Therapists in Rockville, MD

Photo of Miles Goldstein, Clinical Social Work/Therapist in Rockville, MD
Miles Goldstein
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Rockville, MD 20852
I am working with children teens and adults. I create an environment of support and safety in order that individuals, couples and families are comfortable to be vulnerable and grow.. My studies in mindfulness include yoga teacher training, meditation, breath work and visualization. I use techniques of cognitive behavioral therapy and attachment theories. I work well with men after runnings mens groups for many years. I appreciate the entire life span including children and teens. I work with individuals going through difficult transitions of divorce, grief and loss, change in their work or dealing with issues of aging.
I am working with children teens and adults. I create an environment of support and safety in order that individuals, couples and families are comfortable to be vulnerable and grow.. My studies in mindfulness include yoga teacher training, meditation, breath work and visualization. I use techniques of cognitive behavioral therapy and attachment theories. I work well with men after runnings mens groups for many years. I appreciate the entire life span including children and teens. I work with individuals going through difficult transitions of divorce, grief and loss, change in their work or dealing with issues of aging.
(240) 813-9072 View (240) 813-9072
Cathleen Horan
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Rockville, MD 20850
I have twenty five years of experience providing psychotherapy for young adults and adults (18-90) as well as couples and families. I utilize CBT, ACT, psychodynamic psychotherapy, mindfulness based stress reduction, motivational interviewing, and other approaches to suit your needs. I specialize in treating substance use disorder, co-dependency, process addictions, eating disorders, mood and anxiety disorders, grief/loss, life transitions and relationship difficulties. I work from a strengths based perspective and help clients strengthen coping strategies and deveop new strategies to create and enhance the life you want to live.
I have twenty five years of experience providing psychotherapy for young adults and adults (18-90) as well as couples and families. I utilize CBT, ACT, psychodynamic psychotherapy, mindfulness based stress reduction, motivational interviewing, and other approaches to suit your needs. I specialize in treating substance use disorder, co-dependency, process addictions, eating disorders, mood and anxiety disorders, grief/loss, life transitions and relationship difficulties. I work from a strengths based perspective and help clients strengthen coping strategies and deveop new strategies to create and enhance the life you want to live.
(240) 474-9782 View (240) 474-9782
Photo of David Tong, Counselor in Rockville, MD
David Tong
Counselor, LCPC
Verified Verified
1 Endorsed
Rockville, MD 20850
My approach to counseling is to be fully present, attune, and resonate with my clients by co-regulating their nervous systems in a therapeutic setting. I am trained to identify and treat the root causes of emotional triggers and associated thoughts, beliefs, and behaviors. I believe mental wellness is characterized by calmness, clarity, curiosity, creativity, confidence, courage, compassion, and connectedness. Intuitive and compassionate, I find peace not by knowing things but in my journey to be known. I am trained in the latest empirical treatment approaches, such as EMDR, IFS and CFT.
My approach to counseling is to be fully present, attune, and resonate with my clients by co-regulating their nervous systems in a therapeutic setting. I am trained to identify and treat the root causes of emotional triggers and associated thoughts, beliefs, and behaviors. I believe mental wellness is characterized by calmness, clarity, curiosity, creativity, confidence, courage, compassion, and connectedness. Intuitive and compassionate, I find peace not by knowing things but in my journey to be known. I am trained in the latest empirical treatment approaches, such as EMDR, IFS and CFT.
(240) 800-1251 View (240) 800-1251
Photo of Fatima Deen, Counselor in Rockville, MD
Fatima Deen
Counselor, LGPC
Verified Verified
Rockville, MD 20852  (Online Only)
I view therapy from a diverse and multicultural lens while using CBT framework, mindfulness techniques, and solution-focused orientation with openness to tailor treatment to my clients needs. I believe therapy should be a safe space, where you can explore your mind, gain a deeper understanding of yourself, and embark toward the quest of optimal wellbeing.
I view therapy from a diverse and multicultural lens while using CBT framework, mindfulness techniques, and solution-focused orientation with openness to tailor treatment to my clients needs. I believe therapy should be a safe space, where you can explore your mind, gain a deeper understanding of yourself, and embark toward the quest of optimal wellbeing.
(301) 507-0049 View (301) 507-0049
