Therapists in Washington Virginia Vale, Denver, CO

Photo of Cass Daniels, Clinical Social Work/Therapist, LCSW
Cass Daniels
Clinical Social Work/Therapist, LCSW
2 Endorsed
Washington Virginia Vale, Denver, CO 80224
Cass (he/him) is a licensed clinical social worker and a transgender man with nearly a decade of experience providing affirming mental health and substance use care to LGBTQ+ clients and their families. He brings a grounded and compassionate presence, combining professional expertise with lived experience to understand the nuanced challenges of queer and trans life. Cass helps clients embrace authenticity, navigate identity-related struggles, and heal from trauma in ways that honor resilience and vulnerability.
Cass (he/him) is a licensed clinical social worker and a transgender man with nearly a decade of experience providing affirming mental health and substance use care to LGBTQ+ clients and their families. He brings a grounded and compassionate presence, combining professional expertise with lived experience to understand the nuanced challenges of queer and trans life. Cass helps clients embrace authenticity, navigate identity-related struggles, and heal from trauma in ways that honor resilience and vulnerability.
(303) 586-7795 View (303) 586-7795
Photo of Scott Kohner, Clinical Social Work/Therapist, MSW, LCSW
Scott Kohner
Clinical Social Work/Therapist, MSW, LCSW
4 Endorsed
Washington Virginia Vale, Denver, CO 80246
The fact that you are reading this likely means that you or someone you care about is going through a difficult time. You want a way out but may be confused about what that looks like-or if it is even possible. You want to be able to trust that your investment in time, money, and energy will result in a tangible benefit. You want to see more connection, peace, understanding, and joy in your life.
The fact that you are reading this likely means that you or someone you care about is going through a difficult time. You want a way out but may be confused about what that looks like-or if it is even possible. You want to be able to trust that your investment in time, money, and energy will result in a tangible benefit. You want to see more connection, peace, understanding, and joy in your life.
(720) 545-0520 View (720) 545-0520
Photo of Ari Hoffman - Integrated Care Institute, Licensed Professional Counselor, MA, LPC
Integrated Care Institute
Licensed Professional Counselor, MA, LPC
Washington Virginia Vale, Denver, CO 80246
Hi folks, if you're looking for excellent therapy (that is covered by your insurance) from the comfort of your living room (or dining room, kitchen, bedroom, cellar, yacht, office, etc) then you've come to the right place. All our services are by telehealth and we have excellent licensed therapists who take your insurance standing by waiting to schedule an appointment with you. You can keep perusing or you can take the step now to start working with a therapist who is going to support you with authenticity, expertise, and a good sense of humor.
Hi folks, if you're looking for excellent therapy (that is covered by your insurance) from the comfort of your living room (or dining room, kitchen, bedroom, cellar, yacht, office, etc) then you've come to the right place. All our services are by telehealth and we have excellent licensed therapists who take your insurance standing by waiting to schedule an appointment with you. You can keep perusing or you can take the step now to start working with a therapist who is going to support you with authenticity, expertise, and a good sense of humor.
(720) 796-7038 View (720) 796-7038
Photo of Esther Lowenstein, Psychologist, PsyD, RN, MSN
Esther Lowenstein
Psychologist, PsyD, RN, MSN
Washington Virginia Vale, Denver, CO 80246
Experienced as a psychotherapist and psychoanalyst, I believe that psychological development continues throughout life and that effective therapy is forward-looking. Therapy not only offers opportunities to relieve symptoms of distress and to recover from maladaptive patterns of functioning, but it offers chances for new beginnings. I believe that effective treatment is based on an understanding of the unique circumstances of an individual, respects the need for confidentiality, and fosters a collaborative effort that facilitates psychological development.
Experienced as a psychotherapist and psychoanalyst, I believe that psychological development continues throughout life and that effective therapy is forward-looking. Therapy not only offers opportunities to relieve symptoms of distress and to recover from maladaptive patterns of functioning, but it offers chances for new beginnings. I believe that effective treatment is based on an understanding of the unique circumstances of an individual, respects the need for confidentiality, and fosters a collaborative effort that facilitates psychological development.
(303) 732-5292 View (303) 732-5292
Photo of Meredith M. Campbell, Psychologist, PsyD
