Therapists in Amesbury, MA

Photo of Jennifer Vanderlinden, Clinical Social Work/Therapist in Amesbury, MA
Jennifer Vanderlinden
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Amesbury, MA 01913
Not accepting new clients
In these challenging times, it takes a great deal of courage to reach out for support and I am happy that you have taken the first step. I am here to help you find the tools that will best work for you as you navigate life’s challenges and obstacles. I am a seasoned social worker with a passion for helping people. I have 15 years of experience working in a clinical setting with varied age groups. My most recent experience was in a level one trauma center. I worked with patients through anxiety, depression, adjustment issues, substance use, loss and grief.
In these challenging times, it takes a great deal of courage to reach out for support and I am happy that you have taken the first step. I am here to help you find the tools that will best work for you as you navigate life’s challenges and obstacles. I am a seasoned social worker with a passion for helping people. I have 15 years of experience working in a clinical setting with varied age groups. My most recent experience was in a level one trauma center. I worked with patients through anxiety, depression, adjustment issues, substance use, loss and grief.
(351) 300-7556 View (351) 300-7556
Photo of Rachel Follis, Counselor in Amesbury, MA
Rachel Follis
Counselor, LMHC
Verified Verified
2 Endorsed
Amesbury, MA 01913
Not accepting new clients
I work with adolescents, adults, couples and families struggling with a range of challenges such as anxiety, depression, self esteem, relationship distress, overcoming difficult family dynamics, phase of life transitions & stress management. I have a personable style with clients and take a strength based approach to treatment helping people access the strengths they already possess to make positive change in their lives. Change and personal growth can be hard but if you're here, you're taking the first step.
I work with adolescents, adults, couples and families struggling with a range of challenges such as anxiety, depression, self esteem, relationship distress, overcoming difficult family dynamics, phase of life transitions & stress management. I have a personable style with clients and take a strength based approach to treatment helping people access the strengths they already possess to make positive change in their lives. Change and personal growth can be hard but if you're here, you're taking the first step.
(339) 204-9706 View (339) 204-9706
Photo of Donna Anne Levin, Clinical Social Work/Therapist in Amesbury, MA
Donna Anne Levin
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Amesbury, MA 01913
CONGRATULATIONS! I want to applaud you on having the courage and strength it takes to reach out when you are struggling and likely feeling the most vulnerable. I know how difficult it can be to ask for help, especially when you may be feeling anxious, angry, depressed, overwhelmed, lonely, misunderstood, or impacted by trauma. I aim to provide a safe, supportive and reassuring space where we can work together to alleviate your suffering and begin your healing. I have an active, non-judgmental approach to the therapy process and have found that honesty, curiosity, creativity, and humor can be very helpful in overcoming challenges.
CONGRATULATIONS! I want to applaud you on having the courage and strength it takes to reach out when you are struggling and likely feeling the most vulnerable. I know how difficult it can be to ask for help, especially when you may be feeling anxious, angry, depressed, overwhelmed, lonely, misunderstood, or impacted by trauma. I aim to provide a safe, supportive and reassuring space where we can work together to alleviate your suffering and begin your healing. I have an active, non-judgmental approach to the therapy process and have found that honesty, curiosity, creativity, and humor can be very helpful in overcoming challenges.
(978) 307-6678 View (978) 307-6678
Photo of Alexandra Mrvos, Counselor in Amesbury, MA
Alexandra Mrvos
Counselor, MA, LMHC, TITC-CT
Verified Verified
Amesbury, MA 01913
Daytime Availability & Limited Evening Availability. At Mighty Minds Mental Health, I strive to provide a safe, accepting, and warm environment for my clients. I help children & teenagers struggling with behavioral and emotional regulation, anxiety, depression, ADHD, and complex trauma to live a more fulfilled and balanced life. I also work with adults and parents who experience mental illness and trauma-related disorders work through their symptoms to cope with and develop compassion and care for themselves. It gives me the greatest joy to be able to build rapport with clients, supporting them in realizing their full potential.