Photo of Mary E Javel, Psychologist in Rockville, MD
Mary E Javel
Psychologist, PhD
Verified Verified
Rockville, MD 20852
I truly enjoy helping people move forward in their lives. My primary orientation is relational where therapist and client co-create the therapeutic process. I like to take the time to get to know you and understand what brings you to therapy. Working within an atmosphere of trust and openness allows true growth to happen. I'm a very creative person and able to work across therapeutic modalities to meet the needs of each client.
I truly enjoy helping people move forward in their lives. My primary orientation is relational where therapist and client co-create the therapeutic process. I like to take the time to get to know you and understand what brings you to therapy. Working within an atmosphere of trust and openness allows true growth to happen. I'm a very creative person and able to work across therapeutic modalities to meet the needs of each client.
(301) 284-3731 View (301) 284-3731
Photo of Meg McDonald, Clinical Social Work/Therapist in Rockville, MD
Meg McDonald
Clinical Social Work/Therapist, LCSW-C, MTS
Verified Verified
3 Endorsed
Rockville, MD 20855
I've been working with individuals, couples, and families for over 11 years. I specialize in treating depression, anxiety, post-traumatic stress disorder (PTSD), trauma, survivors of domestic and sexual violence, parenting struggles, and families experiencing difficulties. My approach to therapy is Humanistic and Person-Centered, believing the therapeutic relationship is the foundation for creating positive change.
I've been working with individuals, couples, and families for over 11 years. I specialize in treating depression, anxiety, post-traumatic stress disorder (PTSD), trauma, survivors of domestic and sexual violence, parenting struggles, and families experiencing difficulties. My approach to therapy is Humanistic and Person-Centered, believing the therapeutic relationship is the foundation for creating positive change.
(240) 660-4261 View (240) 660-4261
Photo of Taelon Um, Clinical Social Work/Therapist in Rockville, MD
Taelon Um
Clinical Social Work/Therapist, LMSW
Verified Verified
Rockville, MD 20850
My ideal client may need help with confidence, relationships, or learning who they are. They aim to reduce symptoms of clinical diagnoses and work with me to see progress in their lives. This client would want to learn more about themselves and improve their relationships with others and with themselves. They would be a motivated and insightful client who attends sessions regularly and comes prepared with topics to discuss. I would help this client by listening to them and their thoughts, offering support, and building a rapport with them.
My ideal client may need help with confidence, relationships, or learning who they are. They aim to reduce symptoms of clinical diagnoses and work with me to see progress in their lives. This client would want to learn more about themselves and improve their relationships with others and with themselves. They would be a motivated and insightful client who attends sessions regularly and comes prepared with topics to discuss. I would help this client by listening to them and their thoughts, offering support, and building a rapport with them.
(240) 852-2460 View (240) 852-2460
Photo of Patrick E Connealy, Clinical Social Work/Therapist in Rockville, MD
Patrick E Connealy
Clinical Social Work/Therapist, LCSW-C, EDPNA
Verified Verified
1 Endorsed
Rockville, MD 20852
Not accepting new clients
I've been a therapist for 35 years. I've worked in the public and private sectors with those suffering from Post Traumatic Stress Disorder, Depression, Anxiety, Addictions, Personality Disorders, and those with serious mental illness.
I've been a therapist for 35 years. I've worked in the public and private sectors with those suffering from Post Traumatic Stress Disorder, Depression, Anxiety, Addictions, Personality Disorders, and those with serious mental illness.
(301) 962-2787 View (301) 962-2787
Photo of Becca Ferenci, Licensed Clinical Professional Counselor in Rockville, MD
Becca Ferenci
Licensed Clinical Professional Counselor, LCPC, LPC
Verified Verified
1 Endorsed
Rockville, MD 20850  (Online Only)
Welcome! My passion is helping my clients navigate the complexities of growing up and forming their identity, wherever they’re at in life. I work with clients of all ages, with particular experience working with children, teens, and young adults. I spent several years working as a school-based therapist, helping clients and families with their emotional and behavioral challenges. I know that growing up isn’t always easy, and I want to help ease those transitions. I will meet you where you’re at.
Welcome! My passion is helping my clients navigate the complexities of growing up and forming their identity, wherever they’re at in life. I work with clients of all ages, with particular experience working with children, teens, and young adults. I spent several years working as a school-based therapist, helping clients and families with their emotional and behavioral challenges. I know that growing up isn’t always easy, and I want to help ease those transitions. I will meet you where you’re at.
