Therapists in Willow Street, PA

Photo of Weigel Counseling Associates, Psychologist in Willow Street, PA
Weigel Counseling Associates
Psychologist
Verified Verified
Willow Street, PA 17584
Weigel Counseling Associates was established in 1993 by John Weigel, Licensed Psychologist. As his practice grew, he invited local clinicians to join his practice, as well as new office locations to assist and serve the growing needs of Lancaster County. Today, Weigel Counseling has 25 clinicians and is located in Lititz and Willow Street. Weigel Counseling is committed to providing Confidential, Professional, and "Down to Earth" Mental Health Services. Check us out at www.weigelcounseling.com
Weigel Counseling Associates was established in 1993 by John Weigel, Licensed Psychologist. As his practice grew, he invited local clinicians to join his practice, as well as new office locations to assist and serve the growing needs of Lancaster County. Today, Weigel Counseling has 25 clinicians and is located in Lititz and Willow Street. Weigel Counseling is committed to providing Confidential, Professional, and "Down to Earth" Mental Health Services. Check us out at www.weigelcounseling.com
(717) 447-5066 View (717) 447-5066
Photo of Scott Behrens, Clinical Social Work/Therapist in Willow Street, PA
Scott Behrens
Clinical Social Work/Therapist, LSW, MSW, CFBT
Verified Verified
1 Endorsed
Willow Street, PA 17584
My past experience in family based therapy has helped me adapt to the needs of my clients and the wide range of challenges they have faced. In my time in family based I worked with people diagnosed with autism, depression, anxiety, intellectual disability, personality disorders, mood disorders, and many others. I believe in meeting each client where they are at and approaching them in a more person-to-person fashion than therapist-to-client. Each person's story is unique and they are the experts on their own lives which allows me to approach their challenges with curiosity and a desire to learn about them and support where needed.
My past experience in family based therapy has helped me adapt to the needs of my clients and the wide range of challenges they have faced. In my time in family based I worked with people diagnosed with autism, depression, anxiety, intellectual disability, personality disorders, mood disorders, and many others. I believe in meeting each client where they are at and approaching them in a more person-to-person fashion than therapist-to-client. Each person's story is unique and they are the experts on their own lives which allows me to approach their challenges with curiosity and a desire to learn about them and support where needed.
(717) 527-5803 View (717) 527-5803
Photo of Dannel V Wissler, Licensed Professional Counselor in Willow Street, PA
Dannel V Wissler
Licensed Professional Counselor, LPC, CAADC
Verified Verified
3 Endorsed
Willow Street, PA 17584
Not accepting new clients
Dannel is a licensed professional counselor who works with various clients and emotional needs. In addition to a Masters degree in Marriage and Family Counseling she holds a certificate as a Certified Advanced Alcohol and Drug Counselor (CAADC).
Dannel is a licensed professional counselor who works with various clients and emotional needs. In addition to a Masters degree in Marriage and Family Counseling she holds a certificate as a Certified Advanced Alcohol and Drug Counselor (CAADC).
(717) 985-7336 View (717) 985-7336
Photo of Heart for Change Counseling Services, Inc, Clinical Social Work/Therapist in Willow Street, PA
Heart for Change Counseling Services, Inc
Clinical Social Work/Therapist, MSW, LSW, LCSW
Not Verified Not Verified
Willow Street, PA 17584
At Heart for Change Counseling Services, we value finding darkness in the world and bringing light. We treat all people with dignity and respect, maintain an environment free from judgement, and provide a team-approach to ensure those who walk through our doors feel valued, supported, and heard. We believe in making quality services affordable regardless of insurance.
