Therapists in Greensburg, PA

Photo of Medley Counseling, LLC, Licensed Professional Counselor in Greensburg, PA
Medley Counseling, LLC
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Greensburg, PA 15601
Waitlist for new clients
You deserve to live a life full of happiness, abundance and peace. Life can throw us in many different directions and it may become difficult to navigate. Your story needs to be told to somebody that has been there and done that and help guide you to where you want to be in life. Nobody knows you better than you. It is time to build a better version of yourself so let's start today. Please visit my website for further details on setting up your first appointment.
You deserve to live a life full of happiness, abundance and peace. Life can throw us in many different directions and it may become difficult to navigate. Your story needs to be told to somebody that has been there and done that and help guide you to where you want to be in life. Nobody knows you better than you. It is time to build a better version of yourself so let's start today. Please visit my website for further details on setting up your first appointment.
(724) 202-0848 View (724) 202-0848
Photo of Richard Hoffman, Counselor in Greensburg, PA
Richard Hoffman
Counselor, PhD
Verified Verified
Greensburg, PA 15601
Dr. Rich Hoffman is the Founder and Clinical Director of Christian Counseling Associates (CCA). CCA is a leading faith based group private practice organization with over 50 locations, and a staff of over 70 Christian Counselors in Western Pennsylvania, Eastern Ohio, and West Virginia. Dr, Hoffman leads a group of clinical professionals who have developed effective approaches for marital, family, parent-child, and personal problems that occur in daily living. CCA will help you identify the core issues that have resulted in your emotional or personal problems, and immediately help develop strategies to resolve these issues.
Dr. Rich Hoffman is the Founder and Clinical Director of Christian Counseling Associates (CCA). CCA is a leading faith based group private practice organization with over 50 locations, and a staff of over 70 Christian Counselors in Western Pennsylvania, Eastern Ohio, and West Virginia. Dr, Hoffman leads a group of clinical professionals who have developed effective approaches for marital, family, parent-child, and personal problems that occur in daily living. CCA will help you identify the core issues that have resulted in your emotional or personal problems, and immediately help develop strategies to resolve these issues.
(724) 620-4283 View (724) 620-4283
Photo of Leigh Ann Mastorovich-Kubinec, Licensed Professional Counselor in Greensburg, PA
Leigh Ann Mastorovich-Kubinec
Licensed Professional Counselor, LPC, CAADC, CCDP-D, SAP
Verified Verified
Greensburg, PA 15601
We are all different in the way we experience life; each of us has a unique perspective in the way we interpret and how we feel about our personal experiences. What I don't do: I am not here to pass judgment or to tell you how to live your life. What I can do: I provide a compassionate approach to help guide and support your decision to make positive changes in your life and help you find alternate solutions to your everyday or recurring problems.
We are all different in the way we experience life; each of us has a unique perspective in the way we interpret and how we feel about our personal experiences. What I don't do: I am not here to pass judgment or to tell you how to live your life. What I can do: I provide a compassionate approach to help guide and support your decision to make positive changes in your life and help you find alternate solutions to your everyday or recurring problems.
(724) 330-7123 View (724) 330-7123
Photo of Krystal Edgreen, Licensed Professional Counselor in Greensburg, PA
Krystal Edgreen
Licensed Professional Counselor, LPC, NCC
Verified Verified
2 Endorsed
Greensburg, PA 15601
We all need support at times and be proud of yourself for reaching out as it can be difficult. Stress, anxiety, depression, and trouble with life situations can lead to less satisfaction with life. Sometimes having healthy relationships and boundaries are difficult to achieve and having some help can make the process easier. I work with people who struggle with anxiety, depression, trauma-related disorders, autism and ADHD.
We all need support at times and be proud of yourself for reaching out as it can be difficult. Stress, anxiety, depression, and trouble with life situations can lead to less satisfaction with life. Sometimes having healthy relationships and boundaries are difficult to achieve and having some help can make the process easier. I work with people who struggle with anxiety, depression, trauma-related disorders, autism and ADHD.
(412) 844-5565 View (412) 844-5565
Photo of Mandy Horwat, Licensed Professional Counselor in Greensburg, PA
Mandy Horwat
Licensed Professional Counselor, LPC
Verified Verified
Greensburg, PA 15601
“A smile says a thousand words.” Helping others heal from emotional wounds and traumatic experiences is a true passion of mine.
