Therapists in Beacon, NY

Photo of Kate Crocco, Clinical Social Work/Therapist, LCSW
Kate Crocco
Clinical Social Work/Therapist, LCSW
6 Endorsed
Beacon, NY 12508
At times, life can feel like one big transition. Right when you overcome one challenge, another always seems to pops up. It can feel overwhelming to handle it all, whether you are a stay at home mom in the throughs of toddlerhood or a homeschool mom trying to navigate health challenges for your family members or a career driven mom trying to balance it all. The one thing I’ve learned over the years is that if you aren’t taking care of yourself physically (your health), spiritually (having a faith practice), and relationally (making time for in person connections), life can feel a whole lot more challenging than it should.
At times, life can feel like one big transition. Right when you overcome one challenge, another always seems to pops up. It can feel overwhelming to handle it all, whether you are a stay at home mom in the throughs of toddlerhood or a homeschool mom trying to navigate health challenges for your family members or a career driven mom trying to balance it all. The one thing I’ve learned over the years is that if you aren’t taking care of yourself physically (your health), spiritually (having a faith practice), and relationally (making time for in person connections), life can feel a whole lot more challenging than it should.
(845) 393-2681 View (845) 393-2681
Photo of Nicolette M. Dakin, Clinical Social Work/Therapist, LCSW
Nicolette M. Dakin
Clinical Social Work/Therapist, LCSW
Online Only
I predominately work with individuals and couples in creative and non-traditional careers and the LGBTQIA+ community. I have a great deal of expertise in issues of anxiety and self-worth, but also have worked extensively with individuals struggling with addiction issues, attachment trauma, navigating polyamory, among other concerns. You may feel ready for change but need support figuring out where to begin. We work together to build a relationship grounded in trust and authenticity, so you can feel safe to explore and experiment with new ways of relating to yourself and others.
I predominately work with individuals and couples in creative and non-traditional careers and the LGBTQIA+ community. I have a great deal of expertise in issues of anxiety and self-worth, but also have worked extensively with individuals struggling with addiction issues, attachment trauma, navigating polyamory, among other concerns. You may feel ready for change but need support figuring out where to begin. We work together to build a relationship grounded in trust and authenticity, so you can feel safe to explore and experiment with new ways of relating to yourself and others.
(845) 581-8572 View (845) 581-8572
Photo of Ariel Zaksenberg, Clinical Social Work/Therapist, LCSW
Ariel Zaksenberg
Clinical Social Work/Therapist, LCSW
4 Endorsed
Online Only
At the heart of my work is a belief in the healing power of being seen, known, and emotionally held by another. I work individually with adults ages 18 to 40, drawing from relational and intersubjective psychotherapy approaches. I also work with adolescents, supporting them in enhancing self-esteem and fostering a deeper understanding of themselves. I believe lasting change is created through meaningful emotional moments and consistent successful attunements within the therapeutic relationship. Together, we’ll make sense of stressful or traumatic experiences so that your life’s narrative feels understood in new and insightful ways.
At the heart of my work is a belief in the healing power of being seen, known, and emotionally held by another. I work individually with adults ages 18 to 40, drawing from relational and intersubjective psychotherapy approaches. I also work with adolescents, supporting them in enhancing self-esteem and fostering a deeper understanding of themselves. I believe lasting change is created through meaningful emotional moments and consistent successful attunements within the therapeutic relationship. Together, we’ll make sense of stressful or traumatic experiences so that your life’s narrative feels understood in new and insightful ways.
(845) 643-1987 View (845) 643-1987
Photo of Riana Justusson, Clinical Social Work/Therapist, LMSW
Riana Justusson
Clinical Social Work/Therapist, LMSW
1 Endorsed
Beacon, NY 12508
The therapy I offer invites exploration into how our layered life experiences shape the ways we relate to ourselves and others. In our work together, we’ll uncover the unconscious patterns that may be holding you back, while also identifying and strengthening the inner resources that support growth and change. I aim to create a safe, compassionate, and nonjudgmental space where you can reflect, experiment, and deepen your understanding of who you are. I especially enjoy working with individuals who are curious about themselves and are seeking greater clarity, confidence, and authenticity in their lives.