At Heart for Change Counseling Services, we value finding darkness in the world and bringing light. We treat all people with dignity and respect, maintain an environment free from judgement, and provide a team-approach to ensure those who walk through our doors feel valued, supported, and heard. We believe in making quality services affordable regardless of insurance.
(717) 546-9257 View (717) 546-9257
Photo of Redemption Wellness Services, LLC, Licensed Professional Counselor in Willow Street, PA
Redemption Wellness Services, LLC
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Willow Street, PA 17584
Hello, my name is Tamra Miller-Spence. I've worked in the mental health field for about 7 years. I've worked with a variety of client needs, including maternal mental health, domestic violence, anxiety, depression, parenting concerns, relationship discord, trauma, self-harm, suicidal thoughts, and anger management. The clients I work with are seeking guidance in making lifestyle changes to improve their quality of life. They are goal oriented, with an open-mind, and a willingness to be present in sessions.
Hello, my name is Tamra Miller-Spence. I've worked in the mental health field for about 7 years. I've worked with a variety of client needs, including maternal mental health, domestic violence, anxiety, depression, parenting concerns, relationship discord, trauma, self-harm, suicidal thoughts, and anger management. The clients I work with are seeking guidance in making lifestyle changes to improve their quality of life. They are goal oriented, with an open-mind, and a willingness to be present in sessions.
(223) 332-4023 View (223) 332-4023
Photo of Yanina M. Marti-Ramirez, Clinical Social Work/Therapist in Willow Street, PA
Yanina M. Marti-Ramirez
Clinical Social Work/Therapist, MSW, LCSW, CCTP-II, RPT
Verified Verified
Willow Street, PA 17584
Have you been thinking lately about alternatives to deal with your past trauma? A current life situation left you feeling stuck? Do you need additional help to overcome anxiety, stress, or deep sadness? Then, there is a possibility that you are feeling ready to begin your healing journey. Because all life experiences are different, we offer a welcoming and non-judgmental environment that assists you in healing at your own pace. In addition, you, a family member, or a friend can benefit from our evidence-based therapies with a person-centered approach.
Have you been thinking lately about alternatives to deal with your past trauma? A current life situation left you feeling stuck? Do you need additional help to overcome anxiety, stress, or deep sadness? Then, there is a possibility that you are feeling ready to begin your healing journey. Because all life experiences are different, we offer a welcoming and non-judgmental environment that assists you in healing at your own pace. In addition, you, a family member, or a friend can benefit from our evidence-based therapies with a person-centered approach.
(717) 229-9324 View (717) 229-9324
Photo of Behavioral Healthcare Corporation in Willow Street, PA
Behavioral Healthcare Corporation
MD, PsyD, MEd, LPC, LCSW
Verified Verified
Willow Street, PA 17584
Our mission: Mental health for all we serve. Our passion: Helping you achieve mental health. Life can be hard. We all have challenges. We all experience loss, stress, grief and, at some point, all of us feel overwhelmed. The team at Behavioral Healthcare Corporation has been helping people just like you deal with life's issues and restore their mental health since 2002.
Our mission: Mental health for all we serve. Our passion: Helping you achieve mental health. Life can be hard. We all have challenges. We all experience loss, stress, grief and, at some point, all of us feel overwhelmed. The team at Behavioral Healthcare Corporation has been helping people just like you deal with life's issues and restore their mental health since 2002.
(717) 502-4771 View (717) 502-4771