(240) 789-4227 View (240) 789-4227
Photo of Megan Crilly, Clinical Social Work/Therapist in Rockville, MD
Megan Crilly
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Rockville, MD 20852
Hello and Welcome! My name is Megan, I am a Licensed Master Social Worker (LMSW) who specializes in individual therapy for children, teenagers, and young adults. I strive to provide a relaxed & light-hearted environment where my clients feel comfortable being themselves. I can help with issues such as such as sadness and depression, anxiety, family/peer conflict, relationship skills, life transitions, and identity dysphoria. I like to focus on equipping my clients with skills to improve insight and their ability to cope in order to promote healthy relationships, self-esteem, communication, anger-management, and socialization.
Hello and Welcome! My name is Megan, I am a Licensed Master Social Worker (LMSW) who specializes in individual therapy for children, teenagers, and young adults. I strive to provide a relaxed & light-hearted environment where my clients feel comfortable being themselves. I can help with issues such as such as sadness and depression, anxiety, family/peer conflict, relationship skills, life transitions, and identity dysphoria. I like to focus on equipping my clients with skills to improve insight and their ability to cope in order to promote healthy relationships, self-esteem, communication, anger-management, and socialization.
(301) 479-5933 View (301) 479-5933
Photo of Susan Fletcher, LPC, MA—Addiction/Emotional Health, Licensed Professional Counselor in Rockville, MD
Susan Fletcher, LPC, MA—Addiction/Emotional Health
Licensed Professional Counselor, LPC, MA
Verified Verified
Rockville, MD 20852
Do you or your teenager need support recovering from addiction? Are depression, anxiety, or poor self-image keeping you stuck in life? Have you been diagnosed with Bipolar Disorder (BPD), schizophrenia, or other mental health challenges? Have you experienced traumatic events in childhood or in your adult life? In therapy, we will draw from Cognitive Behavioral Therapy (CBT) and other treatment modalities to support you in developing effective coping skills. We can work on resolving trauma and defusing other factors that may be powering your difficulties. Contact me today. I am looking forward to hearing your story.
Do you or your teenager need support recovering from addiction? Are depression, anxiety, or poor self-image keeping you stuck in life? Have you been diagnosed with Bipolar Disorder (BPD), schizophrenia, or other mental health challenges? Have you experienced traumatic events in childhood or in your adult life? In therapy, we will draw from Cognitive Behavioral Therapy (CBT) and other treatment modalities to support you in developing effective coping skills. We can work on resolving trauma and defusing other factors that may be powering your difficulties. Contact me today. I am looking forward to hearing your story.
(301) 835-1758 View (301) 835-1758
Photo of Jacob Kahn, Counselor in Rockville, MD
Jacob Kahn
Counselor, MA, LGPC
Verified Verified
Rockville, MD 20852
ACCEPTING NEW CLIENTS. IN-PERSON AVAILABLE. Just as each individual is unique, I see treatment as unique as well, meaning no single therapy approach can claim to be the solution to every individual that walks through my door. For as unique as you are, together we can make sense of your concerns, work towards your goals, and the quality of life you want and deserve.
ACCEPTING NEW CLIENTS. IN-PERSON AVAILABLE. Just as each individual is unique, I see treatment as unique as well, meaning no single therapy approach can claim to be the solution to every individual that walks through my door. For as unique as you are, together we can make sense of your concerns, work towards your goals, and the quality of life you want and deserve.
(301) 708-2735 View (301) 708-2735
Photo of Mary Blotzer, Clinical Social Work/Therapist in Rockville, MD
Mary Blotzer
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Rockville, MD 20852
Most individuals come to me when new or stressful life circumstances have overwhelmed their traditional coping strategies. We work together to understand the circumstances that they are facing, the distress that they are experiencing, and explore strategies for reducing their distress and enhancing their well-being. Together we form an understanding partnership that enables them to face the world with more effective coping strategies and improved relationship skills. My theoretical approaches include emotion-focused and psychodynamic therapy. My clients describe me as empathetic, effective and collaborative.
