Therapists in Denver, CO
Fiona Cochran
Marriage & Family Therapist, LMFT
Verified Verified
Denver, CO 80224
Relationships are an essential part of the human experience. I can offer support to help you navigate whatever is happening in your life or in your relationship. Whether you are looking to increase communication and connection with your partner, or if you are wanting to explore intimacy/sexual issues. We will work together to create positive lasting changes in a supportive and encouraging environment. As a Licensed Marriage and Family Therapist and sex-positive therapist, I utilize several methods of therapy based on my client's needs. I offer a LGBTQIA+ friendly, Poly, and Kink affirming practice.
Relationships are an essential part of the human experience. I can offer support to help you navigate whatever is happening in your life or in your relationship. Whether you are looking to increase communication and connection with your partner, or if you are wanting to explore intimacy/sexual issues. We will work together to create positive lasting changes in a supportive and encouraging environment. As a Licensed Marriage and Family Therapist and sex-positive therapist, I utilize several methods of therapy based on my client's needs. I offer a LGBTQIA+ friendly, Poly, and Kink affirming practice.
Nissa Jackman
Marriage & Family Therapist, MA, LMFT, ATR-BC
Verified Verified
3 Endorsed
Denver, CO 80247 (Online Only)
Are you looking for a therapist who will work with your unique, gifted, often quirky, needs and nurture you through your strengths? Are you or a child in your life struggling to cope with big feelings and changes? Have you or your child been diagnosed with, or show signs of, Autism Spectrum Disorder, Social Anxiety, feeling "different", or problems with self-confidence? Are you frustrated by how difficult it is to communicate your thoughts and feelings effectively with others? Or do you avoid your feelings for fear of being overwhelmed by them?
Are you looking for a therapist who will work with your unique, gifted, often quirky, needs and nurture you through your strengths? Are you or a child in your life struggling to cope with big feelings and changes? Have you or your child been diagnosed with, or show signs of, Autism Spectrum Disorder, Social Anxiety, feeling "different", or problems with self-confidence? Are you frustrated by how difficult it is to communicate your thoughts and feelings effectively with others? Or do you avoid your feelings for fear of being overwhelmed by them?
Serotiny Counseling
Counselor, LPCC
Verified Verified
Denver, CO 80211 (Online Only)
Hello! My name is Luna (she/her). I bring a gender-affirmative approach to my work with gender-diverse, transgender, and non-binary adults. I intend to help you find your voice, honor who you are, embrace the dynamic parts of you, and build bridges of connection towards those you love. I love to support parents in their gender-acceptance journey to be the support that their gender-diverse children (of any age) need. My clients want to make peace with their bodies, learn how to speak to themselves kindly, improve communication with others, free themselves from toxic cultural messages, and live their unique path of life.
Hello! My name is Luna (she/her). I bring a gender-affirmative approach to my work with gender-diverse, transgender, and non-binary adults. I intend to help you find your voice, honor who you are, embrace the dynamic parts of you, and build bridges of connection towards those you love. I love to support parents in their gender-acceptance journey to be the support that their gender-diverse children (of any age) need. My clients want to make peace with their bodies, learn how to speak to themselves kindly, improve communication with others, free themselves from toxic cultural messages, and live their unique path of life.
Zane Guilfoyle
Licensed Professional Counselor, LPC, LAC, ACS
Verified Verified
Denver, CO 80209
I work with gay, lesbian, bisexual, transgender, and gender non-conforming folk as well as those living with HIV. I specialize in a wide variety of concerns including but not limited to: substance use, depression/anxiety, trauma stemming from violence, life transitions, and relationship difficulties. My therapeutic style encompasses many techniques such as: Gestalt therapy, Motivational Interviewing, Eye Movement Desensitization and Reprocessing (EMDR), and guided imagery to help you rediscover your personal Truth. Together we can work to identify the obstacles blocking you from manifesting your dreams and empower you to create the change you deserve in your life.
I work with gay, lesbian, bisexual, transgender, and gender non-conforming folk as well as those living with HIV. I specialize in a wide variety of concerns including but not limited to: substance use, depression/anxiety, trauma stemming from violence, life transitions, and relationship difficulties. My therapeutic style encompasses many techniques such as: Gestalt therapy, Motivational Interviewing, Eye Movement Desensitization and Reprocessing (EMDR), and guided imagery to help you rediscover your personal Truth. Together we can work to identify the obstacles blocking you from manifesting your dreams and empower you to create the change you deserve in your life.
