Therapists in Arlington Heights, IL

Photo of Carla R. Laury, Counselor in Arlington Heights, IL
Carla R. Laury
Counselor, MA, LCPC
Verified Verified
Arlington Heights, IL 60005
I am a bilingual therapist providing individual, family, group, and couple's counseling in both English and Spanish. I enjoy working with a wide range of ages, and hold a special fondness for the adolescent and young adult population. Years of experience have prepared me for working with adolescent issues, parenting issues, and mood disorders.
I am a bilingual therapist providing individual, family, group, and couple's counseling in both English and Spanish. I enjoy working with a wide range of ages, and hold a special fondness for the adolescent and young adult population. Years of experience have prepared me for working with adolescent issues, parenting issues, and mood disorders.
(847) 973-7317 View (847) 973-7317
Photo of Tamara Nowak, Clinical Social Work/Therapist in Arlington Heights, IL
Tamara Nowak
Clinical Social Work/Therapist, LCSW, CADC, JD
Verified Verified
Arlington Heights, IL 60004
How did you end up here? Are you struggling with relationship problems, school, finances, anxiety, depression, or all of the above? Perhaps you've developed addictive ways to cope with problems, and you want a better solution. Fortunately, research suggests that therapy/counseling with a professional works! Clients achieve ultimate happiness when they change how they think, feel and behave. When you change yourself, you will find that your relationships, mood, and overall life circumstances dramatically improve!
How did you end up here? Are you struggling with relationship problems, school, finances, anxiety, depression, or all of the above? Perhaps you've developed addictive ways to cope with problems, and you want a better solution. Fortunately, research suggests that therapy/counseling with a professional works! Clients achieve ultimate happiness when they change how they think, feel and behave. When you change yourself, you will find that your relationships, mood, and overall life circumstances dramatically improve!
(224) 347-1995 View (224) 347-1995
Photo of Laura Kezdi-Hamzeloo, Counselor in Arlington Heights, IL
Laura Kezdi-Hamzeloo
Counselor, LCPC
Verified Verified
Arlington Heights, IL 60004
Would you like to feel more self-assured and empowered? Would you like to better advocate for your self in your personal and professional relationships? Would you like to feel more in control over the direction of your life? My specialty is working with those who struggle with depression/anxiety, self-esteem and relationship issues. I am passionate about helping people build on their strengths, achieve balance in their lives, and attain the personal growth and change they desire. My goal is to help my clients develop greater self-understanding, greater self-compassion and more meaningful supportive relationships.
Would you like to feel more self-assured and empowered? Would you like to better advocate for your self in your personal and professional relationships? Would you like to feel more in control over the direction of your life? My specialty is working with those who struggle with depression/anxiety, self-esteem and relationship issues. I am passionate about helping people build on their strengths, achieve balance in their lives, and attain the personal growth and change they desire. My goal is to help my clients develop greater self-understanding, greater self-compassion and more meaningful supportive relationships.
(847) 512-4563 View (847) 512-4563
Photo of Erin Ryan, Clinical Social Work/Therapist in Arlington Heights, IL
Erin Ryan
Clinical Social Work/Therapist, LCSW, SAP, PCGC
Verified Verified
4 Endorsed
Arlington Heights, IL 60004
Not accepting new clients
I work with adults of all ages as they face anxiety, stress, compulsive gambling, depression, self-esteem challenges, relationship issues and difficulties in the workplace. My approach begins with building a healthy therapeutic relationship. It is within this context that I will begin to look at the areas of life you would like to change and assist you in creating a plan for doing so. My style is supportive and interactive, incorporating humor at times, to help clients find solutions that fit.
I work with adults of all ages as they face anxiety, stress, compulsive gambling, depression, self-esteem challenges, relationship issues and difficulties in the workplace. My approach begins with building a healthy therapeutic relationship. It is within this context that I will begin to look at the areas of life you would like to change and assist you in creating a plan for doing so. My style is supportive and interactive, incorporating humor at times, to help clients find solutions that fit.
(847) 696-8480 View (847) 696-8480
Photo of Joan Durlacher, Psychologist in Arlington Heights, IL
Joan Durlacher
Psychologist, PsyD
Verified Verified
Arlington Heights, IL 60004