More Therapists Nearby

Photo of Stacy Martinez, Clinical Social Work/Therapist in Willow Street, PA
Stacy Martinez
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
3 Endorsed
Lancaster, PA 17601
Do you feel alone with your thoughts and feelings? Have you recently become pregnant, given birth or struggled with a loss? Do you have scary thoughts and you don't know why? Do you feel like you have lost your identity? Do you often feel sad, anxious or angry? This is just a handful of ways that mothers and mothers to be may feel and are not sure how to seek help or feel better. Becoming a mother, or having the desire to be a mother, brings a lot of changes into your life. These changes include but are not limited to, hormonal, relational, emotional, mental and physical.
Do you feel alone with your thoughts and feelings? Have you recently become pregnant, given birth or struggled with a loss? Do you have scary thoughts and you don't know why? Do you feel like you have lost your identity? Do you often feel sad, anxious or angry? This is just a handful of ways that mothers and mothers to be may feel and are not sure how to seek help or feel better. Becoming a mother, or having the desire to be a mother, brings a lot of changes into your life. These changes include but are not limited to, hormonal, relational, emotional, mental and physical.
(717) 294-0191 View (717) 294-0191
Photo of Christopher A Blair, MAMFT, LLC in Willow Street, PA
Christopher A Blair, MAMFT, LLC
MAMFT
Verified Verified
Lancaster, PA 17603
Over the years, it has been my privilege and honor to serve many different populations. Most recently, I have spent a lot of time working with marital and family issues as well as addictions of various kinds. I also enjoy assisting clients with stage of life challenges like remarriage, adjustments after the birth of your first child, teen years, empty nest, or dealing with chronic illness. Many of these issues are usually connected to stress and anxiety management; an area I have also worked with extensively. My experience and education are difficult to encapsulate into just a few areas.
Over the years, it has been my privilege and honor to serve many different populations. Most recently, I have spent a lot of time working with marital and family issues as well as addictions of various kinds. I also enjoy assisting clients with stage of life challenges like remarriage, adjustments after the birth of your first child, teen years, empty nest, or dealing with chronic illness. Many of these issues are usually connected to stress and anxiety management; an area I have also worked with extensively. My experience and education are difficult to encapsulate into just a few areas.
(717) 723-3961 View (717) 723-3961
Photo of Wellsprings Solutions, Licensed Professional Counselor in Willow Street, PA
Wellsprings Solutions
Licensed Professional Counselor, LPC, LCSW
Verified Verified
1 Endorsed
Lancaster, PA 17601
At Wellsprings, we recognize the importance of forming safe connections between the client and the counselor to help the therapeutic relationship. Our commitment lies in understanding your personal history and unique experiences so that our counselors can develop a tailored plan that caters to your needs. During therapy, your counselor will support you in understanding your goals and recognizing any challenges that could hinder your progress. We want to assist you in developing the skills needed to overcome these obstacles.
At Wellsprings, we recognize the importance of forming safe connections between the client and the counselor to help the therapeutic relationship. Our commitment lies in understanding your personal history and unique experiences so that our counselors can develop a tailored plan that caters to your needs. During therapy, your counselor will support you in understanding your goals and recognizing any challenges that could hinder your progress. We want to assist you in developing the skills needed to overcome these obstacles.
(484) 851-9265 View (484) 851-9265
Photo of Adam Boguski, Pre-Licensed Professional in Willow Street, PA
Adam Boguski
Pre-Licensed Professional, MDiv, CFBT
Verified Verified
4 Endorsed
Lancaster, PA 17603
I am glad you found me. You are not alone, nor do not have to journey through this next chapter alone. Life can be filled with seasons of suffering, pain and change that too often result in anxiety, depression, trauma, disconnection and isolation. All of us can face these seasons in life that are highly difficult, but within these experiences it is possible to find deep resilience, healing and growth. I am passionate about helping individuals, couples and families create a path forward towards the life and relationships that you envision with yourself, your partner or your family. I would love to join you in this.
I am glad you found me. You are not alone, nor do not have to journey through this next chapter alone. Life can be filled with seasons of suffering, pain and change that too often result in anxiety, depression, trauma, disconnection and isolation. All of us can face these seasons in life that are highly difficult, but within these experiences it is possible to find deep resilience, healing and growth. I am passionate about helping individuals, couples and families create a path forward towards the life and relationships that you envision with yourself, your partner or your family. I would love to join you in this.
(484) 229-6686 View (484) 229-6686
Photo of Amanda Ruiz, Licensed Professional Counselor in Willow Street, PA
Amanda Ruiz
Licensed Professional Counselor, MS, LPC
Verified Verified
13 Endorsed
East Petersburg, PA 17520
