Therapists in Reston, VA

Photo of Arturo Cid, LCSW, BCD, Clinical Social Work/Therapist
Arturo Cid
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
Reston, VA 20191  (Online Only)
Understanding the client’s reason for attending therapy and engaging them in decision-making from the outset of treatment is important to me. I believe this encourages motivation for ongoing attendance and a willingness to change. I offer trauma informed care and I am trained in various evidenced based treatments. I work with children, adolescents, adults, and couples. I work collaboratively with my clients to understand and help them meet their goals. I believe it takes a lot to make that first call and I don't take it lightly.
Understanding the client’s reason for attending therapy and engaging them in decision-making from the outset of treatment is important to me. I believe this encourages motivation for ongoing attendance and a willingness to change. I offer trauma informed care and I am trained in various evidenced based treatments. I work with children, adolescents, adults, and couples. I work collaboratively with my clients to understand and help them meet their goals. I believe it takes a lot to make that first call and I don't take it lightly.
(571) 548-3679 View (571) 548-3679
Photo of Dan Dinsmoor, PhD, Psychologist
Dan Dinsmoor
Psychologist, PhD
Verified Verified
Reston, VA 20190
I specialize in providing psychotherapy and neurofeedback services to patients with OCD, Autism, ADHD, Anxiety, TBI, and migraine headaches. The commonality among these problems is that an understanding of brain functioning can inform the direction of the treatment process. I started my career working with young autistic children. I have always had some autistic patients in my caseload. Currently, I work with adults who are on the spectrum as a particular area of interest in my practice.
I specialize in providing psychotherapy and neurofeedback services to patients with OCD, Autism, ADHD, Anxiety, TBI, and migraine headaches. The commonality among these problems is that an understanding of brain functioning can inform the direction of the treatment process. I started my career working with young autistic children. I have always had some autistic patients in my caseload. Currently, I work with adults who are on the spectrum as a particular area of interest in my practice.
(703) 870-2767 View (703) 870-2767
Photo of Khalilah Garrett, LCSW, Clinical Social Work/Therapist
Khalilah Garrett
Clinical Social Work/Therapist, LCSW
Verified Verified
Reston, VA 20191
Khalilah Garrett, LCSW, LICSW Khalilah has been providing Mental Health Treatment and Services to include program coordination/management, psychotherapy, coaching, and case management for over 20 years. Khalilah specializes in treating individuals with depression, anxiety, post-traumatic stress disorder, co-occurring disorders (mental health and substance use disorders), and unresolved emotional issues. Khalilah's therapeutic techniques include individual counseling for personal and emotional growth, creating more meaning and purpose in one's life; and include counseling to increase self-esteem and self-empowerment.
Khalilah Garrett, LCSW, LICSW Khalilah has been providing Mental Health Treatment and Services to include program coordination/management, psychotherapy, coaching, and case management for over 20 years. Khalilah specializes in treating individuals with depression, anxiety, post-traumatic stress disorder, co-occurring disorders (mental health and substance use disorders), and unresolved emotional issues. Khalilah's therapeutic techniques include individual counseling for personal and emotional growth, creating more meaning and purpose in one's life; and include counseling to increase self-esteem and self-empowerment.
(703) 997-1263 View (703) 997-1263
Photo of Kelley Kuchinov, MA, ATR-BC, Art Therapist
Kelley Kuchinov
Art Therapist, MA, ATR-BC
Verified Verified
Reston, VA 20190
Something is getting in the way of the life you want and you are looking for change- I am here to be your guide on your path to wellbeing. Together, we will shed the thoughts, feelings, and behaviors that are not serving you, so you can enjoy the small and big moments of life. With over 15 years of experience, extensive training in effective, evidenced- based therapies, I specialize in supporting women and their partners experiencing perinatal mood disorders, loss and grief. l know it feels so hard, but you are already taking the first steps towards a better, more fulfilled life and you don't have to do this alone!
Something is getting in the way of the life you want and you are looking for change- I am here to be your guide on your path to wellbeing. Together, we will shed the thoughts, feelings, and behaviors that are not serving you, so you can enjoy the small and big moments of life. With over 15 years of experience, extensive training in effective, evidenced- based therapies, I specialize in supporting women and their partners experiencing perinatal mood disorders, loss and grief. l know it feels so hard, but you are already taking the first steps towards a better, more fulfilled life and you don't have to do this alone!
