion for couples, and stability for children, thus working with individuals of all ages, families and couples. In family work I have had extensive experience with issues related to adoption and foster parenting. I also work with individuals addressing a wide range of issues that may or may not be directly related to family and relationships. In addition, I facilitate equine assisted therapy, focusing on addressing boundaries, assertiveness, emotional regulation, and confidence.
(630) 463-6177 View (630) 463-6177
Photo of Evelyn Humphries, Licensed Professional Counselor in Saint Charles, IL
Evelyn Humphries
Licensed Professional Counselor, EdD, MA, LPC
Verified Verified
Saint Charles, IL 60174
As a licensed professional counselor, Evelyn is dedicated to providing compassionate and effective mental health services to her clients. She has a Master of Arts degree in Counseling and Human Services from Roosevelt University that has equipped her with extensive skills in various therapeutic techniques. She also has a Doctorate degree in Educational Leadership. Both of her graduate programs have provided her with the rewarding capability of being able to listen and communicate with her clients with a great sense of empathy. Evelyn has the expertise to help individuals cope with a wide range of mental health challenges.
As a licensed professional counselor, Evelyn is dedicated to providing compassionate and effective mental health services to her clients. She has a Master of Arts degree in Counseling and Human Services from Roosevelt University that has equipped her with extensive skills in various therapeutic techniques. She also has a Doctorate degree in Educational Leadership. Both of her graduate programs have provided her with the rewarding capability of being able to listen and communicate with her clients with a great sense of empathy. Evelyn has the expertise to help individuals cope with a wide range of mental health challenges.
(630) 576-9769 View (630) 576-9769
Photo of Sara Kaeding, Licensed Professional Counselor in Saint Charles, IL
Sara Kaeding
Licensed Professional Counselor, MEd, NCC, LPC
Verified Verified
4 Endorsed
Saint Charles, IL 60174
I enjoy working collaboratively with clients to create a plan for sustainable growth and change. I operate from a neuro-affirming, trauma-informed lens to support you in creating goals that align with your own vision for growth and healing. I understand how much effort it takes to create space in your life for therapy. I promise to honor that effort by providing a safe, non-judgmental environment where you feel heard, supported, and encouraged.
I enjoy working collaboratively with clients to create a plan for sustainable growth and change. I operate from a neuro-affirming, trauma-informed lens to support you in creating goals that align with your own vision for growth and healing. I understand how much effort it takes to create space in your life for therapy. I promise to honor that effort by providing a safe, non-judgmental environment where you feel heard, supported, and encouraged.
(224) 243-4076 x91 View (224) 243-4076 x91
Photo of Bethany (Winter) Kosek, Licensed Professional Counselor in Saint Charles, IL
Bethany (Winter) Kosek
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Charles, IL 60174
Life is unpredictable and throws ups and downs at us constantly. Sometimes, we need someone to talk to, who will help us sort through these life occurrences and put them into perspective. Even if you, or someone you know, claims the problem is insignificant, it might be significant to you and you may spend a lot of time thinking about it. I want to be that listening ear you need, no matter how big or how small your ups and downs may seem.
Life is unpredictable and throws ups and downs at us constantly. Sometimes, we need someone to talk to, who will help us sort through these life occurrences and put them into perspective. Even if you, or someone you know, claims the problem is insignificant, it might be significant to you and you may spend a lot of time thinking about it. I want to be that listening ear you need, no matter how big or how small your ups and downs may seem.
(630) 931-0139 View (630) 931-0139
Photo of Kathy Jack, Counselor in Saint Charles, IL
Kathy Jack
Counselor, MA, LCPC
Verified Verified
Saint Charles, IL 60174
I enjoy helping those on a journey toward better self-awareness around their emotional life, satisfaction in relationships, and getting through what seems stuck. Counseling is a place to feel safe to explore difficult relationships or past or current trauma. I want my clients to feel advocated for, and to find a deeper understanding of self and gain insight into how our past affects present relationships and struggles. Finding your true-self is so important. Skill building and assertiveness training are also a part of the therapy I do. My experience for the last 22 years has been in individual therapy with kids, teens, and adults.
I enjoy helping those on a journey toward better self-awareness around their emotional life, satisfaction in relationships, and getting through what seems stuck. Counseling is a place to feel safe to explore difficult relationships or past or current trauma. I want my clients to feel advocated for, and to find a deeper understanding of self and gain insight into how our past affects present relationships and struggles. Finding your true-self is so important. Skill building and assertiveness training are also a part of the therapy I do. My experience for the last 22 years has been in individual therapy with kids, teens, and adults.
(630) 415-1476 View (630) 415-1476
Photo of Prem Nikoniuk, Counselor in Saint Charles, IL
Prem Nikoniuk
Counselor, LCPC, LPC, NCC, NCMHC, MA
Verified Verified
Saint Charles, IL 60175  (Online Only)
What's on your mind? Are you experiencing relationship problems, family troubles, money issues, health concerns? Do you feel anxious, scared, sad or stressed? Whatever it may be - it is, likely, consuming you; you are feeling out of touch, lost; as if your entire world is spinning out of control! What if you were to, for a moment, forget the destination you believe your life is headed and instead, focus on your journey? For only in the process of living your life completely and meaningfully, will you come to find its true purpose, joy, and fulfillment.
What's on your mind? Are you experiencing relationship problems, family troubles, money issues, health concerns? Do you feel anxious, scared, sad or stressed? Whatever it may be - it is, likely, consuming you; you are feeling out of touch, lost; as if your entire world is spinning out of control! What if you were to, for a moment, forget the destination you believe your life is headed and instead, focus on your journey? For only in the process of living your life completely and meaningfully, will you come to find its true purpose, joy, and fulfillment.
(331) 259-8465 View (331) 259-8465
Photo of Maureen Mitchell, Counselor in Saint Charles, IL
Maureen Mitchell
Counselor, LPC
Verified Verified
Saint Charles, IL 60174
Maureen Mitchell is a Licensed Professional Counselor with a Master’s Degree in School Counseling from Northern Illinois University. Maureen works with adolescents (middle and high school students), adults and families who are struggling with issues such as anxiety, depression, trauma, school refusal, self-injury, and mental illness.
Maureen Mitchell is a Licensed Professional Counselor with a Master’s Degree in School Counseling from Northern Illinois University. Maureen works with adolescents (middle and high school students), adults and families who are struggling with issues such as anxiety, depression, trauma, school refusal, self-injury, and mental illness.
(630) 716-9241 x1 View (630) 716-9241 x1

See more therapy options for Saint Charles

How does your Therapist compare?

Number of Therapists in Saint Charles, IL

200+

Average cost per session

$150

Therapists in Saint Charles, IL who prioritize treating:

94% Anxiety
90% Depression
77% Relationship Issues
74% Self Esteem
71% Coping Skills
70% Trauma and PTSD
64% Grief

Average years in practice

13 Years

Top 3 insurances accepted

98% BlueCross and BlueShield
71% Aetna
64% Cigna and Evernorth

How Therapists in Saint Charles, IL see their clients

85% In Person and Online
15% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Charles?

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.