Anxiety. Perfectionism. These traits have helped you to be successful, but now are causing extra stress in your life. They are contributing to you to feeling overwhelmed and exhausted. Does that sound like you? If so, know that I can help you overcome these issues. I help you accentuate the positive in your life, and I believe in your ability to change. You might just need a little guidance to think of things in a different way! By overcoming stumbling blocks of worry, perfectionism, or poor relationships, I believe you can cultivate satisfaction and happiness. I am here to support you in accomplishing your goals!
Anxiety. Perfectionism. These traits have helped you to be successful, but now are causing extra stress in your life. They are contributing to you to feeling overwhelmed and exhausted. Does that sound like you? If so, know that I can help you overcome these issues. I help you accentuate the positive in your life, and I believe in your ability to change. You might just need a little guidance to think of things in a different way! By overcoming stumbling blocks of worry, perfectionism, or poor relationships, I believe you can cultivate satisfaction and happiness. I am here to support you in accomplishing your goals!
(717) 276-0842 View (717) 276-0842
Photo of Breathe Christian Art Therapy & Therapeutic Svcs., Clinical Social Work/Therapist in Willow Street, PA
Breathe Christian Art Therapy & Therapeutic Svcs.
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Lancaster, PA 17601
You know you need help, but don’t know who to talk to or if talking will even change anything. You’ve experienced a trauma and you are tired of talking about it, but you don’t want to feel “that feeling" anymore. You know that something is wrong, but you can’t seem to put words to it. Or maybe you have been to therapy before and just talking about it didn’t seem to help. Perhaps your child is not behaving in school like he or she used to, they’re no longer talking, grades are falling and their getting into fights. Maybe your family just doesn’t get it, if you could just do or be what they want things will be ok, but there not.
You know you need help, but don’t know who to talk to or if talking will even change anything. You’ve experienced a trauma and you are tired of talking about it, but you don’t want to feel “that feeling" anymore. You know that something is wrong, but you can’t seem to put words to it. Or maybe you have been to therapy before and just talking about it didn’t seem to help. Perhaps your child is not behaving in school like he or she used to, they’re no longer talking, grades are falling and their getting into fights. Maybe your family just doesn’t get it, if you could just do or be what they want things will be ok, but there not.
(717) 883-6187 View (717) 883-6187
Photo of Jennifer Downey, Psychologist in Willow Street, PA
Jennifer Downey
Psychologist, MS
Verified Verified
1 Endorsed
Lancaster, PA 17601
Jennifer Downey M.S. a Pa. Licensed Psychologist has been treating adolescents, adults and their families at Psychological Associates of Lancaster for forty years. She graduated from Susquehanna University with a B.A. in Psychology and then Millersville University with a M.S. in Psychology. After schooling Jennifer worked in the areas of child welfare, juvenile justice, addiction treatment and mental health.
Jennifer Downey M.S. a Pa. Licensed Psychologist has been treating adolescents, adults and their families at Psychological Associates of Lancaster for forty years. She graduated from Susquehanna University with a B.A. in Psychology and then Millersville University with a M.S. in Psychology. After schooling Jennifer worked in the areas of child welfare, juvenile justice, addiction treatment and mental health.
(717) 255-8214 View (717) 255-8214
Photo of Michael Zamrin, Clinical Social Work/Therapist in Willow Street, PA
Michael Zamrin
Clinical Social Work/Therapist, LCSW, MSW, MA
Verified Verified
2 Endorsed
Lancaster, PA 17603  (Online Only)
As a seasoned professional I have experience working with all age groups. I specialize in the treatment of children and adolescents and their families. I also have advanced training in and experience with providing Marriage and Family therapy. I offer group therapy as the need arises within a specific population. I offer daytime and evening appointments and I am flexible with scheduling to meet your individual needs. I am certified in Pain Reprocessing Therapy (an evidenced based treatment for chronic pain). I am licensed to work with clients in Florida and Pennsylvania.
As a seasoned professional I have experience working with all age groups. I specialize in the treatment of children and adolescents and their families. I also have advanced training in and experience with providing Marriage and Family therapy. I offer group therapy as the need arises within a specific population. I offer daytime and evening appointments and I am flexible with scheduling to meet your individual needs. I am certified in Pain Reprocessing Therapy (an evidenced based treatment for chronic pain). I am licensed to work with clients in Florida and Pennsylvania.
(717) 473-4645 View (717) 473-4645
Photo of Kari Richards, Clinical Social Work/Therapist in Willow Street, PA
Kari Richards
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Lancaster, PA 17601
Seeking support through therapy is an invaluable experience, and it is an honor and a privilege to be a part of this process. My experience on the other side of the “couch” has afforded me the opportunity to see that real change is possible when we recognize that we deserve to ask for help. I enjoy seeing an eclectic group of clients and I am committed to providing a warm, non-judgmental space to foster a positive pathway to mental health. My competence present opportunities to reflect and identify underlying issues, while also offering skills and tools to use in moments of great distress.
