Therapists in Saint Cloud, MN

Photo of Sarah Bengtson, Marriage & Family Therapist in Saint Cloud, MN
Sarah Bengtson
Marriage & Family Therapist, LMFT, LADC, CAMS-II
Verified Verified
Saint Cloud, MN 56303  (Online Only)
"Instead of waiting for the storm to pass, learn how to dance in the rain" (author unknown). Time is precious and you deserve to maximize your quality of life. Are you struggling with adjustments in life, depression, anxiety, substance use issues, trauma, anger, relationships, generational issues, or communication? I can help! I look forward to hearing from you so we can start your journey together!
"Instead of waiting for the storm to pass, learn how to dance in the rain" (author unknown). Time is precious and you deserve to maximize your quality of life. Are you struggling with adjustments in life, depression, anxiety, substance use issues, trauma, anger, relationships, generational issues, or communication? I can help! I look forward to hearing from you so we can start your journey together!
(320) 335-7898 View (320) 335-7898
Photo of Michael Jacob, Licensed Professional Counselor in Saint Cloud, MN
Michael Jacob
Licensed Professional Counselor, MS, LPCC
Verified Verified
1 Endorsed
Saint Cloud, MN 56303
Want to be more authentic? As a gay man, I understand how difficult it can be to understand and feel confident in your identity. I bring that lived experience and empathy to my therapeutic work. Gender identity, sex and sexuality, relationships, body image and self-esteem, along with depression and anxiety that tangle with them, are things that I can help you work through. My goal is to help you be more kind to yourself, and to help you find your authentic self so you can live the life you want.
Want to be more authentic? As a gay man, I understand how difficult it can be to understand and feel confident in your identity. I bring that lived experience and empathy to my therapeutic work. Gender identity, sex and sexuality, relationships, body image and self-esteem, along with depression and anxiety that tangle with them, are things that I can help you work through. My goal is to help you be more kind to yourself, and to help you find your authentic self so you can live the life you want.
(320) 207-4955 View (320) 207-4955
Photo of Lynette M Sickler, Counselor in Saint Cloud, MN
Lynette M Sickler
Counselor, MS, LADC, LPCC, CFRC
Verified Verified
Saint Cloud, MN 56301
As a Licensed Professional Clinical Counselor and Licensed Alcohol and Drug Counselor, I have over 25 years of experience working in the counseling field. I work with adults with a variety of issues including substance abuse and addiction anxiety, depression, panic attacks, PTSD/trauma, and relationships issues. I am a Certified First Responder Counselor, I have experience and am enthusiastic about working with both the military and the first responder community. Active member of the Star Behavioral Health Providers registry. (Veterans and active military)
As a Licensed Professional Clinical Counselor and Licensed Alcohol and Drug Counselor, I have over 25 years of experience working in the counseling field. I work with adults with a variety of issues including substance abuse and addiction anxiety, depression, panic attacks, PTSD/trauma, and relationships issues. I am a Certified First Responder Counselor, I have experience and am enthusiastic about working with both the military and the first responder community. Active member of the Star Behavioral Health Providers registry. (Veterans and active military)
(320) 348-7693 View (320) 348-7693
Photo of Ellie Mental Health Services, Licensed Professional Clinical Counselor in Saint Cloud, MN
Ellie Mental Health Services
Licensed Professional Clinical Counselor, EdD, LPCC
Verified Verified
2 Endorsed
Saint Cloud, MN 56303  (Online Only)
Everyone has experienced pain and disappointment in their life. For some of us that pain is keeping us from the life we want. You may have learned to cope in ways that are no longer helpful and have become "stuck." I consider it an honor to hear your story and help you navigate what is keeping you from moving forward.
Everyone has experienced pain and disappointment in their life. For some of us that pain is keeping us from the life we want. You may have learned to cope in ways that are no longer helpful and have become "stuck." I consider it an honor to hear your story and help you navigate what is keeping you from moving forward.
View
Photo of Pam Walz, Marriage & Family Therapist in Saint Cloud, MN
Pam Walz
Marriage & Family Therapist, MS, LMFT, RPT, IMH-E
Verified Verified
Saint Cloud, MN 56301
Waitlist for new clients
As a Licensed Marriage and Family Therapist and a Registered Play Therapist, I specialize in supporting children and caregivers in understanding and managing behavioral concerns, emotions, trauma experiences, attachment and relationship challenges, anxiety, and depression. Bringing 25 years in the field of early childhood into my work, I approach therapy with a developmental, attachment, and family systems lens, while working to improve the functioning of individuals and family they are part of.
