Therapists in Washington Virginia Vale, Denver, CO

Photo of Carol S Cohen, Licensed Professional Counselor, MA, LPC
Carol S Cohen
Licensed Professional Counselor, MA, LPC
Verified Verified
Online Only
Ideal client is 21-75 with an interest & desire to better manage the “blocks” and obstacles in their lives. The client is looking for a dynamic, empathetic, solution focused therapist who will work as their advocate and coach, as well as providing insights into the “why”and strategies for improving your relationship with yourself and others.
Ideal client is 21-75 with an interest & desire to better manage the “blocks” and obstacles in their lives. The client is looking for a dynamic, empathetic, solution focused therapist who will work as their advocate and coach, as well as providing insights into the “why”and strategies for improving your relationship with yourself and others.
(720) 230-1874 View (720) 230-1874
Photo of Karen Hauser, Clinical Social Work/Therapist, MSW, LCSW
Karen Hauser
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
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 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.
(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
Verified Verified
Washington Virginia Vale, Denver, CO 80224
Waitlist for new clients
​​​​​​​​​​​​​   ​ You lead, we work it out together. In session, you have an idea of what we are doing, where we are going.​ You decide which path we're on. I have long experience and training with both Psychodynamic therapy and evidence based care: trauma informed CBT, REBT, techniques from MI DBT, ACT, Acquired CCPT-2 credentialing last year. Licensed since 97, Always try to be plain spoken,  supportive, listening. I treat the whole person.  ​
​​​​​​​​​​​​​   ​ You lead, we work it out together. In session, you have an idea of what we are doing, where we are going.​ You decide which path we're on. I have long experience and training with both Psychodynamic therapy and evidence based care: trauma informed CBT, REBT, techniques from MI DBT, ACT, Acquired CCPT-2 credentialing last year. Licensed since 97, Always try to be plain spoken,  supportive, listening. I treat the whole person.  ​
(720) 605-1080 View (720) 605-1080
Photo of Ari M Hoffman, Licensed Professional Counselor, MA, LPC
Ari M Hoffman
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Washington Virginia Vale, Denver, CO 80224
Are you ready to bury your partner in the front yard? Are things in your relationship just too much already? Are you ready to feel some more nourishment in your marriage? Hi! I'm your relationship therapist. I will walk with you on the path of healing and growing your relationship. I will be with you at every step of the journey showing you the way toward a more fulfilling and nourishing relationship. Together you and your partner will find the spark and the satisfaction again.
Are you ready to bury your partner in the front yard? Are things in your relationship just too much already? Are you ready to feel some more nourishment in your marriage? Hi! I'm your relationship therapist. I will walk with you on the path of healing and growing your relationship. I will be with you at every step of the journey showing you the way toward a more fulfilling and nourishing relationship. Together you and your partner will find the spark and the satisfaction again.
(720) 463-1360 View (720) 463-1360
Photo of Lisa Kerscher, Clinical Social Work/Therapist, LCSW
Lisa Kerscher
Clinical Social Work/Therapist, LCSW
Verified Verified
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 Scott Kohner, Clinical Social Work/Therapist, MSW, LCSW
Scott Kohner
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 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 Celeste Ryane - Blue Owl Healing LLC, Clinical Social Work/Therapist, LCSW
Blue Owl Healing LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
My ideal client would be someone who has reached the point where they realize that what they have been doing is no longer working. They understand that it is time to be open to and consider the benefits to making positive changes in their life. This person is ready to examine the areas in their life that have become blind spots, and are willing to address those blind spots in a safe, compassionate and fruitful way.
My ideal client would be someone who has reached the point where they realize that what they have been doing is no longer working. They understand that it is time to be open to and consider the benefits to making positive changes in their life. This person is ready to examine the areas in their life that have become blind spots, and are willing to address those blind spots in a safe, compassionate and fruitful way.
(720) 764-5790 View (720) 764-5790
Photo of Alissa Naomi Zucker, Drug & Alcohol Counselor, LAC , MA
Alissa Naomi Zucker
Drug & Alcohol Counselor, LAC , MA
Verified Verified
Washington Virginia Vale, Denver, CO 80224
My name is Alissa Zucker MA, LAC and I have been working in Substance Use disorder services for the last 10 years. I received my Bachelor's degree in Psychology from Metropolitan State College in 2008 and a Master's Degree in Applied Psychology from Regis University in 2015. Alissa is a Licensed Addiction Counselor in the State of Colorado and has passed both the NCAC II and MAC exams to be Nationally recognized as proficient in Addiction Counseling and Mental Health.
