Therapists in Orchard Lake, MI

Photo of Lisa M Abela-Tesner - Lisa M Abela-Tesner, MA, LPC, MHS, Counselor
Lisa M Abela-Tesner
Counselor, MA, LPC, MHS
Verified Verified
Orchard Lake, MI 48324  (Online Only)
Not accepting new clients
In a confidential setting of your choice , I will encourage healthy coping strategies that will promote optimal wellbeing, improve your communication skills and restore your confidence. As a therapist counseling in Livonia, I provide assistance for individuals facing a variety of challenges. My services include therapy for adults, adolescents, and children as individuals, couples, or families. I specialize in mental health counseling (e.g. anxiety, depression, ect.) and can provide psychological assessment as required. I look forward to restoring your confidence which can sometimes feel distorted by difficult life events.
In a confidential setting of your choice , I will encourage healthy coping strategies that will promote optimal wellbeing, improve your communication skills and restore your confidence. As a therapist counseling in Livonia, I provide assistance for individuals facing a variety of challenges. My services include therapy for adults, adolescents, and children as individuals, couples, or families. I specialize in mental health counseling (e.g. anxiety, depression, ect.) and can provide psychological assessment as required. I look forward to restoring your confidence which can sometimes feel distorted by difficult life events.
(734) 206-2275 View (734) 206-2275
Photo of Amira Doucette, MA, LPC, LLC, Licensed Professional Counselor
Amira Doucette
Licensed Professional Counselor, MA, LPC, LLC
Verified Verified
Orchard Lake, MI 48324  (Online Only)
I am a Licensed Professional Counselor with more than 20 years experience. I received my undergraduate and graduate degrees from University of Michigan and Oakland University, respectively. I furthered my formal education with a post-Master's specialization in mental health. In my work as a psychotherapist, I encounter many people of various nationalities and socioeconomic standing. As I help them with their concerns, I repeatedly find the single most important conduit to change is the relationship we forge in therapy. In this relationship I am without judgment. I am respectful, understanding, and completely accepting.
I am a Licensed Professional Counselor with more than 20 years experience. I received my undergraduate and graduate degrees from University of Michigan and Oakland University, respectively. I furthered my formal education with a post-Master's specialization in mental health. In my work as a psychotherapist, I encounter many people of various nationalities and socioeconomic standing. As I help them with their concerns, I repeatedly find the single most important conduit to change is the relationship we forge in therapy. In this relationship I am without judgment. I am respectful, understanding, and completely accepting.
(561) 816-2694 View (561) 816-2694
Photo of Ashley Yaldo, LCSW, Clinical Social Work/Therapist
Ashley Yaldo
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Orchard Lake, MI 48323
Are you a parent struggling with understanding and connecting to your children? Finding it difficult to spend time with each other, or hold a conversation without frustration? Feeling as though you are unable to reach your child/adolescent to help them through the current difficulties they are having? That is where I come in! I specialize in working with children/adolescents and their parents by meeting where they are at emotionally, connecting with them, and helping them understand their own thoughts and feelings. All the while creating goals and working towards those goals one step at a time.
Are you a parent struggling with understanding and connecting to your children? Finding it difficult to spend time with each other, or hold a conversation without frustration? Feeling as though you are unable to reach your child/adolescent to help them through the current difficulties they are having? That is where I come in! I specialize in working with children/adolescents and their parents by meeting where they are at emotionally, connecting with them, and helping them understand their own thoughts and feelings. All the while creating goals and working towards those goals one step at a time.
(947) 282-7977 View (947) 282-7977
Photo of Odis Bellinger, MA, LLPC
Odis Bellinger
MA, LLPC
Verified Verified
2 Endorsed
Orchard Lake, MI 48324
My ideal client are young males ages 6-18, and married men who want to be better husbands and fathers. Growing up in households without male role models often has boys/men needing guidance. Without guidance can lead to current and future family dysfunction leading to divorce, duplicating fatherless homes, and making bad choices in life. I UNDERSTAND what it is like to have that "absent father void". I also understand what it is like to be a husband trying his best to become "that good father and husband" to his wife. Let's talk about how to get there. Please stay encouraged.
My ideal client are young males ages 6-18, and married men who want to be better husbands and fathers. Growing up in households without male role models often has boys/men needing guidance. Without guidance can lead to current and future family dysfunction leading to divorce, duplicating fatherless homes, and making bad choices in life. I UNDERSTAND what it is like to have that "absent father void". I also understand what it is like to be a husband trying his best to become "that good father and husband" to his wife. Let's talk about how to get there. Please stay encouraged.
(248) 396-8619 View (248) 396-8619
Photo of Amanda Kreschmer, LLMSW, Clinical Social Work/Therapist
Amanda Kreschmer
Clinical Social Work/Therapist, LLMSW
Verified Verified
Orchard Lake, MI 48323  (Online Only)
Immediate openings. Working with kids and teens is my passion! I know that growing up isn’t always easy, and my goal is to provide a fun, supportive space where children can learn, grow, and feel empowered. Whether your child is dealing with anxiety, big emotions, social challenges, or behavioral issues, I’m here to help them thrive!
Immediate openings. Working with kids and teens is my passion! I know that growing up isn’t always easy, and my goal is to provide a fun, supportive space where children can learn, grow, and feel empowered. Whether your child is dealing with anxiety, big emotions, social challenges, or behavioral issues, I’m here to help them thrive!
(989) 200-4568 View (989) 200-4568