Daytime Availability & Limited Evening Availability. At Mighty Minds Mental Health, I strive to provide a safe, accepting, and warm environment for my clients. I help children & teenagers struggling with behavioral and emotional regulation, anxiety, depression, ADHD, and complex trauma to live a more fulfilled and balanced life. I also work with adults and parents who experience mental illness and trauma-related disorders work through their symptoms to cope with and develop compassion and care for themselves. It gives me the greatest joy to be able to build rapport with clients, supporting them in realizing their full potential.
(978) 295-7034 View (978) 295-7034
Photo of Suzanne Fix, Clinical Social Work/Therapist in Amesbury, MA
Suzanne Fix
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Amesbury, MA 01913
Not accepting new clients
Specializing in trauma work with folks over 55. Skilled in EMDR and A.R.T. (Accelerated Resolution Therapy). Tired of being triggered by old memories when you least expect it? Do people say you "over-react?" Let me help you heal from trauma, whether a life-changing event or something you hesitate to even call traumatic. If it affects your ability to enjoy life, EMDR can help.
Specializing in trauma work with folks over 55. Skilled in EMDR and A.R.T. (Accelerated Resolution Therapy). Tired of being triggered by old memories when you least expect it? Do people say you "over-react?" Let me help you heal from trauma, whether a life-changing event or something you hesitate to even call traumatic. If it affects your ability to enjoy life, EMDR can help.
(978) 733-2503 View (978) 733-2503
Photo of Elizabeth Milligan, Counselor in Amesbury, MA
Elizabeth Milligan
Counselor, MEd, LMHC
Verified Verified
3 Endorsed
Amesbury, MA 01913
I believe that in order to achieve a sense of overall well-being and balance, both our mind and body must be healthy and supported. Depression, anxiety, trauma, addiction, illness and eating disorders are all things that can be a part of the human condition. Any of these disorders can become uncomfortable and overwhelming, making it difficult or impossible to achieve balance in the mind and body. I am here to help you.
I believe that in order to achieve a sense of overall well-being and balance, both our mind and body must be healthy and supported. Depression, anxiety, trauma, addiction, illness and eating disorders are all things that can be a part of the human condition. Any of these disorders can become uncomfortable and overwhelming, making it difficult or impossible to achieve balance in the mind and body. I am here to help you.
(978) 290-5056 View (978) 290-5056
Photo of Jessica Lynn Spater, Clinical Social Work/Therapist in Amesbury, MA
Jessica Lynn Spater
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Amesbury, MA 01913  (Online Only)
Welcome! Are you feeling overwhelmed, anxious, struggling with motivation; or are you observing your kids struggling with anxiety, social skills, depression? Then you have entered the first step in the healing journey. I have over 15 years of experience working with youth, adolescents, and families in multiple setting including schools, residential programs, homes, and outpatient clinics. It is my goal to create a supportive, comfortable, safe environment to allow you to explore your goals and to develop skills to improve your overall well being and confidence.
Welcome! Are you feeling overwhelmed, anxious, struggling with motivation; or are you observing your kids struggling with anxiety, social skills, depression? Then you have entered the first step in the healing journey. I have over 15 years of experience working with youth, adolescents, and families in multiple setting including schools, residential programs, homes, and outpatient clinics. It is my goal to create a supportive, comfortable, safe environment to allow you to explore your goals and to develop skills to improve your overall well being and confidence.
(978) 288-0340 View (978) 288-0340
Photo of Heather Shields: Blooming Lotus Psychotherapy, Counselor in Amesbury, MA
Heather Shields: Blooming Lotus Psychotherapy
Counselor, LMHC
Verified Verified
4 Endorsed
Amesbury, MA 01913  (Online Only)
Waitlist for new clients
Are you feeling stressed, anxious, burnt out? Are mental health struggles keeping you from living your best life? These symptoms are telling you that it’s time for change. I understand it takes a lot of courage to ask for help, but you don’t have to do it alone. I can help you find balance and teach you skills to sustain wellbeing. I provide holistic and evidence-based interventions specific to your goals, including (but not limited to) art therapy, mindfulness and cognitive behavioral therapy. I can help you process your past experiences, and we can work together to better resolve current challenges as well as celebrate the joys.