My name is Alissa Zucker MA, LAC and I have been working in Substance Use disorder services for the last 10 years. I received my Bachelor's degree in Psychology from Metropolitan State College in 2008 and a Master's Degree in Applied Psychology from Regis University in 2015. Alissa is a Licensed Addiction Counselor in the State of Colorado and has passed both the NCAC II and MAC exams to be Nationally recognized as proficient in Addiction Counseling and Mental Health.
(720) 730-6386 View (720) 730-6386
Photo of Esther Lowenstein, Psychologist, PsyD, RN, MSN
Esther Lowenstein
Psychologist, PsyD, RN, MSN
Verified Verified
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 Laura J Klein, MD
Laura J Klein
MD
Verified Verified
Online Only
I am a Board-certified psychiatrist, and I really enjoy the "therapy" portion of my profession, and continue to believe that the combined use of psychotherapy and medication (if indicated) by one caregiver is the most successful way to help people feel better and do more of what they want. My approach is eclectic but primarily involves supportive psychotherapy. Currently, I am working virtually via Facetime, Zoom or phone, but I am thinking of including in-person meetings, if you or others tell me that it is preferred. I really believe it works better.
I am a Board-certified psychiatrist, and I really enjoy the "therapy" portion of my profession, and continue to believe that the combined use of psychotherapy and medication (if indicated) by one caregiver is the most successful way to help people feel better and do more of what they want. My approach is eclectic but primarily involves supportive psychotherapy. Currently, I am working virtually via Facetime, Zoom or phone, but I am thinking of including in-person meetings, if you or others tell me that it is preferred. I really believe it works better.
(303) 692-8100 View (303) 692-8100
Photo of Jennifer Jennings, Clinical Social Work/Therapist, LCSW, LAC
Jennifer Jennings
Clinical Social Work/Therapist, LCSW, LAC
Verified Verified
Online Only
Hi! My name is Jennifer Jennings. I specialize treating trauma/PTSD, depression, bipolar disorder, anxiety, life transitions, addictions, couples therapy, women and men issues, adolescents’, anger issues, grief/ loss, sexual abuse, relationship issues, co-occurring disorders, and working with the military. I work primarily with adults. I am a military veteran, and I served 4 years in the USAF.
Hi! My name is Jennifer Jennings. I specialize treating trauma/PTSD, depression, bipolar disorder, anxiety, life transitions, addictions, couples therapy, women and men issues, adolescents’, anger issues, grief/ loss, sexual abuse, relationship issues, co-occurring disorders, and working with the military. I work primarily with adults. I am a military veteran, and I served 4 years in the USAF.
(720) 744-3963 View (720) 744-3963
Photo of Andrew Morozov, Clinical Social Work/Therapist, PhD, LCSW, MSW, MA, CFI
Andrew Morozov
Clinical Social Work/Therapist, PhD, LCSW, MSW, MA, CFI
Verified Verified
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 Eve A Rabinovitz - CoreVita Counseling, Licensed Professional Counselor, BS, MS, EMDR, LPC
CoreVita Counseling
Licensed Professional Counselor, BS, MS, EMDR, LPC
Verified Verified
Online Only
As a Licensed Professional Counselor in Colorado, I provide compassionate, personalized support to help adults navigate Depression, Anxiety, Self-Esteem issues, and Life Transitions. My approach is rooted in understanding your unique experiences, uncovering underlying challenges, and developing tailored strategies that foster resilience and healing. You have the ability to create meaningful change by addressing core struggles, enhancing emotional well-being and empowering yourself to embrace growth. My goal is to guide you toward lasting transformation, balance, and a more fulfilling life.
As a Licensed Professional Counselor in Colorado, I provide compassionate, personalized support to help adults navigate Depression, Anxiety, Self-Esteem issues, and Life Transitions. My approach is rooted in understanding your unique experiences, uncovering underlying challenges, and developing tailored strategies that foster resilience and healing. You have the ability to create meaningful change by addressing core struggles, enhancing emotional well-being and empowering yourself to embrace growth. My goal is to guide you toward lasting transformation, balance, and a more fulfilling life.
(720) 573-0954 View (720) 573-0954
Photo of Carlye Kopp, MEd, LPC
Carlye Kopp
MEd, LPC
Verified Verified
5 Endorsed
Online Only
I have experience working with Depression, Anxiety, Life Transitions, Grief & Loss, LGBTQIA+ communities & more. I believe that people from all walks of life can benefit from therapy. In my work with clients, like you, I hold the belief that authenticity, positive regard, collaboration, and humor can create positive change in the lives of others. My goal is to create a safe space for you to experience healing. I believe that each client has an individualized lens of the world, based on their past & present experiences. With this being said, I work to understand the identities, experiences, & beliefs that each client holds.