“A smile says a thousand words.” Helping others heal from emotional wounds and traumatic experiences is a true passion of mine.
(724) 213-3212 View (724) 213-3212
Photo of Deb Cole Warnick, Clinical Social Work/Therapist in Greensburg, PA
Deb Cole Warnick
Clinical Social Work/Therapist, MSW, LSW, ACSW
Verified Verified
Greensburg, PA 15601  (Online Only)
I work with clients identifying and resolving problems with eating disorders (anorexia, bulimia, compulsive overeating/binge eating),trauma related issues, anxiety or panic attacks, depression, OCD, relationship issues, low self-esteem, difficulties with mood swings, and in need of coping techiques to deal with stress. I enjoy working with both women and men, adults, college students, adolescents and children. I often work closely with treatment teams professionals, such as medical professionals, nutritionists, and school counselors.. I offer individual & family counseling. My caring and supportive manner is balanced with a challenging and motivating style to help clients successfully meet their treatment goals.
I work with clients identifying and resolving problems with eating disorders (anorexia, bulimia, compulsive overeating/binge eating),trauma related issues, anxiety or panic attacks, depression, OCD, relationship issues, low self-esteem, difficulties with mood swings, and in need of coping techiques to deal with stress. I enjoy working with both women and men, adults, college students, adolescents and children. I often work closely with treatment teams professionals, such as medical professionals, nutritionists, and school counselors.. I offer individual & family counseling. My caring and supportive manner is balanced with a challenging and motivating style to help clients successfully meet their treatment goals.
(724) 472-4360 View (724) 472-4360
Photo of Morgan Paul, Licensed Professional Counselor in Greensburg, PA
Morgan Paul
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Greensburg, PA 15601
Healing isn’t easy & taking the first step of seeking a therapist takes a lot of courage. Healing involves being patient & kind with yourself, along with stepping out of your comfort zone in order to talk about tough things so you can grow. Often in life we are faced with many challenges and feel like we are just stuck. My role as your therapist is to help you sort out these emotions and experiences that have you feeling like you are hitting a wall. Together we will work to identify unhealthy patterns and develop skills to help you take control of your life.
Healing isn’t easy & taking the first step of seeking a therapist takes a lot of courage. Healing involves being patient & kind with yourself, along with stepping out of your comfort zone in order to talk about tough things so you can grow. Often in life we are faced with many challenges and feel like we are just stuck. My role as your therapist is to help you sort out these emotions and experiences that have you feeling like you are hitting a wall. Together we will work to identify unhealthy patterns and develop skills to help you take control of your life.
(724) 264-3283 View (724) 264-3283
Photo of Angela Tatarek, Marriage & Family Therapist in Greensburg, PA
Angela Tatarek
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Greensburg, PA 15601
Change is possible. It takes courage and alot of effort to take on this process. Emotional health is connected to our physical health. Why waste more time not having better relationships and better functioning overall?. As humans, our emotional system blind us to ways we can have better relationships and better lives overall. Through my years of education, training and self work, I know and appreciate what it takes to live a more fulfilled life. Time is our most valuable gift. Why wait?
Change is possible. It takes courage and alot of effort to take on this process. Emotional health is connected to our physical health. Why waste more time not having better relationships and better functioning overall?. As humans, our emotional system blind us to ways we can have better relationships and better lives overall. Through my years of education, training and self work, I know and appreciate what it takes to live a more fulfilled life. Time is our most valuable gift. Why wait?
(724) 307-4033 View (724) 307-4033
Photo of Abra McClure Kuniak, Licensed Professional Counselor in Greensburg, PA
Abra McClure Kuniak
Licensed Professional Counselor, MSCP, LPC
Verified Verified
1 Endorsed
Greensburg, PA 15601  (Online Only)
Do you feel stuck, and need help problem-solving, and/or getting unstuck? I am an eclectic therapist that utilizes a person centered, and strength based form of therapy derived from the Family Systems Model, as well as concepts from Cognitive Behavioral Therapy (CBT), Strength Based, and Mindfulness techniques. I work with my clients to help them to access their strengths, and develop approaches that are centered on their personal objectives. Through this approach, the client is able to build their "tool box" by gaining "tools", or skills, to help them move forward with the healthy life they desire.
