Therapists in Wheat Ridge, CO

Photo of Stacy Sheridan, Licensed Professional Counselor in Wheat Ridge, CO
Stacy Sheridan
Licensed Professional Counselor, MA, LPC
Verified Verified
7 Endorsed
Wheat Ridge, CO 80033
Trauma and wounds from childhood impact all of us, even therapists and other healers, and recovering can be a difficult process. My expertise involves working primarily with clinicians and other providers who have experienced various forms of wounding, including sexual abuse, physical & emotional abuse, domestic violence, neglect and have found minimal healing from other therapy. We will collaborate through the process of healing and in the end, you will feel a sense of control & relief and be able to continue on your journey with strength and momentum.
Trauma and wounds from childhood impact all of us, even therapists and other healers, and recovering can be a difficult process. My expertise involves working primarily with clinicians and other providers who have experienced various forms of wounding, including sexual abuse, physical & emotional abuse, domestic violence, neglect and have found minimal healing from other therapy. We will collaborate through the process of healing and in the end, you will feel a sense of control & relief and be able to continue on your journey with strength and momentum.
(303) 647-1832 View (303) 647-1832
Photo of Jenna DeRosa, Licensed Professional Counselor in Wheat Ridge, CO
Jenna DeRosa
Licensed Professional Counselor, MA, NCC, LPC, CCTP
Verified Verified
3 Endorsed
Wheat Ridge, CO 80033
Waitlist for new clients
I have experience working with; physical and sexual trauma, emotional abuse, domestic abuse, self esteem, disordered eating, childhood trauma, gender/sexual identity, and more. My goal with each individual is to provide a place for you to feel accepted and heard. When processing traumatic experiences it is crucial and necessary to feel safe and in control of your therapeutic journey. With honest communication and empathy, I hope to provide clients the ability to begin healing from narratives that have affected their sense of self and their relationships in present day.
I have experience working with; physical and sexual trauma, emotional abuse, domestic abuse, self esteem, disordered eating, childhood trauma, gender/sexual identity, and more. My goal with each individual is to provide a place for you to feel accepted and heard. When processing traumatic experiences it is crucial and necessary to feel safe and in control of your therapeutic journey. With honest communication and empathy, I hope to provide clients the ability to begin healing from narratives that have affected their sense of self and their relationships in present day.
(720) 704-2159 View (720) 704-2159
Photo of Cathy Austin, Counselor in Wheat Ridge, CO
Cathy Austin
Counselor, LPC, Certifi, RRT, NCC, MA
Verified Verified
3 Endorsed
Wheat Ridge, CO 80033
Are you struggling? Feeling stuck? Are you dealing with PTSD, trauma or have you experienced a painful childhood? Many times with those experiences we develop underlying symptoms like anxiety, depression, panic attacks, self-esteem issues & physical body ailments. I want you to know that life can be so much better. It is possible. I can help. I use a therapy approach that takes place in 2 to 6 sessions and is endorsed by recent neuroscience. You won't have to talk about the event endlessly or relive it. Together we will step you through healing. Clear your mind. Change your world.
Are you struggling? Feeling stuck? Are you dealing with PTSD, trauma or have you experienced a painful childhood? Many times with those experiences we develop underlying symptoms like anxiety, depression, panic attacks, self-esteem issues & physical body ailments. I want you to know that life can be so much better. It is possible. I can help. I use a therapy approach that takes place in 2 to 6 sessions and is endorsed by recent neuroscience. You won't have to talk about the event endlessly or relive it. Together we will step you through healing. Clear your mind. Change your world.
(303) 949-3654 View (303) 949-3654
Photo of Timothy Mullins, Marriage & Family Therapist in Wheat Ridge, CO
Timothy Mullins
Marriage & Family Therapist, LMFT, MEd
Verified Verified
1 Endorsed
Wheat Ridge, CO 80033
I work with adolescents, adults, and couples who struggle with the achieving their full potential. This often means working through anxiety and anger and learning how to clearly communicate your own needs and challenges. This personal work leads to understanding of the system in which we all operate - family, work, school, and community. I work with clients in my office, virtually and also work with adolescents and their families in the home and also at school. Call 720-935-7336 with any questions.
I work with adolescents, adults, and couples who struggle with the achieving their full potential. This often means working through anxiety and anger and learning how to clearly communicate your own needs and challenges. This personal work leads to understanding of the system in which we all operate - family, work, school, and community. I work with clients in my office, virtually and also work with adolescents and their families in the home and also at school. Call 720-935-7336 with any questions.
