Photo of Margo Elsayd, Licensed Professional Counselor in 19968, DE
Margo Elsayd
Licensed Professional Counselor, MA, LPCMH
Verified Verified
Milton, DE 19968
Hello! I am an Art Therapist and Counselor who believes that participating in therapy is a radical act of self love and bravery. My approach is genuine and compassion driven, in hopes of offering up some guidance and curiosity to get to the core issues. I provide a strength based, trauma informed approach, one that is empowering and collaborative, particularly with those who have low self worth/self esteem, body dysmorphia, depression, anxiety/stress, big life changes and with individuals and families living and dealing with substance and alcohol use disorders.
Hello! I am an Art Therapist and Counselor who believes that participating in therapy is a radical act of self love and bravery. My approach is genuine and compassion driven, in hopes of offering up some guidance and curiosity to get to the core issues. I provide a strength based, trauma informed approach, one that is empowering and collaborative, particularly with those who have low self worth/self esteem, body dysmorphia, depression, anxiety/stress, big life changes and with individuals and families living and dealing with substance and alcohol use disorders.
(302) 216-8506 View (302) 216-8506
Photo of Jeshonda Dennis, Clinical Social Work/Therapist in 19968, DE
Jeshonda Dennis
Clinical Social Work/Therapist, LCSW
Verified Verified
Milton, DE 19968  (Online Only)
Hi! Are you anxious/stressed, saddened, having low self-esteem, struggling with trauma, having difficulty in relationships, or finding change/transistions to be difficult? If so, I can assist. I create a safe space so you feel understood and non-judged. We'll create a plan that helps you overcome obstacles and begin to heal along this journey. My goal is to ignite transformation and empower you to live boldly, love deeply, and walk confidently in this life. So let's rewrite your story, reclaim joy, and build bridges of reconciliation one step at a time!
Hi! Are you anxious/stressed, saddened, having low self-esteem, struggling with trauma, having difficulty in relationships, or finding change/transistions to be difficult? If so, I can assist. I create a safe space so you feel understood and non-judged. We'll create a plan that helps you overcome obstacles and begin to heal along this journey. My goal is to ignite transformation and empower you to live boldly, love deeply, and walk confidently in this life. So let's rewrite your story, reclaim joy, and build bridges of reconciliation one step at a time!
(302) 303-8491 View (302) 303-8491
Photo of Carolyn Ann Trasko, Clinical Social Work/Therapist in 19968, DE
Carolyn Ann Trasko
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Milton, DE 19968
I am an Integrative Mental Health Specialist serving as a bridge between traditional allopathic (Western) medicine and other World Medicines (Traditional Chinese Medicine, Ayurvedic Medicine). As a doctor of Mind-Body Medicine, I specialize in the relationship between emotions, the mind, and physical health. I utilize a holistic, psychodynamic, root-cause perspective focusing on the integration of mind, body, brain, and spirit to help develop personalized treatment plans with my clients. My ideal clients struggle with emotional symptoms and chronic physical conditions and want to empower themselves to feel better every day.
I am an Integrative Mental Health Specialist serving as a bridge between traditional allopathic (Western) medicine and other World Medicines (Traditional Chinese Medicine, Ayurvedic Medicine). As a doctor of Mind-Body Medicine, I specialize in the relationship between emotions, the mind, and physical health. I utilize a holistic, psychodynamic, root-cause perspective focusing on the integration of mind, body, brain, and spirit to help develop personalized treatment plans with my clients. My ideal clients struggle with emotional symptoms and chronic physical conditions and want to empower themselves to feel better every day.
(302) 779-0021 View (302) 779-0021
Photo of Samantha Little, Pre-Licensed Professional in 19968, DE
Samantha Little
Pre-Licensed Professional, MSW
Verified Verified
Milton, DE 19968  (Online Only)
It is a pleasure to make your acquaintance! Whether you are working on self-improvement, working through a difficult life event, seeking guidance with relationship conflicts, or just looking for someone to talk to, it would be my pleasure to offer my therapeutic services to guide you along the journey of self discovery. Currently I practice with Sussex Family Counseling (sussexfamilycounseling.com) and I am accepting new patients, primarily in virtual session format. Across my career I have worked with clients of diverse ages, from young children, to older adults.