Maggie Elliott
Licensed Professional Counselor, LPC, NCC
Verified Verified
Denver, CO 80211
Are you or your relationship(s) feeling out of balance? I can help! My philosophy is centered on systems therapy work. Couples Therapy is my passion and I utilize the Gottman Method to give my couples an evidence-based experience. I also enjoy working with individuals, especially within the context of relationships. I help people work to improve their communication, understand how to engage in conflict effectively, build connection, and incorporate fun and play into their lives and relationships. I help couples and individuals regain and maintain balance in their lives so they can be the best version of themselves.
Are you or your relationship(s) feeling out of balance? I can help! My philosophy is centered on systems therapy work. Couples Therapy is my passion and I utilize the Gottman Method to give my couples an evidence-based experience. I also enjoy working with individuals, especially within the context of relationships. I help people work to improve their communication, understand how to engage in conflict effectively, build connection, and incorporate fun and play into their lives and relationships. I help couples and individuals regain and maintain balance in their lives so they can be the best version of themselves.
Melissa Forrow
Clinical Social Work/Therapist, LCSW, LAC
Verified Verified
Denver, CO 80211
Not accepting new clients
I have a deep understanding of how stress and trauma can affect even the most resilient people and I am committed to providing a safe space for individuals to process their experiences, heal, and grow. I believe that you are the expert on your own lived experience and I draw from a variety of therapeutic modalities and philosophies to complement your individual needs and preferences.
I have a deep understanding of how stress and trauma can affect even the most resilient people and I am committed to providing a safe space for individuals to process their experiences, heal, and grow. I believe that you are the expert on your own lived experience and I draw from a variety of therapeutic modalities and philosophies to complement your individual needs and preferences.
Natalia Rodriguez
Pre-Licensed Professional, LPCC, NCC
Verified Verified
Denver, CO 80246 (Online Only)
Hello! I specialize in working with adults who are struggling with anxiety, depression, trauma, grief and loss, relationship difficulties, transitional difficulties, identity formation and more. As a multicultural woman, I care deeply about promoting diversity and bringing awareness into how oppressive systems can affect our mental health. I align myself to support communities continuing to fight for equity across systems. I help clients find fulfillment in confidence, decision-making, and relationships. I also hope to help you connect to a broader sense of self-awareness, purpose, meaning, and understanding.
Hello! I specialize in working with adults who are struggling with anxiety, depression, trauma, grief and loss, relationship difficulties, transitional difficulties, identity formation and more. As a multicultural woman, I care deeply about promoting diversity and bringing awareness into how oppressive systems can affect our mental health. I align myself to support communities continuing to fight for equity across systems. I help clients find fulfillment in confidence, decision-making, and relationships. I also hope to help you connect to a broader sense of self-awareness, purpose, meaning, and understanding.
Nicole Dunas
Licensed Professional Counselor, MFA, MA, LPC
Verified Verified
14 Endorsed
Denver, CO 80209
Creating a safe environment is where I begin. I see therapy as a collaborative process that can lead you toward a greater capacity for self-awareness, trust, clarity, a sense of meaning and freedom. Life gives us surprising obstacles, which can make us feel stuck, depressed, alone or scared. With therapeutic presence, creativity and guidance, we can change our relationship to obstacles and transform. Our darkest point may mark the moment we realize we want to change. I use yoga and creative writing in my practice, and have training in mindfulness/somatic approaches, gestalt therapy, family systems, DBT, & depth psychology.
Creating a safe environment is where I begin. I see therapy as a collaborative process that can lead you toward a greater capacity for self-awareness, trust, clarity, a sense of meaning and freedom. Life gives us surprising obstacles, which can make us feel stuck, depressed, alone or scared. With therapeutic presence, creativity and guidance, we can change our relationship to obstacles and transform. Our darkest point may mark the moment we realize we want to change. I use yoga and creative writing in my practice, and have training in mindfulness/somatic approaches, gestalt therapy, family systems, DBT, & depth psychology.
