Therapists in Strongsville, OH

Photo of Alison Brammer, Licensed Professional Clinical Counselor in Strongsville, OH
Alison Brammer
Licensed Professional Clinical Counselor, LPCC
Verified Verified
1 Endorsed
Strongsville, OH 44136
Starting therapy can be a scary process. Knowing this, I strive to create a safe and healing environment. I believe we all have the ability to move through/grow through difficult life experiences if provided the right tools. Whether it’s depression, anxiety, a traumatic event, or life transition, I will help guide you through your journey of self-awareness and positive change.
Starting therapy can be a scary process. Knowing this, I strive to create a safe and healing environment. I believe we all have the ability to move through/grow through difficult life experiences if provided the right tools. Whether it’s depression, anxiety, a traumatic event, or life transition, I will help guide you through your journey of self-awareness and positive change.
(440) 695-3948 View (440) 695-3948
Photo of Fay L Hahn, Counselor in Strongsville, OH
Fay L Hahn
Counselor, MA, M Ed, LPCC
Verified Verified
Strongsville, OH 44136
Not accepting new clients
Let's be real - life is hard and sticky and absolutely devastating at times. The world shakes and all the sudden our lives don't look like they used to or the way we want them to. Maybe we need someone to help us untangle our thoughts, figure out what we are feeling, maybe relearn our identity. That might be where someone like me steps in.
Let's be real - life is hard and sticky and absolutely devastating at times. The world shakes and all the sudden our lives don't look like they used to or the way we want them to. Maybe we need someone to help us untangle our thoughts, figure out what we are feeling, maybe relearn our identity. That might be where someone like me steps in.
(440) 291-2021 View (440) 291-2021
Photo of Amy L Dowdy, Licensed Professional Counselor in Strongsville, OH
Amy L Dowdy
Licensed Professional Counselor, MA, LPC
Verified Verified
Strongsville, OH 44136
Making the decision to seek help and support can be a difficult step, especially when life is challenging and stressful. Mental health issues and poor relationships aren’t something to be afraid of or ignored but are areas where one can discover hidden strengths and opportunities for growth. I desire to build a trusting support system with you and work collaboratively to find realistic goals for healing. As a counselor, I am genuine and caring when listening and providing support to my clients. I desire to offer hope and encouragement toward healing.
Making the decision to seek help and support can be a difficult step, especially when life is challenging and stressful. Mental health issues and poor relationships aren’t something to be afraid of or ignored but are areas where one can discover hidden strengths and opportunities for growth. I desire to build a trusting support system with you and work collaboratively to find realistic goals for healing. As a counselor, I am genuine and caring when listening and providing support to my clients. I desire to offer hope and encouragement toward healing.
(440) 732-2310 View (440) 732-2310
Photo of Maureen Rizzo, Clinical Social Work/Therapist in Strongsville, OH
Maureen Rizzo
Clinical Social Work/Therapist, LISW-S
Verified Verified
Strongsville, OH 44136
I bring over 20 years of healthcare experience, providing mental health and clinical social work services in hospitals, private practice, and post-acute settings. I am passionate about fair and equal access to mental health and advocate for those in need, supporting access to mental health and healthy aging. I am your advocate in person centered care, in collaboration with all your health care providers.
I bring over 20 years of healthcare experience, providing mental health and clinical social work services in hospitals, private practice, and post-acute settings. I am passionate about fair and equal access to mental health and advocate for those in need, supporting access to mental health and healthy aging. I am your advocate in person centered care, in collaboration with all your health care providers.
(440) 762-7720 View (440) 762-7720
Photo of Samantha Grey, Clinical Social Work/Therapist in Strongsville, OH
Samantha Grey
Clinical Social Work/Therapist, LSW
Verified Verified
Strongsville, OH 44136
Hi, my name is Samantha, but please call me Sam. I am an enthusiastic and passionate Social Worker with a background in child and adolescent counseling. I received my Bachelor’s in Social Work from Miami University, and have worked with children and adolescents in various settings for the past several years. I not only work with individuals, but have also worked as a group counselor, a child and family mediator, and an educator when needed.
Hi, my name is Samantha, but please call me Sam. I am an enthusiastic and passionate Social Worker with a background in child and adolescent counseling. I received my Bachelor’s in Social Work from Miami University, and have worked with children and adolescents in various settings for the past several years. I not only work with individuals, but have also worked as a group counselor, a child and family mediator, and an educator when needed.
