Therapists in Cold Spring, NY

Photo of Brad Schultz, Clinical Social Work/Therapist, LCSW
Brad Schultz
Clinical Social Work/Therapist, LCSW
Verified Verified
Cold Spring, NY 10516
My service – Jungian analysis – covers your concerns about mood, relationships, sex and sexuality, creativity issues, compulsions, coping with change or loss, lack of passion, disorganization, or effects of neglect, abuse or trauma. Whereas counseling covers such concerns by aiming at rehabilitation, improved coping or solving problems in functioning, my service goes deeper, aiming at self-acceptance, clarity, balance and authenticity. We would boldly explore dreams, fantasies or whatever else your soul expresses, sensitive to cruel injustice within society, your work setting, your relationships and especially within your psyche.
My service – Jungian analysis – covers your concerns about mood, relationships, sex and sexuality, creativity issues, compulsions, coping with change or loss, lack of passion, disorganization, or effects of neglect, abuse or trauma. Whereas counseling covers such concerns by aiming at rehabilitation, improved coping or solving problems in functioning, my service goes deeper, aiming at self-acceptance, clarity, balance and authenticity. We would boldly explore dreams, fantasies or whatever else your soul expresses, sensitive to cruel injustice within society, your work setting, your relationships and especially within your psyche.
(845) 552-9205 View (845) 552-9205
Photo of Jenny Kaplan, Clinical Social Work/Therapist, LCSW
Jenny Kaplan
Clinical Social Work/Therapist, LCSW
Verified Verified
Cold Spring, NY 10516
I'm glad you've found yourself here. Acknowledging that you need support right now is the first step. Life and relationships can be complex and I find that it is often helpful have a neutral person to offer a listening ear, guidance, and to facilitate a process of gaining more insight about who you are and what you need. My role would be to help you work towards your goals, which may include building self-compassion, identifying and regulating uncomfortable emotions, processing old trauma, changing negative thoughts and patterns, overcoming challenges, strengthening relationships, implementing new coping skills.
I'm glad you've found yourself here. Acknowledging that you need support right now is the first step. Life and relationships can be complex and I find that it is often helpful have a neutral person to offer a listening ear, guidance, and to facilitate a process of gaining more insight about who you are and what you need. My role would be to help you work towards your goals, which may include building self-compassion, identifying and regulating uncomfortable emotions, processing old trauma, changing negative thoughts and patterns, overcoming challenges, strengthening relationships, implementing new coping skills.
(845) 251-4058 View (845) 251-4058
Photo of Brad Schultz, Clinical Social Work/Therapist, LCSW-R
Brad Schultz
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Cold Spring, NY 10516
My service – Jungian analysis – covers your concerns about mood, relationships, sex and sexuality, creativity issues, compulsions, coping with change or loss, lack of passion, disorganization, or effects of neglect, abuse or trauma. Whereas counseling covers such concerns by aiming at rehabilitation, improved coping or solving problems in functioning, my service goes deeper, aiming at self-acceptance, clarity, balance and authenticity. We would boldly explore dreams, fantasies or whatever else your soul expresses, sensitive to cruel injustice within society, your work setting, your relationships and especially within your psyche.
My service – Jungian analysis – covers your concerns about mood, relationships, sex and sexuality, creativity issues, compulsions, coping with change or loss, lack of passion, disorganization, or effects of neglect, abuse or trauma. Whereas counseling covers such concerns by aiming at rehabilitation, improved coping or solving problems in functioning, my service goes deeper, aiming at self-acceptance, clarity, balance and authenticity. We would boldly explore dreams, fantasies or whatever else your soul expresses, sensitive to cruel injustice within society, your work setting, your relationships and especially within your psyche.
(646) 461-4949 View (646) 461-4949
Photo of Roberta E Goldman, Psychologist, PhD
Roberta E Goldman
Psychologist, PhD
Verified Verified
1 Endorsed
Cold Spring, NY 10516
Waitlist for new clients
I believe that in order to be healthy, we need to be able to work, to love, and to play. If you are overwhelmed with anxiety or feelings of being lost, unsure of what you want, feeling less than whole, finding yourself procrastinating when you don't know why, or having repeated difficulty in relationships, I am hopeful you have come to the right place. By looking closely at what may be holding you back, we will be able to understand it with fresh eyes. This can lead you to your goals of relief from suffering, a greater sense of choice, and more freedom to express the self you most want to be.