As a Licensed Marriage and Family Therapist and a Registered Play Therapist, I specialize in supporting children and caregivers in understanding and managing behavioral concerns, emotions, trauma experiences, attachment and relationship challenges, anxiety, and depression. Bringing 25 years in the field of early childhood into my work, I approach therapy with a developmental, attachment, and family systems lens, while working to improve the functioning of individuals and family they are part of.
(320) 348-1298 View (320) 348-1298
Photo of Center for Psychological Services, Marriage & Family Therapist in Saint Cloud, MN
Center for Psychological Services
Marriage & Family Therapist
Verified Verified
Saint Cloud, MN 56301
Center for Psychological Services is a reputable, professional agency that has provided quality therapy services for over 25 years in the St. Cloud community.
Center for Psychological Services is a reputable, professional agency that has provided quality therapy services for over 25 years in the St. Cloud community.
(320) 332-1519 View (320) 332-1519
Photo of Elizabeth Flynn, Psychologist in Saint Cloud, MN
Elizabeth Flynn
Psychologist, PsyD
Verified Verified
Saint Cloud, MN 56303
You can expect to learn techniques to reduce worry and stressors related to anxiety and depression. In therapy we can work together to address life transitions. Some examples include: college stressors, a change in career, a significant loss, or change in relationships. In addition, if you have been impacted by abuse we can work to develop ways to cope with the events and prevent the events from impacting day to day functioning.
You can expect to learn techniques to reduce worry and stressors related to anxiety and depression. In therapy we can work together to address life transitions. Some examples include: college stressors, a change in career, a significant loss, or change in relationships. In addition, if you have been impacted by abuse we can work to develop ways to cope with the events and prevent the events from impacting day to day functioning.
(320) 245-8294 View (320) 245-8294
Photo of Seal Dwyer Counseling, Marriage & Family Therapist in Saint Cloud, MN
Seal Dwyer Counseling
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Saint Cloud, MN 56301
Seal Dwyer Counseling works with people healing from chronic trauma, or who have gender and sexuality challenges, relationship conflicts, and body image issues. We offer a harm-reduction approach, treating trauma with EMDR. Our therapists and counselors are trauma-informed, and treat PTSD, DID, Gender Dysphoria, and trauma- or gender-related concerns as well as stress, anxiety, depression, and other issues affecting our daily lives. We believe that all folks can heal and that all folks deserve the relief from the impact of trauma. In a world that makes certain bodies and identities unsafe, this office is a safe place.
Seal Dwyer Counseling works with people healing from chronic trauma, or who have gender and sexuality challenges, relationship conflicts, and body image issues. We offer a harm-reduction approach, treating trauma with EMDR. Our therapists and counselors are trauma-informed, and treat PTSD, DID, Gender Dysphoria, and trauma- or gender-related concerns as well as stress, anxiety, depression, and other issues affecting our daily lives. We believe that all folks can heal and that all folks deserve the relief from the impact of trauma. In a world that makes certain bodies and identities unsafe, this office is a safe place.
(320) 433-4851 View (320) 433-4851
Photo of Heather's Counseling Service, LLC, Counselor in Saint Cloud, MN
Heather's Counseling Service, LLC
Counselor, MS, LPCC
Verified Verified
Saint Cloud, MN 56303
Hello, my name is Heather and I am a Licensed Professional Clinical Counselor. I have been providing counseling services for the past 11 years. I have helped many client rebuild their self-esteem, confidence and relationships. I have also helped clients set goals to better their lifestyle, help reduce their depression, and anxiety to have a more positive future.
Hello, my name is Heather and I am a Licensed Professional Clinical Counselor. I have been providing counseling services for the past 11 years. I have helped many client rebuild their self-esteem, confidence and relationships. I have also helped clients set goals to better their lifestyle, help reduce their depression, and anxiety to have a more positive future.
(320) 852-5696 View (320) 852-5696
Photo of Gwen K Pedersen, Marriage & Family Therapist in Saint Cloud, MN
Gwen K Pedersen
Marriage & Family Therapist, MS, LMFT
Verified Verified
Saint Cloud, MN 56301
I have been a practicing therapist since 1998. I have a varied background of experiences over the last 2+ decades. My primary focus is to work with adults. My goal is to help clients find healing and build on the strengths that they already have with an approach that is best suited for them whether that be internal family systems, shame resilience, cognitive re-framing (with CBT), learning healthier relationship boundaries, emphasizing optimal lifestyle, and more.