(720) 606-6326 View (720) 606-6326
Photo of Sara Malnati, Marriage & Family Therapist in Wheat Ridge, CO
Sara Malnati
Marriage & Family Therapist, MFTC
Verified Verified
1 Endorsed
Wheat Ridge, CO 80033  (Online Only)
I enjoy working with families, couples, and individuals who are seeking new and different ways to live their most authentic lives. You may feel lost or in the dark right now about how to solve your problem or change your path. You may be struggling with your relationships with others or perhaps even your relationship with yourself. I would love to be a part of your journey towards finding new ways of being and living to set you on the path to greater inner peace and more experiences of happiness. If you are experiencing sadness or anxiety, struggling with conflict, or feeling lost, I may be able to help.
I enjoy working with families, couples, and individuals who are seeking new and different ways to live their most authentic lives. You may feel lost or in the dark right now about how to solve your problem or change your path. You may be struggling with your relationships with others or perhaps even your relationship with yourself. I would love to be a part of your journey towards finding new ways of being and living to set you on the path to greater inner peace and more experiences of happiness. If you are experiencing sadness or anxiety, struggling with conflict, or feeling lost, I may be able to help.
(720) 782-1605 View (720) 782-1605
Photo of Olivia Marks, Licensed Professional Counselor in Wheat Ridge, CO
Olivia Marks
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Wheat Ridge, CO 80033  (Online Only)
I help teens, families, and adults who are struggling with trauma. This comes in many forms including complex, generational, and acute trauma. I believe that trauma can present itself in myriad of distressing symptoms including but not limited to outbursts, isolation, dissociation, depression, difficulty in relationships, anxiety and fear, and loss of self. I want to be able to work together with my clients to help relive what can often be a life long struggle with the symptoms of traumatic events.
I help teens, families, and adults who are struggling with trauma. This comes in many forms including complex, generational, and acute trauma. I believe that trauma can present itself in myriad of distressing symptoms including but not limited to outbursts, isolation, dissociation, depression, difficulty in relationships, anxiety and fear, and loss of self. I want to be able to work together with my clients to help relive what can often be a life long struggle with the symptoms of traumatic events.
(720) 619-3789 View (720) 619-3789
Photo of Ben Lawful, Licensed Professional Counselor in Wheat Ridge, CO
Ben Lawful
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Wheat Ridge, CO 80033
Not accepting new clients
Being human is messy and we all struggle at times, you are not alone! Embarking on a journey of self-discovery and healing can feel intimidating, which is why finding a trusted helper matters. I believe that my clients are the experts of their own experiences and that therapy should be individualized to their needs and worldview. I place importance on creating space for my clients to feel their emotions, express themselves authentically, accept themselves fully, and explore their change process, through a kind, supportive, and empathic relationship.
Being human is messy and we all struggle at times, you are not alone! Embarking on a journey of self-discovery and healing can feel intimidating, which is why finding a trusted helper matters. I believe that my clients are the experts of their own experiences and that therapy should be individualized to their needs and worldview. I place importance on creating space for my clients to feel their emotions, express themselves authentically, accept themselves fully, and explore their change process, through a kind, supportive, and empathic relationship.
(720) 912-5679 View (720) 912-5679
Photo of Bonnie L Goetz, Licensed Professional Counselor in Wheat Ridge, CO
Bonnie L Goetz
Licensed Professional Counselor, MA, LPC
Verified Verified
Wheat Ridge, CO 80033
As a Depth Psychological oriented therapist with over 20 years of experience, I help people through life's difficulties. I see clients who are: feeling drained, depressed or anxious; struggling with feeling that something is “wrong” with them because of their current challenges; having difficulty navigating a relationship that they aren’t sure is good for them; struggling to “get over” something emotional they’ve gone through; having difficulty finding meaning or purpose in their life or wondering about the greater story they are living out and how the psyche is pushing them towards this.