I believe that in order to be healthy, we need to be able to work, to love, and to play. If you are overwhelmed with anxiety or feelings of being lost, unsure of what you want, feeling less than whole, finding yourself procrastinating when you don't know why, or having repeated difficulty in relationships, I am hopeful you have come to the right place. By looking closely at what may be holding you back, we will be able to understand it with fresh eyes. This can lead you to your goals of relief from suffering, a greater sense of choice, and more freedom to express the self you most want to be.
(914) 506-5174 View (914) 506-5174
Photo of V. Little, Pre-Licensed Professional
V. Little
Pre-Licensed Professional
Verified Verified
2 Endorsed
Online Only
As a Graduate Marriage & Family Therapist (MFTi), I see individuals from all walks of life looking to grow, evolve, and change. But at the core of who we are as humans is our desire to be loved, to feel connected, and to be accepted. Life is full of ups and downs, wins and losses, trials and triumphs, heartaches and heartbreaks. But love, real love, true love, does conquer all, be it with a partner, a family member, a friend, or yourself.
As a Graduate Marriage & Family Therapist (MFTi), I see individuals from all walks of life looking to grow, evolve, and change. But at the core of who we are as humans is our desire to be loved, to feel connected, and to be accepted. Life is full of ups and downs, wins and losses, trials and triumphs, heartaches and heartbreaks. But love, real love, true love, does conquer all, be it with a partner, a family member, a friend, or yourself.
(845) 273-3159 View (845) 273-3159
Photo of Jane Wilson Cathcart, Clinical Social Work/Therapist, LCSW-R, BC-DMT, CMA
Jane Wilson Cathcart
Clinical Social Work/Therapist, LCSW-R, BC-DMT, CMA
Verified Verified
Cold Spring, NY 10516
Are you feeling stuck? Many people seek therapy when they are lacking energy or direction in some aspect of their life. Sometimes sadness won't leave. Or anxiety grows. Often past hurt and trauma interferes with daily life. Or it is difficult to negotiate one of life's transitions: finding or changing work life; partnering/marrying; moving/settling; separating/divorcing: birth; aging; illness and pain, or death of a loved one. Whatever the reason for seeking help we decide on the goals, charting a clear path for the journey to emotional health and greater satisfaction in life.
Are you feeling stuck? Many people seek therapy when they are lacking energy or direction in some aspect of their life. Sometimes sadness won't leave. Or anxiety grows. Often past hurt and trauma interferes with daily life. Or it is difficult to negotiate one of life's transitions: finding or changing work life; partnering/marrying; moving/settling; separating/divorcing: birth; aging; illness and pain, or death of a loved one. Whatever the reason for seeking help we decide on the goals, charting a clear path for the journey to emotional health and greater satisfaction in life.
(646) 606-2492 View (646) 606-2492
Photo of Lourdes Laifer - Lourdes Laifer Coaching
Lourdes Laifer Coaching
Verified Verified
1 Endorsed
Online Only
I help my clients manage stress and anxiety by providing tools and strategies for a balanced and peaceful life. If you are struggling with self-doubt and low confidence due to past negative experiences, I'll help you rebuild your self-esteem and self-worth. If you're seeking emotional healing from past traumas or grief, I'll guide you toward resilience and empowerment. If you need assistance navigating major life transitions, career shifts, personal growth journeys, or loss, I provide support and direction through these uncertain times. My life coaching will foster your inner strength and well-being while overcoming overwhelm.
I help my clients manage stress and anxiety by providing tools and strategies for a balanced and peaceful life. If you are struggling with self-doubt and low confidence due to past negative experiences, I'll help you rebuild your self-esteem and self-worth. If you're seeking emotional healing from past traumas or grief, I'll guide you toward resilience and empowerment. If you need assistance navigating major life transitions, career shifts, personal growth journeys, or loss, I provide support and direction through these uncertain times. My life coaching will foster your inner strength and well-being while overcoming overwhelm.
(845) 720-4178 View (845) 720-4178
Photo of Clara Murray, C-TRLC, BCBA, LBA, MEd
Clara Murray
C-TRLC, BCBA, LBA, MEd
Verified Verified
Cold Spring, NY 10516