The therapy I offer invites exploration into how our layered life experiences shape the ways we relate to ourselves and others. In our work together, we’ll uncover the unconscious patterns that may be holding you back, while also identifying and strengthening the inner resources that support growth and change. I aim to create a safe, compassionate, and nonjudgmental space where you can reflect, experiment, and deepen your understanding of who you are. I especially enjoy working with individuals who are curious about themselves and are seeking greater clarity, confidence, and authenticity in their lives.
(845) 250-0446 View (845) 250-0446
Photo of Andrea Stopa, Clinical Social Work/Therapist, LCSW
Andrea Stopa
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
Sometimes we find ourselves at an inner-crossroads. Maybe you’ve realized you’re repeating cycles you know you want to break. Maybe you’re feeling unfulfilled but can't pinpoint why. Maybe you feel tossed around by your own intense emotions, or maybe you just can’t seem to make the changes you crave. You’re not alone. I work with clients who are often smart and anxious, who tend to feel exhausted by working so hard yet somehow still feel like it’s never enough. I also work with clients who feel sensitive to the world around them, often to the point of overwhelm.
Sometimes we find ourselves at an inner-crossroads. Maybe you’ve realized you’re repeating cycles you know you want to break. Maybe you’re feeling unfulfilled but can't pinpoint why. Maybe you feel tossed around by your own intense emotions, or maybe you just can’t seem to make the changes you crave. You’re not alone. I work with clients who are often smart and anxious, who tend to feel exhausted by working so hard yet somehow still feel like it’s never enough. I also work with clients who feel sensitive to the world around them, often to the point of overwhelm.
(347) 321-9614 View (347) 321-9614
Photo of Rosa Ortiz, Clinical Social Work/Therapist, LCSW
Rosa Ortiz
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
Are you feeling stuck, overwhelmed, or frustrated about an ongoing issue in your life? Seeking guidance and support to help you navigate through it? I'm here to lend you a compassionate ear and offer a helping hand on your journey towards finding clarity and happiness. Having personally experienced anxiety and depression, I understand the weight that these emotional struggles can bear on your shoulders. My own battle has taught me invaluable lessons about resilience, self-care, and the power of seeking support. Now, I'm dedicated to using my experience to assist those longing for a brighter and calmer future.
Are you feeling stuck, overwhelmed, or frustrated about an ongoing issue in your life? Seeking guidance and support to help you navigate through it? I'm here to lend you a compassionate ear and offer a helping hand on your journey towards finding clarity and happiness. Having personally experienced anxiety and depression, I understand the weight that these emotional struggles can bear on your shoulders. My own battle has taught me invaluable lessons about resilience, self-care, and the power of seeking support. Now, I'm dedicated to using my experience to assist those longing for a brighter and calmer future.
(845) 253-9528 View (845) 253-9528
Photo of Elizabeth Greaney, Licensed Master Social Worker, LMSW
Elizabeth Greaney
Licensed Master Social Worker, LMSW
Online Only
It can be difficult to be present for ourselves or others when we have unprocessed emotions from our past. Do you want to release the past, embrace the present, and unlock your potential? I am a bi-lingual, licensed social worker (LMSW) and trained professional astrologer, who is deeply committed to guiding individuals to greater personal alignment and meaningful growth. I apply an integrative and spiritual approach to counseling, prioritizing the mind-body-soul connection. Working collaboratively with my clients, I help people process and release stuck emotional and behavioral patterns.
It can be difficult to be present for ourselves or others when we have unprocessed emotions from our past. Do you want to release the past, embrace the present, and unlock your potential? I am a bi-lingual, licensed social worker (LMSW) and trained professional astrologer, who is deeply committed to guiding individuals to greater personal alignment and meaningful growth. I apply an integrative and spiritual approach to counseling, prioritizing the mind-body-soul connection. Working collaboratively with my clients, I help people process and release stuck emotional and behavioral patterns.
(845) 609-1897 View (845) 609-1897
Photo of Suzanne Bouchard, Counselor, LMHC, HC
Suzanne Bouchard
Counselor, LMHC, HC
1 Endorsed
Beacon, NY 12508
I am a licensed therapist working with clients who are struggling with a wide variety of life issues. My approach to treatment is eclectic. I have been trained in both short or long term treatment modalities depending on your needs.
