Therapists in Monkton, MD

Photo of Cara Ebling, Clinical Social Work/Therapist, LCSW-C, MSW
Cara Ebling
Clinical Social Work/Therapist, LCSW-C, MSW
1 Endorsed
Monkton, MD 21111
*ACCEPTING NEW CLIENTS* Reaching out for help and taking steps to take care of yourself is a big deal. Whether you're dealing with depression, anxiety, relationship concerns or just simply having a difficult time and need extra support, you deserve to be heard. Through a positive, supportive and nurturing environment, I will help you learn the tools you need to assist with the difficulties life has thrown your way. You will learn coping skills that are vital in helping you achieve your wellness goals.
*ACCEPTING NEW CLIENTS* Reaching out for help and taking steps to take care of yourself is a big deal. Whether you're dealing with depression, anxiety, relationship concerns or just simply having a difficult time and need extra support, you deserve to be heard. Through a positive, supportive and nurturing environment, I will help you learn the tools you need to assist with the difficulties life has thrown your way. You will learn coping skills that are vital in helping you achieve your wellness goals.
(410) 587-2931 View (410) 587-2931
Photo of Helaina Ebling, Clinical Social Work/Therapist, LCSW-C
Helaina Ebling
Clinical Social Work/Therapist, LCSW-C
Monkton, MD 21111
I welcome the opportunity to meet with you to discuss what you're struggling with. With 45 years of experience, I bring wisdom, expertise and compassionate care tailored to your specific needs. Whether you are experiencing anxiety, depression, grief, trauma, concerns about your family, life transitions, major illness or communication problems, we can partner together to find safety and a respite for your soul, understanding, direction and solutions for your struggles.
I welcome the opportunity to meet with you to discuss what you're struggling with. With 45 years of experience, I bring wisdom, expertise and compassionate care tailored to your specific needs. Whether you are experiencing anxiety, depression, grief, trauma, concerns about your family, life transitions, major illness or communication problems, we can partner together to find safety and a respite for your soul, understanding, direction and solutions for your struggles.
(410) 847-7378 View (410) 847-7378
Photo of Michaela Langley, Licensed Clinical Professional Counselor, LCPC
Michaela Langley
Licensed Clinical Professional Counselor, LCPC
1 Endorsed
Online Only
If you’re dealing with stress, anxiety, challenging relationships, life transitions, or all of the above, I'm glad you found me. I believe in empowering you to identify and challenge negative thought patterns and behaviors that may be hindering your progress, and I also believe that spending some time exploring your life experiences, relationships, and family of origin can help us make better sense of what you’re currently experiencing. Reduced mental health symptoms, increased self-compassion, better emotion regulation, and improved relationships are all likely outcomes of therapy.
If you’re dealing with stress, anxiety, challenging relationships, life transitions, or all of the above, I'm glad you found me. I believe in empowering you to identify and challenge negative thought patterns and behaviors that may be hindering your progress, and I also believe that spending some time exploring your life experiences, relationships, and family of origin can help us make better sense of what you’re currently experiencing. Reduced mental health symptoms, increased self-compassion, better emotion regulation, and improved relationships are all likely outcomes of therapy.
(443) 381-6520 View (443) 381-6520
Photo of Ash Westgate, Counselor, M.A., LGPC
Ash Westgate
Counselor, M.A., LGPC
1 Endorsed
Monkton, MD 21111
Hi there! My name is Ash Westgate (they/them/theirs) and I am a Licensed Graduate Professional Counselor (LGPC) in Maryland. I’m excited to meet you! If you are searching for a therapist who specializes in conversations around identity, and focuses on all of what makes you you, then you’re in the right place. Who we are does not exist in a vacuum, and we are not all one thing, so if you're looking for conversations on how the different pieces make you - YOU - we'll likely work well together. I treat trauma-related symptoms, grief, mood and anxiety disorders, and stressors related to intersectional and multicultural identities.
Hi there! My name is Ash Westgate (they/them/theirs) and I am a Licensed Graduate Professional Counselor (LGPC) in Maryland. I’m excited to meet you! If you are searching for a therapist who specializes in conversations around identity, and focuses on all of what makes you you, then you’re in the right place. Who we are does not exist in a vacuum, and we are not all one thing, so if you're looking for conversations on how the different pieces make you - YOU - we'll likely work well together. I treat trauma-related symptoms, grief, mood and anxiety disorders, and stressors related to intersectional and multicultural identities.
(410) 618-9377 View (410) 618-9377
Photo of Mary Norman, Psychologist, PhD
Mary Norman
Psychologist, PhD
4 Endorsed
Serves Area
No childhood is perfect. Growing up can be an exciting and beautiful experience, but it is also hard work- and it can really be a lot to feel! How do we relate in a healthy way to the full range of emotions that come with a meaningful life? Parents, too, have a hard, important job. The experiences parents have had in their own childhood can echo in all kinds of ways through their lives. Children sometimes unknowingly stand on the bruises of our childhood, surprising us. How can we care for ourselves and help our children to be as happy and confident as possible in this complicated world?
