Therapists in Lake Orion, MI

Photo of Jennifer Ham, Licensed Professional Counselor in Lake Orion, MI
Jennifer Ham
Licensed Professional Counselor, MA, LPC
Verified Verified
Lake Orion, MI 48362
Many clients come in to work with me on issues with anxiety, depression, grief and loss, relationship issues, life adjustment issues, and more. Generally, people come in feeling overwhelmed with the challenges of life. Through therapy, we can discover new ways to approach situations that support your well-being, and help you understand yourself better while improving your ability to thrive.
Many clients come in to work with me on issues with anxiety, depression, grief and loss, relationship issues, life adjustment issues, and more. Generally, people come in feeling overwhelmed with the challenges of life. Through therapy, we can discover new ways to approach situations that support your well-being, and help you understand yourself better while improving your ability to thrive.
(248) 587-8985 View (248) 587-8985
Photo of Spencer M Mister, Clinical Social Work/Therapist in Lake Orion, MI
Spencer M Mister
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Lake Orion, MI 48360
I work with a broad range of issues including depression, anxiety, and life changes. Most importantly, I work with you as a whole-person and strive to address all of the factors impacting your wellbeing. Finding the balance between easing symptoms and developing a more meaningful life is a hallmark of my approach. Often, it can be difficult to open-up and feel vulnerable; I do my best to help you feel comfortable expressing yourself. Many of my client's describe me as gentle and easy to talk to. Out of anything I can offer as a therapist, I believe this is the most important.
I work with a broad range of issues including depression, anxiety, and life changes. Most importantly, I work with you as a whole-person and strive to address all of the factors impacting your wellbeing. Finding the balance between easing symptoms and developing a more meaningful life is a hallmark of my approach. Often, it can be difficult to open-up and feel vulnerable; I do my best to help you feel comfortable expressing yourself. Many of my client's describe me as gentle and easy to talk to. Out of anything I can offer as a therapist, I believe this is the most important.
(947) 282-9509 View (947) 282-9509
Photo of Krystal M Davis, Clinical Social Work/Therapist in Lake Orion, MI
Krystal M Davis
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
2 Endorsed
Lake Orion, MI 48360
Treating Mental Health and Addiction is my mission. Helping others to work through setbacks and actualize their fullest potential is the greatest gift. It has always been my joy to help others and I believe that people can change their lives to achieve a better quality of living. That is what this work is all about, helping you!
Treating Mental Health and Addiction is my mission. Helping others to work through setbacks and actualize their fullest potential is the greatest gift. It has always been my joy to help others and I believe that people can change their lives to achieve a better quality of living. That is what this work is all about, helping you!
(248) 365-7586 View (248) 365-7586
Photo of Goodison Behavioral Health/ Ellen Podeszwa, LMSW, Clinical Social Work/Therapist in Lake Orion, MI
Goodison Behavioral Health/ Ellen Podeszwa, LMSW
Clinical Social Work/Therapist, LMSW
Verified Verified
Lake Orion, MI 48362
Wanting to make a change in your life but not knowing where or how to start feels overwhelming. The feelings of fear, uncertainty and anxiety that often come along with this is daunting. I firmly believe that when people gain insight into their thoughts and feelings they are able to move toward the positive change that will help them progress toward their goals and improve the quality of their life. Helping individuals realize their potential and strengths to help them help themselves is what I am passionate about.
Wanting to make a change in your life but not knowing where or how to start feels overwhelming. The feelings of fear, uncertainty and anxiety that often come along with this is daunting. I firmly believe that when people gain insight into their thoughts and feelings they are able to move toward the positive change that will help them progress toward their goals and improve the quality of their life. Helping individuals realize their potential and strengths to help them help themselves is what I am passionate about.
(248) 290-8202 View (248) 290-8202
Photo of Amy Metz, Counselor in Lake Orion, MI
Amy Metz
Counselor, MA, JD, LLPC, NCC
Verified Verified
Lake Orion, MI 48362
Someone to listen. Someone with compassion. Someone who sees you as you are today, but can envision you as you are meant to be. If you are facing challenges and seeking support, let me be this person for you. For adults, teens, children and families - true healing arises when each individual is guided toward increased self-awareness and self-acceptance. Let me accompany you on your journey to find healing and release, to ask new questions and discover your own trusted answers. As your therapist, I will honor your life's journey in its entirety, and encourage you to do the same.