Meredith M. Campbell
Psychologist, PsyD
2 Endorsed
Washington Virginia Vale, Denver, CO 80224
Therapy can help everyone, not just those with a "diagnosis." In everyday life, challenges are thrown at us that we can't always work out on our own. I help people process these challenges as they occur. Death of a loved one, relationship issues, work stressors, life transitions, etc - can be upsetting, distracting and decrease overall happiness and quality of life. Evidence has shown that people who have an unbiased, safe space to process these events move through them more quickly, gain clarity, improve productivity and ultimately thrive in their lives.
Therapy can help everyone, not just those with a "diagnosis." In everyday life, challenges are thrown at us that we can't always work out on our own. I help people process these challenges as they occur. Death of a loved one, relationship issues, work stressors, life transitions, etc - can be upsetting, distracting and decrease overall happiness and quality of life. Evidence has shown that people who have an unbiased, safe space to process these events move through them more quickly, gain clarity, improve productivity and ultimately thrive in their lives.
(303) 351-5907 View (303) 351-5907
Photo of Andrew Morozov, Clinical Social Work/Therapist, PhD, LCSW, MSW, MA, CFI
Andrew Morozov
Clinical Social Work/Therapist, PhD, LCSW, MSW, MA, CFI
1 Endorsed
Washington Virginia Vale, Denver, CO 80224
I welcome the opportunity to work with clients at various stages of the human-life-cycle. I often work with people who feel stifled by feelings of anxiety and panic, depleted by feelings of depression, emptiness and hopelessness. While these powerful feelings can be overwhelming and disruptive, they are usually signs that something essential to our vitality, body, or relationships needs to be sensitively attended to and addressed. My goal is to assist my clients to live fuller and more satisfying lives and to achieve these goals in a short period of time. I work really hard for my clients and truly enjoy my profession.
I welcome the opportunity to work with clients at various stages of the human-life-cycle. I often work with people who feel stifled by feelings of anxiety and panic, depleted by feelings of depression, emptiness and hopelessness. While these powerful feelings can be overwhelming and disruptive, they are usually signs that something essential to our vitality, body, or relationships needs to be sensitively attended to and addressed. My goal is to assist my clients to live fuller and more satisfying lives and to achieve these goals in a short period of time. I work really hard for my clients and truly enjoy my profession.
(720) 709-2281 View (720) 709-2281
Photo of Lisa Kerscher, Clinical Social Work/Therapist, LCSW
Lisa Kerscher
Clinical Social Work/Therapist, LCSW
1 Endorsed
Washington Virginia Vale, Denver, CO 80246
I work with adults, couples and families. My goal is to help you find a place of calm and stability so you can identify your strengths and access your own solutions. I specialize in helping individuals and couples find and sustain healthy habits and improve interpersonal relationships through increased coping and communication skills. I work with individuals struggling with anxiety, depression, bipolar and borderline personality disorder as well as issues of dependency, life transitions, grief and loss, relationship issues and self esteem.
I work with adults, couples and families. My goal is to help you find a place of calm and stability so you can identify your strengths and access your own solutions. I specialize in helping individuals and couples find and sustain healthy habits and improve interpersonal relationships through increased coping and communication skills. I work with individuals struggling with anxiety, depression, bipolar and borderline personality disorder as well as issues of dependency, life transitions, grief and loss, relationship issues and self esteem.
(720) 961-2503 View (720) 961-2503
Photo of Havilande Henderson Green Lodge - ApogeeNeuro, Licensed Professional Counselor Candidate, LPCC, MFTC, LPC
ApogeeNeuro
Licensed Professional Counselor Candidate, LPCC, MFTC, LPC
3 Endorsed
Washington Virginia Vale, Denver, CO 80224
At ApogeeNeuro, we work with individuals seeking lasting mental wellness and performance—not quick fixes. Our ideal client, ages 8 to 100, may face challenges like anxiety, ADHD, trauma, or simply want to optimize focus and resilience. They’re tired of symptom management and ready for real change. Open to brain-based methods like neurofeedback and counseling, they’re motivated, curious, and committed to transformation. We offer science-backed, compassionate care to help them heal, grow, and thrive. We're the people who want to see you win.
