Therapists in Commerce Township, MI

Photo of Catherine Howe-Leung - Phoenix Therapy Services, LLC, Clinical Social Work/Therapist
Phoenix Therapy Services, LLC
Clinical Social Work/Therapist
Verified Verified
We're here for you, and we want to help. Whether this is a new endeavor for you, or you're a seasoned therapy client, we want you to feel better. Our collective of therapists have a combined 34 years of experience with individuals and families. We are evidence-based trained, utilize a person-centered, strength-based approach designed to help you identify your therapy goals and help us create the best treatment plan to meet your needs. We treat a multitude of issues including but not limited to symptoms of depression, anxiety, ADHD, trauma, family dysfunction, and disordered eating.
We're here for you, and we want to help. Whether this is a new endeavor for you, or you're a seasoned therapy client, we want you to feel better. Our collective of therapists have a combined 34 years of experience with individuals and families. We are evidence-based trained, utilize a person-centered, strength-based approach designed to help you identify your therapy goals and help us create the best treatment plan to meet your needs. We treat a multitude of issues including but not limited to symptoms of depression, anxiety, ADHD, trauma, family dysfunction, and disordered eating.
(248) 629-1440 View (248) 629-1440
Photo of Martha Poenaru, Limited Licensed Psychologist, MA, LLP
Martha Poenaru
Limited Licensed Psychologist, MA, LLP
Verified Verified
2 Endorsed
Feeling anxious, drained, or overwhelmed? Are you struggling with work, home life, or your relationships; including the one you have with yourself? Maybe you are noticing your sleep or eating habits are impacted by how you feel? Anxiety, depression, trauma, and many other issues can impact our ability to function in our day to day lives.
Feeling anxious, drained, or overwhelmed? Are you struggling with work, home life, or your relationships; including the one you have with yourself? Maybe you are noticing your sleep or eating habits are impacted by how you feel? Anxiety, depression, trauma, and many other issues can impact our ability to function in our day to day lives.
(734) 396-4461 View (734) 396-4461
Photo of Christin Holmes, Limited Licensed Psychologist, MSCP, LLP
Christin Holmes
Limited Licensed Psychologist, MSCP, LLP
Verified Verified
1 Endorsed
Evolve Psychology is accepting new patients! We have new additions to our team - each of them brings unique skills, compassion, and expertise to support you on your journey! Sometimes life presents us with feelings or situations that seem overwhelming. At times you may need extra support. In therapy, my focus is to work collaboratively with my clients in order to address their individual challenges and goals.
Evolve Psychology is accepting new patients! We have new additions to our team - each of them brings unique skills, compassion, and expertise to support you on your journey! Sometimes life presents us with feelings or situations that seem overwhelming. At times you may need extra support. In therapy, my focus is to work collaboratively with my clients in order to address their individual challenges and goals.
(734) 345-1374 View (734) 345-1374
Photo of Katelin Jobin, Licensed Professional Counselor, MA, LPC, ATR-P
Katelin Jobin
Licensed Professional Counselor, MA, LPC, ATR-P
Verified Verified
1 Endorsed
Online Only
Adults, Anxiety, Addiction/Family Recovery, Life Transitions. You are unique and you have a story. Therefore, I'd like to spend time learning about your experiences. How are you managing stress? How do you want to see yourself grow? How do you tolerate anxiety? Sessions will typically be active and collaborative to focus on present concerns AND exploring ways to improve. Let's honor where you are AND learn about the many skills/resources you can use to support your mental health.
Adults, Anxiety, Addiction/Family Recovery, Life Transitions. You are unique and you have a story. Therefore, I'd like to spend time learning about your experiences. How are you managing stress? How do you want to see yourself grow? How do you tolerate anxiety? Sessions will typically be active and collaborative to focus on present concerns AND exploring ways to improve. Let's honor where you are AND learn about the many skills/resources you can use to support your mental health.
(947) 208-4842 View (947) 208-4842
Photo of Megan Frost-Young, Clinical Social Work/Therapist, LCSW
Megan Frost-Young
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
Hello! I am a (LCSW) Licensed Clinical Social Worker from Michigan. I received my Masters from Wayne State University and have been a practicing social worker for 18+ years.
Hello! I am a (LCSW) Licensed Clinical Social Worker from Michigan. I received my Masters from Wayne State University and have been a practicing social worker for 18+ years.
(248) 988-0197 View (248) 988-0197
