Therapists in Lake Zurich, IL

Photo of Tree of Life Counseling LLC, Counselor in Lake Zurich, IL
Tree of Life Counseling LLC
Counselor, MA, LCPC, CCTP
Verified Verified
Lake Zurich, IL 60047  (Online Only)
The ideal patient is one who is one in pursuit of growth and desire to become more fully themselves. A willingness to discover and develop awareness of yourself is fundamental to our therapeutic work. As we honestly, kindly, and compassionately explore and learn about those inner processes, we will bring healing and conscious changes to the present dynamics and behaviors which have led to seek out supports. As we move closer to closure with a positive outcome, we will incorporate changes in how we relate to Self and to others, and set forth to live a more authentic and fulfilling life.
The ideal patient is one who is one in pursuit of growth and desire to become more fully themselves. A willingness to discover and develop awareness of yourself is fundamental to our therapeutic work. As we honestly, kindly, and compassionately explore and learn about those inner processes, we will bring healing and conscious changes to the present dynamics and behaviors which have led to seek out supports. As we move closer to closure with a positive outcome, we will incorporate changes in how we relate to Self and to others, and set forth to live a more authentic and fulfilling life.
(309) 322-7649 View (309) 322-7649
Photo of Christine Spuhler, Clinical Social Work/Therapist in Lake Zurich, IL
Christine Spuhler
Clinical Social Work/Therapist, LCSW
Verified Verified
Lake Zurich, IL 60047
My hope for our work together is that you are able to reach inside yourself and nurture the damaged parts of who you have been and move toward becoming the person you want to be. I have over thirty years of experience working with all forms of trauma (particularly early childhood attachment), chronic medical illness, immigrant realities, grief and loss, adoption, brain injury, shame, guilt, anxiety, depression and other forms of human struggles.
My hope for our work together is that you are able to reach inside yourself and nurture the damaged parts of who you have been and move toward becoming the person you want to be. I have over thirty years of experience working with all forms of trauma (particularly early childhood attachment), chronic medical illness, immigrant realities, grief and loss, adoption, brain injury, shame, guilt, anxiety, depression and other forms of human struggles.
(224) 269-6299 View (224) 269-6299
Photo of Angelica Newton, Counselor in Lake Zurich, IL
Angelica Newton
Counselor, LCPC, PMH-C
Verified Verified
1 Endorsed
Lake Zurich, IL 60047
I would love to see each individual experiencing life at their full potential. I also understand that there are many things that can get in the way of that. I strive to create a safe, comfortable, empowering and creative environment in which my clients can work towards their individual goals. My commitment is to come along side you by providing skills, knowledge, reflection, support, and encouragement.
I would love to see each individual experiencing life at their full potential. I also understand that there are many things that can get in the way of that. I strive to create a safe, comfortable, empowering and creative environment in which my clients can work towards their individual goals. My commitment is to come along side you by providing skills, knowledge, reflection, support, and encouragement.
(847) 558-7783 View (847) 558-7783
Photo of Virginia Perez, Clinical Social Work/Therapist in Lake Zurich, IL
Virginia Perez
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
2 Endorsed
Lake Zurich, IL 60047  (Online Only)
Welcome! I’m glad you’re here. I am a licensed therapist with over a decade of clinical experience working with adults from a myriad of backgrounds. I offer a collaborative approach to therapy with warmth, authenticity, and empathy. My primary areas of focus include anxiety, ADHD, depression, disordered eating, career concerns, parental stress, women’s issues, life transitions, and relationship issues. I pride myself on consistent education and self reflection in cultural competency to ensure I am able to justly provide services to all communities.
Welcome! I’m glad you’re here. I am a licensed therapist with over a decade of clinical experience working with adults from a myriad of backgrounds. I offer a collaborative approach to therapy with warmth, authenticity, and empathy. My primary areas of focus include anxiety, ADHD, depression, disordered eating, career concerns, parental stress, women’s issues, life transitions, and relationship issues. I pride myself on consistent education and self reflection in cultural competency to ensure I am able to justly provide services to all communities.
(224) 864-9659 View (224) 864-9659
Photo of Heather Kollmer, Counselor in Lake Zurich, IL
Heather Kollmer
Counselor, LCPC
Verified Verified
1 Endorsed
Lake Zurich, IL 60047