No childhood is perfect. Growing up can be an exciting and beautiful experience, but it is also hard work- and it can really be a lot to feel! How do we relate in a healthy way to the full range of emotions that come with a meaningful life? Parents, too, have a hard, important job. The experiences parents have had in their own childhood can echo in all kinds of ways through their lives. Children sometimes unknowingly stand on the bruises of our childhood, surprising us. How can we care for ourselves and help our children to be as happy and confident as possible in this complicated world?
(443) 998-8197 View (443) 998-8197
Photo of Saundra Krieger, Clinical Social Work/Therapist, LCSW-C
Saundra Krieger
Clinical Social Work/Therapist, LCSW-C
Online Only
Hi, I’m Saundra — please feel free to call me that. Life can be challenging, and sometimes we all need a safe space to pause, reflect, and find our way forward. I believe therapy is a partnership — a place where we work together to explore what’s holding you back and discover practical ways to help you grow, heal, and move toward the life you want.
Hi, I’m Saundra — please feel free to call me that. Life can be challenging, and sometimes we all need a safe space to pause, reflect, and find our way forward. I believe therapy is a partnership — a place where we work together to explore what’s holding you back and discover practical ways to help you grow, heal, and move toward the life you want.
(443) 241-2349 View (443) 241-2349
Photo of Angana Cash, Clinical Social Work/Therapist, LMSW
Angana Cash
Clinical Social Work/Therapist, LMSW
Online Only
Same week appointments avaliable now. Most commerical insurances accepted. You’re afraid that someone will see you in a way that doesn’t reflect who you really are. That mismatch — between your intent and their perception — creates stress. Deep down, you want to be judged fairly. It’s not about being perfect — it’s about not being misunderstood in a way that harms your sense of self. If they think badly of you, what happens next? Will they talk behind your back? Will others believe them? Will you be isolated, mocked, or cast out?
Same week appointments avaliable now. Most commerical insurances accepted. You’re afraid that someone will see you in a way that doesn’t reflect who you really are. That mismatch — between your intent and their perception — creates stress. Deep down, you want to be judged fairly. It’s not about being perfect — it’s about not being misunderstood in a way that harms your sense of self. If they think badly of you, what happens next? Will they talk behind your back? Will others believe them? Will you be isolated, mocked, or cast out?
(410) 705-7741 View (410) 705-7741
Photo of Elliott Driscoll, Clinical Social Work/Therapist, LCSW-C, MBA
Elliott Driscoll
Clinical Social Work/Therapist, LCSW-C, MBA
7 Endorsed
Serves Area
Waitlist for new clients
I am a business professional and psychotherapist. Most of my patients are busy business people who have issues that hold them back. I apply psychotherapy to help them practically improve lives. My clients have been very successful when they have worked at it. To succeed in therapy try new behaviors, disclose difficult experiences, and let go of old patterns of thinking and behaving. If you choose to call please be prepared to work to achieve results. You can expect mutual respect, confidentiality, and professional boundaries.
I am a business professional and psychotherapist. Most of my patients are busy business people who have issues that hold them back. I apply psychotherapy to help them practically improve lives. My clients have been very successful when they have worked at it. To succeed in therapy try new behaviors, disclose difficult experiences, and let go of old patterns of thinking and behaving. If you choose to call please be prepared to work to achieve results. You can expect mutual respect, confidentiality, and professional boundaries.
(443) 909-2265 View (443) 909-2265
Photo of Kelly Guyton, Licensed Clinical Professional Counselor, LPC
Kelly Guyton
Licensed Clinical Professional Counselor, LPC
Online Only
Hi! I am a mental health therapist based in Maryland. I received my licensed Clinical Professional Counselor (LCPC) and National Certified Counselor (NCC) in 2018. I received my B.A. in Psychology in 2011 from San Francisco State University, my M.A. in Clinical Mental Health in 2018 from Argosy University, and my Ph.D. in Counseling Education and Supervision from Capella University. I am dedicated to providing mental health therapy to adults who are suffering from depression, anxiety, stress low self-esteem, ADHD, and life transitions. Though my primary clinical model is CBT and Person-Centered, my approach is holistic.
Hi! I am a mental health therapist based in Maryland. I received my licensed Clinical Professional Counselor (LCPC) and National Certified Counselor (NCC) in 2018. I received my B.A. in Psychology in 2011 from San Francisco State University, my M.A. in Clinical Mental Health in 2018 from Argosy University, and my Ph.D. in Counseling Education and Supervision from Capella University. I am dedicated to providing mental health therapy to adults who are suffering from depression, anxiety, stress low self-esteem, ADHD, and life transitions. Though my primary clinical model is CBT and Person-Centered, my approach is holistic.
(410) 656-6872 View (410) 656-6872
Photo of Sabrina Taylor, Licensed Professional Counselor, LPC
Sabrina Taylor
Licensed Professional Counselor, LPC
Online Only
I’m a licensed therapist who works with adults managing anxiety, chronic stress, major life transitions, and the emotional impact of health or disability related changes. My style is practical, collaborative, and evidence based, focused on helping you build real coping skills, gain clarity, and feel more grounded in your day to day life. I offer a supportive, down to earth space where meaningful and lasting change can happen.