I am a licensed therapist working with clients who are struggling with a wide variety of life issues. My approach to treatment is eclectic. I have been trained in both short or long term treatment modalities depending on your needs.
(845) 206-9793 View (845) 206-9793
Photo of Barbara Piehler, Clinical Social Work/Therapist, LCSW
Barbara Piehler
Clinical Social Work/Therapist, LCSW
Online Only
I am an empathetic and nurturing psychotherapist with a passion for helping adults who struggle with perfectionism, anxiety in relationships, and a tendency to people please. My approach is compassionate and client-centered, aiming to create a safe and supportive environment where you can explore and address your unique challenges.
I am an empathetic and nurturing psychotherapist with a passion for helping adults who struggle with perfectionism, anxiety in relationships, and a tendency to people please. My approach is compassionate and client-centered, aiming to create a safe and supportive environment where you can explore and address your unique challenges.
(845) 456-6718 View (845) 456-6718
Photo of Max Cutler, Clinical Social Work/Therapist, LCSW
Max Cutler
Clinical Social Work/Therapist, LCSW
2 Endorsed
Beacon, NY 12508
I provide trauma-focused individual and EMDR therapy to adolescents and adults (ages 16 an up) who struggle with anxiety, depression, panic, trust/abandonment issues, relationship problems including codependency/intimacy dysfunction, self esteem/identity issues and symptoms related to childhood trauma which can include: flashbacks, nightmares/night terrors, sleep distrubance, avoidance of trauma-related stimuli and hypervigilance.
I provide trauma-focused individual and EMDR therapy to adolescents and adults (ages 16 an up) who struggle with anxiety, depression, panic, trust/abandonment issues, relationship problems including codependency/intimacy dysfunction, self esteem/identity issues and symptoms related to childhood trauma which can include: flashbacks, nightmares/night terrors, sleep distrubance, avoidance of trauma-related stimuli and hypervigilance.
(917) 775-0235 View (917) 775-0235
Photo of Dr. Tanya Llewellyn, Psychologist, PhD, PsyD
Dr. Tanya Llewellyn
Psychologist, PhD, PsyD
Beacon, NY 12508
I am a psychologist who specializes in work with couples and adults. I can see clients remotely anywhere in NY or NJ, and in-person in Beacon, NY. As a therapist, my mission is to foster a supportive and nonjudgmental space where you can explore your thoughts and emotions freely. My approach is rooted in authenticity, compassion, and the belief that everyone has the capacity for healing and transformation. With individuals, I practice a kind of therapy called Accelerated Experiential Dynamic Psychotherapy (AEDP), which helps clients work through emotional pain and recover their innate sense of agency and vitality.
I am a psychologist who specializes in work with couples and adults. I can see clients remotely anywhere in NY or NJ, and in-person in Beacon, NY. As a therapist, my mission is to foster a supportive and nonjudgmental space where you can explore your thoughts and emotions freely. My approach is rooted in authenticity, compassion, and the belief that everyone has the capacity for healing and transformation. With individuals, I practice a kind of therapy called Accelerated Experiential Dynamic Psychotherapy (AEDP), which helps clients work through emotional pain and recover their innate sense of agency and vitality.
(332) 239-6191 View (332) 239-6191
Photo of Jaimee Arnoff, Psychologist, PhD
Jaimee Arnoff
Psychologist, PhD
Beacon, NY 12508
As a licensed Clinical Psychologist, I use a combination of insight, humor, and a good dose of reality, as well as a variety of evidence-based practices to highlight client strengths and help promote better understanding and tolerance of stressful thoughts in teens and young adults. I strive to provide a space for clients to feel safe and able to discuss their thoughts and feelings without fear of judgment.
As a licensed Clinical Psychologist, I use a combination of insight, humor, and a good dose of reality, as well as a variety of evidence-based practices to highlight client strengths and help promote better understanding and tolerance of stressful thoughts in teens and young adults. I strive to provide a space for clients to feel safe and able to discuss their thoughts and feelings without fear of judgment.
View
Photo of Olga Da Silva, Clinical Social Work/Therapist, MSW, LCSW
Olga Da Silva
Clinical Social Work/Therapist, MSW, LCSW
Online Only
Everyone deserves the opportunity to reflect on and process life’s challenges without judgment. I offer treatment based on an integrative model, taking into account each individual's preferences and needs. A therapeutic process involves honoring past experiences, improving self-awareness, acknowledging feelings and establishing healing strategies. As a therapist, I work to create a safe, warm, nurturing, and empathic environment for my clients, so that great changes can be made from within.