As a Depth Psychological oriented therapist with over 20 years of experience, I help people through life's difficulties. I see clients who are: feeling drained, depressed or anxious; struggling with feeling that something is “wrong” with them because of their current challenges; having difficulty navigating a relationship that they aren’t sure is good for them; struggling to “get over” something emotional they’ve gone through; having difficulty finding meaning or purpose in their life or wondering about the greater story they are living out and how the psyche is pushing them towards this.
(720) 703-9308 View (720) 703-9308
Photo of Jasmine Johnson, Pre-Licensed Professional in Wheat Ridge, CO
Jasmine Johnson
Pre-Licensed Professional, LSW
Verified Verified
Wheat Ridge, CO 80033  (Online Only)
Are you new to your therapy journey or nervous to try this new step? That’s understandable, because change can be scary. I believe the only way to conquer that fear is to embrace the process. Change is the only constant in life, and we should all be growing and developing throughout our journey. Therapy is a space where you can take the time to reflect on where you are and where you want to be, practice consistency in showing up for yourself and learn that we are often not going to be the exact same person we were years ago.
Are you new to your therapy journey or nervous to try this new step? That’s understandable, because change can be scary. I believe the only way to conquer that fear is to embrace the process. Change is the only constant in life, and we should all be growing and developing throughout our journey. Therapy is a space where you can take the time to reflect on where you are and where you want to be, practice consistency in showing up for yourself and learn that we are often not going to be the exact same person we were years ago.
(720) 902-6555 View (720) 902-6555
Photo of Jaime Horsfall, Licensed Professional Counselor in Wheat Ridge, CO
Jaime Horsfall
Licensed Professional Counselor, MA, LPC, CBIST
Verified Verified
Wheat Ridge, CO 80033
Skilled therapist supporting individuals suffering from brain injury, trauma, and insomnia. I have a License in Professional Counseling, am a certified Brain Injury Specialist Trainer through BIAA, and hold a certification in Traumatic Stress through the Trauma Research Foundation.
Skilled therapist supporting individuals suffering from brain injury, trauma, and insomnia. I have a License in Professional Counseling, am a certified Brain Injury Specialist Trainer through BIAA, and hold a certification in Traumatic Stress through the Trauma Research Foundation.
(720) 807-9568 View (720) 807-9568
Photo of Karla Marie Díaz Pacheco, LPC Intern in Wheat Ridge, CO
Karla Marie Díaz Pacheco
LPC Intern
Verified Verified
Wheat Ridge, CO 80033
Do you notice patterns repeating themselves, not feeling met or seen in your struggles? Are you ready to cultivate a deeper understanding of yourself and foster healthier relationships? Do past burdens carry over into your present moment experience? Do you want to develop the ability to ensure confidence, clarity, and accurate communication of your experiences? Is there a sense of unfulfillment regarding the systems you are a part of?
Do you notice patterns repeating themselves, not feeling met or seen in your struggles? Are you ready to cultivate a deeper understanding of yourself and foster healthier relationships? Do past burdens carry over into your present moment experience? Do you want to develop the ability to ensure confidence, clarity, and accurate communication of your experiences? Is there a sense of unfulfillment regarding the systems you are a part of?
(720) 902-9761 View (720) 902-9761
Photo of Marina Buswell, Licensed Professional Counselor in Wheat Ridge, CO
Marina Buswell
Licensed Professional Counselor, MA, LPC, BCN
Verified Verified
7 Endorsed
Wheat Ridge, CO 80215
The journey to find growth and your true self looks different for each individual. It is my goal to walk alongside you as you find the way to where you’d like to be. I work in both private practice counseling and neurofeedback having experience working with individuals and couples suffering from anxiety, depression, relationship problems, sleep issues, eating disorders, learning disabilities, self-exploration, and much more. It is the most incredible feeling to join the process of somebody finding themselves and understanding that they have the power to make positive and lasting changes in their lives.
The journey to find growth and your true self looks different for each individual. It is my goal to walk alongside you as you find the way to where you’d like to be. I work in both private practice counseling and neurofeedback having experience working with individuals and couples suffering from anxiety, depression, relationship problems, sleep issues, eating disorders, learning disabilities, self-exploration, and much more. It is the most incredible feeling to join the process of somebody finding themselves and understanding that they have the power to make positive and lasting changes in their lives.
(586) 619-8379 View (586) 619-8379