"I appreciate that you are down to earth and real. You have a passion for life, for my life". If these are qualities you would appreciate in your therapist, then contact me. I will guide you through identifying and exploring your core concerns and issues, utilizing the expertise developed in 20 years of practice. My style of therapy is respectful, non-judgmental, practical, soothing and solution focused. Collaboratively we will create new, adaptive thoughts, feelings, and behaviors to enhance the quality of your life and your relationships.
"I appreciate that you are down to earth and real. You have a passion for life, for my life". If these are qualities you would appreciate in your therapist, then contact me. I will guide you through identifying and exploring your core concerns and issues, utilizing the expertise developed in 20 years of practice. My style of therapy is respectful, non-judgmental, practical, soothing and solution focused. Collaboratively we will create new, adaptive thoughts, feelings, and behaviors to enhance the quality of your life and your relationships.
(847) 379-1756 View (847) 379-1756
Photo of Cecily A. Kanter, Psychologist in Arlington Heights, IL
Cecily A. Kanter
Psychologist, PsyD, MS
Verified Verified
Arlington Heights, IL 60004
"Your Comfort and Your Health" is always a priority with me. My goal as a psychologist is to provide meaningful, compassionate, and successful therapy. Successful clients have reported that I have provided them with a safe, comfortable, and nurturing environment for treatment, which allowed them to grow and develop new strengths. I utilize a number of strategies to engage individuals and families in treatment, including but not limited to cognitive behavioral (CBT), client centered and family therapies. I believe in and facilitate a strength-based approach to treatment, allowing the individual to develop and recognize their personal strengths.
"Your Comfort and Your Health" is always a priority with me. My goal as a psychologist is to provide meaningful, compassionate, and successful therapy. Successful clients have reported that I have provided them with a safe, comfortable, and nurturing environment for treatment, which allowed them to grow and develop new strengths. I utilize a number of strategies to engage individuals and families in treatment, including but not limited to cognitive behavioral (CBT), client centered and family therapies. I believe in and facilitate a strength-based approach to treatment, allowing the individual to develop and recognize their personal strengths.
(847) 453-3526 View (847) 453-3526
Photo of Margaret Zangrilli, Clinical Social Work/Therapist in Arlington Heights, IL
Margaret Zangrilli
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Arlington Heights, IL 60004  (Online Only)
Many people avoid seeking help for fear that they or their children will be labeled. My motto is: "Peel off the labels and see the person underneath." I believe you are a person with unique needs, strengths, and challenges, that there are complex reasons you are living the life you are living today - AND, you can improve. Emotional pain and problems are just as natural and normal as physical pain and problems. When we let go of the labels we have about ourselves, our problems, or therapy in general, we can begin healing the pain and resolving the problems.
Many people avoid seeking help for fear that they or their children will be labeled. My motto is: "Peel off the labels and see the person underneath." I believe you are a person with unique needs, strengths, and challenges, that there are complex reasons you are living the life you are living today - AND, you can improve. Emotional pain and problems are just as natural and normal as physical pain and problems. When we let go of the labels we have about ourselves, our problems, or therapy in general, we can begin healing the pain and resolving the problems.
(847) 807-1771 View (847) 807-1771
Photo of Jeena Jacob, Psychologist in Arlington Heights, IL
Jeena Jacob
Psychologist, PsyD, BCN
Verified Verified
Arlington Heights, IL 60004
Its very rewarding to watch a client evolve to a point where they live life to the max. Its my privilege to walk alongside and see my client progress and thrive. For more than 18 years I have seen clients with multiple presenting issues, and all age ranges. My therapy style is active and goal oriented, and I believe a client is going to get as much out of therapy as they are willing to put into it. I also use Alternative Techniques to traditional therapy such as Biofeedback and Neurofeedback and this has been immensely helpful for many of my clients who do not benefit from traditional forms of therapy or psychiatric medication.
Its very rewarding to watch a client evolve to a point where they live life to the max. Its my privilege to walk alongside and see my client progress and thrive. For more than 18 years I have seen clients with multiple presenting issues, and all age ranges. My therapy style is active and goal oriented, and I believe a client is going to get as much out of therapy as they are willing to put into it. I also use Alternative Techniques to traditional therapy such as Biofeedback and Neurofeedback and this has been immensely helpful for many of my clients who do not benefit from traditional forms of therapy or psychiatric medication.