My Coaching clients are individuals who want to make sustainable, value-based change in their lives.
My Coaching clients are individuals who want to make sustainable, value-based change in their lives.
(845) 498-1101 View (845) 498-1101
Photo of Amy Rubin Morey, Counselor, MS, LMHC, BCB
Amy Rubin Morey
Counselor, MS, LMHC, BCB
Verified Verified
Cold Spring, NY 10516
Life can be very challenging at times and our usual way of managing doesn't work as effectively as it used to. Our coping skills aren't helping us to feel a sense of control and well-being and we end up feeling overwhelmed, stuck, anxious, we can't sleep well, we under eat or overeat, experience mood changes and possible difficulties managing work, relationships and home life. I am committed to helping you understand what you are going through, developing strategies to make changes, assisting you with stress reduction so that you feel more comfortable within yourself and your life.
Life can be very challenging at times and our usual way of managing doesn't work as effectively as it used to. Our coping skills aren't helping us to feel a sense of control and well-being and we end up feeling overwhelmed, stuck, anxious, we can't sleep well, we under eat or overeat, experience mood changes and possible difficulties managing work, relationships and home life. I am committed to helping you understand what you are going through, developing strategies to make changes, assisting you with stress reduction so that you feel more comfortable within yourself and your life.
(516) 252-0748 View (516) 252-0748
Photo of Lauren de la Vega, Art Therapist, LCAT, ATR-BC
Lauren de la Vega
Art Therapist, LCAT, ATR-BC
Verified Verified
Cold Spring, NY 10516
Whether you want to develop a deeper understanding of yourself, resolve a specific issue, or improve your relationships - your feelings are valid, and you deserve the support you're seeking. As an licensed art psychotherapist and outdoor guide, I invite creativity through artmaking and nature-based therapy, as well as outdoor/hiking sessions. In other words, I'm open to exploring the session types that will benefit you most.
Whether you want to develop a deeper understanding of yourself, resolve a specific issue, or improve your relationships - your feelings are valid, and you deserve the support you're seeking. As an licensed art psychotherapist and outdoor guide, I invite creativity through artmaking and nature-based therapy, as well as outdoor/hiking sessions. In other words, I'm open to exploring the session types that will benefit you most.
(845) 203-9234 View (845) 203-9234
Photo of Jayne Henderson, Art Therapist, MA, LCAT, RPT
Jayne Henderson
Art Therapist, MA, LCAT, RPT
Verified Verified
1 Endorsed
Cold Spring, NY 10516
You may be experiencing anxiety or depression, navigating life changes, feeling stuck, or striving for overall well-being. I work with adults, teens, and children. I support parents with strengthening their family connections and new parents with the transition to parenthood. I focus on building comfort so that we can explore what is most important to you. I listen deeply and build meaningful connections in order to help you understand yourself, your relationships, and your experiences more fully. We will get to the root of the problem, identify strengths and resources, and build skills for meaningful long term change.
You may be experiencing anxiety or depression, navigating life changes, feeling stuck, or striving for overall well-being. I work with adults, teens, and children. I support parents with strengthening their family connections and new parents with the transition to parenthood. I focus on building comfort so that we can explore what is most important to you. I listen deeply and build meaningful connections in order to help you understand yourself, your relationships, and your experiences more fully. We will get to the root of the problem, identify strengths and resources, and build skills for meaningful long term change.
(845) 660-8297 View (845) 660-8297
Photo of Cynthia Poorbaugh, Licensed Psychoanalyst, MFA, LP
Cynthia Poorbaugh
Licensed Psychoanalyst, MFA, LP
Verified Verified
Cold Spring, NY 10516
We all have the fundamental need to grow into and express who we are meant to be. However, this natural process can be inhibited by our need to adapt to pressures of family and society, by trauma, or by seemingly unresolvable contradictions in our personality. The goal of therapy is to bring this latent process to life, and to make it more conscious. A good therapeutic relationship will help you to be more receptive to yourself and to notice and honor these inner workings.
We all have the fundamental need to grow into and express who we are meant to be. However, this natural process can be inhibited by our need to adapt to pressures of family and society, by trauma, or by seemingly unresolvable contradictions in our personality. The goal of therapy is to bring this latent process to life, and to make it more conscious. A good therapeutic relationship will help you to be more receptive to yourself and to notice and honor these inner workings.