At ApogeeNeuro, we work with individuals seeking lasting mental wellness and performance—not quick fixes. Our ideal client, ages 8 to 100, may face challenges like anxiety, ADHD, trauma, or simply want to optimize focus and resilience. They’re tired of symptom management and ready for real change. Open to brain-based methods like neurofeedback and counseling, they’re motivated, curious, and committed to transformation. We offer science-backed, compassionate care to help them heal, grow, and thrive. We're the people who want to see you win.
(720) 753-5638 View (720) 753-5638
Photo of Lucas Bishop, LPCC
Lucas Bishop
Verified Verified
2 Endorsed
Washington Virginia Vale, Denver, CO 80224
Throughout different seasons in our life, it is easy to become stuck or become rigid in our personal life and in our relationships. This can make it difficult to adjust to the changing demands of life. In counseling, we work to increase flexibility and adaptability in your life and relationships. As a pre-licensed marriage and family therapist, I have experience working with family systems, as well as individuals. I am rooted in attachment and emotional focused therapies for couples and families. I focus on creating a secure base, helping people identify the cycles of dysfunction, and building the bond between the couple.
Throughout different seasons in our life, it is easy to become stuck or become rigid in our personal life and in our relationships. This can make it difficult to adjust to the changing demands of life. In counseling, we work to increase flexibility and adaptability in your life and relationships. As a pre-licensed marriage and family therapist, I have experience working with family systems, as well as individuals. I am rooted in attachment and emotional focused therapies for couples and families. I focus on creating a secure base, helping people identify the cycles of dysfunction, and building the bond between the couple.
(720) 893-8091 View (720) 893-8091
Photo of Sandeep Shankar, Licensed Professional Counselor, LPC, LAC
Sandeep Shankar
Licensed Professional Counselor, LPC, LAC
1 Endorsed
Washington Virginia Vale, Denver, CO 80246
We can explore your life story together, gaining clarity of view at every step. My approach blends the world's leading edge evidence-based therapies always guided by compassion and empathy. Let's bring peace and fulfillment to your life.
We can explore your life story together, gaining clarity of view at every step. My approach blends the world's leading edge evidence-based therapies always guided by compassion and empathy. Let's bring peace and fulfillment to your life.
(720) 868-9485 View (720) 868-9485
Photo of Karen Hauser, Clinical Social Work/Therapist, MSW, LCSW
Karen Hauser
Clinical Social Work/Therapist, MSW, LCSW
Washington Virginia Vale, Denver, CO 80224
I utilize various therapy modalities with my clients such as cognitive behavioral therapy, client centered therapy, psychodynamic therapy, solution focused therapy and problem solving therapy. I enjoy helping people develop both personally and professionally through the process of therapy, both long term and short term. I provide in-person therapy in Denver, CO, and offer telehealth sessions across Colorado. I accept Kaiser Permanente and other insurance types, making mental health more accessible and affordable.
I utilize various therapy modalities with my clients such as cognitive behavioral therapy, client centered therapy, psychodynamic therapy, solution focused therapy and problem solving therapy. I enjoy helping people develop both personally and professionally through the process of therapy, both long term and short term. I provide in-person therapy in Denver, CO, and offer telehealth sessions across Colorado. I accept Kaiser Permanente and other insurance types, making mental health more accessible and affordable.
(303) 816-3109 View (303) 816-3109
Photo of Brian Whitney - goodenoughcounseling.com, Clinical Social Work/Therapist, LCSW
goodenoughcounseling.com
Clinical Social Work/Therapist, LCSW
Washington Virginia Vale, Denver, CO 80224
​​​​​​​​​​​​​   ​ Are you a friend to yourself? If you’re hurt or grieving, who is close enough to notice? Who stays? Who are you faithful to—and who is faithful to you? Do you trust anyone? Grief isn’t a malfunction. Depression isn’t a personal defect. Moral disgust isn’t “dysregulation.” They’re signals: something you care about has been taken—or never reliably given. Maybe you never had it, but you can sense it’s the thing to move toward. I’m less interested in whether you “feel happy,” and more interested in this: are you going in the right direction. If you’re not sure what “counts,” that’s fine. We can sort it out together.
​​​​​​​​​​​​​   ​ Are you a friend to yourself? If you’re hurt or grieving, who is close enough to notice? Who stays? Who are you faithful to—and who is faithful to you? Do you trust anyone? Grief isn’t a malfunction. Depression isn’t a personal defect. Moral disgust isn’t “dysregulation.” They’re signals: something you care about has been taken—or never reliably given. Maybe you never had it, but you can sense it’s the thing to move toward. I’m less interested in whether you “feel happy,” and more interested in this: are you going in the right direction. If you’re not sure what “counts,” that’s fine. We can sort it out together.