(440) 644-4192 View (440) 644-4192
Photo of Klare Heston, Clinical Social Work/Therapist in Strongsville, OH
Klare Heston
Clinical Social Work/Therapist, LISW-S
Verified Verified
1 Endorsed
Strongsville, OH 44136  (Online Only)
I start where you are. I firmly believe that life rarely unfolds in a straight line, and that we can all find our way— no matter how lost or hurt we might feel. Whether you are struggling with illness, death of a loved one, a learning problem, substance abuse, depression, anxiety, difficult family dynamics, prolonged poverty, traumatic events, or other emotional, relationship or socio-economic factors, healing can occur.
I start where you are. I firmly believe that life rarely unfolds in a straight line, and that we can all find our way— no matter how lost or hurt we might feel. Whether you are struggling with illness, death of a loved one, a learning problem, substance abuse, depression, anxiety, difficult family dynamics, prolonged poverty, traumatic events, or other emotional, relationship or socio-economic factors, healing can occur.
(440) 595-4160 View (440) 595-4160
Photo of Seth Auman, Licensed Professional Counselor in Strongsville, OH
Seth Auman
Licensed Professional Counselor, LPCC
Verified Verified
Strongsville, OH 44136  (Online Only)
Are feelings of self-doubt preventing you from living the life you desire? You want to find more connection, purpose, and belonging in your life, but deep down you wonder if these will always be out of reach. Maybe you’re aware of a heavy sadness in your chest and find yourself wondering if this is all there is for you. You might believe that you are flawed or broken, and need to hide something about who you really are from others, or that the only safe place for your feelings is bottled up inside. Painful experiences from your past may have taught you you’ll never be enough.
Are feelings of self-doubt preventing you from living the life you desire? You want to find more connection, purpose, and belonging in your life, but deep down you wonder if these will always be out of reach. Maybe you’re aware of a heavy sadness in your chest and find yourself wondering if this is all there is for you. You might believe that you are flawed or broken, and need to hide something about who you really are from others, or that the only safe place for your feelings is bottled up inside. Painful experiences from your past may have taught you you’ll never be enough.
(440) 739-7507 View (440) 739-7507
Photo of Natalie Grandy, Psychologist in Strongsville, OH
Natalie Grandy
Psychologist, PhD
Verified Verified
Strongsville, OH 44136
Dr. Grandy is a Licensed Psychologist who strongly believes that curiosity and compassion are at the heart of change and is committed to her own journey of life-long learning and development. She graduated from the University of Akron with a Ph.D. in Counseling Psychology, where she received extensive training in psychological research, treatment, and assessment. Dr. Grandy works with adults whose concerns range from the stress of normal life to severe and debilitating mood and anxiety disorders.
Dr. Grandy is a Licensed Psychologist who strongly believes that curiosity and compassion are at the heart of change and is committed to her own journey of life-long learning and development. She graduated from the University of Akron with a Ph.D. in Counseling Psychology, where she received extensive training in psychological research, treatment, and assessment. Dr. Grandy works with adults whose concerns range from the stress of normal life to severe and debilitating mood and anxiety disorders.
(440) 739-7259 View (440) 739-7259
Photo of Mindfully - Strongsville, OH, Licensed Professional Clinical Counselor in Strongsville, OH
Mindfully - Strongsville, OH
Licensed Professional Clinical Counselor, LPC, LPCC, LISW
Verified Verified
2 Endorsed
Strongsville, OH 44136
Mindfully Northeast Ohio, formerly known as Nancy Lowrie and Associates, is dedicated to helping our clients heal, grow, and thrive. We focus on matching clients with providers who specialize in the challenges they are facing. By providing the best fit from the start, we help our clients meet their goals with greater success and our providers find deeper fulfillment in their work.
Mindfully Northeast Ohio, formerly known as Nancy Lowrie and Associates, is dedicated to helping our clients heal, grow, and thrive. We focus on matching clients with providers who specialize in the challenges they are facing. By providing the best fit from the start, we help our clients meet their goals with greater success and our providers find deeper fulfillment in their work.
(380) 333-5904 View (380) 333-5904
Photo of Marina Bernard, Counselor in Strongsville, OH
Marina Bernard
Counselor, LPCC
Verified Verified
Strongsville, OH 44136