Do you feel stuck, and need help problem-solving, and/or getting unstuck? I am an eclectic therapist that utilizes a person centered, and strength based form of therapy derived from the Family Systems Model, as well as concepts from Cognitive Behavioral Therapy (CBT), Strength Based, and Mindfulness techniques. I work with my clients to help them to access their strengths, and develop approaches that are centered on their personal objectives. Through this approach, the client is able to build their "tool box" by gaining "tools", or skills, to help them move forward with the healthy life they desire.
(724) 201-3729 View (724) 201-3729
Photo of David J. Kemerer, Licensed Professional Counselor in Greensburg, PA
David J. Kemerer
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Greensburg, PA 15601
Life is a journey...have you wondered lately how your journey is working out? How would you know if you are headed in the best direction? Maybe you have a good idea of what you need to change you've just never done it before, or need help getting started. At True North Vitality, we want to partner with those looking to invest in their journey to live life to the fullest! Are you ready for transformation? Let us help you get on the best course and find your True North!
Life is a journey...have you wondered lately how your journey is working out? How would you know if you are headed in the best direction? Maybe you have a good idea of what you need to change you've just never done it before, or need help getting started. At True North Vitality, we want to partner with those looking to invest in their journey to live life to the fullest! Are you ready for transformation? Let us help you get on the best course and find your True North!
(412) 328-2819 View (412) 328-2819
Photo of Courteney Bender, Licensed Professional Counselor in Greensburg, PA
Courteney Bender
Licensed Professional Counselor, MA, ATR-BC, LPC
Verified Verified
Greensburg, PA 15601  (Online Only)
Change is an inevitable reality of life that can be difficult to navigate alone. As your therapist, I can walk alongside you on that journey. My focuses include working with adolescents and adults to address concerns like anxiety, depression, life transition, body image, and disordered eating. If you feel ready to take the first steps in healing, let's connect.
Change is an inevitable reality of life that can be difficult to navigate alone. As your therapist, I can walk alongside you on that journey. My focuses include working with adolescents and adults to address concerns like anxiety, depression, life transition, body image, and disordered eating. If you feel ready to take the first steps in healing, let's connect.
(724) 558-8002 View (724) 558-8002
Photo of Lex Molnar, Licensed Professional Counselor in Greensburg, PA
Lex Molnar
Licensed Professional Counselor, MSCP, LPC, NCC
Verified Verified
2 Endorsed
Greensburg, PA 15601
Now accepting new clients with daytime and evening availability in person or virtually! Are you feeling stuck where you are in life? Have you experienced a recent shift in personal or professional goals, and need some insight on how to move forward? Are you feeling as though you're doing okay for the most part, but something just seems to be missing? If you answered yes to any of these questions, you have come to the right place! We can all agree that change is a difficult part of life, and I am here to help you take your first steps in your journey to finding the 'you' that you want to be.
Now accepting new clients with daytime and evening availability in person or virtually! Are you feeling stuck where you are in life? Have you experienced a recent shift in personal or professional goals, and need some insight on how to move forward? Are you feeling as though you're doing okay for the most part, but something just seems to be missing? If you answered yes to any of these questions, you have come to the right place! We can all agree that change is a difficult part of life, and I am here to help you take your first steps in your journey to finding the 'you' that you want to be.
(878) 205-0797 View (878) 205-0797
Photo of Genre Baker, Pre-Licensed Professional in Greensburg, PA
Genre Baker
Pre-Licensed Professional, MHC
Verified Verified
Greensburg, PA 15601
I am passionate about working with those who have experienced trauma and loss. Anyone with the aspiration to grow in the face of hardship is my ideal client. It is my belief that any individual who is looking for the tools to create positive change in their life can benefit from therapy. I am thankful for the opportunity to work with any client who is seeking healing, acceptance, and freedom to live their life in a fulfilling, purpose-driven way.
I am passionate about working with those who have experienced trauma and loss. Anyone with the aspiration to grow in the face of hardship is my ideal client. It is my belief that any individual who is looking for the tools to create positive change in their life can benefit from therapy. I am thankful for the opportunity to work with any client who is seeking healing, acceptance, and freedom to live their life in a fulfilling, purpose-driven way.