Sometimes the hardest thing to do is reach out and make that phone call for support. When a part of you realizes the issues or struggles are beginning to feel too overwhelming to manage alone. Although it may not feel like it at the time this is your inner strength that has always been there wanting to guide you forward on your path... Maybe you may feel stuck in certain areas of your life and wish to move forward but are unsure of how to do that. Or you have placed the needs of others before your own. Perhaps at times you might even feel unworthy of help. This is the time to invest in yourself and your potential.
Sometimes the hardest thing to do is reach out and make that phone call for support. When a part of you realizes the issues or struggles are beginning to feel too overwhelming to manage alone. Although it may not feel like it at the time this is your inner strength that has always been there wanting to guide you forward on your path... Maybe you may feel stuck in certain areas of your life and wish to move forward but are unsure of how to do that. Or you have placed the needs of others before your own. Perhaps at times you might even feel unworthy of help. This is the time to invest in yourself and your potential.
(847) 719-6587 View (847) 719-6587
Photo of Mitzi Weiland, Marriage & Family Therapist in Lake Zurich, IL
Mitzi Weiland
Marriage & Family Therapist, LMFT
Verified Verified
Lake Zurich, IL 60047  (Online Only)
We might be a good fit if you are; facing life changes like empty nest or retirement, you feel stuck or insecure about your goals, you are facing end-of-life challenges for yourself or a loved one, you have complicated feelings and simply want a safe space to discuss them, you have a family dynamic that isn't working at the moment, you can't figure out why you are not achieving your goals, want to trust or respect yourself more, or you are feeling distressed from anxious or depressive feelings. You are; ready to explore the situation as it is, reflect on if you want to make changes, and start taking steps towards living your values.
We might be a good fit if you are; facing life changes like empty nest or retirement, you feel stuck or insecure about your goals, you are facing end-of-life challenges for yourself or a loved one, you have complicated feelings and simply want a safe space to discuss them, you have a family dynamic that isn't working at the moment, you can't figure out why you are not achieving your goals, want to trust or respect yourself more, or you are feeling distressed from anxious or depressive feelings. You are; ready to explore the situation as it is, reflect on if you want to make changes, and start taking steps towards living your values.
(847) 908-9378 View (847) 908-9378
Photo of Nicole Trujillo, Licensed Clinical Professional Counselor in Lake Zurich, IL
Nicole Trujillo
Licensed Clinical Professional Counselor, LCPC, MA
Verified Verified
1 Endorsed
Lake Zurich, IL 60047
I believe the therapeutic relationship is a collaborative process built off trust, support, and an empathetic environment. Together I hope we can build a safe space to explore emotional connections, understand helpful and unhelpful behavior patterns, and build resilience within. I have experience working with adults, children, and families in a variety of settings including community mental health, mobile crisis response, and therapeutic support services in schools.
I believe the therapeutic relationship is a collaborative process built off trust, support, and an empathetic environment. Together I hope we can build a safe space to explore emotional connections, understand helpful and unhelpful behavior patterns, and build resilience within. I have experience working with adults, children, and families in a variety of settings including community mental health, mobile crisis response, and therapeutic support services in schools.
(224) 263-0852 View (224) 263-0852
Photo of Merita Hasani, Counselor in Lake Zurich, IL
Merita Hasani
Counselor, LCPC, CADC
Verified Verified
1 Endorsed
Lake Zurich, IL 60047
Congratulations on seeking help, searching for a therapist is scary and a very brave step you can take in making changes. Now more than ever, people are feeling anxious, overwhelmed, and uncertain about how they are supposed to manage their relationships, careers, and lives. I start with understanding where you are now and the challenges you are facing. I help you put a plan in place to help you move forward, and we celebrate your successes along the way. I offer an inclusive, safe space with in-person or virtual appointments to suit your schedule.
Congratulations on seeking help, searching for a therapist is scary and a very brave step you can take in making changes. Now more than ever, people are feeling anxious, overwhelmed, and uncertain about how they are supposed to manage their relationships, careers, and lives. I start with understanding where you are now and the challenges you are facing. I help you put a plan in place to help you move forward, and we celebrate your successes along the way. I offer an inclusive, safe space with in-person or virtual appointments to suit your schedule.