I’m a licensed therapist who works with adults managing anxiety, chronic stress, major life transitions, and the emotional impact of health or disability related changes. My style is practical, collaborative, and evidence based, focused on helping you build real coping skills, gain clarity, and feel more grounded in your day to day life. I offer a supportive, down to earth space where meaningful and lasting change can happen.
(443) 331-9609 View (443) 331-9609
Photo of Reanna Murray, LMSW
Reanna Murray
Verified Verified
Online Only
Same week appointments avaliable now. Most commerical insurances accepted. If you’re feeling overwhelmed, anxious, or emotionally stuck, therapy can help you feel more grounded and supported. You don’t need the right words — just a place to start. Our work together focuses on the whole you: mind, body, emotions, and life circumstances. We’ll explore patterns, build practical tools, and support nervous system balance at your pace. When additional support is helpful, I can collaborate with trusted providers for referrals, ensuring your care feels coordinated and thoughtful.
Same week appointments avaliable now. Most commerical insurances accepted. If you’re feeling overwhelmed, anxious, or emotionally stuck, therapy can help you feel more grounded and supported. You don’t need the right words — just a place to start. Our work together focuses on the whole you: mind, body, emotions, and life circumstances. We’ll explore patterns, build practical tools, and support nervous system balance at your pace. When additional support is helpful, I can collaborate with trusted providers for referrals, ensuring your care feels coordinated and thoughtful.
(240) 249-4737 View (240) 249-4737
Photo of Ellie Steinbrecher, Clinical Social Work/Therapist, OCD, Anxiety, ERP
Ellie Steinbrecher
Clinical Social Work/Therapist, OCD, Anxiety, ERP
Online Only
Same week appointments avaliable now. Most commerical insurances accepted. You may have learned to stay strong or push through even when it feels exhausting. Therapy offers a space where you can slow down and feel safe enough to reconnect with yourself. My work is trauma-informed and holistic, focusing on emotional regulation, grounding, and self-compassion. Healing happens at your pace. If at any point additional support is needed, I can provide referrals to trusted professionals as part of a coordinated care approach.
Same week appointments avaliable now. Most commerical insurances accepted. You may have learned to stay strong or push through even when it feels exhausting. Therapy offers a space where you can slow down and feel safe enough to reconnect with yourself. My work is trauma-informed and holistic, focusing on emotional regulation, grounding, and self-compassion. Healing happens at your pace. If at any point additional support is needed, I can provide referrals to trusted professionals as part of a coordinated care approach.
(410) 824-5057 View (410) 824-5057
Photo of Ovadia Golfeiz, LCSW-C
Ovadia Golfeiz
Verified Verified
Serves Area
Same week appointments avaliable now. Most commerical insurances accepted. You live with a constant fear that your intrusive thoughts are an indication of who you are, and that fear is terrifying. “What if” thinking and self-doubt follow you from the moment you wake up until you fall asleep. You feel exhausted from having to repeatedly prove to yourself that you do not agree with these thoughts, yet despite all your effort, you still find yourself engaging in rituals just to feel a sense of relief. Over time, the fear never fully fades, leaving you drained and worn down by the constant anxiety.
Same week appointments avaliable now. Most commerical insurances accepted. You live with a constant fear that your intrusive thoughts are an indication of who you are, and that fear is terrifying. “What if” thinking and self-doubt follow you from the moment you wake up until you fall asleep. You feel exhausted from having to repeatedly prove to yourself that you do not agree with these thoughts, yet despite all your effort, you still find yourself engaging in rituals just to feel a sense of relief. Over time, the fear never fully fades, leaving you drained and worn down by the constant anxiety.
(240) 414-4708 View (240) 414-4708
Photo of Cheri Lally - Lighted Path Counseling Center, LLC, Clinical Social Work/Therapist, LCSW-C, ITR-TTS
Lighted Path Counseling Center, LLC
Clinical Social Work/Therapist, LCSW-C, ITR-TTS
1 Endorsed
Serves Area
Are you struggling with issues related to trauma, depression, grief, anxiety, or major life changes? There comes a time when we need some help from a certified professional to help cope with many of life's challenges. I'm a licensed Therapist in Cockeysville, MD. I'd love to help you on your journey toward healing and self-discovery. Life can be overwhelming and sometimes even exhausting, but I'm here to guide you through any obstacles you may face. My goal is to help you understand yourself more deeply and better cope with change.
Are you struggling with issues related to trauma, depression, grief, anxiety, or major life changes? There comes a time when we need some help from a certified professional to help cope with many of life's challenges. I'm a licensed Therapist in Cockeysville, MD. I'd love to help you on your journey toward healing and self-discovery. Life can be overwhelming and sometimes even exhausting, but I'm here to guide you through any obstacles you may face. My goal is to help you understand yourself more deeply and better cope with change.
(443) 785-2780 View (443) 785-2780