More Therapists Nearby

Photo of Dr. Rachel Pad, PhD, LP, Psychologist
Dr. Rachel Pad
Psychologist, PhD, LP
Verified Verified
1 Endorsed
West Bloomfield, MI 48323
Not accepting new clients
I work with adults experiencing depression, anxiety, conflicts in relationships, and uncertainty in overcoming life’s many challenges. I place equal emphasis on developing a warm, trusting therapeutic relationship and on the practice of intense listening. This allows us to discover and explore aspects of your self that have been hidden away as a means of coping with distress. At present I am able to bill for Blue Cross Blue Shield (BCBS) or work with you to establish a fee based on a sliding scale.
I work with adults experiencing depression, anxiety, conflicts in relationships, and uncertainty in overcoming life’s many challenges. I place equal emphasis on developing a warm, trusting therapeutic relationship and on the practice of intense listening. This allows us to discover and explore aspects of your self that have been hidden away as a means of coping with distress. At present I am able to bill for Blue Cross Blue Shield (BCBS) or work with you to establish a fee based on a sliding scale.
(248) 949-2435 View (248) 949-2435
Photo of Sasha Saint-Johnson, MFTI, Marriage & Family Therapist Intern
Sasha Saint-Johnson
Marriage & Family Therapist Intern, MFTI
Verified Verified
1 Endorsed
Sylvan Lake, MI 48320
As a Marriage & Family Therapist intern, I work with couples, teens, and women. I am ready to hear your story. I provide a non-judgmental, culturally, religiously, and spiritually respectful safe space for you to be your authentic self. I will encourage you to lead by setting goals that are important to you, support you, and offer ideas and tasks to help achieve your best life.
As a Marriage & Family Therapist intern, I work with couples, teens, and women. I am ready to hear your story. I provide a non-judgmental, culturally, religiously, and spiritually respectful safe space for you to be your authentic self. I will encourage you to lead by setting goals that are important to you, support you, and offer ideas and tasks to help achieve your best life.
(248) 927-1497 View (248) 927-1497
Photo of Wesley G Morgan, MA, LPC, Licensed Professional Counselor
Wesley G Morgan
Licensed Professional Counselor, MA, LPC
Verified Verified
8 Endorsed
West Bloomfield, MI 48323  (Online Only)
I believe life is a process. Many things occur during this process. The challenge is our perspective and how we chose to look at life. There are times when the lenses through which we use to view life are clouded, but with the proper adjustments our vision can be much clearer.
I believe life is a process. Many things occur during this process. The challenge is our perspective and how we chose to look at life. There are times when the lenses through which we use to view life are clouded, but with the proper adjustments our vision can be much clearer.
(616) 604-4090 View (616) 604-4090
Photo of Ashley Zair - Zair Counseling Center, LMSW, Clinical Social Work/Therapist
Zair Counseling Center
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
West Bloomfield, MI 48324
At Zair Counseling Center, we understand daily stress and life adjustment can cause inner conflict, as well as disrupt your daily living. Individual therapy allows clients a safe environment to process and explore behaviors, feelings and beliefs. A strong therapeutic relationship can facilitate growth, increase insight, coping skills and overall well-being. Our goal is to help you grow from your struggles, heal from your pain, and develop overall wellness by creating individually tailored goals, using an eclectic approach including cognitive behavioral therapy, mindfulness and motivational interviewing.
At Zair Counseling Center, we understand daily stress and life adjustment can cause inner conflict, as well as disrupt your daily living. Individual therapy allows clients a safe environment to process and explore behaviors, feelings and beliefs. A strong therapeutic relationship can facilitate growth, increase insight, coping skills and overall well-being. Our goal is to help you grow from your struggles, heal from your pain, and develop overall wellness by creating individually tailored goals, using an eclectic approach including cognitive behavioral therapy, mindfulness and motivational interviewing.
(248) 289-8391 View (248) 289-8391
Photo of Laura Northerner, PhD, LP, Psychologist
Laura Northerner
Psychologist, PhD, LP
Verified Verified
1 Endorsed
West Bloomfield, MI 48322
Not accepting new clients