(724) 307-4381 View (724) 307-4381
Photo of Joseph Narduzzi- Loriann Fetter, Licensed Professional Counselor in Greensburg, PA
Joseph Narduzzi- Loriann Fetter
Licensed Professional Counselor, LPC
Verified Verified
Greensburg, PA 15601
Life can be hard to navigate at times. I believe we can feel this way at any age; a child experiencing anxiety due to a tough divorce, a teenager coping with abuse, or an adult trying to move forward from past trauma that's keeping them stuck. I can help with that. I have over 18 years of experience and knowledge as a therapist. Much of my work focuses on assisting kids and families through difficult times, whatever their situation may be. I work with any issue that you feel is holding you up in life. My firm belief is that while therapy can be difficult, it can also be a pleasant and satisfying experience.
Life can be hard to navigate at times. I believe we can feel this way at any age; a child experiencing anxiety due to a tough divorce, a teenager coping with abuse, or an adult trying to move forward from past trauma that's keeping them stuck. I can help with that. I have over 18 years of experience and knowledge as a therapist. Much of my work focuses on assisting kids and families through difficult times, whatever their situation may be. I work with any issue that you feel is holding you up in life. My firm belief is that while therapy can be difficult, it can also be a pleasant and satisfying experience.
(724) 395-8379 View (724) 395-8379
Photo of Chelsey Corrao, Licensed Professional Counselor in Greensburg, PA
Chelsey Corrao
Licensed Professional Counselor, LPC, CAADC
Verified Verified
1 Endorsed
Greensburg, PA 15601
Immediate availability before 4PM Monday through Thursday! Waitlist for evening availability. Going through changes is often an uncomfortable experience. In order to grow, pushing through our comfort zone is inevitable. When the future is unknown, we may freeze, experiencing heightened stress, anxiety, or depression. Through your counselling journey, I believe building trust and a healthy therapeutic alliance are key in becoming the best version of yourself. I utilize a holistic approach to treatment, integrating Cognitive Behavioral techniques with Person-Centered Therapy and Motivational Interviewing.
Immediate availability before 4PM Monday through Thursday! Waitlist for evening availability. Going through changes is often an uncomfortable experience. In order to grow, pushing through our comfort zone is inevitable. When the future is unknown, we may freeze, experiencing heightened stress, anxiety, or depression. Through your counselling journey, I believe building trust and a healthy therapeutic alliance are key in becoming the best version of yourself. I utilize a holistic approach to treatment, integrating Cognitive Behavioral techniques with Person-Centered Therapy and Motivational Interviewing.
(412) 723-8718 View (412) 723-8718
Photo of Laiken Kistler, Licensed Professional Counselor in Greensburg, PA
Laiken Kistler
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Greensburg, PA 15601
At times, life can feel overwhelming. As if you are just going through the motions of day-to-day life. Many times you do not even recognize it until life becomes too hard and the task you once enjoyed, now takes all of your energy. My role as your therapist is to help you sort out negative emotions, thoughts, or behaviors that leave you feeling as if you are running on auto pilot. Together we will work on identifying unhealthy patterns in our thoughts and reactions, we will dig deep into our emotions and being, as well as develop techniques and skills to feel in control and stable.
At times, life can feel overwhelming. As if you are just going through the motions of day-to-day life. Many times you do not even recognize it until life becomes too hard and the task you once enjoyed, now takes all of your energy. My role as your therapist is to help you sort out negative emotions, thoughts, or behaviors that leave you feeling as if you are running on auto pilot. Together we will work on identifying unhealthy patterns in our thoughts and reactions, we will dig deep into our emotions and being, as well as develop techniques and skills to feel in control and stable.
(724) 801-3753 View (724) 801-3753
Photo of Mary O'Hara, Clinical Social Work/Therapist in Greensburg, PA
Mary O'Hara
Clinical Social Work/Therapist, LCSW
Verified Verified
Greensburg, PA 15601
Only when we are brave enough to explore the darkness will we discover the infinite power of our light- Brene Brown. Hello, I am a Licensed Clinical Social Worker. During sessions, I treat my clients compassionately and professionally, taking a collaborative approach to assist with personal empowerment to achieve personal and treatment plan goals. I believe it is important to meet a client where they are and not where they are told they should be.