(331) 253-5125 View (331) 253-5125
Photo of Whitney Gipson, Marriage & Family Therapist in Arlington Heights, IL
Whitney Gipson
Marriage & Family Therapist, MSW, LMFT
Verified Verified
4 Endorsed
Arlington Heights, IL 60004
Waitlist for new clients
With just over 20 years experience in the field, I am the proud owner of Northwest Suburban Counseling. My colleagues and I provide services to a broad spectrum of clients and truly enjoy dedicating ourselves to our work as private practitioners. Among my personal areas of specialization are depression & anxiety, marital discord, pre-marital counseling, relationship counseling, anger management, autism spectrum disorders, school and home behavioral issues, parental guidance and divorce support.
With just over 20 years experience in the field, I am the proud owner of Northwest Suburban Counseling. My colleagues and I provide services to a broad spectrum of clients and truly enjoy dedicating ourselves to our work as private practitioners. Among my personal areas of specialization are depression & anxiety, marital discord, pre-marital counseling, relationship counseling, anger management, autism spectrum disorders, school and home behavioral issues, parental guidance and divorce support.
(847) 999-0812 View (847) 999-0812
Photo of Nupur Sharma, Licensed Clinical Professional Counselor in Arlington Heights, IL
Nupur Sharma
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Arlington Heights, IL 60004  (Online Only)
My ideal clients are feeling stuck and looking to make positive changes in their lives. They are looking for a partner in their healing journey. They are looking to be heard, understood, and given practical solutions to overcome obstacles that are holding them back. They are looking for a therapist who does more than just listen and offer interpretations. They are looking to make tangible changes in their lives - working on issues of anxiety, depression, stress, relationship problems, grief, and substance use.
My ideal clients are feeling stuck and looking to make positive changes in their lives. They are looking for a partner in their healing journey. They are looking to be heard, understood, and given practical solutions to overcome obstacles that are holding them back. They are looking for a therapist who does more than just listen and offer interpretations. They are looking to make tangible changes in their lives - working on issues of anxiety, depression, stress, relationship problems, grief, and substance use.
(847) 264-4657 View (847) 264-4657
Photo of Fonda G. Lewis, Counselor in Arlington Heights, IL
Fonda G. Lewis
Counselor, MS, LCPC, NCC
Verified Verified
1 Endorsed
Arlington Heights, IL 60004
I specialize in working with couples & individuals. My approach to therapy is tailored to meet the needs of each individual & help them recognize their full potential & possibilities. I enjoy working with couples, & find it gratifying when they overcome their difficulties & develop a connection of real love & intimacy. Many baby boomers are caring for their aging parents. I recognize the stress & anxiety this creates for the entire family, & the vital need for support & counseling to make this time with loved ones fulfilling & meaningful. My objective is that my clients are able to achieve personal growth & live their lives more successfully by learning to understand & accept themselves.
I specialize in working with couples & individuals. My approach to therapy is tailored to meet the needs of each individual & help them recognize their full potential & possibilities. I enjoy working with couples, & find it gratifying when they overcome their difficulties & develop a connection of real love & intimacy. Many baby boomers are caring for their aging parents. I recognize the stress & anxiety this creates for the entire family, & the vital need for support & counseling to make this time with loved ones fulfilling & meaningful. My objective is that my clients are able to achieve personal growth & live their lives more successfully by learning to understand & accept themselves.
(847) 235-6172 View (847) 235-6172
Photo of Courtney Rolla, Counselor in Arlington Heights, IL
Courtney Rolla
Counselor, MA, LCPC
Verified Verified
Arlington Heights, IL 60005  (Online Only)
I would be honored to support you on your journey towards healing and living a more present and connected life. I specialize in trauma. For several years I have supported clients in healing from acute trauma, complex PTSD and chronic trauma. I firmly believe that we all have within us the natural ability to heal from trauma. My goal is to create a safe, nonjudgmental space where you can find your voice and feel empowered to move through life’s ups and downs with flexibility and confidence. I work with adults across the lifespan and understand firsthand the importance of being a culturally competent therapist.