Most individuals come to me when new or stressful life circumstances have overwhelmed their traditional coping strategies. We work together to understand the circumstances that they are facing, the distress that they are experiencing, and explore strategies for reducing their distress and enhancing their well-being. Together we form an understanding partnership that enables them to face the world with more effective coping strategies and improved relationship skills. My theoretical approaches include emotion-focused and psychodynamic therapy. My clients describe me as empathetic, effective and collaborative.
(240) 770-1212 View (240) 770-1212
Photo of Vaughn Miller, Psychologist in Rockville, MD
Vaughn Miller
Psychologist, PsyD, LCP
Verified Verified
3 Endorsed
Rockville, MD 20852  (Online Only)
I serve adults (18+) in Maryland, D.C., Virginia, and PSYPACT participating states. I believe that the aim of therapy is to assist clients in better understanding their underlying concerns, like difficulties in relating to others, struggles during life transitions, and experiences of internal and external conflict. Therapy also provides a neutral space for people to explore new and healthy boundaries while working to identify and heal painful emotional experiences, thought patterns, and behaviors.
I serve adults (18+) in Maryland, D.C., Virginia, and PSYPACT participating states. I believe that the aim of therapy is to assist clients in better understanding their underlying concerns, like difficulties in relating to others, struggles during life transitions, and experiences of internal and external conflict. Therapy also provides a neutral space for people to explore new and healthy boundaries while working to identify and heal painful emotional experiences, thought patterns, and behaviors.
(240) 200-0140 View (240) 200-0140
Photo of Melissa K. Maddox, Counselor in Rockville, MD
Melissa K. Maddox
Counselor, MS, LCPC, NCC
Verified Verified
Rockville, MD 20850
I am passionate when it comes to therapy! Having the opportunity to help people find positive growth in their lives is so rewarding to me! I've spent 30 years working with adolescents in a variety of roles and settings. In recent years, I have had the opportunity to integrate family therapy, parent coaching, and kink informed therapy into my practice. It is so fulfilling to help my clients work through conflicts, become more resilient, and enhance their overall strength and unification. I have also enjoy doing insight based work with adults who are experiencing conflicts or transitions in their lives.
I am passionate when it comes to therapy! Having the opportunity to help people find positive growth in their lives is so rewarding to me! I've spent 30 years working with adolescents in a variety of roles and settings. In recent years, I have had the opportunity to integrate family therapy, parent coaching, and kink informed therapy into my practice. It is so fulfilling to help my clients work through conflicts, become more resilient, and enhance their overall strength and unification. I have also enjoy doing insight based work with adults who are experiencing conflicts or transitions in their lives.
(301) 453-7821 View (301) 453-7821
Photo of Kristen Scott, Counselor in Rockville, MD
Kristen Scott
Counselor, LCPC, NCC
Verified Verified
1 Endorsed
Rockville, MD 20850
Have you reached your breaking point and wondered if a change is possible? I am a licensed therapist who can help you restore hope. My clients receive unwavering support and tools to transcend challenging emotions, see new perspectives, and work through debilitating symptoms of depression, anxiety, and the emotionally pervasive effects of trauma. I strive to build a trusting and empathic relationship with my clients as we delve into complex issues. I firmly believe that transformation is possible after exploring the past and present strongholds that hinder the ability to lead a more fulfilled life.
Have you reached your breaking point and wondered if a change is possible? I am a licensed therapist who can help you restore hope. My clients receive unwavering support and tools to transcend challenging emotions, see new perspectives, and work through debilitating symptoms of depression, anxiety, and the emotionally pervasive effects of trauma. I strive to build a trusting and empathic relationship with my clients as we delve into complex issues. I firmly believe that transformation is possible after exploring the past and present strongholds that hinder the ability to lead a more fulfilled life.
(202) 779-3916 View (202) 779-3916
Photo of Bianca Johnson, Counselor in Rockville, MD
Bianca Johnson
Counselor, NCC , LGPC
Verified Verified
Rockville, MD 20850
I am a Licensed Graduate Professional Counselor (LGPC) with years of experience working with teens, couples, and adults who are struggling with anxiety, anger issues, parenting difficulties, depression, chronic stress, relationship issues, and pregnancy-related concerns. My ideal client is motivated to learn more about themselves, open to self-reflection, willing to engage in the therapeutic process, and committed to making positive changes in their lives. Additionally, they are motivated to work on their issues, have good communication skills, and are willing to be honest and vulnerable in the therapeutic relationship.