Someone to listen. Someone with compassion. Someone who sees you as you are today, but can envision you as you are meant to be. If you are facing challenges and seeking support, let me be this person for you. For adults, teens, children and families - true healing arises when each individual is guided toward increased self-awareness and self-acceptance. Let me accompany you on your journey to find healing and release, to ask new questions and discover your own trusted answers. As your therapist, I will honor your life's journey in its entirety, and encourage you to do the same.
(248) 602-2864 View (248) 602-2864
Photo of Christina Root, Clinical Social Work/Therapist in Lake Orion, MI
Christina Root
Clinical Social Work/Therapist
Verified Verified
2 Endorsed
Lake Orion, MI 48359
Hello! I first learned that I wanted to become a therapist after receiving therapy for myself in order to process a history of traumatic experiences and grief. I share this confidently, because no one should feel alone or ashamed to seek support. This led me to Oakland University to study social work and live on campus among the international student community, which then inspired me to learn Spanish and study abroad.
Hello! I first learned that I wanted to become a therapist after receiving therapy for myself in order to process a history of traumatic experiences and grief. I share this confidently, because no one should feel alone or ashamed to seek support. This led me to Oakland University to study social work and live on campus among the international student community, which then inspired me to learn Spanish and study abroad.
(248) 667-8017 View (248) 667-8017
Photo of MI Awareness , Counselor in Lake Orion, MI
MI Awareness
Counselor, LPC, NCC
Verified Verified
Lake Orion, MI 48362
MI Awareness provides quality mental health services mindfully to individuals, couples, and families of all ages. We take pride in tailoring our services to meet the needs of those that we serve with radical genuineness. Our therapists have compassion and commitment to the therapy that they provide creating a balanced therapeutic environment. MI Awareness teaches clients to tend to the whole person: mind, body, soul, natural supports, and community. You are already making effective strides towards building your Radical Self! Awareness & Validation Starts Now!
MI Awareness provides quality mental health services mindfully to individuals, couples, and families of all ages. We take pride in tailoring our services to meet the needs of those that we serve with radical genuineness. Our therapists have compassion and commitment to the therapy that they provide creating a balanced therapeutic environment. MI Awareness teaches clients to tend to the whole person: mind, body, soul, natural supports, and community. You are already making effective strides towards building your Radical Self! Awareness & Validation Starts Now!
(248) 845-1258 View (248) 845-1258
Photo of Amy Lynn Moore, Counselor in Lake Orion, MI
Amy Lynn Moore
Counselor, MA, LPC, NBCC, SCL
Verified Verified
2 Endorsed
Lake Orion, MI 48362
Waitlist for new clients
I am a warm and compassionate therapist specializing in treating adolescents, adults and families. My approach centers around providing a calm and comfortable environment which help clients to feel safe, understood and supported. This presents an ideal setting in which positive change can occur.
I am a warm and compassionate therapist specializing in treating adolescents, adults and families. My approach centers around providing a calm and comfortable environment which help clients to feel safe, understood and supported. This presents an ideal setting in which positive change can occur.
(248) 838-1311 View (248) 838-1311
Photo of Kristen O'Dwyer Wise Practice Owner, Clinical Social Work/Therapist in Lake Orion, MI
Kristen O'Dwyer Wise Practice Owner
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Lake Orion, MI 48362  (Online Only)
IFS, Gottman, CBT, DBT, Somatic Therapy Specialties. Are you feeling like you've lost your sense of self? Are you trying to navigate through relationship strains, stress or trauma alone? Are you always trying to logic your way through life? If you find yourself overwhelmed, battling anxiety or imposter syndrome you are in the right place. If you are experiencing disconnection in your relationship or careers, there are life lasting tools and support that can help you thrive. I truly believe your ability to heal yourself is within. Together, let's help you alchemize pain from the past into healing & a beautiful future.
IFS, Gottman, CBT, DBT, Somatic Therapy Specialties. Are you feeling like you've lost your sense of self? Are you trying to navigate through relationship strains, stress or trauma alone? Are you always trying to logic your way through life? If you find yourself overwhelmed, battling anxiety or imposter syndrome you are in the right place. If you are experiencing disconnection in your relationship or careers, there are life lasting tools and support that can help you thrive. I truly believe your ability to heal yourself is within. Together, let's help you alchemize pain from the past into healing & a beautiful future.