Life is challenging. Seeking support and treatment is a healthy and courageous response to life’s stressors. Dr. Laura Northerner, PhD, is a fully licensed clinical psychologist who provides evidence-based psychotherapy to children, families, and adults in a safe and supportive environment. Dr. Northerner sees the strength, value and courage in every client, and she sees their boundless potential. Dr. Northerner works collaboratively with clients to create a treatment plan that evolves with the client’s needs. She focuses on her client’s strengths and resiliencies to foster growth.
Life is challenging. Seeking support and treatment is a healthy and courageous response to life’s stressors. Dr. Laura Northerner, PhD, is a fully licensed clinical psychologist who provides evidence-based psychotherapy to children, families, and adults in a safe and supportive environment. Dr. Northerner sees the strength, value and courage in every client, and she sees their boundless potential. Dr. Northerner works collaboratively with clients to create a treatment plan that evolves with the client’s needs. She focuses on her client’s strengths and resiliencies to foster growth.
(248) 266-1183 View (248) 266-1183
Photo of Jessica Topor, PhD, LMFT, Marriage & Family Therapist
Jessica Topor
Marriage & Family Therapist, PhD, LMFT
Verified Verified
3 Endorsed
West Bloomfield, MI 48323
Not accepting new clients
Life is a bumpy road that presents new challenges everyday. I believe that we all have the skills and ability to overcome these challenges, but sometimes we need a little help. I provide a space for clients to address those challenges and achieve personal growth. I work with people of all ages addressing a variety of challenges with individuals, couples, and families. My focus is on tailoring therapy to meet your needs specifically through a collaborative partnership with you. You know you and your needs best!
Life is a bumpy road that presents new challenges everyday. I believe that we all have the skills and ability to overcome these challenges, but sometimes we need a little help. I provide a space for clients to address those challenges and achieve personal growth. I work with people of all ages addressing a variety of challenges with individuals, couples, and families. My focus is on tailoring therapy to meet your needs specifically through a collaborative partnership with you. You know you and your needs best!
(248) 236-5217 View (248) 236-5217
Photo of Melody Lynne Barnes, LCSW, LAC, Clinical Social Work/Therapist
Melody Lynne Barnes
Clinical Social Work/Therapist, LCSW, LAC
Verified Verified
West Bloomfield, MI 48324  (Online Only)
My approach is client-driven and integrative. I start with assessing developmental history, losses and trauma, and behavioral health issues. I then clarify with the client how I can assist them with their identified goals.
My approach is client-driven and integrative. I start with assessing developmental history, losses and trauma, and behavioral health issues. I then clarify with the client how I can assist them with their identified goals.
(406) 434-8208 View (406) 434-8208
Photo of Franklin R Sollars - Sollars and Associates, PhD, LP, Psychologist
Sollars and Associates
Psychologist, PhD, LP
Verified Verified
5 Endorsed
West Bloomfield, MI 48323
I am a licensed psychologist and the clinical director of Sollars and Associates Integrative Counseling and Psychological Services. I have been providing counseling and psychotherapy for over 30 years in the Metro Detroit area and our group practice spans across the state of Michigan. With support, encouragement, and expert insight many people begin to feel better after their first session. Our therapists possess a great deal of experience in evaluating and working with children, adolescents, and families dealing with a variety of issues.
I am a licensed psychologist and the clinical director of Sollars and Associates Integrative Counseling and Psychological Services. I have been providing counseling and psychotherapy for over 30 years in the Metro Detroit area and our group practice spans across the state of Michigan. With support, encouragement, and expert insight many people begin to feel better after their first session. Our therapists possess a great deal of experience in evaluating and working with children, adolescents, and families dealing with a variety of issues.
(248) 862-1171 View (248) 862-1171
Photo of Judith E Lipson, MA, LPC, Counselor
Judith E Lipson
Counselor, MA, LPC
Verified Verified
West Bloomfield, MI 48322