Everyone deserves the opportunity to reflect on and process life’s challenges without judgment. I offer treatment based on an integrative model, taking into account each individual's preferences and needs. A therapeutic process involves honoring past experiences, improving self-awareness, acknowledging feelings and establishing healing strategies. As a therapist, I work to create a safe, warm, nurturing, and empathic environment for my clients, so that great changes can be made from within.
(646) 480-6936 View (646) 480-6936
Photo of Peter Darrow Bishop, Psychologist, PhD
Peter Darrow Bishop
Psychologist, PhD
Beacon, NY 12508
Many people create lives which appear to be enviable but are not able to enjoy them. Others appear to have assembled all the pieces for success and happiness but repeatedly sabotage themselves. Why? I believe the answer often involves safety issues that are not understood. While the person is objectively safe, psychologically they are not. And when the brain is presented with a choice between happiness and survival, it chooses survival. The result may be blocked capacity for joy or a penchant for chaotic choices that subvert professional success and loving relationship. The prime mover of these patterns is rooted in personal memory.
Many people create lives which appear to be enviable but are not able to enjoy them. Others appear to have assembled all the pieces for success and happiness but repeatedly sabotage themselves. Why? I believe the answer often involves safety issues that are not understood. While the person is objectively safe, psychologically they are not. And when the brain is presented with a choice between happiness and survival, it chooses survival. The result may be blocked capacity for joy or a penchant for chaotic choices that subvert professional success and loving relationship. The prime mover of these patterns is rooted in personal memory.
(845) 253-5801 View (845) 253-5801
Photo of Lisa Braun, Clinical Social Work/Therapist, LCSWR, SEP
Lisa Braun
Clinical Social Work/Therapist, LCSWR, SEP
Online Only
Life is a journey that includes pain and joy.....and everything in between. The Journey can be difficult and, at times, we can forget that joy is a possibility. We can feel overwhelmed, in pain, stuck, lost or confused. If this is how you are feeling, it is a good time to talk to a therapist. When feeling this vulnerable, the idea of opening up to someone new can be daunting. It is important to know you will be heard and responded to by someone who can create an environment of acceptance and compassion as well as understand all of the multifaceted aspects of your experience.
Life is a journey that includes pain and joy.....and everything in between. The Journey can be difficult and, at times, we can forget that joy is a possibility. We can feel overwhelmed, in pain, stuck, lost or confused. If this is how you are feeling, it is a good time to talk to a therapist. When feeling this vulnerable, the idea of opening up to someone new can be daunting. It is important to know you will be heard and responded to by someone who can create an environment of acceptance and compassion as well as understand all of the multifaceted aspects of your experience.
View
Photo of Sophia Ferranti, Clinical Social Work/Therapist, LCSW, ACHP-SW
Sophia Ferranti
Clinical Social Work/Therapist, LCSW, ACHP-SW
2 Endorsed
Online Only
My goal is to help support and guide you through identifying and managing areas of life that may feel incomplete, problematic or out of sorts. Many of us have thoughts, beliefs or behaviors that prevent us from living the peaceful & joy-filled life we deserve. Trauma, early life experiences and/or life challenges/transitions can leave us feeling hopeless, alone and triggered.
My goal is to help support and guide you through identifying and managing areas of life that may feel incomplete, problematic or out of sorts. Many of us have thoughts, beliefs or behaviors that prevent us from living the peaceful & joy-filled life we deserve. Trauma, early life experiences and/or life challenges/transitions can leave us feeling hopeless, alone and triggered.
(845) 712-4394 View (845) 712-4394
Photo of Alexandra Sallese Devin, Art Therapist, LCAT, RDT
Alexandra Sallese Devin
Art Therapist, LCAT, RDT
3 Endorsed
Beacon, NY 12508
Does anxiety, stress, and/or depression have you longing for positive change and reconnection to the world? I am a licensed psychotherapist helping adults find balance and direction in their personal and professional lives. I will guide your discovery of yourself, helping you to blossom into a more fulfilled human being. Most of my current patients and clients are struggling with anxiety, depression, poor body image, difficult relationships, or past trauma. We can work towards goals of healthy relationships, personal growth, job changes, parenthood, and overall life satisfaction. Together, we journey towards mental health and wellness.