Are you feeling stressed, anxious, burnt out? Are mental health struggles keeping you from living your best life? These symptoms are telling you that it’s time for change. I understand it takes a lot of courage to ask for help, but you don’t have to do it alone. I can help you find balance and teach you skills to sustain wellbeing. I provide holistic and evidence-based interventions specific to your goals, including (but not limited to) art therapy, mindfulness and cognitive behavioral therapy. I can help you process your past experiences, and we can work together to better resolve current challenges as well as celebrate the joys.
(978) 644-0691 View (978) 644-0691
Photo of MKL Counseling & Coaching Associates, LLC, Counselor in Amesbury, MA
MKL Counseling & Coaching Associates, LLC
Counselor, MPA, MA, LMHC
Verified Verified
Amesbury, MA 01913  (Online Only)
MKL Counseling and Coaching Associates, LLC provides solution focused counseling to move you from chaos to clarity. Many times a simple adjustment to old problems can have a huge impact on breaking the inertia. Specializing in individuals and couples who are overwhelmed and losing ground, feeling frustrated and disconnected in their marriage or realationships. If you are losing perspective and need to hit the reset button, we can help. Please visit us at http://www.maryklogan.com for more information about how we can help.
MKL Counseling and Coaching Associates, LLC provides solution focused counseling to move you from chaos to clarity. Many times a simple adjustment to old problems can have a huge impact on breaking the inertia. Specializing in individuals and couples who are overwhelmed and losing ground, feeling frustrated and disconnected in their marriage or realationships. If you are losing perspective and need to hit the reset button, we can help. Please visit us at http://www.maryklogan.com for more information about how we can help.
(978) 241-7881 View (978) 241-7881
Photo of Jennifer Silva, Counselor in Amesbury, MA
Jennifer Silva
Counselor, LMHC
Verified Verified
Amesbury, MA 01913  (Online Only)
Everyone has struggles in their lives, whether they are anticipated struggles such as becoming a parent for the first time or the unanticipated loss of a loved one. Other times, its the build up of one stressor after another that is weighing you down. Let me help you through this difficult time. For those of you who are struggling with a mental diagnosis either for yourself or a loved one. Let's work together so that you can live the best life possible. I truly believe that there is always hope!
Everyone has struggles in their lives, whether they are anticipated struggles such as becoming a parent for the first time or the unanticipated loss of a loved one. Other times, its the build up of one stressor after another that is weighing you down. Let me help you through this difficult time. For those of you who are struggling with a mental diagnosis either for yourself or a loved one. Let's work together so that you can live the best life possible. I truly believe that there is always hope!
(978) 878-7236 View (978) 878-7236
Photo of John Longo, Clinical Social Work/Therapist in Amesbury, MA
John Longo
Clinical Social Work/Therapist, LICSW
Verified Verified
Amesbury, MA 01913
I approach my clients collaboratively with a warm, accepting and compassionate attitude. I believe developing a trusting relationship is the most effective foundation to approach the hardships and mind habits we all face in life. I use specific CBT and Mindfulness skills to help my clients reduce symptoms and feel better soon. Anxiety, obsessiveness and depressed feelings can be significantly reduced while I teach clients how to govern the mind, creating new habits and strategies. As a practitioner of mindfulness who has attended many Insight Meditation retreats, I can share with you the benefits of attention from both personal and professional experience.
I approach my clients collaboratively with a warm, accepting and compassionate attitude. I believe developing a trusting relationship is the most effective foundation to approach the hardships and mind habits we all face in life. I use specific CBT and Mindfulness skills to help my clients reduce symptoms and feel better soon. Anxiety, obsessiveness and depressed feelings can be significantly reduced while I teach clients how to govern the mind, creating new habits and strategies. As a practitioner of mindfulness who has attended many Insight Meditation retreats, I can share with you the benefits of attention from both personal and professional experience.
(978) 820-7033 View (978) 820-7033
Photo of Paul W Staten, Clinical Social Work/Therapist in Amesbury, MA
Paul W Staten
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Amesbury, MA 01913
Your willingness to ask for help is the first step in feeling better about yourself and improving your ability to meet life challenges. In a non-judgmental and respectful setting I can help you to learn the skills and obtain the insights about yourself to make the changes you want. We can make those changes happen.