I specialize in students of all ages who are not working at their potential. These include individuals with Learning Disabilities, ADHD, Autism Spectrum Disorders, Aspergers Syndrome, Work or School-related Anxiety, Gifted Learning Challenges, or Unconventional Learning Styles. Thirty years in public education has provided me with the experience to teach strategies to the student, and to recommend individualized accommodations and modifications to parents and educators. I also provide short-term counseling to rebuild self-esteem and motivation. I focus on the student's inherent gifts and am an advocate for the student.
I specialize in students of all ages who are not working at their potential. These include individuals with Learning Disabilities, ADHD, Autism Spectrum Disorders, Aspergers Syndrome, Work or School-related Anxiety, Gifted Learning Challenges, or Unconventional Learning Styles. Thirty years in public education has provided me with the experience to teach strategies to the student, and to recommend individualized accommodations and modifications to parents and educators. I also provide short-term counseling to rebuild self-esteem and motivation. I focus on the student's inherent gifts and am an advocate for the student.
(248) 716-0921 View (248) 716-0921
Photo of Natasha Kendal - Kendal Clinic, PhD, LMFT, Marriage & Family Therapist
Kendal Clinic
Marriage & Family Therapist, PhD, LMFT
Verified Verified
6 Endorsed
West Bloomfield, MI 48323
The Kendal Clinic is a mental wellness practice that is a little different. We are committed to crafting a solution that is perfect for you and your family. We give our patients our attention, our hearts and our knowledge and expertise in an ever-changing formula that is as unique as each one of our clients. We are committed to helping infants, children, teens, adults, and families thrive in today’s difficult world through psychotherapy and medication management.
The Kendal Clinic is a mental wellness practice that is a little different. We are committed to crafting a solution that is perfect for you and your family. We give our patients our attention, our hearts and our knowledge and expertise in an ever-changing formula that is as unique as each one of our clients. We are committed to helping infants, children, teens, adults, and families thrive in today’s difficult world through psychotherapy and medication management.
(248) 716-5392 View (248) 716-5392
Photo of Lori Rashty, MA, LPC, NCC, Counselor
Lori Rashty
Counselor, MA, LPC, NCC
Verified Verified
3 Endorsed
West Bloomfield, MI 48322
Are you concerned about the well-being of your child, adolescent, or even yourself? Do you wish to provide your loved ones with the support and care they deserve? With extensive experience spanning from 7-year-olds to adults, I specialize in treating anxiety, ADHD, depression, trauma, parenting challenges, and fostering social skills. My primary objective is to empower children, teens, and adults to achieve their utmost potential within a nurturing and compassionate atmosphere.
Are you concerned about the well-being of your child, adolescent, or even yourself? Do you wish to provide your loved ones with the support and care they deserve? With extensive experience spanning from 7-year-olds to adults, I specialize in treating anxiety, ADHD, depression, trauma, parenting challenges, and fostering social skills. My primary objective is to empower children, teens, and adults to achieve their utmost potential within a nurturing and compassionate atmosphere.
(248) 923-4693 View (248) 923-4693
Photo of Virgil Mearn Williams Jr - Vstar Behavioral Health Services PLLC, LMSW, LCSW, Clinical Social Work/Therapist
Vstar Behavioral Health Services PLLC
Clinical Social Work/Therapist, LMSW, LCSW
Verified Verified
West Bloomfield, MI 48324
My name is Virgil M Williams Jr, and I am a licensed master’s level clinical therapist. I have been in practice for over 35 years. If you or a family member are struggling with depression, feelings of hopelessness/helplessness and are no longer finding joy in the things that you use to find enjoyable, then please reach out to me. Together we will find what is missing in your life so that you can become all that you can be. I am a firm believer in the clients’ ability to heal, recover and to lead a quality life.
My name is Virgil M Williams Jr, and I am a licensed master’s level clinical therapist. I have been in practice for over 35 years. If you or a family member are struggling with depression, feelings of hopelessness/helplessness and are no longer finding joy in the things that you use to find enjoyable, then please reach out to me. Together we will find what is missing in your life so that you can become all that you can be. I am a firm believer in the clients’ ability to heal, recover and to lead a quality life.
(731) 468-9894 View (731) 468-9894