(248) 469-4438 x2 View (248) 469-4438 x2
Photo of MI Awareness, Counselor in Lake Orion, MI
MI Awareness
Counselor, LPC
Verified Verified
Lake Orion, MI 48362
MIAwareness provides quality mental health services mindfully to individuals, couples, and families of all ages. We take pride in tailoring our services to meet the needs of those that we serve with radical genuineness. Our therapists have compassion, and commitment to the therapy that they provide creating a balanced therapeutic environment. MIAwareness teaches clients to tend to the whole person: mind, body, soul, natural supports, and community. You are already making effective strides towards building your Radical Self! Awareness&Validation Starts Now!
MIAwareness provides quality mental health services mindfully to individuals, couples, and families of all ages. We take pride in tailoring our services to meet the needs of those that we serve with radical genuineness. Our therapists have compassion, and commitment to the therapy that they provide creating a balanced therapeutic environment. MIAwareness teaches clients to tend to the whole person: mind, body, soul, natural supports, and community. You are already making effective strides towards building your Radical Self! Awareness&Validation Starts Now!
(947) 333-9545 View (947) 333-9545
Photo of Stephanie A. Little, Clinical Social Work/Therapist in Lake Orion, MI
Stephanie A. Little
Clinical Social Work/Therapist, LMSW
Verified Verified
Lake Orion, MI 48360
I view therapy/counseling as a way to express your thoughts and feelings without judgement or biases. Each client we treat, should feel safe, free, respected, and comfortable. I enjoy working with individuals to improve their life situations, regardless of where they are coming from, or where they plan to go in the therapeutic journey.
I view therapy/counseling as a way to express your thoughts and feelings without judgement or biases. Each client we treat, should feel safe, free, respected, and comfortable. I enjoy working with individuals to improve their life situations, regardless of where they are coming from, or where they plan to go in the therapeutic journey.
(248) 987-0247 View (248) 987-0247
Photo of Lisa Farrell-Byrski, Clinical Social Work/Therapist in Lake Orion, MI
Lisa Farrell-Byrski
Clinical Social Work/Therapist, LMSW
Verified Verified
Lake Orion, MI 48362
Living life with anxiety, depression, being an overthinker, disorganized, being forgetful, feeling misunderstood, having lack of motivation or initiation in starting tasks, impatience, impulsiveness, endless worry about the what ifs, analysis paralysis, mood swings, feeling completely inadequate or different from your counterparts can be really really difficult, it can make you feel less than when you really are so much more than your set of symptoms. One focus of my practice is to assist both children and ADULTS with diagnosed or undiagnosed ADHD or VAST live their best life and to gain new insights into living with neurodiversity
Living life with anxiety, depression, being an overthinker, disorganized, being forgetful, feeling misunderstood, having lack of motivation or initiation in starting tasks, impatience, impulsiveness, endless worry about the what ifs, analysis paralysis, mood swings, feeling completely inadequate or different from your counterparts can be really really difficult, it can make you feel less than when you really are so much more than your set of symptoms. One focus of my practice is to assist both children and ADULTS with diagnosed or undiagnosed ADHD or VAST live their best life and to gain new insights into living with neurodiversity
(248) 243-4683 View (248) 243-4683
Photo of MI Awareness, Clinical Social Work/Therapist in Lake Orion, MI
MI Awareness
Clinical Social Work/Therapist
Verified Verified
Lake Orion, MI 48362
MIAwareness provides quality mental health services mindfully to individuals, couples, and families of all ages. We take pride in tailoring our services to meet the needs of those that we serve with radical genuineness. Our therapists have compassion, and commitment to the therapy that they provide creating a balanced therapeutic environment. MIAwareness teaches clients to tend to the whole person: mind, body, soul, natural supports, and community. You are already making effective strides towards building your Radical Self! Awareness&Validation Starts Now!
MIAwareness provides quality mental health services mindfully to individuals, couples, and families of all ages. We take pride in tailoring our services to meet the needs of those that we serve with radical genuineness. Our therapists have compassion, and commitment to the therapy that they provide creating a balanced therapeutic environment. MIAwareness teaches clients to tend to the whole person: mind, body, soul, natural supports, and community. You are already making effective strides towards building your Radical Self! Awareness&Validation Starts Now!