Your willingness to ask for help is the first step in feeling better about yourself and improving your ability to meet life challenges. In a non-judgmental and respectful setting I can help you to learn the skills and obtain the insights about yourself to make the changes you want. We can make those changes happen.
(351) 777-1498 View (351) 777-1498
Photo of Margaret M. Cesati, Counselor in Amesbury, MA
Margaret M. Cesati
Counselor, LMHC, CADC
Verified Verified
1 Endorsed
Amesbury, MA 01913
As a licensed clinician, I believe in two fundamental truths. The first being "I believe in the possibility of change" and the second "I create a safe space to make that change". These beliefs help people heal and recover. As we develop in life, we all face transition and change. Some of these waters are difficult to navigate through and few of us can do so without a guide or support. I will support you so that you can see a clear path to your desired goals. "The purposes of a person's heart are deep waters, but one who has insight draws them out. " Prov 20:5
As a licensed clinician, I believe in two fundamental truths. The first being "I believe in the possibility of change" and the second "I create a safe space to make that change". These beliefs help people heal and recover. As we develop in life, we all face transition and change. Some of these waters are difficult to navigate through and few of us can do so without a guide or support. I will support you so that you can see a clear path to your desired goals. "The purposes of a person's heart are deep waters, but one who has insight draws them out. " Prov 20:5
(978) 792-2260 View (978) 792-2260
Photo of Amanda Beneker, Clinical Social Work/Therapist in Amesbury, MA
Amanda Beneker
Clinical Social Work/Therapist, LICSW
Verified Verified
Amesbury, MA 01913  (Online Only)
Not accepting new clients
Just a little about myself. I have been working in the social work field since 2011 and providing direct therapy to children, adults, teens and couples for the last 8 years. My approach is very client centered in that I want to help you to become the best version of yourself, whatever that looks like to YOU! It is not my job or desire to "tell you what to do" but instead help guide you to the answers to what would make you feel happier, healthier, more stable in your life.
Just a little about myself. I have been working in the social work field since 2011 and providing direct therapy to children, adults, teens and couples for the last 8 years. My approach is very client centered in that I want to help you to become the best version of yourself, whatever that looks like to YOU! It is not my job or desire to "tell you what to do" but instead help guide you to the answers to what would make you feel happier, healthier, more stable in your life.
(978) 350-0229 View (978) 350-0229
Photo of Mark Bezanson, Licsw, Clinical Social Work/Therapist in Amesbury, MA
Mark Bezanson, Licsw
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Amesbury, MA 01913  (Online Only)
I especially love helping teens/ young adults (and their parents) with developing their independence. I'm excited to help individuals and families enjoy their lives more either by improving relationships, better managing their stage of life tasks, and also while dealing with difficult problems including Relationship/ Marital issues, Family Conflicts, Affairs, Sex addiction, Co-parenting, "Growing Up" issues, Adjusting to Divorce, Gay & Lesbian & Gender (Transgender) issues, Substance Abuse, Grief, Violence and Anger Management including Probation & Diversion involvement.
I especially love helping teens/ young adults (and their parents) with developing their independence. I'm excited to help individuals and families enjoy their lives more either by improving relationships, better managing their stage of life tasks, and also while dealing with difficult problems including Relationship/ Marital issues, Family Conflicts, Affairs, Sex addiction, Co-parenting, "Growing Up" issues, Adjusting to Divorce, Gay & Lesbian & Gender (Transgender) issues, Substance Abuse, Grief, Violence and Anger Management including Probation & Diversion involvement.
(978) 705-6097 View (978) 705-6097
Photo of Allison Davidson, Clinical Social Work/Therapist in Amesbury, MA
Allison Davidson
Clinical Social Work/Therapist, LICSW
Verified Verified
Amesbury, MA 01913
I specialize in treating individuals 18 or older with depression, grief and loss, chronic illness, generalized anxiety, and trauma. I utilize Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing ( EMDR) mindfulness, guided imagery, and other supportive therapies to assist with symptom management.
I specialize in treating individuals 18 or older with depression, grief and loss, chronic illness, generalized anxiety, and trauma. I utilize Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing ( EMDR) mindfulness, guided imagery, and other supportive therapies to assist with symptom management.
(508) 206-9390 View (508) 206-9390
Photo of Kael Brooks, Clinical Social Work/Therapist in Amesbury, MA
Kael Brooks