Photo of Trystyn E. McCarthy, Limited Licensed Psychologist, MA, LLP
Trystyn E. McCarthy
Limited Licensed Psychologist, MA, LLP
Verified Verified
1 Endorsed
Are you struggling to cope or wondering if the way you're feeling is "normal"? Working with people during difficult times and life transitions is something I'm deeply passionate about; I want people to feel more connected and “normal.” My aim is to make you realize your own power and feel more in control of your life. I'm trained in Dialectical Behavior Therapy (DBT), Grief and Trauma therapy. I utilize a wide range of other treatment methods as well to include cognitive behavioral, solution-focused, family systems, and person- centered. I concentrate on creating an environment of acceptance and respect that is free of judgement.
Are you struggling to cope or wondering if the way you're feeling is "normal"? Working with people during difficult times and life transitions is something I'm deeply passionate about; I want people to feel more connected and “normal.” My aim is to make you realize your own power and feel more in control of your life. I'm trained in Dialectical Behavior Therapy (DBT), Grief and Trauma therapy. I utilize a wide range of other treatment methods as well to include cognitive behavioral, solution-focused, family systems, and person- centered. I concentrate on creating an environment of acceptance and respect that is free of judgement.
(248) 574-8442 View (248) 574-8442
Photo of Marisa Cannon, Clinical Social Work/Therapist, LMSW
Marisa Cannon
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Making the choice to go to therapy can be hard, and you are taking a great step in prioritizing your health and well-being. My goal is to empower you to achieve your goals, maintain healthy relationships, and recognize your strengths and potentials. My approach to therapy is empowering, person-centered, and free from judgment. I will provide a safe and inclusive space for you to explore your identities, process trauma, and heal from emotional wounds. I have several years of experience working with survivors of domestic violence, sexual assault, and other forms of trauma.
Making the choice to go to therapy can be hard, and you are taking a great step in prioritizing your health and well-being. My goal is to empower you to achieve your goals, maintain healthy relationships, and recognize your strengths and potentials. My approach to therapy is empowering, person-centered, and free from judgment. I will provide a safe and inclusive space for you to explore your identities, process trauma, and heal from emotional wounds. I have several years of experience working with survivors of domestic violence, sexual assault, and other forms of trauma.
(248) 368-0282 View (248) 368-0282
Photo of Kimberly Evans, Clinical Social Work/Therapist, LLMSW
Kimberly Evans
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Therapy is a space where your story matters — all of it. I believe everyone can benefit from therapy at some point in their lives, whether you're navigating a major life transition, coping with difficult emotions, or simply seeking a deeper understanding of yourself. My approach is client-centered, which means I prioritize understanding your unique experiences, values, and goals, and I tailor our sessions to meet your specific needs. Therapy is a space for transformation — a place to heal, break old patterns, build healthier ones, reflect on your thoughts, and develop the resilience to face whatever life throws your way.
Therapy is a space where your story matters — all of it. I believe everyone can benefit from therapy at some point in their lives, whether you're navigating a major life transition, coping with difficult emotions, or simply seeking a deeper understanding of yourself. My approach is client-centered, which means I prioritize understanding your unique experiences, values, and goals, and I tailor our sessions to meet your specific needs. Therapy is a space for transformation — a place to heal, break old patterns, build healthier ones, reflect on your thoughts, and develop the resilience to face whatever life throws your way.
(734) 807-3605 View (734) 807-3605
Photo of Danielle Nicole, Clinical Social Work/Therapist, LLMSW
Danielle Nicole
Clinical Social Work/Therapist, LLMSW
Verified Verified
Do you feel disoriented, overburdened, or simply not yourself? Getting the appropriate assistance may make a huge impact, whether you're looking for personal growth, struggling with relationship problems, anxiety, or depression. As a committed therapist, my goal is to assist you in overcoming obstacles in life and realizing your full potential. I'm here to help you on your path to overall health.
Do you feel disoriented, overburdened, or simply not yourself? Getting the appropriate assistance may make a huge impact, whether you're looking for personal growth, struggling with relationship problems, anxiety, or depression. As a committed therapist, my goal is to assist you in overcoming obstacles in life and realizing your full potential. I'm here to help you on your path to overall health.