Photo of Andrea Ware-Medina, Licensed Professional Counselor in Wheat Ridge, CO
Andrea Ware-Medina
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Wheat Ridge, CO 80033
Not accepting new clients
You want to live a full, vital, creative life, but something is in the way. Maybe you feel anxious or down, or you find yourself in the same relational patterns again and again, or you feel tangled up in your relationship with food and your body. You may not be sure how to get there, but you hope for change within yourself that is meaningful, and lasts - something more than a "band-aid" approach. My hope, and my approach to therapy, is to collaborate with you to understand why you are hurting the way you are, and to find where stuck points or unconscious patterns get in the way of your ability to play, love, work, and find meaning.
You want to live a full, vital, creative life, but something is in the way. Maybe you feel anxious or down, or you find yourself in the same relational patterns again and again, or you feel tangled up in your relationship with food and your body. You may not be sure how to get there, but you hope for change within yourself that is meaningful, and lasts - something more than a "band-aid" approach. My hope, and my approach to therapy, is to collaborate with you to understand why you are hurting the way you are, and to find where stuck points or unconscious patterns get in the way of your ability to play, love, work, and find meaning.
(720) 669-7278 View (720) 669-7278
Photo of Katie O'Neil, Pre-Licensed Professional in Wheat Ridge, CO
Katie O'Neil
Pre-Licensed Professional, LPCC
Verified Verified
Wheat Ridge, CO 80033
Are you or your child struggling with anxiety or depression? Is your child or adolescent struggling to manage their big emotions, or having issues at home or in school? Perhaps you are in need of someone to support you as you navigate your own challenging relationship dynamics? Whether you are interested in personal development, healing emotional wounds, or looking to support someone you love, reaching out for support can be a daunting, yet rewarding decision. With 10 years of experience working with individuals, families and children in a variety of settings, I understand how layered and complicated life can feel at times.
Are you or your child struggling with anxiety or depression? Is your child or adolescent struggling to manage their big emotions, or having issues at home or in school? Perhaps you are in need of someone to support you as you navigate your own challenging relationship dynamics? Whether you are interested in personal development, healing emotional wounds, or looking to support someone you love, reaching out for support can be a daunting, yet rewarding decision. With 10 years of experience working with individuals, families and children in a variety of settings, I understand how layered and complicated life can feel at times.
(720) 702-1824 View (720) 702-1824
Photo of Rabecka Isburg, Clinical Social Work/Therapist in Wheat Ridge, CO
Rabecka Isburg
Clinical Social Work/Therapist, LCSW, LAC
Verified Verified
Wheat Ridge, CO 80033
If you are seeing this profile, you have already taken the important step in recognizing that your mental health is important. Whether you are currently dealing with something hard or you are processing something that has happened to you; I would be honored to be a part of your journey. I am committed to providing a safe space where you can be seen, heard, and understood. I utilize a trauma informed approach and believe in the possibilities and power of change.
If you are seeing this profile, you have already taken the important step in recognizing that your mental health is important. Whether you are currently dealing with something hard or you are processing something that has happened to you; I would be honored to be a part of your journey. I am committed to providing a safe space where you can be seen, heard, and understood. I utilize a trauma informed approach and believe in the possibilities and power of change.
(720) 580-4044 View (720) 580-4044
Photo of Hannah Larson, Licensed Professional Counselor in Wheat Ridge, CO
Hannah Larson
Licensed Professional Counselor, LPC , CCMHC, NCC
Verified Verified
Wheat Ridge, CO 80033  (Online Only)
I am glad you are here. I provide a safe and comfortable space where you can share whatever is on your heart and mind. I work from a strengths-based approach at a pace that is comfortable to you. At the start of each therapy session, I ask what is most important to you and we tackle that together. I want you to leave our sessions feeling more relaxed and ready to tackle another day.
I am glad you are here. I provide a safe and comfortable space where you can share whatever is on your heart and mind. I work from a strengths-based approach at a pace that is comfortable to you. At the start of each therapy session, I ask what is most important to you and we tackle that together. I want you to leave our sessions feeling more relaxed and ready to tackle another day.
(720) 730-6755 View (720) 730-6755
Photo of Wolfe Counseling, Licensed Professional Counselor in Wheat Ridge, CO