(844) 435-6714 View (844) 435-6714
Photo of Janet Borelli, Clinical Social Work/Therapist, LCSW
Janet Borelli
Clinical Social Work/Therapist, LCSW
Serves Area
Are you under stress? Overwhelmed? Do you feel unable to move ahead in your life? Would you like to feel more effective with your children or in your marriage? Is your child struggling at home or at school? I have 25 years experience in individual , child and family counseling, as well as couples counseling. I work with issues, from life transitions ( divorce, loss ) to chronic mental illness, and trauma. Although I work from a cognitive behavioral base, I draw from many theoretical techniques, including psychodynamic,developmental, trauma recovery, EMDR, art therapy and others (we find what works best for you).
Are you under stress? Overwhelmed? Do you feel unable to move ahead in your life? Would you like to feel more effective with your children or in your marriage? Is your child struggling at home or at school? I have 25 years experience in individual , child and family counseling, as well as couples counseling. I work with issues, from life transitions ( divorce, loss ) to chronic mental illness, and trauma. Although I work from a cognitive behavioral base, I draw from many theoretical techniques, including psychodynamic,developmental, trauma recovery, EMDR, art therapy and others (we find what works best for you).
(720) 709-2013 View (720) 709-2013
Photo of John Bodycombe, Psychologist, PsyD
John Bodycombe
Psychologist, PsyD
10 Endorsed
Serves Area
Do you struggle with feeling overwhelmed, lost, or unsatisfied in your life? Are these feelings impacting your mood, your relationships, or your work? I specialize in helping emerging adults (18-39) people work through these kinds of challenges. These challenges can often result in feelings of depression and anxiety, or can come through in our relationships through short tempers, seeming "clingy," or feeling disconnected. I can help you work through these issues in order to improve your quality of life and work toward your goals.
Do you struggle with feeling overwhelmed, lost, or unsatisfied in your life? Are these feelings impacting your mood, your relationships, or your work? I specialize in helping emerging adults (18-39) people work through these kinds of challenges. These challenges can often result in feelings of depression and anxiety, or can come through in our relationships through short tempers, seeming "clingy," or feeling disconnected. I can help you work through these issues in order to improve your quality of life and work toward your goals.
(720) 943-7747 View (720) 943-7747
Photo of Michelle Longino - Michelle Longino Psychotherapy SEP , Marriage & Family Therapist, MS, LMFT, SEP
Michelle Longino Psychotherapy SEP
Marriage & Family Therapist, MS, LMFT, SEP
Serves Area
Originally in successful private practice in California, I was licensed in LA in 2002, when I moved to NOLA; I am recently licensed for Telehealth in Colorado. I currently work with individual adults only. I have over twenty-five years of clinical experience working with clients. My treatment orientation is based on solid research and includes somatic regulation skills with cognitive-behavioral, relational skill-building and Somatic Experiencing. I enjoy helping clients develop healthy processes to cope with life's challenges. I am skilled at treating issues including: anxiety, depression, grief, trauma, and anger management.
Originally in successful private practice in California, I was licensed in LA in 2002, when I moved to NOLA; I am recently licensed for Telehealth in Colorado. I currently work with individual adults only. I have over twenty-five years of clinical experience working with clients. My treatment orientation is based on solid research and includes somatic regulation skills with cognitive-behavioral, relational skill-building and Somatic Experiencing. I enjoy helping clients develop healthy processes to cope with life's challenges. I am skilled at treating issues including: anxiety, depression, grief, trauma, and anger management.
(504) 252-0116 View (504) 252-0116
Photo of Helene Trujillo, Clinical Social Work/Therapist, LCSW
Helene Trujillo
Clinical Social Work/Therapist, LCSW
Serves Area
Are you are struggling with painful issues in life? Do you want to experience a more meaningful way of living? Our experiences take us through many life changing events and challenges and sometimes in our life journey we may become stuck in our growth.
Are you are struggling with painful issues in life? Do you want to experience a more meaningful way of living? Our experiences take us through many life changing events and challenges and sometimes in our life journey we may become stuck in our growth.