I would be honored to support you on your journey towards healing and living a more present and connected life. I specialize in trauma. For several years I have supported clients in healing from acute trauma, complex PTSD and chronic trauma. I firmly believe that we all have within us the natural ability to heal from trauma. My goal is to create a safe, nonjudgmental space where you can find your voice and feel empowered to move through life’s ups and downs with flexibility and confidence. I work with adults across the lifespan and understand firsthand the importance of being a culturally competent therapist.
(847) 316-0233 View (847) 316-0233
Photo of Ana Varan, Counselor in Arlington Heights, IL
Ana Varan
Counselor, MA, LCPC
Verified Verified
4 Endorsed
Arlington Heights, IL 60004  (Online Only)
Are you feeling disconnected or overwhelmed in your relationships? Perhaps you're struggling with communication barriers, trust issues, or navigating significant life transitions. If so, you're in the right place. Here at our practice, we specialize in supporting individuals like you through the complexities of relationship difficulties.
Are you feeling disconnected or overwhelmed in your relationships? Perhaps you're struggling with communication barriers, trust issues, or navigating significant life transitions. If so, you're in the right place. Here at our practice, we specialize in supporting individuals like you through the complexities of relationship difficulties.
(847) 241-1582 View (847) 241-1582
Photo of Bonnie Gamze, Clinical Social Work/Therapist in Arlington Heights, IL
Bonnie Gamze
Clinical Social Work/Therapist, LCSW, CADC
Verified Verified
Arlington Heights, IL 60004
Thank you for inquiring about who I am. It can take courage to ask for help. I applaud you for reading on and hope I am your choice to support you, your child, partner, parent, family or friend. I am a therapist with over 30 years of experience. I have also served as a school social worker from 2005 – 2021 in both private and public school systems. I am well versed in a variety of clinical modalities. My goal is to evoke positive change in the individuals who choose to work with me. I excel in working with children (4+), adolescents, adults, parents, couples and families.
Thank you for inquiring about who I am. It can take courage to ask for help. I applaud you for reading on and hope I am your choice to support you, your child, partner, parent, family or friend. I am a therapist with over 30 years of experience. I have also served as a school social worker from 2005 – 2021 in both private and public school systems. I am well versed in a variety of clinical modalities. My goal is to evoke positive change in the individuals who choose to work with me. I excel in working with children (4+), adolescents, adults, parents, couples and families.
(847) 582-4756 View (847) 582-4756
Photo of Sara Calfee, Licensed Professional Counselor in Arlington Heights, IL
Sara Calfee
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Arlington Heights, IL 60004
I'm here to listen, and I'm here to help. My approach to therapy is rooted in empathy and collaboration with my clients. My goal is to create a supportive space where you can share your experiences and feel safe and understood.
I'm here to listen, and I'm here to help. My approach to therapy is rooted in empathy and collaboration with my clients. My goal is to create a supportive space where you can share your experiences and feel safe and understood.
(224) 425-4030 View (224) 425-4030
Photo of Mitchell Hicks, Psychologist in Arlington Heights, IL
Mitchell Hicks
Psychologist, PhD, ABPP
Verified Verified
2 Endorsed
Arlington Heights, IL 60004
I specialize in helping men connect to themselves and others with strength, courage, and authenticity. Are you feeling depressed, anxious, or just that life is not all you had hoped? Are your relationships unfulfilling? Having difficulty letting go of past hurts? Using sex, the internet, work, or social media to avoid others or painful emotions? Does it seem impossible to "get through" to your spouse? Retirement not going well? Has the pandemic knocked you off your game? It’s time for a change. “You, he said, are a terribly real thing in a terribly false world, and that, I believe, is why you’re in so much pain" (Autumn).
I specialize in helping men connect to themselves and others with strength, courage, and authenticity. Are you feeling depressed, anxious, or just that life is not all you had hoped? Are your relationships unfulfilling? Having difficulty letting go of past hurts? Using sex, the internet, work, or social media to avoid others or painful emotions? Does it seem impossible to "get through" to your spouse? Retirement not going well? Has the pandemic knocked you off your game? It’s time for a change. “You, he said, are a terribly real thing in a terribly false world, and that, I believe, is why you’re in so much pain" (Autumn).
(833) 710-7770 x2 View (833) 710-7770 x2
Photo of Gina Young, Licensed Clinical Professional Counselor in Arlington Heights, IL
Gina Young
Licensed Clinical Professional Counselor, LCPC
Verified Verified
1 Endorsed
Arlington Heights, IL 60004