Caley Braun
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Denver, CO 80211
Trauma and stress shape the way we relate to ourselves, others, and the world, creating patterns of protection that hold us back from living the lives we long for. I see therapy as a collaborative exploration that nurtures connection, invites curiosity, and ultimately leads to inner and outer harmony. I believe the foundation of any healing process is a safe and authentic relationship where all parts of you feel seen and heard. This dynamic fosters the shared connection needed to tune in to difficult emotions and sensations at the right pace for your system and reshape the way you connect with yourself, others, and the world.
Trauma and stress shape the way we relate to ourselves, others, and the world, creating patterns of protection that hold us back from living the lives we long for. I see therapy as a collaborative exploration that nurtures connection, invites curiosity, and ultimately leads to inner and outer harmony. I believe the foundation of any healing process is a safe and authentic relationship where all parts of you feel seen and heard. This dynamic fosters the shared connection needed to tune in to difficult emotions and sensations at the right pace for your system and reshape the way you connect with yourself, others, and the world.
Eliza Kienitz
Psychologist, PsyD
Verified Verified
Denver, CO 80218
Welcome, I am Eliza Kienitz, a psychologist here in Denver, CO. Starting the process of therapy can be daunting. I want to help you find the right fit with a therapist, even if that is not me. I am passionate about the ethics of my role and want you to feel empowered to ask questions and clarify your goals. The folks I work with are often experiencing life transitions, are connected to the medical community, or are first responder or frontline workers. I specialize in adults and older adults. If you have found yourself at the point of seeking out a therapist, you have already done some hard work. I would be honored to help as I can.
Welcome, I am Eliza Kienitz, a psychologist here in Denver, CO. Starting the process of therapy can be daunting. I want to help you find the right fit with a therapist, even if that is not me. I am passionate about the ethics of my role and want you to feel empowered to ask questions and clarify your goals. The folks I work with are often experiencing life transitions, are connected to the medical community, or are first responder or frontline workers. I specialize in adults and older adults. If you have found yourself at the point of seeking out a therapist, you have already done some hard work. I would be honored to help as I can.
Nicholas Diack
Registered Psychotherapist, RP
Verified Verified
2 Endorsed
Denver, CO 80206
Looking for a therapist who's holistic? Interested in alternative approaches alongside psychotherapy? Is medication something you want to avoid at all costs? I would be a good therapist for you.
Looking for a therapist who's holistic? Interested in alternative approaches alongside psychotherapy? Is medication something you want to avoid at all costs? I would be a good therapist for you.
15 Second Videos
Eliza Kienitz
Nicholas Diack
Jessica Weimer
Juanita Sawyer
Kerry Stutzman
Amanda Joy Gordon
Felix J Lefevre
Bonnie Kester
Denver Adolescent Therapy Group
Julia Jamison
Stephanie Peetz
Erin Jones
Alicia S Stephenson
Wendy Klein
Amanda N Ream
Metro Denver Hypnotherapy and Family Therapy
Kristin Mannino
Westside Behavioral Care
Tory Becker
Beth Tamborski
Jessie Briegel
Kimberly Margolis, INC
Kimberly Polsen
Lauren Christine Kolsum
Kaila Fluss
Cheri Kimple Travis
Patricia S. Duggan
Hanna Rodriguez
Krissi Franzen
Laura Houd
Michelle Stromme - Experienced Sex Therapist
Joey Mowery
Paige O'Hagan
Alana D'Ambrosio
Aaron Hudyma
CuraWest
Megan Rinderer
Kevin Jessup
Mickala Schmidt
Elizabeth Wilmer
Kurt Einholz
Kristin Rainey
Laurel Johnson
Lauren Paulick
Naomi Victoria Akwei-Sturdy
Natalie Lyon
Carl Fritzen
Maria Teresa (Mt) Baldrich
Mike Hart
Kenton L. Burns
Hanna M Carrell
Licensed Professional Counselor, LPC, MA
Verified Verified
1 Endorsed
Denver, CO 80204 (Online Only)
Not accepting new clients
At times, life can be uncertain, scary, challenging, and it can bring up many other uncomfortable feelings. These can significantly impact your wellbeing, your relationships, quality of life, and interfere with the goals you have for yourself. I can help guide you in your mental health and life journey, using a collaborative approach. Together, we can explore ways of managing challenges that life throws your way.