(224) 347-6756 View (224) 347-6756
Photo of Nicole Hoffman, Psychologist in Lake Zurich, IL
Nicole Hoffman
Psychologist, PsyD
Verified Verified
Lake Zurich, IL 60047  (Online Only)
As a parent, nothing is more stressful when your child/teen/young adult is struggling emotionally or academically. Whether it's coping with anxiety or depression, academic or social problems, parenting in today's world with the demands of work and family can be overwhelming. My goal is to partner with you to determine your goals for your child. I will help you set your child/teen/young adult up for success by focusing on their unique strengths and developing strategies to mediate weaknesses. When necessary, I will help you to successfully communicate with your child's school.
As a parent, nothing is more stressful when your child/teen/young adult is struggling emotionally or academically. Whether it's coping with anxiety or depression, academic or social problems, parenting in today's world with the demands of work and family can be overwhelming. My goal is to partner with you to determine your goals for your child. I will help you set your child/teen/young adult up for success by focusing on their unique strengths and developing strategies to mediate weaknesses. When necessary, I will help you to successfully communicate with your child's school.
(847) 984-0119 View (847) 984-0119
Photo of Andrew Stuckey, Pre-Licensed Professional in Lake Zurich, IL
Andrew Stuckey
Pre-Licensed Professional, MSW, LSW
Verified Verified
1 Endorsed
Lake Zurich, IL 60047
I’m dedicated to walking the journey with you, truly listening, and helping you clarify and achieve your next-level vision for a life of mental wellness. I want to help you achieve whatever solutions and life changes you are looking for while enjoying the process as much as possible and experiencing yourself in new ways.
I’m dedicated to walking the journey with you, truly listening, and helping you clarify and achieve your next-level vision for a life of mental wellness. I want to help you achieve whatever solutions and life changes you are looking for while enjoying the process as much as possible and experiencing yourself in new ways.
(779) 223-1515 View (779) 223-1515
Photo of Restorative Healing Counseling & Psychotherapy, Clinical Social Work/Therapist in Lake Zurich, IL
Restorative Healing Counseling & Psychotherapy
Clinical Social Work/Therapist
Verified Verified
6 Endorsed
Lake Zurich, IL 60047
Welcome! We're so glad you're here. At Restorative Healing, our number one priority is to make sure you receive the best care possible, from the moment you reach out to us and throughout your journey with us. We provide both in-person and teletherapy therapy for adults, adolescents, children, and couples. When you call for your first appointment, we take the time to listen and assess which therapist will be the most compatible with you. Whether you’re dealing with unexplained anxiety, a difficult life event, or you’re just feeling stuck, we take things at your pace and do our best to meet you exactly where you're at.
Welcome! We're so glad you're here. At Restorative Healing, our number one priority is to make sure you receive the best care possible, from the moment you reach out to us and throughout your journey with us. We provide both in-person and teletherapy therapy for adults, adolescents, children, and couples. When you call for your first appointment, we take the time to listen and assess which therapist will be the most compatible with you. Whether you’re dealing with unexplained anxiety, a difficult life event, or you’re just feeling stuck, we take things at your pace and do our best to meet you exactly where you're at.
(224) 470-7683 View (224) 470-7683
Photo of Joanna Krause, Clinical Social Work/Therapist in Lake Zurich, IL
Joanna Krause
Clinical Social Work/Therapist, MA, MSW, LCSW
Verified Verified
Lake Zurich, IL 60047
If your child or adolescent is struggling with emotional/behavioral challenges, anxiety, depression, self-harm or suicidal ideation, please know that you are not alone. For the past 18 years, I've been working with families to regain a sense of peace in their homes and in their lives. Living with a child who is emotionally dysregulated takes a toll on the entire family. Together, we will set goals towards change. Your needs will drive the type of therapeutic approach I utilize. Riley, my therapy dog certified through Therapy Dogs of America (TDI) often joins me in sessions based on client preference.
If your child or adolescent is struggling with emotional/behavioral challenges, anxiety, depression, self-harm or suicidal ideation, please know that you are not alone. For the past 18 years, I've been working with families to regain a sense of peace in their homes and in their lives. Living with a child who is emotionally dysregulated takes a toll on the entire family. Together, we will set goals towards change. Your needs will drive the type of therapeutic approach I utilize. Riley, my therapy dog certified through Therapy Dogs of America (TDI) often joins me in sessions based on client preference.