Please note that I am accepting new clients but slots are limited. I'm a dedicated licensed therapist who has provided therapy for almost 20 years. I enjoy working with clients to support their personal best. I have experience with working with all individuals across the life span. I have a number of certifications. I specialize in a tangible therapy that provides cope skills for symptoms call DBT, I have a certification in parenting, and a dual certification in trauma and substance use.
Please note that I am accepting new clients but slots are limited. I'm a dedicated licensed therapist who has provided therapy for almost 20 years. I enjoy working with clients to support their personal best. I have experience with working with all individuals across the life span. I have a number of certifications. I specialize in a tangible therapy that provides cope skills for symptoms call DBT, I have a certification in parenting, and a dual certification in trauma and substance use.
(224) 585-4263 View (224) 585-4263
Photo of Vilija Ball, Psychologist in Arlington Heights, IL
Vilija Ball
Psychologist, PsyD, LCP
Verified Verified
Arlington Heights, IL 60004
I enjoy helping individuals heal, see breakthroughs, and increase their resilience and ability to find effective approaches to their presenting concerns.  My passion is to empower clients to manage life difficulties that encroach on their envisioned life architecture by gently identifying and removing obstacles, learning adaptive coping, finding meaning and strength, and sometimes rebuilding from the very foundation when faced with life-changing adversities.  Issues germinate and gain destructive power if ignored or dealt with using unhelpful distractions, so you can feel good about taking that first step to call me with no delay.
I enjoy helping individuals heal, see breakthroughs, and increase their resilience and ability to find effective approaches to their presenting concerns.  My passion is to empower clients to manage life difficulties that encroach on their envisioned life architecture by gently identifying and removing obstacles, learning adaptive coping, finding meaning and strength, and sometimes rebuilding from the very foundation when faced with life-changing adversities.  Issues germinate and gain destructive power if ignored or dealt with using unhelpful distractions, so you can feel good about taking that first step to call me with no delay.
(833) 710-7770 x3 View (833) 710-7770 x3
Photo of Ray Kadkhodaian, Counselor in Arlington Heights, IL
Ray Kadkhodaian
Counselor, MA, PsyD, LCPC
Verified Verified
3 Endorsed
Arlington Heights, IL 60004
Couples therapy has been found to be least effective of all therapies, thus it is important for clients to seek out therapists who are versed in the latest research on couples and marital therapy. The unique couples approach I co-created with my wife, called the Couples Synergy model, has helped thousands of couples internationally for over 25 years.
Couples therapy has been found to be least effective of all therapies, thus it is important for clients to seek out therapists who are versed in the latest research on couples and marital therapy. The unique couples approach I co-created with my wife, called the Couples Synergy model, has helped thousands of couples internationally for over 25 years.
(847) 915-4115 View (847) 915-4115
Photo of Lu Gregory, Clinical Social Work/Therapist in Arlington Heights, IL
Lu Gregory
Clinical Social Work/Therapist, LCSW, CADC
Not Verified Not Verified
Arlington Heights, IL 60004
Lu is a Licensed Clinical Social Worker and Certified Alcohol and Drug Counselor who works with children, adolescents, adults and their families. She has experience working with individuals with Anger Management, Anxiety, Depression, Eating Disorders, Self-Injury and Substance Abuse. Lu utilizes Cognitive Behavioral Therapy to assist patients in achieving positive changes in mood, thought process and their behavior.
Lu is a Licensed Clinical Social Worker and Certified Alcohol and Drug Counselor who works with children, adolescents, adults and their families. She has experience working with individuals with Anger Management, Anxiety, Depression, Eating Disorders, Self-Injury and Substance Abuse. Lu utilizes Cognitive Behavioral Therapy to assist patients in achieving positive changes in mood, thought process and their behavior.
(847) 607-6217 x306 View (847) 607-6217 x306

See more therapy options for Arlington Heights

How does your Therapist compare?

Number of Therapists in Arlington Heights, IL

300+

Average cost per session

$150

Therapists in Arlington Heights, IL who prioritize treating:

97% Anxiety
92% Depression
82% Relationship Issues
81% Self Esteem
74% Coping Skills
67% Stress
65% Trauma and PTSD

Average years in practice

14 Years

Top 3 insurances accepted

97% BlueCross and BlueShield
62% Aetna
56% UnitedHealthcare UHC | UBH

How Therapists in Arlington Heights, IL see their clients

82% In Person and Online
18% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Arlington Heights?

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.