Marina Bernard is a Licensed Professional Clinical Counselor in Ohio who has been practicing since 2020. She has a Bachelor of Science from John Carroll University and a Masters of Education in Clinical Mental Health Counseling from Kent State University. Marina strives to help her clients advocate for themselves and break free from barriers that interfere with living their most authentic and fulfilled selves. Marina hopes to work with her clients to pursue their self-direction and prioritize their own values and needs. Together, the client and Marina will work towards healing from the past and embracing the future of possibility.
Marina Bernard is a Licensed Professional Clinical Counselor in Ohio who has been practicing since 2020. She has a Bachelor of Science from John Carroll University and a Masters of Education in Clinical Mental Health Counseling from Kent State University. Marina strives to help her clients advocate for themselves and break free from barriers that interfere with living their most authentic and fulfilled selves. Marina hopes to work with her clients to pursue their self-direction and prioritize their own values and needs. Together, the client and Marina will work towards healing from the past and embracing the future of possibility.
(440) 683-6711 View (440) 683-6711
Photo of Sarah McKay Counseling, Counselor in Strongsville, OH
Sarah McKay Counseling
Counselor, LPCC
Verified Verified
1 Endorsed
Strongsville, OH 44149
Our passion is to help clients rediscover what it means to be healthy, happy and whole. We specialize in helping children, individuals and families recover from depression, anxiety, grief reactions, life transitions, trauma and other issues. The uncertainty, fear, worry and lack of passion that you may feel does not define you or need to be a part of your life any longer. We utilize evidenced based & solution focused interventions to help you move toward wellbeing. We are committed to your healing and will encourage you to remain accountable in achieving your goals so you can experience lasting change!
Our passion is to help clients rediscover what it means to be healthy, happy and whole. We specialize in helping children, individuals and families recover from depression, anxiety, grief reactions, life transitions, trauma and other issues. The uncertainty, fear, worry and lack of passion that you may feel does not define you or need to be a part of your life any longer. We utilize evidenced based & solution focused interventions to help you move toward wellbeing. We are committed to your healing and will encourage you to remain accountable in achieving your goals so you can experience lasting change!
(216) 446-7091 View (216) 446-7091
Photo of Claudia Taylor, Counselor in Strongsville, OH
Claudia Taylor
Counselor, LPCC-S
Verified Verified
3 Endorsed
Strongsville, OH 44136
Currently I have a waitlist. I'm glad you are taking the first step towards change! I'm a Licensed Professional Clinical Counselor and Supervisor. My areas of specialization include: trauma related disorders, anxiety and depressive disorders, LGBTQ+ issues, women's issues, and relationship distress. I am a sex-positive therapist and strive to create a safe space for all! I typically draw from CBT and DBT modalities for the majority of treatment but will tailor each experience to fit your needs. I am passionate about helping those from diverse populations and will work with you to establish goals that are unique to your experience.
Currently I have a waitlist. I'm glad you are taking the first step towards change! I'm a Licensed Professional Clinical Counselor and Supervisor. My areas of specialization include: trauma related disorders, anxiety and depressive disorders, LGBTQ+ issues, women's issues, and relationship distress. I am a sex-positive therapist and strive to create a safe space for all! I typically draw from CBT and DBT modalities for the majority of treatment but will tailor each experience to fit your needs. I am passionate about helping those from diverse populations and will work with you to establish goals that are unique to your experience.
(440) 482-8614 View (440) 482-8614
Photo of Veda Wise, Licensed Social Worker in Strongsville, OH
Veda Wise
Licensed Social Worker, LSW, MSW
Verified Verified
Strongsville, OH 44136  (Online Only)
Do you need a breakthrough? Do you need direction and strategies to transform your life?  There is hope! By merging years of training and experience with the foundational principles of God's Word, I provide Christian counseling that incorporates psychological research that is compatible with scripture.
Do you need a breakthrough? Do you need direction and strategies to transform your life?  There is hope! By merging years of training and experience with the foundational principles of God's Word, I provide Christian counseling that incorporates psychological research that is compatible with scripture.
(440) 306-3308 View (440) 306-3308
Photo of Kristen Ashenbach, Licensed Professional Counselor in Strongsville, OH
Kristen Ashenbach
Licensed Professional Counselor, LPCC
Verified Verified
Strongsville, OH 44136