(224) 328-1903 View (224) 328-1903
Photo of Denise Casey, Psychologist in Lake Zurich, IL
Denise Casey
Psychologist, PsyD, CADC, NBCCHT
Verified Verified
3 Endorsed
Lake Zurich, IL 60047
HOPE, HELP, HEALING. Dr. Casey would best describe her intentions for her clients in one word "Transformation". As founder of Barrington Behavioral Health & Wellness, she has created a "home" for people where growth and healing are possible. Her own journey has taught her as much as the diplomas on her wall and the credentials behind her name. She was on staff at Lutheran General Hospital and taught at Northeastern IL University. She is trained as a Licensed Clinical Psychologist, a Certified Alcohol & Drug Abuse Counselor, is versed in Hypnotherapy and Cognitive Behavioral Therapy. She is also an Employee Assistance Provider.
HOPE, HELP, HEALING. Dr. Casey would best describe her intentions for her clients in one word "Transformation". As founder of Barrington Behavioral Health & Wellness, she has created a "home" for people where growth and healing are possible. Her own journey has taught her as much as the diplomas on her wall and the credentials behind her name. She was on staff at Lutheran General Hospital and taught at Northeastern IL University. She is trained as a Licensed Clinical Psychologist, a Certified Alcohol & Drug Abuse Counselor, is versed in Hypnotherapy and Cognitive Behavioral Therapy. She is also an Employee Assistance Provider.
(888) 265-6418 View (888) 265-6418
Photo of Beth Kubiesa, Clinical Social Work/Therapist in Lake Zurich, IL
Beth Kubiesa
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Lake Zurich, IL 60047
I believe in a strengths- based approach when working with clients. I utilize mindfulness, cognitive behavioral skills, motivational interviewing, and EMDR to help clients achieve their goals. I have an eclectic approach which allows me to tailor my therapy style to the needs of the client.
I believe in a strengths- based approach when working with clients. I utilize mindfulness, cognitive behavioral skills, motivational interviewing, and EMDR to help clients achieve their goals. I have an eclectic approach which allows me to tailor my therapy style to the needs of the client.
(224) 207-4325 x406 View (224) 207-4325 x406
Photo of Ana R Florencio, Licensed Clinical Professional Counselor in Lake Zurich, IL
Ana R Florencio
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Lake Zurich, IL 60047
Some of the issues people who find benefit working with me are anxiety, depression, low self-esteem, struggles with shame, feeling frozen in life, difficulty in relationships in their personal life and/or at work, feeling disconnected from self and from others, physical symptoms that do not have a medical explanation, developmental or complex trauma, flashbacks, intrusive thoughts, being frequently and/or easily triggered, issues with spirituality, and other.
Some of the issues people who find benefit working with me are anxiety, depression, low self-esteem, struggles with shame, feeling frozen in life, difficulty in relationships in their personal life and/or at work, feeling disconnected from self and from others, physical symptoms that do not have a medical explanation, developmental or complex trauma, flashbacks, intrusive thoughts, being frequently and/or easily triggered, issues with spirituality, and other.
(224) 479-0689 View (224) 479-0689
Photo of Dr. Melissa Hamilton, Clinical Social Work/Therapist in Lake Zurich, IL
Dr. Melissa Hamilton
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
1 Endorsed
Lake Zurich, IL 60047
Not accepting new clients
I have worked with a diverse population of clients and am capable of quickly making and maintaining the therapeutic connection necessary to facilitate personal changes and achieve results. I believe therapy is a collaborative endeavor that takes place within a private, safe, supportive, and empathetic environment. I will work to help you gain insight into your emotional experiences so that you can achieve the personal goals you set for yourself in the therapeutic process. I have an extensive experience working with children and families in crisis as well as working with several different populations in different treatment settings.
I have worked with a diverse population of clients and am capable of quickly making and maintaining the therapeutic connection necessary to facilitate personal changes and achieve results. I believe therapy is a collaborative endeavor that takes place within a private, safe, supportive, and empathetic environment. I will work to help you gain insight into your emotional experiences so that you can achieve the personal goals you set for yourself in the therapeutic process. I have an extensive experience working with children and families in crisis as well as working with several different populations in different treatment settings.
(224) 662-3086 View (224) 662-3086
Photo of Barrington Behavioral Health & Wellness , Counselor in Lake Zurich, IL
