Therapists in Brentwood, TN

Photo of Heather Ann Olson, Clinical Social Work/Therapist in Brentwood, TN
Heather Ann Olson
Clinical Social Work/Therapist, LCSW
Not Verified Not Verified
Brentwood, TN 37027
Heather A. Olson is a Licensed Clinical Social Worker and a Licensed School Social Worker. She received her LCSW (Licensed Clinical Social Worker) in 2007. She graduated from the University of Tennessee with a Master’s Degree in Clinical Social Work in 2003. She has counseled children & adolescents with severe behavioral & emotional disorders &/or developmental disabilities, has been an adoption counselor, a therapist in a partial hospitalization program at an outpatient mental health clinic, has counseled in the school setting, has done medical social work in two large hospitals, and has been in private practice.
Heather A. Olson is a Licensed Clinical Social Worker and a Licensed School Social Worker. She received her LCSW (Licensed Clinical Social Worker) in 2007. She graduated from the University of Tennessee with a Master’s Degree in Clinical Social Work in 2003. She has counseled children & adolescents with severe behavioral & emotional disorders &/or developmental disabilities, has been an adoption counselor, a therapist in a partial hospitalization program at an outpatient mental health clinic, has counseled in the school setting, has done medical social work in two large hospitals, and has been in private practice.
(901) 617-4156 View (901) 617-4156
Photo of Rick Underwood Counseling, Licensed Professional Counselor in Brentwood, TN
Rick Underwood Counseling
Licensed Professional Counselor, PhD, LPC, MHSP, NCC, SATP
Verified Verified
Brentwood, TN 37027
I am honored to work with individuals, and couples in an emotionally safe, caring, and confidential environment where trust and authentic communication are experienced. I am privileged to walk with clients on their journey if they are seeking to explore solutions to a specific concern of life, or of if they have a desire to move past the "state of survival" or complacency to "living fully" and experience life as we are designed to live. I am available weekdays and occassionally on weekends. For more information, go to my website: www.rucounseling.com
I am honored to work with individuals, and couples in an emotionally safe, caring, and confidential environment where trust and authentic communication are experienced. I am privileged to walk with clients on their journey if they are seeking to explore solutions to a specific concern of life, or of if they have a desire to move past the "state of survival" or complacency to "living fully" and experience life as we are designed to live. I am available weekdays and occassionally on weekends. For more information, go to my website: www.rucounseling.com
(615) 601-3537 View (615) 601-3537
Photo of Alicia Covington, Clinical Social Work/Therapist in Brentwood, TN
Alicia Covington
Clinical Social Work/Therapist, LCSW
Verified Verified
Brentwood, TN 37027
In the complex journey of life, we all encounter obstacles that challenge us. When these obstacles involve mental health, it’s essential to have a guide by your side. Alicia Covington, LCSW, is passionate about accompanying children, adolescents, and young adults, as well as their families, on this journey. She helps them skillfully navigate and overcome their unique challenges. Imagine yourself or your loved one as the central character in a tale of transformation and growth, with Alicia as a supportive, understanding, and skilled ally.
In the complex journey of life, we all encounter obstacles that challenge us. When these obstacles involve mental health, it’s essential to have a guide by your side. Alicia Covington, LCSW, is passionate about accompanying children, adolescents, and young adults, as well as their families, on this journey. She helps them skillfully navigate and overcome their unique challenges. Imagine yourself or your loved one as the central character in a tale of transformation and growth, with Alicia as a supportive, understanding, and skilled ally.
(629) 222-9703 View (629) 222-9703
Photo of Blake M Howard, Licensed Professional Counselor in Brentwood, TN
Blake M Howard
Licensed Professional Counselor, MEd
Verified Verified
2 Endorsed
Brentwood, TN 37027
Life can be really hard sometimes, and nobody should have to go through it alone. Human connection and compassion can be so powerful and our greatest tool towards healing. I believe that we are all experts of our own experience and that sometimes we need someone to walk alongside with us in our journey to further self-discovery. I work primarily with trauma (complex and acute), grief/depression, anxiety, and sitting through difficult life transitions and stressors. I am eager to work collaboratively with you to begin your work towards inner peace and healing.