It is a pleasure to make your acquaintance! Whether you are working on self-improvement, working through a difficult life event, seeking guidance with relationship conflicts, or just looking for someone to talk to, it would be my pleasure to offer my therapeutic services to guide you along the journey of self discovery. Currently I practice with Sussex Family Counseling (sussexfamilycounseling.com) and I am accepting new patients, primarily in virtual session format. Across my career I have worked with clients of diverse ages, from young children, to older adults.
(302) 305-4606 View (302) 305-4606
Photo of Lenora Ann Webb, Clinical Social Work/Therapist in 19968, DE
Lenora Ann Webb
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
1 Endorsed
Milton, DE 19968
Lenora is a Licensed Master Social Worker and Certified Alcohol and Drug Counselor. She specializes in Trauma Inform, Addiction, Dual diagnoses after many years of working with women coming out of incarceration. She currently works with adults who are dealing with anxiety, depression, grief and loss. She also specializes in domestic violence, challenging irrational thoughts, and gaslighting.
Lenora is a Licensed Master Social Worker and Certified Alcohol and Drug Counselor. She specializes in Trauma Inform, Addiction, Dual diagnoses after many years of working with women coming out of incarceration. She currently works with adults who are dealing with anxiety, depression, grief and loss. She also specializes in domestic violence, challenging irrational thoughts, and gaslighting.
(302) 303-7873 View (302) 303-7873
Photo of Sussex Family Counseling, LLC, Counselor in 19968, DE
Sussex Family Counseling, LLC
Counselor, EdD, LPCMH, NCC
Verified Verified
Milton, DE 19968
Greetings! Thank you for your consideration to enter into a therapeutic relationship with myself, and/or one of the providers with our practice (sussexfamilycounseling.com). I would like to share a little background information to help you make an informed decision, prior to moving forward. I completed all of my formal education from The Pennsylvania State University (Penn State), included a bachelors degree in Bio-Behavioral Health, a masters degree in Counselor Education/Psychiatric Rehabilitation, and a doctoral degree in Adult Education.
Greetings! Thank you for your consideration to enter into a therapeutic relationship with myself, and/or one of the providers with our practice (sussexfamilycounseling.com). I would like to share a little background information to help you make an informed decision, prior to moving forward. I completed all of my formal education from The Pennsylvania State University (Penn State), included a bachelors degree in Bio-Behavioral Health, a masters degree in Counselor Education/Psychiatric Rehabilitation, and a doctoral degree in Adult Education.
(302) 924-2319 View (302) 924-2319
Photo of Sunni Days Counseling, Licensed Professional Counselor in 19968, DE
Sunni Days Counseling
Licensed Professional Counselor, LPCMH, LMHC, CFMHE, certifi, CCCE
Verified Verified
Milton, DE 19968
I specialize in solution focused therapy.My goal is to assist clients in changing unhealthy patterns and thoughts to overcome challenges in their lives. . I work with children, families, couples and individuals.
I specialize in solution focused therapy.My goal is to assist clients in changing unhealthy patterns and thoughts to overcome challenges in their lives. . I work with children, families, couples and individuals.
(302) 497-0253 View (302) 497-0253
Photo of Jody J Hawk, Pre-Licensed Professional in 19968, DE
Jody J Hawk
Pre-Licensed Professional, LSW, MEd, ABA
Verified Verified
Milton, DE 19968
Currently Accepting NEW Clients: Looking for tweens, teens, and young adults that feel they need a sounding board for life experiences or the parent that feels their child would benefit from having a trusted, compassionate, and realistic influence in their life. A mother of a child on the spectrum, we faced challenges in relationship engagement/ building, social skills and cues, and simply having an opportunity for experiences that would enhance my child’s life. I educated myself to better support my family, and I know I have the skills and personality to support you as well
Currently Accepting NEW Clients: Looking for tweens, teens, and young adults that feel they need a sounding board for life experiences or the parent that feels their child would benefit from having a trusted, compassionate, and realistic influence in their life. A mother of a child on the spectrum, we faced challenges in relationship engagement/ building, social skills and cues, and simply having an opportunity for experiences that would enhance my child’s life. I educated myself to better support my family, and I know I have the skills and personality to support you as well
(302) 214-5009 View (302) 214-5009
Photo of Mary C Quigley, Clinical Social Work/Therapist in 19968, DE
Mary C Quigley
Clinical Social Work/Therapist, LCSW
Verified Verified
Milton, DE 19968  (Online Only)