(646) 699-3948 View (646) 699-3948
Photo of Hana Ramat, Clinical Social Work/Therapist, LCSW
Hana Ramat
Clinical Social Work/Therapist, LCSW
Verified Verified
Cold Spring, NY 10516
People thinks you have it together all of the time. Really, you are overwhelmed spending all your energy making it look so. No one would know you are highly stressed, both at work and at home. You take care of everyone else's needs before your own, and while its exhausting, you feel too guilty to put yourself first. You have always succeeded in school and in work because that was what was expected of you. However, you know you are not living your truth. You know it's because you never took the time to figure out what truly fulfills you. As you try to sleep your heart pounds while you criticize yourself for not being good enough.
People thinks you have it together all of the time. Really, you are overwhelmed spending all your energy making it look so. No one would know you are highly stressed, both at work and at home. You take care of everyone else's needs before your own, and while its exhausting, you feel too guilty to put yourself first. You have always succeeded in school and in work because that was what was expected of you. However, you know you are not living your truth. You know it's because you never took the time to figure out what truly fulfills you. As you try to sleep your heart pounds while you criticize yourself for not being good enough.
(917) 832-1892 View (917) 832-1892
Photo of Sarah Uzelac - Topfield Center, Art Therapist, LCAT
Topfield Center
Art Therapist, LCAT
Verified Verified
Cold Spring, NY 10516
At Topfield Center, we've been providing equine-assisted services to clients with physical, psychological, and developmental disabilities since 2010. We're extremely excited to be adding traditional and equine-assisted therapies to our offerings for the whole community in 2023. If you'd like the option to include animals as part of taking care of your mental health, we're the place for you. TEC is a fully ADA-accessible facility, built FOR people living with disabilities, and serving ALL people (with and without disability).
At Topfield Center, we've been providing equine-assisted services to clients with physical, psychological, and developmental disabilities since 2010. We're extremely excited to be adding traditional and equine-assisted therapies to our offerings for the whole community in 2023. If you'd like the option to include animals as part of taking care of your mental health, we're the place for you. TEC is a fully ADA-accessible facility, built FOR people living with disabilities, and serving ALL people (with and without disability).
(845) 539-0859 View (845) 539-0859
Photo of Andrea Latvis, Art Therapist, MS, LCAT
Andrea Latvis
Art Therapist, MS, LCAT
Verified Verified
Cold Spring, NY 10516
Do fear and anxiety keep you from the life you're wanting to live? Are you hooked by the past or your own thoughts in a way that prevents you from living in the present moment? Are you stuck in a loop of chronic pain or anxiety and you can't seem to find your way out?
Do fear and anxiety keep you from the life you're wanting to live? Are you hooked by the past or your own thoughts in a way that prevents you from living in the present moment? Are you stuck in a loop of chronic pain or anxiety and you can't seem to find your way out?
(845) 407-9596 View (845) 407-9596
Photo of Nicole Sanchez, Clinical Social Work/Therapist, LCSW, MSSW, SIFI
Nicole Sanchez
Clinical Social Work/Therapist, LCSW, MSSW, SIFI
Verified Verified
Online Only
I specialize in providing integrated EMDR to LGBTQ+ youth and adults, who are struggling with complex trauma and feeling disturbed by painful past experiences. They most often feel like they are a burden, incompetent or often find themselves endlessly ruminating over worst case scenarios. Therapy is initiated when they realize that they are ready to stop spiraling and begin experiencing a sense of grounding and connection. There has been an acknowledgement that they do not have to stay stuck. Their desire to feel confident, secure, and live authentically outweighs the fear to work through their pain.
I specialize in providing integrated EMDR to LGBTQ+ youth and adults, who are struggling with complex trauma and feeling disturbed by painful past experiences. They most often feel like they are a burden, incompetent or often find themselves endlessly ruminating over worst case scenarios. Therapy is initiated when they realize that they are ready to stop spiraling and begin experiencing a sense of grounding and connection. There has been an acknowledgement that they do not have to stay stuck. Their desire to feel confident, secure, and live authentically outweighs the fear to work through their pain.