I have been a practicing therapist since 1998. I have a varied background of experiences over the last 2+ decades. My primary focus is to work with adults. My goal is to help clients find healing and build on the strengths that they already have with an approach that is best suited for them whether that be internal family systems, shame resilience, cognitive re-framing (with CBT), learning healthier relationship boundaries, emphasizing optimal lifestyle, and more.
(320) 317-2022 View (320) 317-2022
Photo of Amber Lei Hopkins Morrighan, Marriage & Family Therapist in Saint Cloud, MN
Amber Lei Hopkins Morrighan
Marriage & Family Therapist, MA, LMFT
Verified Verified
Saint Cloud, MN 56301
Waitlist for new clients
When meeting clients I begin with the question of "What happened to you" rather than "What is wrong with you." When I get to watch and bear witness as an individual or family grows and is able to heal it humbles me! I like to walk along side those I work with in helping them develop/discover the life and relationships they desire. I also enjoy working with couples in achieving satisfying marriages or relationships. When not at work I enjoy reading, being in nature, spending time with my family, walking my dog and gardening. I also believe in bringing humor into my work as it helps us all remember what in life is good!
When meeting clients I begin with the question of "What happened to you" rather than "What is wrong with you." When I get to watch and bear witness as an individual or family grows and is able to heal it humbles me! I like to walk along side those I work with in helping them develop/discover the life and relationships they desire. I also enjoy working with couples in achieving satisfying marriages or relationships. When not at work I enjoy reading, being in nature, spending time with my family, walking my dog and gardening. I also believe in bringing humor into my work as it helps us all remember what in life is good!
(320) 337-3166 View (320) 337-3166
Photo of Richard Chandler, Counselor in Saint Cloud, MN
Richard Chandler
Counselor, MA, LPC
Verified Verified
5 Endorsed
Saint Cloud, MN 56304  (Online Only)
Have you experienced infidelity, loss of trust, low intimacy, low sex or sexless marriage, hurtful arguing, silent treatment, anger, or threats of separation and divorce? I have helped couples improve their communication & intimacy. I seek to bring clarity to your relationship and, if possible, help you renew the attraction & romance that first brought you together. Couple's transformation packages for anger, divorce & infidelity. I specialize in strength-based, online teletherapy for couples & individual counseling. Please text, call, or email for a short phone or online conversation to see if working together is right for you.
Have you experienced infidelity, loss of trust, low intimacy, low sex or sexless marriage, hurtful arguing, silent treatment, anger, or threats of separation and divorce? I have helped couples improve their communication & intimacy. I seek to bring clarity to your relationship and, if possible, help you renew the attraction & romance that first brought you together. Couple's transformation packages for anger, divorce & infidelity. I specialize in strength-based, online teletherapy for couples & individual counseling. Please text, call, or email for a short phone or online conversation to see if working together is right for you.
(320) 358-6455 View (320) 358-6455
Photo of Linda C Scherer, Clinical Social Work/Therapist in Saint Cloud, MN
Linda C Scherer
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Saint Cloud, MN 56304
Seeking counseling to find our way through challenges requires courage and strength. I help people cope with loss and trauma and manage life transitions. Sometimes feelings of anxiety and depression arise and show us what needs healing. I want to help you find that connection to your own sense of welbeing so that you can best manage whatever changes come. I have been a licensed therapy provider for 22 years working with adolescents and adults. I offer individual counseling, couples counseling, and an 8 week Mind Body Skills Group which teaches methods of mindfulness, use of imagery, accessing intuition, and self expression.
Seeking counseling to find our way through challenges requires courage and strength. I help people cope with loss and trauma and manage life transitions. Sometimes feelings of anxiety and depression arise and show us what needs healing. I want to help you find that connection to your own sense of welbeing so that you can best manage whatever changes come. I have been a licensed therapy provider for 22 years working with adolescents and adults. I offer individual counseling, couples counseling, and an 8 week Mind Body Skills Group which teaches methods of mindfulness, use of imagery, accessing intuition, and self expression.