I enjoy working with couples, families, and individuals. My specialties include grief counseling, eating disorders, depression, anxiety, and couples conflict. I have over 30 years of experience working with young adults in university settings and with individuals and couples in private practice. I have been the head clinician in an eating disorder and mood disorder clinic at a major university. I am particularly interested in working with clients who are struggling with low self worth and self loathing. I also have an expertise in working with gay couples.
I enjoy working with couples, families, and individuals. My specialties include grief counseling, eating disorders, depression, anxiety, and couples conflict. I have over 30 years of experience working with young adults in university settings and with individuals and couples in private practice. I have been the head clinician in an eating disorder and mood disorder clinic at a major university. I am particularly interested in working with clients who are struggling with low self worth and self loathing. I also have an expertise in working with gay couples.
(202) 417-2746 View (202) 417-2746
Photo of Kathleen Honeywell, Counselor in 19968, DE
Kathleen Honeywell
Counselor, LCPC , LPCMH , NCC
Verified Verified
Milton, DE 19968
Waitlist for new clients
Katie has worked as a licensed counselor for over 10 years. She is an EMDRIA certified therapist and a consultant-in-training for EMDR. She enjoys working with individuals of all ages. Katie specializes in trauma. She supports parents and families in finding more connected relationships. Katie has a special interest in complex trauma, attachment, dissociation, perinatal trauma, supporting mother’s pregnancy and postpartum needs and LGBTQ affirming care. She incorporates a strength based lens, partnership, creativity and humor into her work.
Katie has worked as a licensed counselor for over 10 years. She is an EMDRIA certified therapist and a consultant-in-training for EMDR. She enjoys working with individuals of all ages. Katie specializes in trauma. She supports parents and families in finding more connected relationships. Katie has a special interest in complex trauma, attachment, dissociation, perinatal trauma, supporting mother’s pregnancy and postpartum needs and LGBTQ affirming care. She incorporates a strength based lens, partnership, creativity and humor into her work.
(302) 924-8576 View (302) 924-8576
Tracy Hansen
Marriage & Family Therapist, LMFT
Verified Verified
Milton, DE 19968
Straightforward, proactive, and empowering are descriptors of my therapeutic style. I am a Licensed Clinical Marriage & Family Therapist who strives for resolution and attainable therapeutic goals for clients. I specialize in helping solve tension and conflict within marital and family relationships. Ineffective communication, Intimacy, and Infidelity are the primary focus of my marital work. Boundaries, Independence, and Ineffective communication are the focus of my family therapy work. If you have questions about my services or area of expertise, please feel free to contact me. I look forward to working with you.
Straightforward, proactive, and empowering are descriptors of my therapeutic style. I am a Licensed Clinical Marriage & Family Therapist who strives for resolution and attainable therapeutic goals for clients. I specialize in helping solve tension and conflict within marital and family relationships. Ineffective communication, Intimacy, and Infidelity are the primary focus of my marital work. Boundaries, Independence, and Ineffective communication are the focus of my family therapy work. If you have questions about my services or area of expertise, please feel free to contact me. I look forward to working with you.
(302) 966-9938 View (302) 966-9938
Photo of Margaret (Peggy) Gaestel, Clinical Social Work/Therapist in 19968, DE
Margaret (Peggy) Gaestel
Clinical Social Work/Therapist, MSW, LCSW, LCSW-C
Verified Verified
Milton, DE 19968
Director of Synergy Behavioral Health Group and Clinical Social Worker in Delaware and Maryland. I learned the importance of respecting people for who they are, recognizing and building on individual strengths and resilience, people bring to their life circumstances. Certified in Trauma Studies, experience with children, adults, and families. Engaged in on-going training in areas of assessing trauma and attachment issues and incorporate therapies that have the best outcomes for families, including Theraplay Provide trauma focused EMDR. In addition to traditional therapeutic interventions, I incorporate use of yoga, mindfulness, and mind/body connections that help improve therapeutic outcomes.
Director of Synergy Behavioral Health Group and Clinical Social Worker in Delaware and Maryland. I learned the importance of respecting people for who they are, recognizing and building on individual strengths and resilience, people bring to their life circumstances. Certified in Trauma Studies, experience with children, adults, and families. Engaged in on-going training in areas of assessing trauma and attachment issues and incorporate therapies that have the best outcomes for families, including Theraplay Provide trauma focused EMDR. In addition to traditional therapeutic interventions, I incorporate use of yoga, mindfulness, and mind/body connections that help improve therapeutic outcomes.