Clinical Social Work/Therapist, LICSW, LADC-1
Verified Verified
Amesbury, MA 01913  (Online Only)
Life can be beautiful but can also feel painful and challenging. It is easy to become distanced from ourselves and overwhelmed by feelings of anxiety, depression and grief. I believe that healing and empowerment come through being seen and witnessed. As your therapist, I will walk alongside you, helping you find the strength and courage to work through life’s challenges. My goal is to help people reconnect with their innate inner strength and learn to live out of a sense of purpose and belonging.
Life can be beautiful but can also feel painful and challenging. It is easy to become distanced from ourselves and overwhelmed by feelings of anxiety, depression and grief. I believe that healing and empowerment come through being seen and witnessed. As your therapist, I will walk alongside you, helping you find the strength and courage to work through life’s challenges. My goal is to help people reconnect with their innate inner strength and learn to live out of a sense of purpose and belonging.
(978) 237-4200 View (978) 237-4200
Photo of Laura Beal, Clinical Social Work/Therapist in Amesbury, MA
Laura Beal
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Amesbury, MA 01913
Not accepting new clients
Not accepting new clients at this time. It takes courage to seek help and a commitment to enter therapy. Congratulations for taking the first step and looking for a therapist. Adjustments in life can be difficult and it helps to have support while developing strategies to manage personal challenges, depression, anxiety or loss. I have been honored over the past 20 years to help people navigate through life's transitions, gain a deeper understanding of themselves and achieve their goals.
Not accepting new clients at this time. It takes courage to seek help and a commitment to enter therapy. Congratulations for taking the first step and looking for a therapist. Adjustments in life can be difficult and it helps to have support while developing strategies to manage personal challenges, depression, anxiety or loss. I have been honored over the past 20 years to help people navigate through life's transitions, gain a deeper understanding of themselves and achieve their goals.
(978) 504-5815 View (978) 504-5815
Photo of Patricia Sweeney, Counselor in Amesbury, MA
Patricia Sweeney
Counselor, LMHC
Verified Verified
Amesbury, MA 01913
Thank you for visiting my profile. It’s no surprise that life’s challenges can make it difficult to maintain your mental wellness. Reaching out for guidance to navigate these challenges is your first step to a healthier you, and the best gift you can give yourself. I will guide you through your journey to overcome these obstacles and find the balance and stability in life your are seeking. My priority is to provide a trusting, warm, inviting, and supportive environment for you and to provide you with the skills and strategies needed to reach your goals.
Thank you for visiting my profile. It’s no surprise that life’s challenges can make it difficult to maintain your mental wellness. Reaching out for guidance to navigate these challenges is your first step to a healthier you, and the best gift you can give yourself. I will guide you through your journey to overcome these obstacles and find the balance and stability in life your are seeking. My priority is to provide a trusting, warm, inviting, and supportive environment for you and to provide you with the skills and strategies needed to reach your goals.
(978) 300-8774 View (978) 300-8774
Photo of Kathleen Gravel, Counselor in Amesbury, MA
Kathleen Gravel
Counselor, LMHC
Verified Verified
1 Endorsed
Amesbury, MA 01913
I believe all people are capable of change if one is willing to be open, honest, and engaged in taking a hard look at oneself and the behaviors that are not best serving goal achievement and a happy life. Together we can work through the obstacles that have not allowed you to do so on your own and find the potential underneath.
I believe all people are capable of change if one is willing to be open, honest, and engaged in taking a hard look at oneself and the behaviors that are not best serving goal achievement and a happy life. Together we can work through the obstacles that have not allowed you to do so on your own and find the potential underneath.
(978) 288-1587 View (978) 288-1587

How does your Therapist compare?

Number of Therapists in Amesbury, MA

100+

Average cost per session

$150

Therapists in Amesbury, MA who prioritize treating:

87% Anxiety
86% Depression
81% Relationship Issues
78% Self Esteem
70% Coping Skills
63% Grief
63% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
72% UnitedHealthcare UHC | UBH
65% Harvard Pilgrim

How Therapists in Amesbury, MA see their clients

73% In Person and Online
27% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Amesbury?

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.