“What we call human nature in actuality is human habit.” —Jewel. Our lives are a summation of moment to moment decisions. As such, they can become slightly to severely complicated. I specialize in EMDR work but take a holistic approach to ensure my clients are “living their best life” by making great choices to thrive and become autonomous in their own lives. Sometimes mental health problems are merely just bad choices problems. I strive to help clients "get out of their own way" and make choices most conducive to allowing the human experience heal and progress, by re-aligning with nature via lifestyle choices!
“What we call human nature in actuality is human habit.” —Jewel. Our lives are a summation of moment to moment decisions. As such, they can become slightly to severely complicated. I specialize in EMDR work but take a holistic approach to ensure my clients are “living their best life” by making great choices to thrive and become autonomous in their own lives. Sometimes mental health problems are merely just bad choices problems. I strive to help clients "get out of their own way" and make choices most conducive to allowing the human experience heal and progress, by re-aligning with nature via lifestyle choices!
(440) 271-3740 View (440) 271-3740
Photo of Xavier Spencer, Marriage & Family Therapist in Strongsville, OH
Xavier Spencer
Marriage & Family Therapist, MSMFT, IMFT-S, CST
Verified Verified
1 Endorsed
Strongsville, OH 44136
Many people struggle to address sexual functioning difficulties. If you are a person that values sexual response and pleasure, and have been experiencing sexual discomfort. Here's how I can help. As a research informed clinical expert in couples and family relationships and AASECT certified sex therapist. My clinical interest is providing sex therapy with individuals and couples to treat male and female sexual matters, sexual dysfunctions, sexual disorders, sexual orientation, sexual expression and gender identity issues. I'm committed to serving the spectrum of variations in human sexuality across the lifespan.
Many people struggle to address sexual functioning difficulties. If you are a person that values sexual response and pleasure, and have been experiencing sexual discomfort. Here's how I can help. As a research informed clinical expert in couples and family relationships and AASECT certified sex therapist. My clinical interest is providing sex therapy with individuals and couples to treat male and female sexual matters, sexual dysfunctions, sexual disorders, sexual orientation, sexual expression and gender identity issues. I'm committed to serving the spectrum of variations in human sexuality across the lifespan.
(216) 539-0346 View (216) 539-0346
Photo of Zach Dispirito, Licensed Professional Counselor in Strongsville, OH
Zach Dispirito
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Strongsville, OH 44136
Hello, it’s nice to meet you! I hope you’re doing well and congratulations on successfully working toward finding support. I typically work with those of us that experience/have experienced self-esteem issues, anxiety, difficulty with change, relationship concerns, depression, challenges with attention, and/or traumatic events in life. As an LGBTQ+ ally, it is paramount to me to empower you to thrive in your best way, regardless of what may bring you into counseling. My purpose is to guide you in achieving your goals & support you in feeling inspired, hopeful, and capable in the long-term.
Hello, it’s nice to meet you! I hope you’re doing well and congratulations on successfully working toward finding support. I typically work with those of us that experience/have experienced self-esteem issues, anxiety, difficulty with change, relationship concerns, depression, challenges with attention, and/or traumatic events in life. As an LGBTQ+ ally, it is paramount to me to empower you to thrive in your best way, regardless of what may bring you into counseling. My purpose is to guide you in achieving your goals & support you in feeling inspired, hopeful, and capable in the long-term.
(440) 644-3985 View (440) 644-3985
Photo of Bridget Lind, Counselor in Strongsville, OH
Bridget Lind
Counselor, LPCC-S
Verified Verified
Strongsville, OH 44136
Bridget Lind is a Licensed Professional Clinical Counselor Supervisor in Ohio who has been practicing since 2011. She has a Master of Business Administration in Entrepreneurship from Ashland University and a Master of Arts in Clinical Mental Health Counseling from John Carroll University. As a licensed professional counselor and a certified heart-centered hypnotherapist, Bridget's goal is to help clients uncover their true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life.
Bridget Lind is a Licensed Professional Clinical Counselor Supervisor in Ohio who has been practicing since 2011. She has a Master of Business Administration in Entrepreneurship from Ashland University and a Master of Arts in Clinical Mental Health Counseling from John Carroll University. As a licensed professional counselor and a certified heart-centered hypnotherapist, Bridget's goal is to help clients uncover their true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life.