(302) 219-6476 View (302) 219-6476
Photo of Rosemarie Brennan, Licensed Professional Counselor in 19968, DE
Rosemarie Brennan
Licensed Professional Counselor, MS, LPCMH
Verified Verified
2 Endorsed
Milton, DE 19968  (Online Only)
Not accepting new clients
I am a Licensed Professional Counselor and Psychotherapist with deep interest, experience and clinical training in helping adults identify and work through the underlying issues that produce symptoms, such as depression and anxiety. Examples of issues and related help include: Gently navigating through stages of grief and loss and difficult life transitions; developing skills to effectively balance family and work; providing support to parents of teens and emerging adults; providing support to caregivers; providing education on maintaining a sense of self in relationships; exploring career/job change; and exploring the impact of adoption on the adult adoptee.
I am a Licensed Professional Counselor and Psychotherapist with deep interest, experience and clinical training in helping adults identify and work through the underlying issues that produce symptoms, such as depression and anxiety. Examples of issues and related help include: Gently navigating through stages of grief and loss and difficult life transitions; developing skills to effectively balance family and work; providing support to parents of teens and emerging adults; providing support to caregivers; providing education on maintaining a sense of self in relationships; exploring career/job change; and exploring the impact of adoption on the adult adoptee.
(267) 592-3032 View (267) 592-3032
Photo of Beth Joselow, Counselor in 19968, DE
Beth Joselow
Counselor, LPCMH
Verified Verified
1 Endorsed
Milton, DE 19968
Not accepting new clients
I enjoy learning who my clients are, and working with them to help solve problems and meet their goals. With a small practice, and many years experience as a teacher and counselor, I am able to give my clients deep, personal attention and to help individuals discover how first to use the wisdom of their own minds and bodies.
I enjoy learning who my clients are, and working with them to help solve problems and meet their goals. With a small practice, and many years experience as a teacher and counselor, I am able to give my clients deep, personal attention and to help individuals discover how first to use the wisdom of their own minds and bodies.
(302) 319-2084 View (302) 319-2084
Photo of Toni M Ballas Rowe, Clinical Social Work/Therapist in 19968, DE
Toni M Ballas Rowe
Clinical Social Work/Therapist, LCSW
Verified Verified
Milton, DE 19968
As an experienced Therapist of many years I have worked with children, adolescents and adults who have struggled with issues of abuse, bereavement, divorce, parent/ child-adolescent conflict, ADHD, depression and anxiety. My knowledge and experience with patients has given me a wealth of resources and tools to use in helping children, adults and families to cope with life challenges and tragedies. I have a passion for my work and hope that those who work with me eventually leave therapy with a better feeling about themselves and life.
As an experienced Therapist of many years I have worked with children, adolescents and adults who have struggled with issues of abuse, bereavement, divorce, parent/ child-adolescent conflict, ADHD, depression and anxiety. My knowledge and experience with patients has given me a wealth of resources and tools to use in helping children, adults and families to cope with life challenges and tragedies. I have a passion for my work and hope that those who work with me eventually leave therapy with a better feeling about themselves and life.
(302) 450-1188 View (302) 450-1188
Photo of Donna Strachan-Ledbetter, Licensed Professional Counselor in 19968, DE
Donna Strachan-Ledbetter
Licensed Professional Counselor, MS, LPCMH, NCC
Verified Verified
Milton, DE 19968
Holding onto hope in the midst of life's challenges, transitions, and relationship struggles is never easy. One of the hallmarks of my approach is to help engender a sense of hope no matter what is happening in your life. I'm very relational and interested in hearing your story, helping you become curious and conscious about your inner life, exploring changes, and empowering you to courageously move forward. The past doesn't need to dictate the future. Possibilities exist and therein lies the hope!
Holding onto hope in the midst of life's challenges, transitions, and relationship struggles is never easy. One of the hallmarks of my approach is to help engender a sense of hope no matter what is happening in your life. I'm very relational and interested in hearing your story, helping you become curious and conscious about your inner life, exploring changes, and empowering you to courageously move forward. The past doesn't need to dictate the future. Possibilities exist and therein lies the hope!
(302) 329-6057 View (302) 329-6057
Photo of Cid Vordenbaum, Clinical Social Work/Therapist in 19968, DE