Does anxiety, stress, and/or depression have you longing for positive change and reconnection to the world? I am a licensed psychotherapist helping adults find balance and direction in their personal and professional lives. I will guide your discovery of yourself, helping you to blossom into a more fulfilled human being. Most of my current patients and clients are struggling with anxiety, depression, poor body image, difficult relationships, or past trauma. We can work towards goals of healthy relationships, personal growth, job changes, parenthood, and overall life satisfaction. Together, we journey towards mental health and wellness.
(347) 647-9653 View (347) 647-9653
Photo of Ashley M. Mosgrove, Clinical Social Work/Therapist, LCSW
Ashley M. Mosgrove
Clinical Social Work/Therapist, LCSW
Online Only
I believe that the foundation to effective and meaningful therapeutic work lies in the mutual building of a safe and trusting relationship in which the client feels valued, respected, and understood. Seeking therapeutic support requires a significant amount of courage. I take this seriously and feel deeply honored to be trusted to do this work and to witness the growth of those I serve.
I believe that the foundation to effective and meaningful therapeutic work lies in the mutual building of a safe and trusting relationship in which the client feels valued, respected, and understood. Seeking therapeutic support requires a significant amount of courage. I take this seriously and feel deeply honored to be trusted to do this work and to witness the growth of those I serve.
(845) 420-3784 View (845) 420-3784
Photo of Deborah A Fatone, Clinical Social Work/Therapist, LCSW
Deborah A Fatone
Clinical Social Work/Therapist, LCSW
3 Endorsed
Beacon, NY 12508
Thanks for stopping by! Life can be so damn tough sometimes. Not having anyone to talk to about your struggles can make it tougher. Being stuck in your own head can feel like a relentless loop of confusion. It takes a lot of courage to seek support. If you are looking for a therapist you have taken the first step to try to make your life better. Good for you! Are you struggling with pandemic fatigue, anxiety/panic that is limiting the things you want to enjoy in life, depression? Are you sober curious but not sure if your drinking or recreational drug use is problematic? Together maybe we can sort some of this out.
Thanks for stopping by! Life can be so damn tough sometimes. Not having anyone to talk to about your struggles can make it tougher. Being stuck in your own head can feel like a relentless loop of confusion. It takes a lot of courage to seek support. If you are looking for a therapist you have taken the first step to try to make your life better. Good for you! Are you struggling with pandemic fatigue, anxiety/panic that is limiting the things you want to enjoy in life, depression? Are you sober curious but not sure if your drinking or recreational drug use is problematic? Together maybe we can sort some of this out.
(914) 290-5591 View (914) 290-5591
Photo of Lea Tanenbaum, Counselor, LMHC
Lea Tanenbaum
Counselor, LMHC
1 Endorsed
Online Only
As a person: I’m empathic, assured, and work to find the positive. I spend my time cultivating growth wherever I can. I enjoy spending time with my dog as well as anyones who needs a helping hand. I enjoy roadtrips with friends where I get to paddle board or simply bask in the water. I will drive for seafood, leisurely hikes, and natural attractions. I want you to know what type of person you'll be talking to because the therapeutic relationship matters. Some people click, when that happens it's a beautiful thing. Fantastic work can be done. Others don't click and that's perfectly ok. Let's see if we fit.
As a person: I’m empathic, assured, and work to find the positive. I spend my time cultivating growth wherever I can. I enjoy spending time with my dog as well as anyones who needs a helping hand. I enjoy roadtrips with friends where I get to paddle board or simply bask in the water. I will drive for seafood, leisurely hikes, and natural attractions. I want you to know what type of person you'll be talking to because the therapeutic relationship matters. Some people click, when that happens it's a beautiful thing. Fantastic work can be done. Others don't click and that's perfectly ok. Let's see if we fit.
(845) 260-6034 View (845) 260-6034

See more therapy options for Beacon

How does your Therapist compare?

Number of Therapists in Beacon, NY

100+

Average cost per session

$160

Therapists in Beacon, NY who prioritize treating:

93% Anxiety
87% Depression
83% Relationship Issues
77% Self Esteem
74% Trauma and PTSD
65% Stress
64% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

78% Aetna
54% Cigna and Evernorth
54% UnitedHealthcare UHC | UBH

How Therapists in Beacon, NY see their clients

62% In Person and Online
38% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Beacon?

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.