Barrington Behavioral Health & Wellness
Counselor, LCPC, CRADC, NCC
Verified Verified
Lake Zurich, IL 60047  (Online Only)
Reaching out is never entirely easy, but post pandemic, options have opened. This is why we are providing services online to areas in IL. These past few years we are facing more life stressors, multiple transitions and extra relational challenges. Coping in healthy ways is paramount to functioning well. We believe in resilience and hope to help you find yours. Join us online to return to your best self.
Reaching out is never entirely easy, but post pandemic, options have opened. This is why we are providing services online to areas in IL. These past few years we are facing more life stressors, multiple transitions and extra relational challenges. Coping in healthy ways is paramount to functioning well. We believe in resilience and hope to help you find yours. Join us online to return to your best self.
(618) 248-4150 x417 View (618) 248-4150 x417
Photo of Stableway Counseling Services, LLC, Clinical Social Work/Therapist in Lake Zurich, IL
Stableway Counseling Services, LLC
Clinical Social Work/Therapist
Verified Verified
3 Endorsed
Lake Zurich, IL 60047
We are a cooperative of professionals who are dedicated to providing effective, thoughtful, and compassionate psychotherapy. At Stableway Counseling Services we work to provide our clients with highly personalized therapeutic care and understanding. We would love to see each individual experiencing life at their full potential. However, we understand that there are many things that can get in the way of that. It is our hope to offer a space for others to explore, grow, learn, and become the person that they would like to be.
We are a cooperative of professionals who are dedicated to providing effective, thoughtful, and compassionate psychotherapy. At Stableway Counseling Services we work to provide our clients with highly personalized therapeutic care and understanding. We would love to see each individual experiencing life at their full potential. However, we understand that there are many things that can get in the way of that. It is our hope to offer a space for others to explore, grow, learn, and become the person that they would like to be.
(815) 570-4154 View (815) 570-4154
Photo of Cherry Hill Counseling in Lake Zurich, IL
Cherry Hill Counseling
Verified Verified
Lake Zurich, IL 60047
Cherry Hill Counseling is one of the longest-standing counseling practices in the Northwestern suburbs of Chicago. Cherry Hill has seven locations including: Lake Zurich, Vernon Hills, McHenry, Deer Park, Chicago, Grayslake, and Wheaton. Our counseling services include: individual therapy, family therapy, counseling for children and adolescents, marital and premarital therapy, group therapy, and psychological testing.
Cherry Hill Counseling is one of the longest-standing counseling practices in the Northwestern suburbs of Chicago. Cherry Hill has seven locations including: Lake Zurich, Vernon Hills, McHenry, Deer Park, Chicago, Grayslake, and Wheaton. Our counseling services include: individual therapy, family therapy, counseling for children and adolescents, marital and premarital therapy, group therapy, and psychological testing.
(847) 386-2109 View (847) 386-2109
Photo of Joyce Perez, Pre-Licensed Professional in Lake Zurich, IL
Joyce Perez
Pre-Licensed Professional, MSW
Verified Verified
Lake Zurich, IL 60047
I am passionate about providing culturally responsive and language accessible care. I am able to provide services in both English and Spanish. My passion is in providing culturally competent care, empathy, and understanding in order to foster confidence and healing. I have experience working with a continuum of mental health concerns including depression, anxiety, self-esteem, life transitions, interpersonal conflict, and immigrant/generational trauma.
I am passionate about providing culturally responsive and language accessible care. I am able to provide services in both English and Spanish. My passion is in providing culturally competent care, empathy, and understanding in order to foster confidence and healing. I have experience working with a continuum of mental health concerns including depression, anxiety, self-esteem, life transitions, interpersonal conflict, and immigrant/generational trauma.
(224) 479-0245 View (224) 479-0245

How does your Therapist compare?

Number of Therapists in Lake Zurich, IL

100+

Average cost per session

$135

Therapists in Lake Zurich, IL who prioritize treating:

95% Anxiety
90% Depression
84% Self Esteem
83% Relationship Issues
71% Stress
71% Life Transitions
70% Coping Skills

Average years in practice

16 Years

Top 3 insurances accepted

98% BlueCross and BlueShield
66% Aetna
61% Cigna and Evernorth

How Therapists in Lake Zurich, IL see their clients

84% In Person and Online
16% Online Only

Gender breakdown

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

How can I find a therapist in Lake Zurich?

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.