Cid Vordenbaum
Clinical Social Work/Therapist, LCSW
Verified Verified
Milton, DE 19968
I am a licensed clinical social worker with over twenty-five years of experience and work with a wide range of clients. My approach to psychotherapy is goal-oriented and it is honest, direct and respectful, offering clients non-judgmental guidance in a safe environment. Within these parameters my approach to therapy is adjusted based on the needs of an individual client.
I am a licensed clinical social worker with over twenty-five years of experience and work with a wide range of clients. My approach to psychotherapy is goal-oriented and it is honest, direct and respectful, offering clients non-judgmental guidance in a safe environment. Within these parameters my approach to therapy is adjusted based on the needs of an individual client.
(302) 208-4592 View (302) 208-4592
Photo of Vinnie L Fabber, Counselor in 19968, DE
Vinnie L Fabber
Counselor, LMHPC, NBCC, RPT, PhD
Verified Verified
Milton, DE 19968
I believe everyone has the capacity to grow and change as well as heal. I also believe the counseling relationship should be a good fit. I provide psychological services to adults, adolescents and children. As a Registered Play Therapist I allow the child to express feelings in a safe playful environment. I offer individual and group process for adolescent struggling with life challenges. If stress, anxiety, depression and anger is affecting your relationships, work, mental/physical health and your daily life seems overwhelming, I provide a supportive, positive counseling relationship that is collaborative and helpful.
I believe everyone has the capacity to grow and change as well as heal. I also believe the counseling relationship should be a good fit. I provide psychological services to adults, adolescents and children. As a Registered Play Therapist I allow the child to express feelings in a safe playful environment. I offer individual and group process for adolescent struggling with life challenges. If stress, anxiety, depression and anger is affecting your relationships, work, mental/physical health and your daily life seems overwhelming, I provide a supportive, positive counseling relationship that is collaborative and helpful.
(302) 497-5789 View (302) 497-5789
Photo of Tom Ledbetter, Pastoral Counselor in 19968, DE
Tom Ledbetter
Pastoral Counselor, M, Div
Verified Verified
Milton, DE 19968
For me, therapy is about transformation--dealing with old feelings, memories, regrets that are now getting in the way of living and functioning. Transformation may also be about moving into or out of relationships, jobs, locations, lifestyle, or an era of one's life. I like to help people deal with who they are, with the meaning of their life, and the importance of their feelings, relationships, and vocation. I want to hear your story, understand your pain, and work with you to discover your healing resources within, and find hope for living more deeply.
For me, therapy is about transformation--dealing with old feelings, memories, regrets that are now getting in the way of living and functioning. Transformation may also be about moving into or out of relationships, jobs, locations, lifestyle, or an era of one's life. I like to help people deal with who they are, with the meaning of their life, and the importance of their feelings, relationships, and vocation. I want to hear your story, understand your pain, and work with you to discover your healing resources within, and find hope for living more deeply.
(302) 246-5542 View (302) 246-5542
Photo of Delaware Psychological Services, Psychologist in 19968, DE
Delaware Psychological Services
Psychologist, PhD, LPCMH, CCDPD
Verified Verified
Milton, DE 19968
Delaware Psychological Services knows family members have a profound impact on one another. When the family is out of sync, everyone feels awful. Whether you're dealing with issues related to drug and alcohol use, behavioral challenges with children and teens or simply trying to navigate the stress of today's busy world - we understand.
Delaware Psychological Services knows family members have a profound impact on one another. When the family is out of sync, everyone feels awful. Whether you're dealing with issues related to drug and alcohol use, behavioral challenges with children and teens or simply trying to navigate the stress of today's busy world - we understand.
(302) 725-4366 View (302) 725-4366

See more therapy options for 19968

How does your Therapist compare?

Number of Therapists in 19968

20+

Average cost per session

$125

Therapists in 19968 who prioritize treating:

93% Depression
93% Anxiety
83% Relationship Issues
83% Coping Skills
76% Grief
76% Trauma and PTSD
72% Self Esteem

Average years in practice

13 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
86% Highmark
64% Medicaid

How Therapists in 19968 see their clients

80% In Person and Online
20% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 19968?

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.