(571) 313-5867 View (571) 313-5867
Photo of Kate Tedeschi, MA, ATR-BC, LPC, Licensed Professional Counselor
Kate Tedeschi
Licensed Professional Counselor, MA, ATR-BC, LPC
Verified Verified
8 Endorsed
Reston, VA 20190
Waitlist for new clients
Even the most resilient adults, teens and kids need support for the challenges life sends our way. During this time of uncertainty, I am here to partner with you as a collaborative support. My clients describe me as genuine and warm, while providing the opportunity for reflection and growth. You don't have to live with anxiety, depression or overwhelming trauma. You can thrive even in the most challenging of life transitions and relationship challenges, but you don't have to do it alone. You are taking the first step towards connecting back to your true and whole self.
Even the most resilient adults, teens and kids need support for the challenges life sends our way. During this time of uncertainty, I am here to partner with you as a collaborative support. My clients describe me as genuine and warm, while providing the opportunity for reflection and growth. You don't have to live with anxiety, depression or overwhelming trauma. You can thrive even in the most challenging of life transitions and relationship challenges, but you don't have to do it alone. You are taking the first step towards connecting back to your true and whole self.
(540) 202-1536 View (540) 202-1536
Photo of Alexandra Krens, LPC-R, Pre-Licensed Professional
Alexandra Krens
Pre-Licensed Professional, LPC-R
Verified Verified
Reston, VA 20191
Are you looking for a change? Whether it's ongoing mental health struggles, relational concerns, or if you're just going through a difficult stage of life, I am ready to help. I work best with clients who are ready to talk and to try new things, to find what is going to make life work best for them.
Are you looking for a change? Whether it's ongoing mental health struggles, relational concerns, or if you're just going through a difficult stage of life, I am ready to help. I work best with clients who are ready to talk and to try new things, to find what is going to make life work best for them.
(571) 771-2172 View (571) 771-2172
Photo of Rebecca Hardin, PsyD, Psychologist
Rebecca Hardin
Psychologist, PsyD
Verified Verified
1 Endorsed
Reston, VA 20191
My academic and research foci have been in Health and Neuropsychology. I have specialized in providing evidenced-based treatments of eating disorders, chronic illness, anxiety disorders, trauma, obsessive-compulsive disorders, and trichotillomania and excoriation disorders. I have worked with military, government, and civilian populations, and understand the specific needs as associated with each individual.
My academic and research foci have been in Health and Neuropsychology. I have specialized in providing evidenced-based treatments of eating disorders, chronic illness, anxiety disorders, trauma, obsessive-compulsive disorders, and trichotillomania and excoriation disorders. I have worked with military, government, and civilian populations, and understand the specific needs as associated with each individual.
(571) 487-7382 View (571) 487-7382
Photo of John W Millikin, PhD, LMFT, Marriage & Family Therapist
John W Millikin
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Reston, VA 20190
Confidential phone and Zoom, Webex, and Google Hangouts video sessions available. Personal set-backs and conflictual relationships are common problems that we all can face at some point in our lives. I work with depression and mood swings, grief and loss, anxiety and worries, addictions, anger management, intimacy and sexual difficulties, and divorce adjustment. For couples, I help couples improve communication that enhances closeness, deepens understanding and reduces reactivity.
Confidential phone and Zoom, Webex, and Google Hangouts video sessions available. Personal set-backs and conflictual relationships are common problems that we all can face at some point in our lives. I work with depression and mood swings, grief and loss, anxiety and worries, addictions, anger management, intimacy and sexual difficulties, and divorce adjustment. For couples, I help couples improve communication that enhances closeness, deepens understanding and reduces reactivity.
(571) 386-2463 View (571) 386-2463
Photo of Bridget Reiser, LPC, Licensed Professional Counselor
Bridget Reiser
Licensed Professional Counselor, LPC
Verified Verified
Reston, VA 20191
Bridget Reiser is a Licensed Professional Counselor in Virginia who has been practicing since 2019. She earned her MA, Clinical Mental Health Counseling at Marymount University. Bridget offers clients a non-judgmental space to process their experiences. She offers a variety of interventions (mainly based in CBT and narrative modalities) but focuses on the emotional experience of clients and emphasizes their own strength and resilience. Bridget offers flexibility on the format of sessions to best meet the client's needs at that particular time.