More Therapists Nearby

Photo of Nancy Nwogu, Licensed Professional Counselor, LPC, NCC, LCPC
Nancy Nwogu
Licensed Professional Counselor, LPC, NCC, LCPC
Online Only
Hi, I’m Nancy Nwogu, a Licensed Professional Counselor in Washington, DC and Maryland. With Nigerian roots and a background in psychology and education, my journey into counseling began with a desire to create safe, affirming spaces where individuals feel seen, heard, and supported. I specialize in working with children, adolescents, and adults navigating trauma, grief, anxiety, depression, life transitions, and stress.
Hi, I’m Nancy Nwogu, a Licensed Professional Counselor in Washington, DC and Maryland. With Nigerian roots and a background in psychology and education, my journey into counseling began with a desire to create safe, affirming spaces where individuals feel seen, heard, and supported. I specialize in working with children, adolescents, and adults navigating trauma, grief, anxiety, depression, life transitions, and stress.
(202) 915-4732 View (202) 915-4732
Photo of India Michelle Bell - My Best Self Therapeutic Services-India Bell, Clinical Social Work/Therapist, LCSW-C
My Best Self Therapeutic Services-India Bell
Clinical Social Work/Therapist, LCSW-C
3 Endorsed
Online Only
Has life or family stressors been weighing heavy on you? Have you been trying to independently cope with trauma, depression and/or anxiety but things appear to remain the same? Maybe you are searching for your best self but struggling to navigate the journey of finding you? “I know the life I want for myself and/or my child, but where do I start”? If you can relate to that statement, you’ve come to the right place. My Best Self Therapeutic Services is here to help, specifically if you are looking for a culturally competent, empathetic clinician that can cater to the specific needs of you and/or your family.
Has life or family stressors been weighing heavy on you? Have you been trying to independently cope with trauma, depression and/or anxiety but things appear to remain the same? Maybe you are searching for your best self but struggling to navigate the journey of finding you? “I know the life I want for myself and/or my child, but where do I start”? If you can relate to that statement, you’ve come to the right place. My Best Self Therapeutic Services is here to help, specifically if you are looking for a culturally competent, empathetic clinician that can cater to the specific needs of you and/or your family.
(667) 282-1419 View (667) 282-1419
Photo of Lisa Hewick, Licensed Clinical Professional Counselor, LCPC
Lisa Hewick
Licensed Clinical Professional Counselor, LCPC
Online Only
A therapeutic relationship is a trusting, meaningful, and nonjudgmental relationship where healing can begin. As a Licensed Clinical Professional Counselor I work with my clients to gain an understanding and manage issues that may be interfering with their everyday life, relationships, and/or personal growth. My goal is to help clients find happiness in the present moment while exploring possibilities of the future regardless of their current circumstance. My passion is to help individuals find their strengths, courage, and confidence to build resiliency.
A therapeutic relationship is a trusting, meaningful, and nonjudgmental relationship where healing can begin. As a Licensed Clinical Professional Counselor I work with my clients to gain an understanding and manage issues that may be interfering with their everyday life, relationships, and/or personal growth. My goal is to help clients find happiness in the present moment while exploring possibilities of the future regardless of their current circumstance. My passion is to help individuals find their strengths, courage, and confidence to build resiliency.
(410) 650-0703 View (410) 650-0703
Photo of Annick Barker, Clinical Social Work/Therapist, LCSW-C, LLC
Annick Barker