At times, life can be uncertain, scary, challenging, and it can bring up many other uncomfortable feelings. These can significantly impact your wellbeing, your relationships, quality of life, and interfere with the goals you have for yourself. I can help guide you in your mental health and life journey, using a collaborative approach. Together, we can explore ways of managing challenges that life throws your way.
Ross Anderson
Counselor, MA, LPCC
Verified Verified
Denver, CO 80203
Ross Anderson is a Licensed Professional Counselor Candidate in Colorado who has been practicing since 2023. He has a Bachelor of Arts in English Literature from The College of William & Mary and a Master of Arts in Clinical Mental Health Counseling from University of Colorado Denver. Ross can help his clients by creating a radical safe space for them to take a good look at their lives, pinpoint the changes they want to make, and then safely move towards those changes.
Ross Anderson is a Licensed Professional Counselor Candidate in Colorado who has been practicing since 2023. He has a Bachelor of Arts in English Literature from The College of William & Mary and a Master of Arts in Clinical Mental Health Counseling from University of Colorado Denver. Ross can help his clients by creating a radical safe space for them to take a good look at their lives, pinpoint the changes they want to make, and then safely move towards those changes.
Jason Shankle
Registered Psychotherapist, MA, CCBT, CAP, CFM, CMIT
Verified Verified
Denver, CO 80206
This is my divine identity to help others fulfill their purpose and heal those in need. I am very much a realist and transparent about my approach to therapy regarding life transitions. I am a firm believer that in order to grow you must know how to water the seeds within.
This is my divine identity to help others fulfill their purpose and heal those in need. I am very much a realist and transparent about my approach to therapy regarding life transitions. I am a firm believer that in order to grow you must know how to water the seeds within.
Natalie Walders Abramson
Psychologist, PhD
Verified Verified
Denver, CO 80222
My goal as a clinical psychologist is to help children, teens, adults and families develop solutions to their problems so that their lives run more smoothly with less stress. I have worked at Children's Hospital Colorado and National Jewish Health for 15 years, and launched my private practice to add a community based focus. I provide clients with state-of-the-art, empirically-supported behavioral health interventions shown to result in fast and sustainable relief from depression, anxiety and conflict.
My goal as a clinical psychologist is to help children, teens, adults and families develop solutions to their problems so that their lives run more smoothly with less stress. I have worked at Children's Hospital Colorado and National Jewish Health for 15 years, and launched my private practice to add a community based focus. I provide clients with state-of-the-art, empirically-supported behavioral health interventions shown to result in fast and sustainable relief from depression, anxiety and conflict.
Christine Moor
Licensed Professional Counselor, LPC, RN
Verified Verified
Denver, CO 80220
Not accepting new clients
People decide to begin therapy because they are experiencing psychological distress and they desire wellbeing. It takes a great deal of courage and determination to choose this healing approach and to fulfill such a tender and deep longing within oneself. On top of making a commitment to your self, the decision to go forward is like standing at a crossroads in ones life. Such an experience is filled with mixed emotions and potential! I begin the process of therapy by developing a therapeutic relationship with my clients that is built on trust and safety.
People decide to begin therapy because they are experiencing psychological distress and they desire wellbeing. It takes a great deal of courage and determination to choose this healing approach and to fulfill such a tender and deep longing within oneself. On top of making a commitment to your self, the decision to go forward is like standing at a crossroads in ones life. Such an experience is filled with mixed emotions and potential! I begin the process of therapy by developing a therapeutic relationship with my clients that is built on trust and safety.
Ash Everley
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Denver, CO 80231
I specialize in working with adolescents and young adults particularly around challenges related to trauma, sexual health, and identity. I have a passion for working within the LGBTQIA+ community and providing gender affirming care for my clients. I approach the relationships I build with clients with openness, acceptance, a focus on strengths, and sometimes humor. We will work together to understand and explore your self identified needs and collaboratively forge a unique path based on what works for you.