(320) 434-2094 View (320) 434-2094
Photo of Milestone Counseling, Inc.; Denise Oehrlein, LMFT, Marriage & Family Therapist in Saint Cloud, MN
Milestone Counseling, Inc.; Denise Oehrlein, LMFT
Marriage & Family Therapist, MS, LMFT, RPT
Verified Verified
Saint Cloud, MN 56301
I would be honored to hear your story regardless of what stage of life you are currently experiencing. I believe it is important to understand one's story in the context of their relationships and family patterns. Using a strength based approach, I will assist you in finding support and healing as you change and grow through life's changes. I also promote early intervention with children. Play is the language of children and is used to promote growth and development.
I would be honored to hear your story regardless of what stage of life you are currently experiencing. I believe it is important to understand one's story in the context of their relationships and family patterns. Using a strength based approach, I will assist you in finding support and healing as you change and grow through life's changes. I also promote early intervention with children. Play is the language of children and is used to promote growth and development.
(320) 268-6424 View (320) 268-6424
Photo of Hannah Hicks, Clinical Social Work/Therapist in Saint Cloud, MN
Hannah Hicks
Clinical Social Work/Therapist, MSW, LCSW, CCTS-I, C-DBT
Verified Verified
Saint Cloud, MN 56303  (Online Only)
Being a woman today can mean living with a lot of insecurity and anxiety. You want to appear successful and put together, but deep down you are struggling to figure out who you are, cope with the chaos in your life, and work through a difficult past. The pressures of everyday life fill you with constant overwhelm, relationships feel distant and stressful, and your energy reserves have been depleted. You can hold it together and make it through the day, but by the time you get home you are exhausted. Cooking, dinner, socialization, and parenting seem like impossible tasks.
Being a woman today can mean living with a lot of insecurity and anxiety. You want to appear successful and put together, but deep down you are struggling to figure out who you are, cope with the chaos in your life, and work through a difficult past. The pressures of everyday life fill you with constant overwhelm, relationships feel distant and stressful, and your energy reserves have been depleted. You can hold it together and make it through the day, but by the time you get home you are exhausted. Cooking, dinner, socialization, and parenting seem like impossible tasks.
(320) 613-2608 View (320) 613-2608
Photo of Karen Hutchins, Counselor in Saint Cloud, MN
Karen Hutchins
Counselor, MS, LPCC
Verified Verified
3 Endorsed
Saint Cloud, MN 56301
We all need a helping hand at times, and I have had a passion for helping people for as long as I can remember. You want to feel happier, less anxious, and do more than just “get through each day”. You deserve a safe space to discover who you truly are, and uncover what is keeping you from experiencing more joy, contentment and ease in your life. When we sit down together and discuss all that you’ve been through we will also discover your many inner strengths, and together we can build on the resiliency within you. I want you to see all that you are capable of - all the things that you can do to help yourself be happier.
We all need a helping hand at times, and I have had a passion for helping people for as long as I can remember. You want to feel happier, less anxious, and do more than just “get through each day”. You deserve a safe space to discover who you truly are, and uncover what is keeping you from experiencing more joy, contentment and ease in your life. When we sit down together and discuss all that you’ve been through we will also discover your many inner strengths, and together we can build on the resiliency within you. I want you to see all that you are capable of - all the things that you can do to help yourself be happier.
(320) 337-7315 View (320) 337-7315
Photo of Nicolette Johnson, Licensed Professional Clinical Counselor in Saint Cloud, MN
Nicolette Johnson
Licensed Professional Clinical Counselor, MA, LPCC, LADC, LMAC
Verified Verified
3 Endorsed
Saint Cloud, MN 56303
Not accepting new clients
I believe therapy is for everyone and that it can address anything; there is no topic off the table! I specialize in trauma, substance use, and sexuality. I am currently pursuing AASECT certification which requires advanced and intensive training as well as supervision. Additionally, I have training and experience to address a number of concerns including but not limited to stress, life transitions, anger, mood, anxiety, thought disorders, relationships, self-esteem, grief/loss, and spirituality. I hold the perspective that you are the expert and know what is right for you. As your therapist I will partner with you where you are at.