Life can be really hard sometimes, and nobody should have to go through it alone. Human connection and compassion can be so powerful and our greatest tool towards healing. I believe that we are all experts of our own experience and that sometimes we need someone to walk alongside with us in our journey to further self-discovery. I work primarily with trauma (complex and acute), grief/depression, anxiety, and sitting through difficult life transitions and stressors. I am eager to work collaboratively with you to begin your work towards inner peace and healing.
(615) 857-3166 View (615) 857-3166
Photo of Angela Alexander, Pre-Licensed Professional in Brentwood, TN
Angela Alexander
Pre-Licensed Professional
Verified Verified
Brentwood, TN 37027
I desire to understand my clients' longings, while offering support and guidance on a wide range of issues commonly encountered, such as career transitions, relationship dynamics, parenting struggles, aging parents, self-esteem concerns, and navigating societal expectations.
I desire to understand my clients' longings, while offering support and guidance on a wide range of issues commonly encountered, such as career transitions, relationship dynamics, parenting struggles, aging parents, self-esteem concerns, and navigating societal expectations.
(629) 276-3611 View (629) 276-3611
Photo of Brentwood Counseling Associates, Psychologist in Brentwood, TN
Brentwood Counseling Associates
Psychologist
Verified Verified
1 Endorsed
Brentwood, TN 37027
Since 1984, Brentwood Counseling Associates has been one of the most trusted group practices in the greater Nashville area. Our seasoned clinicians work with adults and children in individual therapy, as well as couples and families in relationship counseling. We treat depression, anxiety, relationship strain, trauma, career issues, grief/loss, and any other life circumstance that’s getting in the way of happiness or performance. In addition, we also offer ADHD evaluation and treatment.
Since 1984, Brentwood Counseling Associates has been one of the most trusted group practices in the greater Nashville area. Our seasoned clinicians work with adults and children in individual therapy, as well as couples and families in relationship counseling. We treat depression, anxiety, relationship strain, trauma, career issues, grief/loss, and any other life circumstance that’s getting in the way of happiness or performance. In addition, we also offer ADHD evaluation and treatment.
(615) 205-9723 View (615) 205-9723
Photo of Lisa Lawhon, Marriage & Family Therapist in Brentwood, TN
Lisa Lawhon
Marriage & Family Therapist, BSN, LMFT
Verified Verified
Brentwood, TN 37027
It is a privilege to work with clients wherever they are in their personal journey. Every individual and every relationship has a story, but not everyone knows how to give voice to it. Healing comes through having a safe place to tell the story, and a safe person to hear it. Each time I sit with a client, I am humbled by their courage. I hold each story as sacred, as together we purpose to find meaning, healing, and hope.
It is a privilege to work with clients wherever they are in their personal journey. Every individual and every relationship has a story, but not everyone knows how to give voice to it. Healing comes through having a safe place to tell the story, and a safe person to hear it. Each time I sit with a client, I am humbled by their courage. I hold each story as sacred, as together we purpose to find meaning, healing, and hope.
(615) 412-1662 View (615) 412-1662
Photo of Linda A. Hazel, Marriage & Family Therapist in Brentwood, TN
Linda A. Hazel
Marriage & Family Therapist, PhD, LMFT, EMDR-
Verified Verified
1 Endorsed
Brentwood, TN 37027
I work with individuals, couples and families. I have been an LMFT and an Addiction Specialist for over 35 years. I specialize in trauma using EMDR-2, all addictions, relationship issues, marriage and family therapy. I deeply care about helping clients work through and process trauma which improves their life. I have been an EMDR therapist for 25 years. I work from a family systems approach to help clients discover their own identity and be true to themselves. I am committed to helping clients discover how to have the best lives and relationships possible.
I work with individuals, couples and families. I have been an LMFT and an Addiction Specialist for over 35 years. I specialize in trauma using EMDR-2, all addictions, relationship issues, marriage and family therapy. I deeply care about helping clients work through and process trauma which improves their life. I have been an EMDR therapist for 25 years. I work from a family systems approach to help clients discover their own identity and be true to themselves. I am committed to helping clients discover how to have the best lives and relationships possible.
(629) 276-3851 View (629) 276-3851
Photo of Stephen Lockridge, Licensed Professional Counselor in Brentwood, TN
Stephen Lockridge
Licensed Professional Counselor, MA, MTS, LPC, MHSP
Verified Verified
4 Endorsed
Brentwood, TN 37027