I have experience working with Depression, Anxiety, Life Transitions, Grief & Loss, LGBTQIA+ communities & more. I believe that people from all walks of life can benefit from therapy. In my work with clients, like you, I hold the belief that authenticity, positive regard, collaboration, and humor can create positive change in the lives of others. My goal is to create a safe space for you to experience healing. I believe that each client has an individualized lens of the world, based on their past & present experiences. With this being said, I work to understand the identities, experiences, & beliefs that each client holds.
(720) 644-4340 View (720) 644-4340
Photo of Ari Hoffman - Integrated Care Institute, Licensed Professional Counselor, MA, LPC
Integrated Care Institute
Licensed Professional Counselor, MA, LPC
Verified Verified
Washington Virginia Vale, Denver, CO 80246
Hi folks, if you're looking for excellent therapy 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 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 Yolanda Mani Esatai, Licensed Professional Counselor, MEd, LPC
Yolanda Mani Esatai
Licensed Professional Counselor, MEd, LPC
Verified Verified
Online Only
I view psychotherapy as a process of exploration and affirmation of one's life path, including the experiences and wisdom gained along this journey. This is just the beginning point for the psychotherapeutic process of healing and identifying one's pathway to continue the journey of personal growth, transformation and achieving balance (mind, body & Spirit). I see my role as a therapist as that of a witness and source of support and knowledge, joining with you to help facilitate the individual process of developing a deeper sense of self-awareness, achieving personal growth and transformation: to create the life you want.
I view psychotherapy as a process of exploration and affirmation of one's life path, including the experiences and wisdom gained along this journey. This is just the beginning point for the psychotherapeutic process of healing and identifying one's pathway to continue the journey of personal growth, transformation and achieving balance (mind, body & Spirit). I see my role as a therapist as that of a witness and source of support and knowledge, joining with you to help facilitate the individual process of developing a deeper sense of self-awareness, achieving personal growth and transformation: to create the life you want.
(303) 720-6990 View (303) 720-6990
Photo of Sandeep Shankar, Licensed Professional Counselor, LPC, LAC
Sandeep Shankar
Licensed Professional Counselor, LPC, LAC
Verified Verified
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. Always remember 'Thoughts are not facts - so quit tormenting yourself with what's not entirely real. Stop painting the dragons in your life with scary colors'
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. Always remember 'Thoughts are not facts - so quit tormenting yourself with what's not entirely real. Stop painting the dragons in your life with scary colors'
(720) 868-9485 View (720) 868-9485
Photo of Meredith M. Campbell, Psychologist, PsyD
Meredith M. Campbell
Psychologist, PsyD
Verified Verified
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 Misty Grimes, Clinical Social Work/Therapist, LCSW
Misty Grimes
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Blue Phoenix Counseling provides a safe non-judgmental space to process and heal from life's challenges and trauma. It is my goal to assist you in finding a new perspective and wisdom that you can apply in your daily life to improve your overall happiness and wellbeing. We are in this together, and my approach is to meet you where you are and assist you in becoming your best self. Life's challenges and trauma can bring us down and hinder our spirit; dimming our light. Happiness is an inside job. In order for light to radiate throughout; it has to radiate from within. Blue Phoenix will assist you in finding your light.
Blue Phoenix Counseling provides a safe non-judgmental space to process and heal from life's challenges and trauma. It is my goal to assist you in finding a new perspective and wisdom that you can apply in your daily life to improve your overall happiness and wellbeing. We are in this together, and my approach is to meet you where you are and assist you in becoming your best self. Life's challenges and trauma can bring us down and hinder our spirit; dimming our light. Happiness is an inside job. In order for light to radiate throughout; it has to radiate from within. Blue Phoenix will assist you in finding your light.
(720) 594-4259 View (720) 594-4259
Photo of Lucas Bishop, LPCC
Lucas Bishop
LPCC
Verified Verified
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
1

See more therapy options for Washington Virginia Vale, Denver

How does your Therapist compare?

Number of Therapists in Washington Virginia Vale, Denver, CO

60+

Average cost per session

$150

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

89% Anxiety
79% Depression
77% Grief
76% Relationship Issues
76% Trauma and PTSD
70% Self Esteem
64% Life Transitions

Average years in practice

18 Years

Top 3 insurances accepted

80% Cigna and Evernorth
75% Aetna
66% UnitedHealthcare UHC | UBH

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

67% In Person and Online
33% Online Only

Gender breakdown

79% Female
21% 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.