I believe therapy is for everyone and that it can address anything; there is no topic off the table! I specialize in trauma, substance use, and sexuality. I am currently pursuing AASECT certification which requires advanced and intensive training as well as supervision. Additionally, I have training and experience to address a number of concerns including but not limited to stress, life transitions, anger, mood, anxiety, thought disorders, relationships, self-esteem, grief/loss, and spirituality. I hold the perspective that you are the expert and know what is right for you. As your therapist I will partner with you where you are at.
(320) 526-1378 View (320) 526-1378
Photo of Brittany A Phelps, Marriage & Family Therapist in Saint Cloud, MN
Brittany A Phelps
Marriage & Family Therapist, MS , LMFT-S
Verified Verified
2 Endorsed
Saint Cloud, MN 56301  (Online Only)
Hello! I am a strength based, narrative, emotion focused therapist, and self-identified philosopher. I’ve been working in the field since 2012 with experience in multiple settings, including outpatient, in-home, school-located, and residential dual, mental health and chemical dependency, services and have worked with diverse individuals, couples, and families. However, my heart lies with adolescents, couples, and family work. As an artist, I enjoy helping others find their own creativity and hold a deep passion for life and its beauty. Anxiety, depression, trauma, and relationships dynamics are areas of specialty.
Hello! I am a strength based, narrative, emotion focused therapist, and self-identified philosopher. I’ve been working in the field since 2012 with experience in multiple settings, including outpatient, in-home, school-located, and residential dual, mental health and chemical dependency, services and have worked with diverse individuals, couples, and families. However, my heart lies with adolescents, couples, and family work. As an artist, I enjoy helping others find their own creativity and hold a deep passion for life and its beauty. Anxiety, depression, trauma, and relationships dynamics are areas of specialty.
(218) 276-5218 View (218) 276-5218
Photo of Krista Vosberg PLLC, Marriage & Family Therapist in Saint Cloud, MN
Krista Vosberg PLLC
Marriage & Family Therapist, MS, LMFT
Verified Verified
Saint Cloud, MN 56303
I provide individual, couples and family therapy for adolescents and adults experiencing a number of issues including trauma, anxiety, depression, relationship and marital problems, sexual issues, behavior problems, anger, life transitions, separation and divorce, family conflict, parenting issues, and grief and loss. I worked for 3 years at an inpatient treatment program for high risk adolescents and 15 years at an outpatient mental health clinic before starting my own practice.
I provide individual, couples and family therapy for adolescents and adults experiencing a number of issues including trauma, anxiety, depression, relationship and marital problems, sexual issues, behavior problems, anger, life transitions, separation and divorce, family conflict, parenting issues, and grief and loss. I worked for 3 years at an inpatient treatment program for high risk adolescents and 15 years at an outpatient mental health clinic before starting my own practice.
(320) 289-5401 View (320) 289-5401
Photo of Cheri Gieski, Marriage & Family Therapist in Saint Cloud, MN
Cheri Gieski
Marriage & Family Therapist, MA LMFT
Verified Verified
Saint Cloud, MN 56301  (Online Only)
Not accepting new clients
Are you feeling stuck, hurt, and confused by a particular relationship? Are you in the middle of a major life change or loss? Or maybe you're feeling out of sorts, not your "usual" self, and you're wondering why. I believe these are opportunities to tune in differently, ask some new questions, and truly listen to your life. When you've circled and spiraled in your own head, searching for clarity, and nothing seems to change, it's okay to ask for help.
Are you feeling stuck, hurt, and confused by a particular relationship? Are you in the middle of a major life change or loss? Or maybe you're feeling out of sorts, not your "usual" self, and you're wondering why. I believe these are opportunities to tune in differently, ask some new questions, and truly listen to your life. When you've circled and spiraled in your own head, searching for clarity, and nothing seems to change, it's okay to ask for help.
(320) 530-8234 View (320) 530-8234

How does your Therapist compare?

Number of Therapists in Saint Cloud, MN

90+

Average cost per session

$150

Therapists in Saint Cloud, MN who prioritize treating:

93% Anxiety
85% Depression
84% Self Esteem
78% Relationship Issues
78% Coping Skills
76% Stress
74% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
80% HealthPartners of MN and WI
76% Optum

How Therapists in Saint Cloud, MN see their clients

69% In Person and Online
31% Online Only

Gender breakdown

83% Female
10% Male
7% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Cloud?

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.