(440) 636-8557 View (440) 636-8557
Photo of Daryn Hunt, Clinical Social Work/Therapist in Strongsville, OH
Daryn Hunt
Clinical Social Work/Therapist, LISW
Verified Verified
Strongsville, OH 44136
Daryn V. Hunt is a licensed professional social worker with more than 25 years experience working with children and families. Daryn earned her Master's degree in social work from the Ohio State University. Her early career was in community mental health making home visits to engage children, adolescents and parents in counseling. Once Daryn's children were school age, she embarked on a 10 year journey working in juvenile jail to continue working with children, adolescents and parents in crisis. At this time, Daryn became trained in trauma informed care over a 2 year period of time.
Daryn V. Hunt is a licensed professional social worker with more than 25 years experience working with children and families. Daryn earned her Master's degree in social work from the Ohio State University. Her early career was in community mental health making home visits to engage children, adolescents and parents in counseling. Once Daryn's children were school age, she embarked on a 10 year journey working in juvenile jail to continue working with children, adolescents and parents in crisis. At this time, Daryn became trained in trauma informed care over a 2 year period of time.
(380) 333-9801 View (380) 333-9801
Photo of Olivia Laws, Licensed Social Worker in Strongsville, OH
Olivia Laws
Licensed Social Worker, LSW
Verified Verified
Strongsville, OH 44136
Starting therapy can sometimes be nerve-racking. That’s why my goal is to provide a comfortable and safe space. I would describe myself as being someone who is nonjudgmental, compassionate, empathetic, and quirky. My therapeutic approach involves bringing a sense of hope, kindness, and support to make everyday life more manageable. Healing and talking about heavy things can be difficult, but together, it can be resourcefully navigated. I believe that therapy is a collaborative approach and value the role each person plays in their own healing journey. I find joy in meeting people from all ages and backgrounds of life.
Starting therapy can sometimes be nerve-racking. That’s why my goal is to provide a comfortable and safe space. I would describe myself as being someone who is nonjudgmental, compassionate, empathetic, and quirky. My therapeutic approach involves bringing a sense of hope, kindness, and support to make everyday life more manageable. Healing and talking about heavy things can be difficult, but together, it can be resourcefully navigated. I believe that therapy is a collaborative approach and value the role each person plays in their own healing journey. I find joy in meeting people from all ages and backgrounds of life.
(440) 294-6304 View (440) 294-6304
Photo of Dr. Brittany Kelly, Counselor in Strongsville, OH
Dr. Brittany Kelly
Counselor, PhD, LCDCIII, LPCC-S, CFRC
Verified Verified
Strongsville, OH 44136
Hello, I'm a highly experienced therapist with nearly two decades of mental health counseling experience. During the last decade, I worked at Psychological and Behavioral Consultants, a private practice in North Olmsted, OH. In this role, I dedicated my efforts to helping clients facing various challenges, including anxiety, depression, marital issues, substance abuse disorders, trauma, and spiritual concerns.I hold an independent license with supervisory status in Clinical Counseling and Chemical dependency in the state of Ohio, and I am certified in foster care assessment and sex offender treatment.
Hello, I'm a highly experienced therapist with nearly two decades of mental health counseling experience. During the last decade, I worked at Psychological and Behavioral Consultants, a private practice in North Olmsted, OH. In this role, I dedicated my efforts to helping clients facing various challenges, including anxiety, depression, marital issues, substance abuse disorders, trauma, and spiritual concerns.I hold an independent license with supervisory status in Clinical Counseling and Chemical dependency in the state of Ohio, and I am certified in foster care assessment and sex offender treatment.
(440) 530-9265 View (440) 530-9265

See more therapy options for Strongsville

How does your Therapist compare?

Number of Therapists in Strongsville, OH

80+

Average cost per session

$130

Therapists in Strongsville, OH who prioritize treating:

99% Anxiety
95% Depression
81% Trauma and PTSD
79% Self Esteem
79% Life Transitions
77% Grief
75% Relationship Issues

Average years in practice

9 Years

Top 3 insurances accepted

93% Medical Mutual
91% Anthem | Elevance
90% Aetna

How Therapists in Strongsville, OH see their clients

81% In Person and Online
19% Online Only

Gender breakdown

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

How can I find a therapist in Strongsville?

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.