(720) 924-3929 View (720) 924-3929
Photo of Annie Bossange, Marriage & Family Therapist Associate, LPCC, MFTC
Annie Bossange
Marriage & Family Therapist Associate, LPCC, MFTC
3 Endorsed
Serves Area
I am trained in Emotionally-Focused Couples and Family Therapy (EFT) and do individual therapy for teens (12+) and adults. In addition to my professional training, my therapy is informed by my previous work as a classroom teacher, school leader, and wilderness therapy guide. I strive to create a warm environment where clients feel safe to bring all parts of themselves. I see my clients as collaborators, and if you choose to work with me, we will work together to set goals, to evaluate our progress and to respond to your needs as they evolve.
I am trained in Emotionally-Focused Couples and Family Therapy (EFT) and do individual therapy for teens (12+) and adults. In addition to my professional training, my therapy is informed by my previous work as a classroom teacher, school leader, and wilderness therapy guide. I strive to create a warm environment where clients feel safe to bring all parts of themselves. I see my clients as collaborators, and if you choose to work with me, we will work together to set goals, to evaluate our progress and to respond to your needs as they evolve.
(720) 909-6375 View (720) 909-6375
Photo of Jane Bucher-McCoy, Clinical Social Work/Therapist, MA, MSW, LSW
Jane Bucher-McCoy
Clinical Social Work/Therapist, MA, MSW, LSW
Serves Area
Accepting new clients in 2026 - welcome! I work with adolescents and adults who are going through emotional and relational challenges, often involving feelings of persistent sadness or hopelessness, anxiety, stress due to life transitions, and symptoms of past trauma. I believe in the equal importance of your inner world and your environment when promoting wellbeing, and use compassion, curiosity and humor in my work. I genuinely feel that the relationship between therapist and client, when paired with an approach that best fits the needs of the client, is key in healing and moving forward.
Accepting new clients in 2026 - welcome! I work with adolescents and adults who are going through emotional and relational challenges, often involving feelings of persistent sadness or hopelessness, anxiety, stress due to life transitions, and symptoms of past trauma. I believe in the equal importance of your inner world and your environment when promoting wellbeing, and use compassion, curiosity and humor in my work. I genuinely feel that the relationship between therapist and client, when paired with an approach that best fits the needs of the client, is key in healing and moving forward.
(720) 782-2064 View (720) 782-2064
Photo of Holly Sargent, Licensed Professional Counselor, LPC
Holly Sargent
Licensed Professional Counselor, LPC
Serves Area
I'm a goofy, positive gal with a deep well of a capacity for the richness of human emotions in all forms. I love to express myself in painting, and song, and trying new things. I love doing therapy because it's amazing to see people get breakthrough and it's truly a huge honor to walk with you for a period of your journey. I believe humans are resilient, and my job is to empower you with tools so that you don't need me anymore! It's the best when I work myself out of a job with you because we did such great teamwork, and we really found what works for you.
I'm a goofy, positive gal with a deep well of a capacity for the richness of human emotions in all forms. I love to express myself in painting, and song, and trying new things. I love doing therapy because it's amazing to see people get breakthrough and it's truly a huge honor to walk with you for a period of your journey. I believe humans are resilient, and my job is to empower you with tools so that you don't need me anymore! It's the best when I work myself out of a job with you because we did such great teamwork, and we really found what works for you.
(720) 807-0927 View (720) 807-0927
Photo of Elizabeth Barnes - LifeStance Health, Licensed Professional Counselor, LPC
LifeStance Health
Licensed Professional Counselor, LPC
Serves Area
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(303) 515-7958 View (303) 515-7958

How does your Therapist compare?

Number of Therapists in Washington Virginia Vale, Denver, CO

90+

Average cost per session

$142

Therapists in Washington Virginia Vale, Denver, CO who prioritize treating:

91% Anxiety
88% Depression
79% Trauma and PTSD
72% Relationship Issues
69% Grief
68% Self Esteem
64% Stress

Average years in practice

13 Years

Top 3 insurances accepted

88% Aetna
86% Cigna and Evernorth
73% UnitedHealthcare UHC | UBH

How Therapists in Washington Virginia Vale, Denver, CO see their clients

52% In Person and Online
48% Online Only

Gender breakdown

76% Female
24% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Washington Virginia Vale, Denver?

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.