(248) 845-1798 View (248) 845-1798
Photo of Monica Pitek-Fugedi, Licensed Professional Counselor, LPC, NCC, CCATP
Monica Pitek-Fugedi
Licensed Professional Counselor, LPC, NCC, CCATP
Verified Verified
Anxiety, relationship struggles, and life obstacles—oh my! If overthinking were an Olympic sport, you’d have a gold medal by now. Whether it’s anxiety running the show, past trauma sneaking into the present, or relationships feeling more like a rollercoaster than a partnership, it’s exhausting trying to keep it all together. But here’s the thing—you don’t have to do it alone. In addition to in-person or virtual therapy, I’m passionate about making mental health resources accessible, so I offer workshops, online courses, webinars, and speaking engagements to support you wherever you are on your journey.
Anxiety, relationship struggles, and life obstacles—oh my! If overthinking were an Olympic sport, you’d have a gold medal by now. Whether it’s anxiety running the show, past trauma sneaking into the present, or relationships feeling more like a rollercoaster than a partnership, it’s exhausting trying to keep it all together. But here’s the thing—you don’t have to do it alone. In addition to in-person or virtual therapy, I’m passionate about making mental health resources accessible, so I offer workshops, online courses, webinars, and speaking engagements to support you wherever you are on your journey.
(947) 208-4264 View (947) 208-4264
Photo of Katie Germash-Neubert - Katie Neubert, Clinical Social Work/Therapist, MSW, LMSW
Katie Neubert
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
I enjoy treating individuals (adolescents, teens, and adults) suffering from symptoms of anxiety, depression, anger/aggression, mood dysregulation, trauma, behavioral difficulties, and other concerns, such as insomnia & work/life balance. Treatment is provided to people & their families who seek improvement in their daily functioning, including work, school, relationships, family dynamics, and overall outlook. Patients are the experts on themselves, and should be willing & able to actively participate in the therapeutic process, which may include the exploration and practice of, positive, appropriate, and adaptive coping skills.
I enjoy treating individuals (adolescents, teens, and adults) suffering from symptoms of anxiety, depression, anger/aggression, mood dysregulation, trauma, behavioral difficulties, and other concerns, such as insomnia & work/life balance. Treatment is provided to people & their families who seek improvement in their daily functioning, including work, school, relationships, family dynamics, and overall outlook. Patients are the experts on themselves, and should be willing & able to actively participate in the therapeutic process, which may include the exploration and practice of, positive, appropriate, and adaptive coping skills.
(313) 329-7125 View (313) 329-7125
Photo of Stephanie Verde, Clinical Social Work/Therapist, LLMSW, MAT
Stephanie Verde
Clinical Social Work/Therapist, LLMSW, MAT
Verified Verified
1 Endorsed
I primarily work with individuals experiencing low self-esteem, anxiety, depression, or trauma (PTSD). The negative beliefs we have about ourselves lie to us and create a false narrative that dictates our decisions, responses, and relationships. I like to help unpack those beliefs in a compassionate way that builds self-worth. I use your hobbies, passions, and dreams as resources as you explore the childhood experiences that have impacted your confidence and relationships.
I primarily work with individuals experiencing low self-esteem, anxiety, depression, or trauma (PTSD). The negative beliefs we have about ourselves lie to us and create a false narrative that dictates our decisions, responses, and relationships. I like to help unpack those beliefs in a compassionate way that builds self-worth. I use your hobbies, passions, and dreams as resources as you explore the childhood experiences that have impacted your confidence and relationships.
(947) 218-7286 View (947) 218-7286
Photo of Victoria A M Marques, Limited Licensed Psychologist, MSCP, LLP
Victoria A M Marques
Limited Licensed Psychologist, MSCP, LLP
Verified Verified
1 Endorsed
Waitlist for new clients
I am an immigrant from Brazil, and a native Portuguese speaker. I believe in helping people make sense of their world, especially when they feel foreign or as if they do not belong. I have experience working with children, teenagers and adults of a variety of backgrounds. My interests include working in a psychodynamic, client-centered approach and I specialize in adjustment, depression, and anxiety disorders. I conduct sessions in both English and Portuguese.