Only when we are brave enough to explore the darkness will we discover the infinite power of our light- Brene Brown. Hello, I am a Licensed Clinical Social Worker. During sessions, I treat my clients compassionately and professionally, taking a collaborative approach to assist with personal empowerment to achieve personal and treatment plan goals. I believe it is important to meet a client where they are and not where they are told they should be.
(724) 200-8039 View (724) 200-8039
Photo of Alexis Witkovitz, Pre-Licensed Professional in Greensburg, PA
Alexis Witkovitz
Pre-Licensed Professional, MSCP
Verified Verified
2 Endorsed
Greensburg, PA 15601
At certain points of our lives, we all experience feelings of anxiety and stress. Our mind becomes overwhelmed and fatigued, which in turn causes our bodies to feel run down. I believe in creating a safe therapeutic atmosphere for you to feel comfortable enough to explore the difficult thoughts and emotions that are a part of human existence. Therapy has the opportunity to create new pathways of growth and healing in your life. I believe we are all on our own individual journey in life. Sometimes we experience painful life circumstances that force us to sit with and feel difficult emotions. Part of my job is to help you find meaning
At certain points of our lives, we all experience feelings of anxiety and stress. Our mind becomes overwhelmed and fatigued, which in turn causes our bodies to feel run down. I believe in creating a safe therapeutic atmosphere for you to feel comfortable enough to explore the difficult thoughts and emotions that are a part of human existence. Therapy has the opportunity to create new pathways of growth and healing in your life. I believe we are all on our own individual journey in life. Sometimes we experience painful life circumstances that force us to sit with and feel difficult emotions. Part of my job is to help you find meaning
(724) 607-8440 View (724) 607-8440
Photo of Christy Sherman, Marriage & Family Therapist in Greensburg, PA
Christy Sherman
Marriage & Family Therapist, LMFT
Verified Verified
Greensburg, PA 15601
As a therapist I believe all people have the inherent strength to make positive life changes and often just need empowered through compassionate support. We all have times in our lives when we get stuck in our relationships and just need new effective ways of coping and communicating. I practice from a trauma focused and structural family perspective. I have been very successful in helping couples, families, individuals, and adolescents make positive changes that have lead to feelings of peace, healing, a sense of personal accomplishment, and problem resolution.
As a therapist I believe all people have the inherent strength to make positive life changes and often just need empowered through compassionate support. We all have times in our lives when we get stuck in our relationships and just need new effective ways of coping and communicating. I practice from a trauma focused and structural family perspective. I have been very successful in helping couples, families, individuals, and adolescents make positive changes that have lead to feelings of peace, healing, a sense of personal accomplishment, and problem resolution.
(724) 565-8584 View (724) 565-8584
Photo of Kimberly Broaddus, Licensed Professional Counselor in Greensburg, PA
Kimberly Broaddus
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Greensburg, PA 15601
We all experience difficulties, and at times it can be tough to sort through our thoughts and feelings alone. I believe that we all have patterns of reactions that arise in our thoughts and behaviors. Some of these patterns may be healthy and some unhealthy. I like to think of the therapeutic environment as a safe place to sort through what makes us, “us”. Within this environment we hope to become more aware of our patterns and decision making. With increased awareness we can make the decisions on what continues to work for us and what no longer serves us well.
We all experience difficulties, and at times it can be tough to sort through our thoughts and feelings alone. I believe that we all have patterns of reactions that arise in our thoughts and behaviors. Some of these patterns may be healthy and some unhealthy. I like to think of the therapeutic environment as a safe place to sort through what makes us, “us”. Within this environment we hope to become more aware of our patterns and decision making. With increased awareness we can make the decisions on what continues to work for us and what no longer serves us well.
(878) 203-0867 View (878) 203-0867

How does your Therapist compare?

Number of Therapists in Greensburg, PA

200+

Average cost per session

$100

Therapists in Greensburg, PA who prioritize treating:

96% Anxiety
94% Depression
82% Coping Skills
80% Relationship Issues
76% Trauma and PTSD
72% Grief
72% Stress

Average years in practice

11 Years

Top 3 insurances accepted

83% Highmark
81% Aetna
78% BlueCross and BlueShield

How Therapists in Greensburg, PA see their clients

91% In Person and Online
9% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Greensburg?

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.