Each of us has our own unique path and challenges to navigate in this life. Many of us struggle to find the freedom to live out our truth and to follow our hearts because we are bound by societal and/or familial conditioning and programming that pressures us to fit into a certain mold that may not align with who we are and what we find to be true. This binding can often show up as anxiety or unhappiness, and many of us have trauma that continues to live in our bodies influencing the ways in which we react to what we encounter in life. We can work together to understand and alleviate what is keeping you from being more free.
Each of us has our own unique path and challenges to navigate in this life. Many of us struggle to find the freedom to live out our truth and to follow our hearts because we are bound by societal and/or familial conditioning and programming that pressures us to fit into a certain mold that may not align with who we are and what we find to be true. This binding can often show up as anxiety or unhappiness, and many of us have trauma that continues to live in our bodies influencing the ways in which we react to what we encounter in life. We can work together to understand and alleviate what is keeping you from being more free.
(615) 398-6645 View (615) 398-6645
Photo of Danielle Choate, Licensed Professional Counselor in Brentwood, TN
Danielle Choate
Licensed Professional Counselor, LPC-MHS
Verified Verified
Brentwood, TN 37027  (Online Only)
Life can be difficult to navigate and there's no user manual. Are you struggling with anxiety or depression? Do you have a child or teenager who is often mislabeled as a "bad kid"? Do you feel your plate is more than full? Are you struggling to manage it all at once? Life can feel overwhelming. You keep burying these feelings and telling yourself "I'm fine". You deserve time to slow down and focus on yourself.
Life can be difficult to navigate and there's no user manual. Are you struggling with anxiety or depression? Do you have a child or teenager who is often mislabeled as a "bad kid"? Do you feel your plate is more than full? Are you struggling to manage it all at once? Life can feel overwhelming. You keep burying these feelings and telling yourself "I'm fine". You deserve time to slow down and focus on yourself.
(615) 551-1338 View (615) 551-1338
Photo of Travis Moore, Licensed Professional Counselor in Brentwood, TN
Travis Moore
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Brentwood, TN 37027
As humans, we develop physically, emotionally, spiritually, and relationally throughout our lives. During our life our development becomes tested by typical and/or atypical challenges. How we respond to these challenges impacts our continued growth. I love working with people across the lifespan addressing these challenges during which learning, growth, and empowerment stem. I have a particular interest in working with children, adolescents, and young adults in their process of ‘becoming’.
As humans, we develop physically, emotionally, spiritually, and relationally throughout our lives. During our life our development becomes tested by typical and/or atypical challenges. How we respond to these challenges impacts our continued growth. I love working with people across the lifespan addressing these challenges during which learning, growth, and empowerment stem. I have a particular interest in working with children, adolescents, and young adults in their process of ‘becoming’.
(629) 258-7137 View (629) 258-7137
Photo of Trina Middleton, Clinical Social Work/Therapist in Brentwood, TN
Trina Middleton
Clinical Social Work/Therapist, LCSW
Verified Verified
Brentwood, TN 37027  (Online Only)
Hi! I am a Licensed Clinical Social Worker. I have my Masters in Social Work from University of Texas at Arlington. I have worked in the field of mental health and as a therapist for 30 years. I am licensed in Arkansas and Tennessee. I work with adults of all ages and backgrounds who are experiencing difficulties such as difficulty coping, low self esteem, anxiety, grief and loss, and stress due to life transitions.
Hi! I am a Licensed Clinical Social Worker. I have my Masters in Social Work from University of Texas at Arlington. I have worked in the field of mental health and as a therapist for 30 years. I am licensed in Arkansas and Tennessee. I work with adults of all ages and backgrounds who are experiencing difficulties such as difficulty coping, low self esteem, anxiety, grief and loss, and stress due to life transitions.
(615) 808-7133 View (615) 808-7133
Photo of Sandra Belizaire, Clinical Social Work/Therapist in Brentwood, TN
Sandra Belizaire
Clinical Social Work/Therapist, LCSW
Verified Verified
Brentwood, TN 37027  (Online Only)
Hi there, My name is Sandra. My greatest passion is to come alongside others to help empower them and assist in building self-worth, improve communication in their relationships and help each client reach their maximum potential in life. I also provide Christian counseling based on Biblical values upon client request. My areas of expertise include (but are not limited to): stress management, relationship issues, stress, anger management, anxiety, depression, grief and loss, and personal growth.