Photo of Lora A Imsaiah, MA, LLP, Limited Licensed Psychologist
Lora A Imsaiah
Limited Licensed Psychologist, MA, LLP
Verified Verified
West Bloomfield, MI 48323
In addition to therapy, I conduct diagnostic evaluations for children & adults to assess concerns including ADHD, Autism, learning deficits, and cognitive executive function deficits. I assist a diverse population overcome their depression, anxiety, grief, trauma, adjustment issues, and more. I help my clients identify clear goals and work toward them. In the process, clients gain insight, understand their thoughts and feelings, and learn new skills and techniques. I understand the importance of medication for patients and collaborate with psychiatrists to ensure the best management and comprehensive care of symptoms for my clients.
In addition to therapy, I conduct diagnostic evaluations for children & adults to assess concerns including ADHD, Autism, learning deficits, and cognitive executive function deficits. I assist a diverse population overcome their depression, anxiety, grief, trauma, adjustment issues, and more. I help my clients identify clear goals and work toward them. In the process, clients gain insight, understand their thoughts and feelings, and learn new skills and techniques. I understand the importance of medication for patients and collaborate with psychiatrists to ensure the best management and comprehensive care of symptoms for my clients.
(586) 204-4960 View (586) 204-4960
Photo of Tradina E. Taylor, LMSW, CAADC, QMHP, QIDP, Clinical Social Work/Therapist
Tradina E. Taylor
Clinical Social Work/Therapist, LMSW, CAADC, QMHP, QIDP
Verified Verified
2 Endorsed
West Bloomfield, MI 48323  (Online Only)
As a counselor, my passion is helping people find hope in their healing process. It's about making commitments to healing in order to become your best self with a partner (myself) who provides a warm, safe environment while supporting you in a non-judgmental manner. Counseling can help both children and adults develop or enhance problem-solving skills, and to cope with stress and a variety of emotional as well as behavioral issues. My goal is not to make decisions or solve individuals' problems, but to gently guide them into naturally making choices that are right for them, their children, and family.
As a counselor, my passion is helping people find hope in their healing process. It's about making commitments to healing in order to become your best self with a partner (myself) who provides a warm, safe environment while supporting you in a non-judgmental manner. Counseling can help both children and adults develop or enhance problem-solving skills, and to cope with stress and a variety of emotional as well as behavioral issues. My goal is not to make decisions or solve individuals' problems, but to gently guide them into naturally making choices that are right for them, their children, and family.
(248) 450-0607 View (248) 450-0607
Photo of David S Brown - David Brown, MA LPC, NCC, Licensed Professional Counselor
David Brown
Licensed Professional Counselor, MA LPC, NCC
Verified Verified
1 Endorsed
West Bloomfield, MI 48323  (Online Only)
Whatever reason you've decided to consider therapy, it is up to the therapist to create a safe, warm and inviting environment; to help you find your ideal you. Research shows that therapeutic alliance is the foundation of client growth, success and ultimately--therapy completion. Therefore, my number one goal is to provide the rapport building skills needed to grow the therapeutic union.
Whatever reason you've decided to consider therapy, it is up to the therapist to create a safe, warm and inviting environment; to help you find your ideal you. Research shows that therapeutic alliance is the foundation of client growth, success and ultimately--therapy completion. Therefore, my number one goal is to provide the rapport building skills needed to grow the therapeutic union.
(248) 306-9826 View (248) 306-9826

See more therapy options for Orchard Lake

How does your Therapist compare?

Number of Therapists in Orchard Lake, MI

< 10

Therapists in Orchard Lake, MI who prioritize treating:

100% Depression
100% Anger Management
100% Self Esteem
80% Relationship Issues
80% Anxiety
80% Child
80% Divorce

Average years in practice

18 Years

Top 3 insurances accepted

80% Aetna
80% BlueCross and BlueShield
80% Cigna and Evernorth

How Therapists in Orchard Lake, MI see their clients

60% Online Only
40% In Person and Online

Gender breakdown

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

How can I find a therapist in Orchard Lake?

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.