(929) 202-9987 View (929) 202-9987
Photo of Ashley Kile, Art Therapist, LCAT, MSW
Ashley Kile
Art Therapist, LCAT, MSW
Verified Verified
Cold Spring, NY 10516
My approach is creative, collaborative, and strengths-based. Using a of blend creative arts approaches with other evidence-based practices, I help clients identify unhelpful narratives, coping skills learned from past environments that are no longer serving them, and/or other potential barriers that keep them from living the life they want.
My approach is creative, collaborative, and strengths-based. Using a of blend creative arts approaches with other evidence-based practices, I help clients identify unhelpful narratives, coping skills learned from past environments that are no longer serving them, and/or other potential barriers that keep them from living the life they want.
(347) 697-4715 View (347) 697-4715
Photo of Jill A. Jones, Clinical Social Work/Therapist, LCSW
Jill A. Jones
Clinical Social Work/Therapist, LCSW
Verified Verified
Cold Spring, NY 10516
Do you feel under appreciated? Do you wish he could break the cycle of negative behavior? Does she constantly keep criticizing? Do you experience anxiety and distrust? Lack of intimacy and sexual desire? I am a marriage and family therapist with specialized training and experience in couple therapy. Nothing you say will surprise or shock me. I am easy to talk to and skilled at creating tools to help couples maintain healthy relationships. Together, we repair your relationship by introducing new communication methods and understanding that promote empathy and flexibility.
Do you feel under appreciated? Do you wish he could break the cycle of negative behavior? Does she constantly keep criticizing? Do you experience anxiety and distrust? Lack of intimacy and sexual desire? I am a marriage and family therapist with specialized training and experience in couple therapy. Nothing you say will surprise or shock me. I am easy to talk to and skilled at creating tools to help couples maintain healthy relationships. Together, we repair your relationship by introducing new communication methods and understanding that promote empathy and flexibility.
(347) 205-8510 View (347) 205-8510
Photo of Scott Gillet, Clinical Social Work/Therapist, LCSW, LMFT, CNT
Scott Gillet
Clinical Social Work/Therapist, LCSW, LMFT, CNT
Verified Verified
Cold Spring, NY 10516
Do you feel under appreciated? Do you wish he could break the cycle of negative behavior? Does she constantly keep criticizing? Do you experience anxiety and distrust? Lack of intimacy and sexual desire? I am a marriage and family therapist with specialized training and experience in couple therapy. Nothing you say will surprise or shock me. I am easy to talk to and skilled at creating tools to help couples maintain healthy relationships. Together, we repair your relationship by introducing new communication methods and understanding that promote empathy and flexibility.
Do you feel under appreciated? Do you wish he could break the cycle of negative behavior? Does she constantly keep criticizing? Do you experience anxiety and distrust? Lack of intimacy and sexual desire? I am a marriage and family therapist with specialized training and experience in couple therapy. Nothing you say will surprise or shock me. I am easy to talk to and skilled at creating tools to help couples maintain healthy relationships. Together, we repair your relationship by introducing new communication methods and understanding that promote empathy and flexibility.
(203) 883-1270 View (203) 883-1270
Photo of Alyson Koonin, Clinical Social Work/Therapist, LCSW
Alyson Koonin
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
I am licensed in New York with 10 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, motivation, self esteem, confidence, & depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.
I am licensed in New York with 10 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, motivation, self esteem, confidence, & depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.
(929) 640-1249 View (929) 640-1249
1

See more therapy options for Cold Spring

How does your Therapist compare?

Number of Therapists in Cold Spring, NY

50+

Average cost per session

$175

Therapists in Cold Spring, NY who prioritize treating:

89% Anxiety
85% Relationship Issues
81% Depression
75% Self Esteem
66% Grief
66% Stress
64% Coping Skills

Average years in practice

15 Years

Top 3 insurances accepted

68% Cigna and Evernorth
56% Aetna
56% UnitedHealthcare UHC | UBH

How Therapists in Cold Spring, NY see their clients

74% In Person and Online
26% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cold Spring?

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.