Bridget Reiser is a Licensed Professional Counselor in Virginia who has been practicing since 2019. She earned her MA, Clinical Mental Health Counseling at Marymount University. Bridget offers clients a non-judgmental space to process their experiences. She offers a variety of interventions (mainly based in CBT and narrative modalities) but focuses on the emotional experience of clients and emphasizes their own strength and resilience. Bridget offers flexibility on the format of sessions to best meet the client's needs at that particular time.
(571) 616-9805 View (571) 616-9805
Photo of Lawrence P. Riso, PhD, Psychologist
Lawrence P. Riso
Psychologist, PhD
Verified Verified
1 Endorsed
Reston, VA 20190  (Online Only)
Expert in cognitive-behavioral therapy (CBT) and practicing over 25 years. I commonly treat panic attacks, social anxiety, obsessive-compulsive disorder, phobias, generalized anxiety disorder, depression, and marital/couples problems. I am a practitioner-scholar with over 50 published journal articles, books and book chapters on psychotherapy and psychological disorders. I primarily use CBT, a problem-focused, evidence-based approach and hold several psychotherapy certifications (including "Cognitive Therapy," "Schema Therapy," and "Schema Therapy for Couples". For long-standing problems, I employ more "emotion-focused" approaches.
Expert in cognitive-behavioral therapy (CBT) and practicing over 25 years. I commonly treat panic attacks, social anxiety, obsessive-compulsive disorder, phobias, generalized anxiety disorder, depression, and marital/couples problems. I am a practitioner-scholar with over 50 published journal articles, books and book chapters on psychotherapy and psychological disorders. I primarily use CBT, a problem-focused, evidence-based approach and hold several psychotherapy certifications (including "Cognitive Therapy," "Schema Therapy," and "Schema Therapy for Couples". For long-standing problems, I employ more "emotion-focused" approaches.
(703) 957-7743 View (703) 957-7743
Photo of Tracey Lee, LPC, DCC, CAADC, Licensed Professional Counselor
Tracey Lee
Licensed Professional Counselor, LPC, DCC, CAADC
Verified Verified
1 Endorsed
Reston, VA 20191
In each session, Tracey aims to be empathetic, positive, and supportive. This approach has been very effective while working with a variety of people with diverse needs. She has experience treating anxiety, depression, eating disorders, ADHD and suicidality. Tracey has experience working with families, children, parents, couples, individuals, and groups. She also specializes in therapy for survivors of trauma, abuse, relationship challenges, and assisting individuals in navigating life transitions. Tracey is a skillful addictions counselor, and is certified as an Advanced Alcohol Drug Counselor.
In each session, Tracey aims to be empathetic, positive, and supportive. This approach has been very effective while working with a variety of people with diverse needs. She has experience treating anxiety, depression, eating disorders, ADHD and suicidality. Tracey has experience working with families, children, parents, couples, individuals, and groups. She also specializes in therapy for survivors of trauma, abuse, relationship challenges, and assisting individuals in navigating life transitions. Tracey is a skillful addictions counselor, and is certified as an Advanced Alcohol Drug Counselor.
(571) 520-4335 View (571) 520-4335
Photo of Shirley DeRosa, LPC, MA, NCC, Licensed Professional Counselor
Shirley DeRosa
Licensed Professional Counselor, LPC, MA, NCC
Verified Verified
2 Endorsed
Reston, VA 20190
DeRosa Wellness Innovation is a mental health counseling and consulting private practice dedicated to helping clients balance the challenges and demands of everyday life. I have worked with individuals, couples, and families in identifying and managing a variety of mood disorders, mental health disorders, and life stressors. I help client's recognize strengths, find resolutions, and attain goals in order to gain a balanced and fulfilling life.
DeRosa Wellness Innovation is a mental health counseling and consulting private practice dedicated to helping clients balance the challenges and demands of everyday life. I have worked with individuals, couples, and families in identifying and managing a variety of mood disorders, mental health disorders, and life stressors. I help client's recognize strengths, find resolutions, and attain goals in order to gain a balanced and fulfilling life.
(571) 931-3019 View (571) 931-3019
Photo of Jean Ward, PhD, Psychologist
Jean Ward
Psychologist, PhD
Verified Verified
Reston, VA 20190
Waitlist for new clients