Hi there, My name is Sandra. My greatest passion is to come alongside others to help empower them and assist in building self-worth, improve communication in their relationships and help each client reach their maximum potential in life. I also provide Christian counseling based on Biblical values upon client request. My areas of expertise include (but are not limited to): stress management, relationship issues, stress, anger management, anxiety, depression, grief and loss, and personal growth.
(615) 205-6765 View (615) 205-6765
Photo of Stuart Eldon Cook, Licensed Professional Counselor in Brentwood, TN
Stuart Eldon Cook
Licensed Professional Counselor, MA, LPC, MHSP
Verified Verified
1 Endorsed
Brentwood, TN 37027
Anxiety exhausts, paralyzes, and overwhelms us. Depression leaves us feeling hopeless, worthless, and alone. ADHD can stifle our productivity while crushing our self-esteem. Addiction keeps us in bondage to that which will never truly satisfy. And marital and family relationships that were supposed to serve as secure bases can quickly become sources of tremendous pain and distress. You've tried to overcome these issues on your own but to no avail; you feel stuck and as though you've run out of options. But there is hope!
Anxiety exhausts, paralyzes, and overwhelms us. Depression leaves us feeling hopeless, worthless, and alone. ADHD can stifle our productivity while crushing our self-esteem. Addiction keeps us in bondage to that which will never truly satisfy. And marital and family relationships that were supposed to serve as secure bases can quickly become sources of tremendous pain and distress. You've tried to overcome these issues on your own but to no avail; you feel stuck and as though you've run out of options. But there is hope!
(901) 350-4503 View (901) 350-4503
Photo of Mellissa DePaola, Clinical Social Work/Therapist in Brentwood, TN
Mellissa DePaola
Clinical Social Work/Therapist, LCSW
Verified Verified
Brentwood, TN 37027
We all bear wounds of some kind. Everyone has a unique life story to share. I became a therapist to listen to others’ stories of pain, and work with them to find light in their darkness. For 15 years, I have worked with individuals and families that have suffered from wounds inflicted by others, as well as emotional harm that may be self inflicted. Trauma and dysfunctional family patterns, or damaging thoughts- such as shame, anxiety, and self-defeat- may serve as examples of these wounds. The weight of unresolved emotional and mental pain can be both limiting and exhausting. But there is hope, and these wounds can be mended.
We all bear wounds of some kind. Everyone has a unique life story to share. I became a therapist to listen to others’ stories of pain, and work with them to find light in their darkness. For 15 years, I have worked with individuals and families that have suffered from wounds inflicted by others, as well as emotional harm that may be self inflicted. Trauma and dysfunctional family patterns, or damaging thoughts- such as shame, anxiety, and self-defeat- may serve as examples of these wounds. The weight of unresolved emotional and mental pain can be both limiting and exhausting. But there is hope, and these wounds can be mended.
(615) 861-1582 View (615) 861-1582
Photo of Kendra Kay Cox in Brentwood, TN
Kendra Kay Cox
LMSW
Verified Verified
1 Endorsed
Brentwood, TN 37027
I am a Licensed Master of Social Work and am passionate about supporting women on their journey to and through parenthood. I have participated as a volunteer on the Still Birth Support Team for The Rooted Bridge, providing support to women and families who have experienced still birth. I also have experience in early childhood and infant mental health. I am working towards becoming an Infant Family Associate through AimHi Tennessee along with obtaining my Child Development Associate.
I am a Licensed Master of Social Work and am passionate about supporting women on their journey to and through parenthood. I have participated as a volunteer on the Still Birth Support Team for The Rooted Bridge, providing support to women and families who have experienced still birth. I also have experience in early childhood and infant mental health. I am working towards becoming an Infant Family Associate through AimHi Tennessee along with obtaining my Child Development Associate.
(615) 283-9282 View (615) 283-9282
Photo of Adrienne Thompson, Pre-Licensed Professional in Brentwood, TN
Adrienne Thompson
Pre-Licensed Professional, NCC, LPC, MHSP
Verified Verified
Brentwood, TN 37027
Helping a young person and families find hope, strength, and resiliency through connection is what I love about being a therapist. I am passionate about working alongside children, adolescents and parents as they navigate life's hardships. I believe that when working with children and teens, working together with the caregivers helps promote growth and change. I have experience working with depression, school behavioral concerns, anxiety, trauma, sexual and physical abuse, divorce and grief.