Seeking support through therapy is an invaluable experience, and it is an honor and a privilege to be a part of this process. My experience on the other side of the “couch” has afforded me the opportunity to see that real change is possible when we recognize that we deserve to ask for help. I enjoy seeing an eclectic group of clients and I am committed to providing a warm, non-judgmental space to foster a positive pathway to mental health. My competence present opportunities to reflect and identify underlying issues, while also offering skills and tools to use in moments of great distress.
(717) 837-5791 View (717) 837-5791
Andrea Walton
Pre-Licensed Professional, MA, MEd, NCC
Verified Verified
Lancaster, PA 17602  (Online Only)
I focus on creating a dynamic, evidence-based, personalized approach in order to help each of my clients. I strive to make sure that every person feels seen, heard, and understood in their lived experiences. I am thankful to be given the opportunity to walk alongside each client and see them experience the kind of growth and transformation they come to therapy for. I am passionate about helping others recognize their own worth, overcome unhealthy and/or unhelpful patterns that keep them feeling stuck, and work towards building a more satisfying life.
I focus on creating a dynamic, evidence-based, personalized approach in order to help each of my clients. I strive to make sure that every person feels seen, heard, and understood in their lived experiences. I am thankful to be given the opportunity to walk alongside each client and see them experience the kind of growth and transformation they come to therapy for. I am passionate about helping others recognize their own worth, overcome unhealthy and/or unhelpful patterns that keep them feeling stuck, and work towards building a more satisfying life.
(223) 218-5070 View (223) 218-5070
Photo of Karisa Le, Clinical Social Work/Therapist in Willow Street, PA
Karisa Le
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
4 Endorsed
Lancaster, PA 17601
Each individual has so many valued strengths and my focus is using those abilities to help you be the best version of yourself. I strive to create a welcoming, warm environment where you can feel comfortable to share, process, and grow. I value the beauty of different cultures and traditions, and I believe that we all have innate needs for safety, wellness, and meaningful relationships with others.
Each individual has so many valued strengths and my focus is using those abilities to help you be the best version of yourself. I strive to create a welcoming, warm environment where you can feel comfortable to share, process, and grow. I value the beauty of different cultures and traditions, and I believe that we all have innate needs for safety, wellness, and meaningful relationships with others.
(717) 895-9241 View (717) 895-9241
Photo of Jason Beals, Licensed Professional Counselor in Willow Street, PA
Jason Beals
Licensed Professional Counselor, LPC
Verified Verified
Quarryville, PA 17566
I began working in the mental health field in 2017 at an inpatient unit at a local hospital that helped those suffering with mental health emergencies as well as those detoxing from substances. Following this I moved to the outpatient world focusing on working with pre-marital, marital/couples, athletes needing a focus with sports psychology, and individuals with a wide variety of needs.
I began working in the mental health field in 2017 at an inpatient unit at a local hospital that helped those suffering with mental health emergencies as well as those detoxing from substances. Following this I moved to the outpatient world focusing on working with pre-marital, marital/couples, athletes needing a focus with sports psychology, and individuals with a wide variety of needs.
(717) 963-2031 View (717) 963-2031
Photo of Katie Kloos, Licensed Professional Counselor in Willow Street, PA
Katie Kloos
Licensed Professional Counselor, MA, LPC, ATR
Verified Verified
1 Endorsed
Lancaster, PA 17603  (Online Only)
Hello, I'm Katie! I have experience in helping those who struggle with anxiety, depression, life adjustments, grief, gender dysphoria and many other areas. I hope to create a caring, authentic, encouraging and warm environment for all my clients so they can feel supported, comforted and challenged to grow. I particularly enjoy working with older kids, adolescents and young adults. I am a Licensed Professional Counselor (LPC) and Registered Art Therapist (ATR) in Pennsylvania.
Hello, I'm Katie! I have experience in helping those who struggle with anxiety, depression, life adjustments, grief, gender dysphoria and many other areas. I hope to create a caring, authentic, encouraging and warm environment for all my clients so they can feel supported, comforted and challenged to grow. I particularly enjoy working with older kids, adolescents and young adults. I am a Licensed Professional Counselor (LPC) and Registered Art Therapist (ATR) in Pennsylvania.
(717) 276-4832 View (717) 276-4832

See more therapy options for Willow Street

How does your Therapist compare?

Number of Therapists in Willow Street, PA

< 10

Therapists in Willow Street, PA who prioritize treating:

100% Depression
100% Anxiety
86% Parenting
86% Trauma and PTSD
86% Women's Issues
86% Stress
71% Relationship Issues

Average years in practice

11 Years

Top 3 insurances accepted

100% Other
80% Aetna
80% Highmark

How Therapists in Willow Street, PA see their clients

100% In Person and Online

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Willow Street?

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.