Identified in Washingtonian Magazine's most recent issue highlighting "Best therapists in the DC metropolitan area," I am a clinical psychologist with more than thirty years of experience. I am particularly interested in school, work, and life transitions. I treat teenagers and adults for symptoms of anxiety, depression, adjustment disorders, eating disorders, and mood disorders, and support clients who are struggling with loss and managing life changes from major disruptions. I graduated magna cum laude from Duke University, earned my Ph.D. from Vanderbilt University, and interned at Vanderbilt and Nashville VA medical centers.
Identified in Washingtonian Magazine's most recent issue highlighting "Best therapists in the DC metropolitan area," I am a clinical psychologist with more than thirty years of experience. I am particularly interested in school, work, and life transitions. I treat teenagers and adults for symptoms of anxiety, depression, adjustment disorders, eating disorders, and mood disorders, and support clients who are struggling with loss and managing life changes from major disruptions. I graduated magna cum laude from Duke University, earned my Ph.D. from Vanderbilt University, and interned at Vanderbilt and Nashville VA medical centers.
(571) 497-4554 View (571) 497-4554
Photo of Abigail Vandivier, MA
Abigail Vandivier
Resident in Counseling, MA
Verified Verified
Reston, VA 20191
Waitlist for new clients
I am an LPC-R who obtained my B.S. in Psychology from Virginia Tech and my M.S. in Clinical Counseling from Radford University. My goal as a therapist is to help clients who are seeking to garner further insight into understanding why they respond to things the way that they do. One’s past can influence how they show up in the here and now. As such, sometimes individuals respond to situations in ways that no longer feel beneficial. Utilizing a phasic psychodynamic framework amongst other integrative approaches, I seek to support clients in understanding those connections between past and present in order to make lasting change.
I am an LPC-R who obtained my B.S. in Psychology from Virginia Tech and my M.S. in Clinical Counseling from Radford University. My goal as a therapist is to help clients who are seeking to garner further insight into understanding why they respond to things the way that they do. One’s past can influence how they show up in the here and now. As such, sometimes individuals respond to situations in ways that no longer feel beneficial. Utilizing a phasic psychodynamic framework amongst other integrative approaches, I seek to support clients in understanding those connections between past and present in order to make lasting change.
(571) 660-4045 View (571) 660-4045
Photo of Caroline Trimmer, MS, LPC, ATR, Licensed Professional Counselor
Caroline Trimmer
Licensed Professional Counselor, MS, LPC, ATR
Verified Verified
1 Endorsed
Reston, VA 20190
Sometimes life can give us challenges that are hard to deal with alone. I might be the right fit for you if you or your child are struggling to understand and manage persistent feelings of anxiety or depression that have become overwhelming or there is a difficulty navigating life’s complex challenges, such as relationship issues, career transitions, or unresolved trauma. I am a Licensed Professional Counselor (LPC) and a Registered Art Therapist (ATR) who specializes in children, adolescents, and adults.
Sometimes life can give us challenges that are hard to deal with alone. I might be the right fit for you if you or your child are struggling to understand and manage persistent feelings of anxiety or depression that have become overwhelming or there is a difficulty navigating life’s complex challenges, such as relationship issues, career transitions, or unresolved trauma. I am a Licensed Professional Counselor (LPC) and a Registered Art Therapist (ATR) who specializes in children, adolescents, and adults.
(571) 648-4772 View (571) 648-4772
Photo of David Cranford, PhD, Psychologist
David Cranford
Psychologist, PhD
Verified Verified
1 Endorsed
Reston, VA 20190
I have over 20 years of experience in the field of clinical psychology, providing both psychological evaluation and therapy services. My areas of focus include identifying clinical and educational related concerns through evaluation as well as using cognitive behavioral methods to treat a wide range of concerns. My therapy clients often request services for depression, anxiety, school and work related issues, and coping with day to day stress.
I have over 20 years of experience in the field of clinical psychology, providing both psychological evaluation and therapy services. My areas of focus include identifying clinical and educational related concerns through evaluation as well as using cognitive behavioral methods to treat a wide range of concerns. My therapy clients often request services for depression, anxiety, school and work related issues, and coping with day to day stress.
(571) 495-3887 View (571) 495-3887
Photo of Abbie King, LCSW, Clinical Social Work/Therapist
Abbie King
Clinical Social Work/Therapist, LCSW
Verified Verified
Reston, VA 20191