Helping a young person and families find hope, strength, and resiliency through connection is what I love about being a therapist. I am passionate about working alongside children, adolescents and parents as they navigate life's hardships. I believe that when working with children and teens, working together with the caregivers helps promote growth and change. I have experience working with depression, school behavioral concerns, anxiety, trauma, sexual and physical abuse, divorce and grief.
(629) 258-7710 View (629) 258-7710
Photo of Amanda-Jo Serrano, Pre-Licensed Professional in Brentwood, TN
Amanda-Jo Serrano
Pre-Licensed Professional, MEd
Verified Verified
6 Endorsed
Brentwood, TN 37027
Now welcoming new clients! Delighted you're here. In sessions, you might meet Annie, my therapy-trained animal, ready to support your healing journey. My goal is to help individuals stuck in repetitive patterns understand and overcome obstacles to change. I'm dedicated to assisting women and teens in trusting their instincts and expressing their needs and boundaries. Additionally, I enjoy guiding couples and families towards rediscovering safety and rekindling connections, moving past recurring issues. Let's embark on this path to growth together.
Now welcoming new clients! Delighted you're here. In sessions, you might meet Annie, my therapy-trained animal, ready to support your healing journey. My goal is to help individuals stuck in repetitive patterns understand and overcome obstacles to change. I'm dedicated to assisting women and teens in trusting their instincts and expressing their needs and boundaries. Additionally, I enjoy guiding couples and families towards rediscovering safety and rekindling connections, moving past recurring issues. Let's embark on this path to growth together.
(615) 392-6496 View (615) 392-6496
Photo of Alyson Weinrib, Licensed Professional Counselor in Brentwood, TN
Alyson Weinrib
Licensed Professional Counselor, NCC, LPCMHSP, MEd
Verified Verified
3 Endorsed
Brentwood, TN 37027
Are you tired of hiding and managing the constant loneliness? Does it feel like you’re tired of things being this way but you’re not sure where to turn? Are you frustrated from constantly trying to be something for everyone but never getting enough in return? I see you, and I want to help you build a sustainable and joy-filled life.
Are you tired of hiding and managing the constant loneliness? Does it feel like you’re tired of things being this way but you’re not sure where to turn? Are you frustrated from constantly trying to be something for everyone but never getting enough in return? I see you, and I want to help you build a sustainable and joy-filled life.
(615) 903-4857 View (615) 903-4857
Photo of Ashton Ross, Pre-Licensed Professional in Brentwood, TN
Ashton Ross
Pre-Licensed Professional, MA, LPC, MHSP(T)
Verified Verified
1 Endorsed
Brentwood, TN 37027
Are you tired of feeling stuck, hopeless, and disconnected? I've been there too. I am passionate about helping individuals gain a greater sense of peace, inner freedom, and cultivating a deeper connection with self and others. My heart is to provide compassionate and holistic care to my clients throughout their healing journey. I work with individuals and couples with a variety of presenting issues including, C-PTSD/Trauma, Relational trauma & Narcissistic Abuse, Anxiety, Relationship Anxiety, Depression, Relationship challenges, Family Conflict, Attachment wounds, Codependency, Low self-esteem, Perfectionism, and life transitions.
Are you tired of feeling stuck, hopeless, and disconnected? I've been there too. I am passionate about helping individuals gain a greater sense of peace, inner freedom, and cultivating a deeper connection with self and others. My heart is to provide compassionate and holistic care to my clients throughout their healing journey. I work with individuals and couples with a variety of presenting issues including, C-PTSD/Trauma, Relational trauma & Narcissistic Abuse, Anxiety, Relationship Anxiety, Depression, Relationship challenges, Family Conflict, Attachment wounds, Codependency, Low self-esteem, Perfectionism, and life transitions.
(629) 276-4631 View (629) 276-4631

How does your Therapist compare?

Number of Therapists in Brentwood, TN

700+

Average cost per session

$150

Therapists in Brentwood, TN who prioritize treating:

92% Anxiety
84% Depression
77% Relationship Issues
74% Self Esteem
69% Trauma and PTSD
65% Grief
65% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

73% Cigna and Evernorth
70% UnitedHealthcare UHC | UBH
65% Aetna

How Therapists in Brentwood, TN see their clients

82% In Person and Online
18% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Brentwood?

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.