I am a Licensed Graduate Professional Counselor (LGPC) with years of experience working with teens, couples, and adults who are struggling with anxiety, anger issues, parenting difficulties, depression, chronic stress, relationship issues, and pregnancy-related concerns. My ideal client is motivated to learn more about themselves, open to self-reflection, willing to engage in the therapeutic process, and committed to making positive changes in their lives. Additionally, they are motivated to work on their issues, have good communication skills, and are willing to be honest and vulnerable in the therapeutic relationship.
(240) 266-8725 View (240) 266-8725
Photo of Patricia M Cooper, Counselor in Rockville, MD
Patricia M Cooper
Counselor, MS, LCPC
Verified Verified
Rockville, MD 20850  (Online Only)
Are you struggling to find acceptance and understanding in your relationships with others? Do you wish you had more peace and compassion towards yourself? Whether you are looking to foster more connection and communication with your loved ones, or you are embarking on a journey of self-love and growth, it is my aim to help empower you to reach your goals.
Are you struggling to find acceptance and understanding in your relationships with others? Do you wish you had more peace and compassion towards yourself? Whether you are looking to foster more connection and communication with your loved ones, or you are embarking on a journey of self-love and growth, it is my aim to help empower you to reach your goals.
(410) 618-0852 View (410) 618-0852
Photo of Rita Etter, Clinical Social Work/Therapist in Rockville, MD
Rita Etter
Clinical Social Work/Therapist, MSW, LCSW, LCSW-C
Verified Verified
2 Endorsed
Rockville, MD 20850  (Online Only)
I am an LCSW-C therapist who works with adults and couples. Life has a way of presenting people with challenges that may cause you to want to seek counseling to help you navigate your way through life's ups and downs. Sometimes these challenges make us feel stuck and uncertain, whether it be relationship issues, divorce, intimacy, death of a loved one, loss of a job, grief, suicide survivor, identity crisis, family conflict, addiction, processing trauma, sexual orientation, communicating or relating better, building coping skills and resilience, etc., or simply feeling like you are at a crossroads and not sure what to do next.
I am an LCSW-C therapist who works with adults and couples. Life has a way of presenting people with challenges that may cause you to want to seek counseling to help you navigate your way through life's ups and downs. Sometimes these challenges make us feel stuck and uncertain, whether it be relationship issues, divorce, intimacy, death of a loved one, loss of a job, grief, suicide survivor, identity crisis, family conflict, addiction, processing trauma, sexual orientation, communicating or relating better, building coping skills and resilience, etc., or simply feeling like you are at a crossroads and not sure what to do next.
(703) 951-7002 View (703) 951-7002
Photo of Haniya Silberman, Clinical Social Work/Therapist in Rockville, MD
Haniya Silberman
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Rockville, MD 20852
I believe that everyone can benefit from finding someone to talk to about life's challenges. I also recognize how hard this can be. As a therapist, my first priority upon meeting with clients is to make them feel comfortable. I offer a non judgmental space and work collaboratively with clients to develop solutions to their problems. I work hard at simply connecting with my clients in a very real and authentic way. I spend time understanding their unique challenges and tailor my treatment approach to the individual. I work with couples and individuals and use a relational approach.
I believe that everyone can benefit from finding someone to talk to about life's challenges. I also recognize how hard this can be. As a therapist, my first priority upon meeting with clients is to make them feel comfortable. I offer a non judgmental space and work collaboratively with clients to develop solutions to their problems. I work hard at simply connecting with my clients in a very real and authentic way. I spend time understanding their unique challenges and tailor my treatment approach to the individual. I work with couples and individuals and use a relational approach.
(301) 533-7568 View (301) 533-7568

How does your Therapist compare?

Number of Therapists in Rockville, MD

900+

Average cost per session

$175

Therapists in Rockville, MD who prioritize treating:

94% Anxiety
91% Depression
79% Self Esteem
78% Relationship Issues
72% Coping Skills
68% Trauma and PTSD
67% Stress

Average years in practice

13 Years

Top 3 insurances accepted

78% BlueCross and BlueShield
75% CareFirst
58% Cigna and Evernorth

How Therapists in Rockville, MD see their clients

63% In Person and Online
37% Online Only

Gender breakdown

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

How can I find a therapist in Rockville?

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.