Abbie King, LCSW Abbie King is a Licensed Clinical Social Worker in Virginia who has been practicing since 2016. Abbie believes is in a holistic approach utilizing a variety of evidence-based modalities to enhance overall wellbeing. In her spare time, Abbie enjoys hiking, trail running, yoga, cooking, traveling, reading, and exploring.
Abbie King, LCSW Abbie King is a Licensed Clinical Social Worker in Virginia who has been practicing since 2016. Abbie believes is in a holistic approach utilizing a variety of evidence-based modalities to enhance overall wellbeing. In her spare time, Abbie enjoys hiking, trail running, yoga, cooking, traveling, reading, and exploring.
(571) 520-7052 View (571) 520-7052
Photo of Laurie Warhol, LCSW, Clinical Social Work/Therapist
Laurie Warhol
Clinical Social Work/Therapist, LCSW
Verified Verified
Reston, VA 20190  (Online Only)
Laurie Warhol is a Licensed Clinical Social Worker in the State of Virginia. She has over 20 years of experience working with people who have experienced trauma that has interfered with their lives. Laurie believes that individual issues are often a result of other factors including home environment, family functioning, and childhood trauma.
Laurie Warhol is a Licensed Clinical Social Worker in the State of Virginia. She has over 20 years of experience working with people who have experienced trauma that has interfered with their lives. Laurie believes that individual issues are often a result of other factors including home environment, family functioning, and childhood trauma.
(571) 601-3370 View (571) 601-3370
Photo of Phyllis Miller Palombi, LMFT, MS, Marriage & Family Therapist
Phyllis Miller Palombi
Marriage & Family Therapist, LMFT, MS
Verified Verified
Reston, VA 20194
Working with individuals and couples going through life changes, including medical issues, is my specialty. I have dedicated my career helping people make their relationships, marriage, healthier and happier learning about themselves and communicating needs and goals more effectively. Couples also come to me when they have already made a decision to separate and want to do it in healthy ways. I am part of the Collaborative Divorce Community in Northern Virginia where I team up with attorneys and financial experts to help people find a more amicable way to divorce with more mental health support for the whole family.
Working with individuals and couples going through life changes, including medical issues, is my specialty. I have dedicated my career helping people make their relationships, marriage, healthier and happier learning about themselves and communicating needs and goals more effectively. Couples also come to me when they have already made a decision to separate and want to do it in healthy ways. I am part of the Collaborative Divorce Community in Northern Virginia where I team up with attorneys and financial experts to help people find a more amicable way to divorce with more mental health support for the whole family.
(703) 844-3449 View (703) 844-3449
Photo of Jihaan Hachim, LPC, Licensed Professional Counselor
Jihaan Hachim
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Reston, VA 20190
Waitlist for new clients
The struggle is real. Two opposite worlds. Two sets of identities. You know where you come from but you struggle to see how that relates to who you want to be. The struggle to meet the expectations and standards of those around you is so overwhelming to the point that you feel like you need to wear different masks to fit in opposite worlds. I get it and you are not alone. When working with me you will learn tools to help recconnect with your mind, body and soul with no judgment, shame or guilt. Through deep and meaningful reflection, finding your purpose in this world will become a central part of our work together.
The struggle is real. Two opposite worlds. Two sets of identities. You know where you come from but you struggle to see how that relates to who you want to be. The struggle to meet the expectations and standards of those around you is so overwhelming to the point that you feel like you need to wear different masks to fit in opposite worlds. I get it and you are not alone. When working with me you will learn tools to help recconnect with your mind, body and soul with no judgment, shame or guilt. Through deep and meaningful reflection, finding your purpose in this world will become a central part of our work together.
(571) 536-7265 View (571) 536-7265
1
...

How does your Therapist compare?

Number of Therapists in Reston, VA

400+

Average cost per session

$160

Therapists in Reston, VA who prioritize treating:

94% Anxiety
90% Depression
72% Self Esteem
68% Relationship Issues
68% Trauma and PTSD
67% Coping Skills
59% Grief

Average years in practice

12 Years

Top 3 insurances accepted

78% BlueCross and BlueShield
73% Cigna and Evernorth
68% Aetna

How Therapists in Reston, VA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Reston?

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.