Wolfe Counseling
Licensed Professional Counselor, MA, LMFT, LPC
Verified Verified
5 Endorsed
Wheat Ridge, CO 80033
Yes, we have openings! We specialize in relationships & couples therapy and offer a 75% Off First Session to determine therapist fit. We also understand that searching through profiles to find the right fit is very difficult and overwhelming. If we are not a good fit for your needs, we are well connected in the community and happy to provide a referral.
Yes, we have openings! We specialize in relationships & couples therapy and offer a 75% Off First Session to determine therapist fit. We also understand that searching through profiles to find the right fit is very difficult and overwhelming. If we are not a good fit for your needs, we are well connected in the community and happy to provide a referral.
(303) 900-7457 View (303) 900-7457
Photo of Hans J Sieber, Licensed Professional Counselor in Wheat Ridge, CO
Hans J Sieber
Licensed Professional Counselor, MC, LPC, NCC
Verified Verified
Wheat Ridge, CO 80033
Life has gotten more complicated. Too many problems to try to manage at once. Sometimes it gets hard to breathe, and no time to stop and take care of yourself. Everyone else seems happier. Tired of feeling alone and disconnected. Not sure if this is sadness or just no feeling at all? Always pretending everything is ok so you can power through the day. Life is overwhelming, and doesn't seem to be getting any better. How long have you been thinking "I really need to talk to someone"? No need to keep struggling, a professional counselor can help. Call Hans today!
Life has gotten more complicated. Too many problems to try to manage at once. Sometimes it gets hard to breathe, and no time to stop and take care of yourself. Everyone else seems happier. Tired of feeling alone and disconnected. Not sure if this is sadness or just no feeling at all? Always pretending everything is ok so you can power through the day. Life is overwhelming, and doesn't seem to be getting any better. How long have you been thinking "I really need to talk to someone"? No need to keep struggling, a professional counselor can help. Call Hans today!
(720) 466-2920 View (720) 466-2920
Photo of Kendall Grzyboski, Licensed Professional Counselor in Wheat Ridge, CO
Kendall Grzyboski
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Wheat Ridge, CO 80033
Guiding you toward growth and healing, I'm a mental health therapist experienced in supporting teens and adults through challenges like anxiety, depression, neurodivergence, and life transitions. Whether it's navigating relationships, building self-esteem, or exploring identity, I use a collaborative approach tailored to your needs.
Guiding you toward growth and healing, I'm a mental health therapist experienced in supporting teens and adults through challenges like anxiety, depression, neurodivergence, and life transitions. Whether it's navigating relationships, building self-esteem, or exploring identity, I use a collaborative approach tailored to your needs.
(720) 821-0561 View (720) 821-0561
Photo of Christine Choucair, Licensed Professional Counselor in Wheat Ridge, CO
Christine Choucair
Licensed Professional Counselor, LPC
Verified Verified
Wheat Ridge, CO 80033
Many of us feel like we are “stuck in a rut,” collecting some not-so-helpful habits and coping strategies throughout the years like souvenirs from trauma gone by. It's my goal to help you take inventory of what makes you uniquely you, and help you clear out the emotional clutter that may be holding you back. Are you or your child struggling to deal with conflict, or stress, in a way that feels healthy and effective? Have the tensions at home or in your relationship become overwhelming? Are you or your child dealing with self-esteem, identity development, or emotion-regulation challenges?
Many of us feel like we are “stuck in a rut,” collecting some not-so-helpful habits and coping strategies throughout the years like souvenirs from trauma gone by. It's my goal to help you take inventory of what makes you uniquely you, and help you clear out the emotional clutter that may be holding you back. Are you or your child struggling to deal with conflict, or stress, in a way that feels healthy and effective? Have the tensions at home or in your relationship become overwhelming? Are you or your child dealing with self-esteem, identity development, or emotion-regulation challenges?
(720) 784-5684 View (720) 784-5684

How does your Therapist compare?

Number of Therapists in Wheat Ridge, CO

200+

Average cost per session

$140

Therapists in Wheat Ridge, CO who prioritize treating:

92% Anxiety
88% Depression
78% Relationship Issues
75% Trauma and PTSD
75% Self Esteem
71% Stress
66% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

79% Aetna
71% Cigna and Evernorth
66% UnitedHealthcare UHC | UBH

How Therapists in Wheat Ridge, CO see their clients

85% In Person and Online
15% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Wheat Ridge?

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.