I am an immigrant from Brazil, and a native Portuguese speaker. I believe in helping people make sense of their world, especially when they feel foreign or as if they do not belong. I have experience working with children, teenagers and adults of a variety of backgrounds. My interests include working in a psychodynamic, client-centered approach and I specialize in adjustment, depression, and anxiety disorders. I conduct sessions in both English and Portuguese.
(248) 846-0003 View (248) 846-0003
Photo of David Manchel, Psychologist, PsyD, LP
David Manchel
Psychologist, PsyD, LP
Verified Verified
1 Endorsed
I have been working as a therapist with children, teens, families, couples, and adults for more than 30 years. Emotional growth, recovery, self-awareness and a healthier, more balanced life are the long-term outcomes of the investment in psychotherapy, whether it is for you, your children, or your relationship. I am very committed to the power of insight, the concept of emotional intelligence, and the healing power of relationships.
I have been working as a therapist with children, teens, families, couples, and adults for more than 30 years. Emotional growth, recovery, self-awareness and a healthier, more balanced life are the long-term outcomes of the investment in psychotherapy, whether it is for you, your children, or your relationship. I am very committed to the power of insight, the concept of emotional intelligence, and the healing power of relationships.
(248) 850-1065 View (248) 850-1065
Photo of Casey Wallace, Limited Licensed Psychologist, MA, TLLP
Casey Wallace
Limited Licensed Psychologist, MA, TLLP
Verified Verified
Hi! My name is Casey Wallace. I am a Clinical Psychologist. I earned my bachelors in Psychology and a minor in Sociology at the University of Michigan-Flint. I obtained my Masters of Clinical Psychology at the Michigan School of Psychology. I realize each and every person has their own lived experience and is unique therefore, I tailor my work around each individual and focus on their needs.
Hi! My name is Casey Wallace. I am a Clinical Psychologist. I earned my bachelors in Psychology and a minor in Sociology at the University of Michigan-Flint. I obtained my Masters of Clinical Psychology at the Michigan School of Psychology. I realize each and every person has their own lived experience and is unique therefore, I tailor my work around each individual and focus on their needs.
(248) 965-1985 View (248) 965-1985
Photo of Logan Mackenzy Gauss, Master Social Worker, MSW, LLMSW
Logan Mackenzy Gauss
Master Social Worker, MSW, LLMSW
Verified Verified
Online Only
Therapy is a space where you should feel heard, supported, and empowered. I work collaboratively with individuals to navigate life’s challenges and uncover the strengths already within them. Whether you're dealing with anxiety, depression, life transitions, or relationship issues, my approach is rooted in empathy, authenticity, and practical support. I offer virtual sessions to make therapy more accessible, flexible, and convenient for your lifestyle. I believe growth happens when we feel safe and connected, and I strive to create a space where you can explore your thoughts and emotions without judgment.
Therapy is a space where you should feel heard, supported, and empowered. I work collaboratively with individuals to navigate life’s challenges and uncover the strengths already within them. Whether you're dealing with anxiety, depression, life transitions, or relationship issues, my approach is rooted in empathy, authenticity, and practical support. I offer virtual sessions to make therapy more accessible, flexible, and convenient for your lifestyle. I believe growth happens when we feel safe and connected, and I strive to create a space where you can explore your thoughts and emotions without judgment.
(248) 965-1410 View (248) 965-1410
Photo of Catherine Howe, Clinical Social Work/Therapist, MSW, LMSW
Catherine Howe
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
2 Endorsed
My goal as a therapist is to help guide people of all ages through their current life experiences. I utilize a strength-based approach, designed to bring my client's strengths to the forefront while encouraging development and processing the more difficult experiences and feelings impacting them. I aim to decrease the discomfort my client feels while striving to improve long term coping skills. I find success utilizing a trauma informed, relational approach. I work exceptionally well with those suffering from Depression, Anxiety, Trauma, maladaptive behaviors, and those who don’t really know what’s wrong, but want to figure it out.
My goal as a therapist is to help guide people of all ages through their current life experiences. I utilize a strength-based approach, designed to bring my client's strengths to the forefront while encouraging development and processing the more difficult experiences and feelings impacting them. I aim to decrease the discomfort my client feels while striving to improve long term coping skills. I find success utilizing a trauma informed, relational approach. I work exceptionally well with those suffering from Depression, Anxiety, Trauma, maladaptive behaviors, and those who don’t really know what’s wrong, but want to figure it out.