(248) 831-0802 View (248) 831-0802
Photo of Rachelle Kristen Campbell, Licensed Professional Counselor in Lake Orion, MI
Rachelle Kristen Campbell
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Lake Orion, MI 48362
ACCEPTING NEW CLIENTS! For 20+ years I have had professional experiences of working with children and adults in education, mental health and bioenergetics. As a counselor, I provide a safe, nurturing, confidential and nonjudgemental environment to help you identify what is holding you back and give you the tools to live a rewarding and fullfilling life. I believe in the consideration of the "whole self" (mind, body and spirit) and take a holistic path in helping you heal, grow and achieve.
ACCEPTING NEW CLIENTS! For 20+ years I have had professional experiences of working with children and adults in education, mental health and bioenergetics. As a counselor, I provide a safe, nurturing, confidential and nonjudgemental environment to help you identify what is holding you back and give you the tools to live a rewarding and fullfilling life. I believe in the consideration of the "whole self" (mind, body and spirit) and take a holistic path in helping you heal, grow and achieve.
(586) 371-7226 View (586) 371-7226
Photo of MI Awareness, Counselor in Lake Orion, MI
MI Awareness
Counselor, LPC
Verified Verified
Lake Orion, MI 48362
MIAwareness provides quality mental health services mindfully to individuals, couples, and families of all ages. We take pride in tailoring our services to meet the needs of those that we serve with radical genuineness. Our therapists have compassion, and commitment to the therapy that they provide creating a balanced therapeutic environment. MIAwareness teaches clients to tend to the whole person: mind, body, soul, natural supports, and community. You are already making effective strides towards building your Radical Self! Awareness & Validation Starts Now!
MIAwareness provides quality mental health services mindfully to individuals, couples, and families of all ages. We take pride in tailoring our services to meet the needs of those that we serve with radical genuineness. Our therapists have compassion, and commitment to the therapy that they provide creating a balanced therapeutic environment. MIAwareness teaches clients to tend to the whole person: mind, body, soul, natural supports, and community. You are already making effective strides towards building your Radical Self! Awareness & Validation Starts Now!
(947) 333-8959 View (947) 333-8959
Photo of Meghan Tafel, Clinical Social Work/Therapist in Lake Orion, MI
Meghan Tafel
Clinical Social Work/Therapist, LCSW
Verified Verified
Lake Orion, MI 48359  (Online Only)
Are you feeling overwhelmed in your world right now? Regardless of whether you are anxious, depressed, confused, or just "stuck" in life right now, there is hope! I believe the most important factor in successful therapy is a good therapeutic relationship. Hopefully, you will be able to find that person with me. In therapy, I will aid you in setting goals that will help you lead a happier and more fulfilling lifestyle. I utilize an eclectic style of practice incorporating psychodynamic, strength-based, cognitive behavioral, educational, play, and solution-focused strategies, which means I find the strategy that works best for you.
Are you feeling overwhelmed in your world right now? Regardless of whether you are anxious, depressed, confused, or just "stuck" in life right now, there is hope! I believe the most important factor in successful therapy is a good therapeutic relationship. Hopefully, you will be able to find that person with me. In therapy, I will aid you in setting goals that will help you lead a happier and more fulfilling lifestyle. I utilize an eclectic style of practice incorporating psychodynamic, strength-based, cognitive behavioral, educational, play, and solution-focused strategies, which means I find the strategy that works best for you.
(248) 290-8948 View (248) 290-8948
Photo of Lauren H Anderson, Clinical Social Work/Therapist in Lake Orion, MI
Lauren H Anderson
Clinical Social Work/Therapist, LMSW, CCTP
Verified Verified
Lake Orion, MI 48360  (Online Only)
I consider the relationship between therapist and patient to be the most important aspect of psychotherapy. Suffering from poor mental health is often a very isolating experience, so it is essential that my clients know and truly believe that I care about their well-being and will always advocate for their interests. As a highly empathetic individual, I have had my own journey with mental health struggles and can truly appreciate the courage it takes to come to therapy. I feel privileged every time a client lets me into their world.
I consider the relationship between therapist and patient to be the most important aspect of psychotherapy. Suffering from poor mental health is often a very isolating experience, so it is essential that my clients know and truly believe that I care about their well-being and will always advocate for their interests. As a highly empathetic individual, I have had my own journey with mental health struggles and can truly appreciate the courage it takes to come to therapy. I feel privileged every time a client lets me into their world.