I specialize in working with adolescents and young adults particularly around challenges related to trauma, sexual health, and identity. I have a passion for working within the LGBTQIA+ community and providing gender affirming care for my clients. I approach the relationships I build with clients with openness, acceptance, a focus on strengths, and sometimes humor. We will work together to understand and explore your self identified needs and collaboratively forge a unique path based on what works for you.
Jessica Weimer
Counselor, LPC, BCN
Verified Verified
1 Endorsed
Denver, CO 80210
Are you tired of being stuck in past trauma? Sometimes even if we know the "why" it doesn't necessarily lead to feeling change. My work focuses on releasing trauma from your body and bringing regulation to your nervous system. The tools we use facilitate emotional regulation and a sense of balance and relaxation in a comfortable, supportive setting. It is important to me that each client feel heard and understood, and that the work we do brings about improvements in one's overall level of functioning.
Are you tired of being stuck in past trauma? Sometimes even if we know the "why" it doesn't necessarily lead to feeling change. My work focuses on releasing trauma from your body and bringing regulation to your nervous system. The tools we use facilitate emotional regulation and a sense of balance and relaxation in a comfortable, supportive setting. It is important to me that each client feel heard and understood, and that the work we do brings about improvements in one's overall level of functioning.
Frances Forgione
Clinical Social Work/Therapist, MSW, LCSW, LAC
Verified Verified
Denver, CO 80202
I'm only offering video sessions at this time due to travels. Over 30 years experience. LCSW in both Colorado & Massachusetts. Licensed Addictions Counselor - CO; EMDR Therapist, Emotionally Focused Couples Therapist (EFT), Certified Gestalt Therapist, AEDP Therapist, DBT Therapist & Mindfulness, Gottman Method trained. Pain and struggle are often the doorways into strength, wisdom, compassion, beauty, joy. Rather than getting stuck in fight, flight or freeze mode, discover your authentic self. Primary specialities: depression, anxiety, relationship problems, trauma, addictions, grief & loss.
I'm only offering video sessions at this time due to travels. Over 30 years experience. LCSW in both Colorado & Massachusetts. Licensed Addictions Counselor - CO; EMDR Therapist, Emotionally Focused Couples Therapist (EFT), Certified Gestalt Therapist, AEDP Therapist, DBT Therapist & Mindfulness, Gottman Method trained. Pain and struggle are often the doorways into strength, wisdom, compassion, beauty, joy. Rather than getting stuck in fight, flight or freeze mode, discover your authentic self. Primary specialities: depression, anxiety, relationship problems, trauma, addictions, grief & loss.
Zachary Nathaniel Gart
Counselor, LPCC
Verified Verified
6 Endorsed
Denver, CO 80211
My approach in therapy is warm, honest, and direct. I don’t believe in staying in therapy forever and I will hold your intention with you as we focus each session on moving towards what you most want. I believe in getting to the healing, finding the way through and living life how you most want to. I will help you listen deeply and accurately to yourself and make the choices that are truest for you. I support clients with all types of issues and specialize in individual trauma resolution (PTSD and C-PTSD), attachment healing and relationships, life transitions, grief/loss, anxiety/depression. I work with individual and couples.
My approach in therapy is warm, honest, and direct. I don’t believe in staying in therapy forever and I will hold your intention with you as we focus each session on moving towards what you most want. I believe in getting to the healing, finding the way through and living life how you most want to. I will help you listen deeply and accurately to yourself and make the choices that are truest for you. I support clients with all types of issues and specialize in individual trauma resolution (PTSD and C-PTSD), attachment healing and relationships, life transitions, grief/loss, anxiety/depression. I work with individual and couples.
See more therapy options for Denver
How does your Therapist compare?
Number of Therapists in Denver, CO
3,000+
Average cost per session
$150
Therapists in Denver, CO who prioritize treating:
93% | Anxiety |
86% | Depression |
80% | Relationship Issues |
76% | Self Esteem |
75% | Trauma and PTSD |
71% | Stress |
68% | Life Transitions |
Average years in practice
10 Years
Top 3 insurances accepted
74% | Aetna |
67% | UnitedHealthcare UHC | UBH |
62% | Cigna and Evernorth |
How Therapists in Denver, CO see their clients
65% | In Person and Online | |
35% | Online Only |
Gender breakdown
79% | Female | |
19% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in 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
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.
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.
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.