(947) 800-5187 View (947) 800-5187
Photo of Cari McCalden, Limited Licensed Psychologist, MA, LLP
Cari McCalden
Limited Licensed Psychologist, MA, LLP
Not Verified Not Verified
I am a Clinical Psychologist and provide services in a private practice setting. I have over 20 years of experience in the field and have worked in numerous clinical settings that have provided me the ability to treat a variety of mental health issues. I have experience working with young adults, adults, and older adults in individual, group, couples and family therapy. I specialize in the areas of anxiety, panic disorders, OCD, depression, bipolar disorder, PTSD, relationship issues, stress management, sleep disorders, and chronic pain.
I am a Clinical Psychologist and provide services in a private practice setting. I have over 20 years of experience in the field and have worked in numerous clinical settings that have provided me the ability to treat a variety of mental health issues. I have experience working with young adults, adults, and older adults in individual, group, couples and family therapy. I specialize in the areas of anxiety, panic disorders, OCD, depression, bipolar disorder, PTSD, relationship issues, stress management, sleep disorders, and chronic pain.
(248) 669-9500 x702 View (248) 669-9500 x702
Photo of Robert Cox, Clinical Social Work/Therapist, LLMSW
Robert Cox
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Become the person you aspire to be by embracing challenges, owning your growth and turning every setback into strength. I bring 25 years of experience in the Social Work field, with a rich background in peer prevention programs aimed at reducing risk and enhancing life skills for individuals. I began with facilitating groups focused on teaching coping strategies and life skills, driven by a deep passion for supporting families and youth and men facing issues, anxiety/depression, life transitions, and challenges within family and adolescent dynamics. My experience and commitment to personal growth guide my practice.
Become the person you aspire to be by embracing challenges, owning your growth and turning every setback into strength. I bring 25 years of experience in the Social Work field, with a rich background in peer prevention programs aimed at reducing risk and enhancing life skills for individuals. I began with facilitating groups focused on teaching coping strategies and life skills, driven by a deep passion for supporting families and youth and men facing issues, anxiety/depression, life transitions, and challenges within family and adolescent dynamics. My experience and commitment to personal growth guide my practice.
(248) 963-1674 View (248) 963-1674
Photo of Brandi Thomas, Masters Social Worker, LMSW, LCSW, PMH-C
Brandi Thomas
Masters Social Worker, LMSW, LCSW, PMH-C
Verified Verified
Online Only
Like most women, you just want to feel supported. Are you having trouble sleeping because your mind won’t shut off? Are feelings of sadness, depression, irritability or reactivity starting to affect your everyday? Are you anxious, panicky, having intrusive thoughts? Do you feel mentally trapped & emotionally drained? Do you feel like the weight of the world is on your shoulders? Some days, you feel like you can’t even BREATHE. Maybe you are trying to conceive/pregnant/postpartum/in the thick of motherhood? Maybe you're entering a new life chapter or transition? Maybe you're just looking to finally be seen. And heard.
Like most women, you just want to feel supported. Are you having trouble sleeping because your mind won’t shut off? Are feelings of sadness, depression, irritability or reactivity starting to affect your everyday? Are you anxious, panicky, having intrusive thoughts? Do you feel mentally trapped & emotionally drained? Do you feel like the weight of the world is on your shoulders? Some days, you feel like you can’t even BREATHE. Maybe you are trying to conceive/pregnant/postpartum/in the thick of motherhood? Maybe you're entering a new life chapter or transition? Maybe you're just looking to finally be seen. And heard.
(248) 265-3150 View (248) 265-3150
1

See more therapy options for Commerce Township

How does your Therapist compare?

Number of Therapists in Commerce Township, MI

90+

Average cost per session

$150

Therapists in Commerce Township, MI who prioritize treating:

92% Anxiety
90% Depression
80% Relationship Issues
77% Coping Skills
75% Self Esteem
74% Stress
72% Grief

Average years in practice

11 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
74% Blue Care Network
67% Aetna

How Therapists in Commerce Township, MI see their clients

78% In Person and Online
22% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Commerce Township?

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.