(248) 283-3466 View (248) 283-3466
Photo of Lauren Yearego, Counselor in Lake Orion, MI
Lauren Yearego
Counselor, MA, LPC, NCC, CTP-C
Verified Verified
2 Endorsed
Lake Orion, MI 48362
Not accepting new clients
You recently discovered your child or teen may need counseling and are thinking, "Now what?!" It could be that your child is acting out and their teacher recommended counseling; maybe your teen told you they question if anyone cares about them; or you began fostering a child and know they need the extra support; or maybe it's the stresses of everyday life that are bogging you down and you need some sort of outlet. One of the hardest things about being in a time of despair is feeling alone, as if no one understands you, and then being so scared to take that first next step without knowing where to turn or what questions to ask.
You recently discovered your child or teen may need counseling and are thinking, "Now what?!" It could be that your child is acting out and their teacher recommended counseling; maybe your teen told you they question if anyone cares about them; or you began fostering a child and know they need the extra support; or maybe it's the stresses of everyday life that are bogging you down and you need some sort of outlet. One of the hardest things about being in a time of despair is feeling alone, as if no one understands you, and then being so scared to take that first next step without knowing where to turn or what questions to ask.
(586) 501-8046 View (586) 501-8046
Photo of Beyond Mindful Counseling and Wellness, Licensed Professional Counselor in Lake Orion, MI
Beyond Mindful Counseling and Wellness
Licensed Professional Counselor, MA, LPC
Verified Verified
Lake Orion, MI 48362  (Online Only)
ACCEPTING NEW CLIENTS! For 20+ years I have had professional experiences of working with children and adults in education, mental health and bioenergetics. As a counselor, I provide a safe, nurturing, confidential and nonjudgemental environment to help you identify what is holding you back and give you the tools to live a rewarding and fullfilling life. I believe in the consideration of the "whole self" (mind, body and spirit) and take a holistic path in helping you heal, grow and achieve.
ACCEPTING NEW CLIENTS! For 20+ years I have had professional experiences of working with children and adults in education, mental health and bioenergetics. As a counselor, I provide a safe, nurturing, confidential and nonjudgemental environment to help you identify what is holding you back and give you the tools to live a rewarding and fullfilling life. I believe in the consideration of the "whole self" (mind, body and spirit) and take a holistic path in helping you heal, grow and achieve.
(947) 222-0911 View (947) 222-0911
Photo of Aubrey Rutkowski, Clinical Social Work/Therapist in Lake Orion, MI
Aubrey Rutkowski
Clinical Social Work/Therapist, LMSW
Verified Verified
Lake Orion, MI 48362
Have you been searching for someone who will listen and support you or your child without judgment? Look no further- I can help! I have over 10 years of experience working with young children, elementary aged children, teenagers, young adults, middle aged adults, and older adults. I have worked doing outpatient therapy, in the schools as a School Social Worker, and in a partial hospitalization program as well. All of these experiences have given me insight into the many modalities of treatment. Additionally, I am passionate about being the bridge between clients and their communities to provide the best care possible.
Have you been searching for someone who will listen and support you or your child without judgment? Look no further- I can help! I have over 10 years of experience working with young children, elementary aged children, teenagers, young adults, middle aged adults, and older adults. I have worked doing outpatient therapy, in the schools as a School Social Worker, and in a partial hospitalization program as well. All of these experiences have given me insight into the many modalities of treatment. Additionally, I am passionate about being the bridge between clients and their communities to provide the best care possible.
(248) 780-1082 View (248) 780-1082

How does your Therapist compare?

Number of Therapists in Lake Orion, MI

80+

Average cost per session

$120

Therapists in Lake Orion, MI who prioritize treating:

97% Depression
97% Anxiety
79% Relationship Issues
77% Grief
72% Trauma and PTSD
72% Self Esteem
70% Coping Skills

Average years in practice

16 Years

Top 3 insurances accepted

77% BlueCross and BlueShield
72% Aetna
64% UnitedHealthcare UHC | UBH

How Therapists in Lake Orion, MI see their clients

87% In Person and Online
13% Online Only

Gender breakdown

83% Female
17% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Lake Orion?

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.