Clinical Social Work/Therapist, LCSW-C, LLC
Baltimore, MD 21211
During stressful times, it's easy to lose your bearings and feel at sea. While family or friends can offer support, sometimes you need a different kind of help. That's when working with a therapist can make a difference. For close to two decades, I've been helping people restore hope and get back to feeling like themselves again.
During stressful times, it's easy to lose your bearings and feel at sea. While family or friends can offer support, sometimes you need a different kind of help. That's when working with a therapist can make a difference. For close to two decades, I've been helping people restore hope and get back to feeling like themselves again.
(443) 399-2102 View (443) 399-2102
Photo of Rhaea Goff, Clinical Social Work/Therapist, LCSW-C
Rhaea Goff
Clinical Social Work/Therapist, LCSW-C
Online Only
I work with individuals who are navigating life transitions or experiencing dissatisfaction despite outward success. These transitions can include career changes, shifts in identity, relationship changes, or simply realizing that life no longer feels aligned with who you are. Life transitions are inevitable and can bring anxiety, depression, self-doubt, and uncertainty. You do not have to go through this alone.
I work with individuals who are navigating life transitions or experiencing dissatisfaction despite outward success. These transitions can include career changes, shifts in identity, relationship changes, or simply realizing that life no longer feels aligned with who you are. Life transitions are inevitable and can bring anxiety, depression, self-doubt, and uncertainty. You do not have to go through this alone.
(240) 261-0763 View (240) 261-0763
Photo of Jessica Brangaccio, Clinical Social Work/Therapist, LCSW-C
Jessica Brangaccio
Clinical Social Work/Therapist, LCSW-C
1 Endorsed
Online Only
If you are finding yourself feeling anxious and overwhelmed at the thought of managing all the demands of your life, the world around you, and/or issues that may be arising from your past, then therapy may be a good idea for you! Putting off your own needs and not caring for yourself can lead to long term effects on your mind, body, and overall health. Feeling as though life can be better doesn’t have to be a dream, it can be a reality. Let's work together to build support for a less stressful life that you can enjoy to the fullest, while also focusing on your goals through real discussion, targeted work, and positive outcomes.
If you are finding yourself feeling anxious and overwhelmed at the thought of managing all the demands of your life, the world around you, and/or issues that may be arising from your past, then therapy may be a good idea for you! Putting off your own needs and not caring for yourself can lead to long term effects on your mind, body, and overall health. Feeling as though life can be better doesn’t have to be a dream, it can be a reality. Let's work together to build support for a less stressful life that you can enjoy to the fullest, while also focusing on your goals through real discussion, targeted work, and positive outcomes.
(240) 817-3459 View (240) 817-3459

See more therapy options for Monkton

How does your Therapist compare?

Number of Therapists in Monkton, MD

10+

Average cost per session

$150

Therapists in Monkton, MD who prioritize treating:

100% Anxiety
93% Self Esteem
86% Depression
64% Relationship Issues
64% Trauma and PTSD
64% Stress
57% Behavioral Issues

Average years in practice

11 Years

Top 3 insurances accepted

92% Cigna and Evernorth
83% BlueCross and BlueShield
75% CareFirst

How Therapists in Monkton, MD see their clients

50% In Person and Online
50% Online Only

Gender breakdown

77% Female
15% Male
8% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Monkton?

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.