Therapists in East Norwich, NY

Photo of Sandy Losee-Woods, MA, LMHC, Counselor
Sandy Losee-Woods
Counselor, MA, LMHC
Verified Verified
1 Endorsed
East Norwich, NY 11732
I create a supportive and non-judgmental atmosphere to let you talk about your most pressing issues. By using proven therapeutic techniques that promote personal insight and awareness, I will provide tools that you can access in the moment when things are going terribly wrong. The end result is a feeling of self-efficacy that stays with you for a lifetime.
I create a supportive and non-judgmental atmosphere to let you talk about your most pressing issues. By using proven therapeutic techniques that promote personal insight and awareness, I will provide tools that you can access in the moment when things are going terribly wrong. The end result is a feeling of self-efficacy that stays with you for a lifetime.
(516) 400-4602 View (516) 400-4602
Photo of Dr. John Castronova, PsyD, LMHC, Counselor
Dr. John Castronova
Counselor, PsyD, LMHC
Verified Verified
East Norwich, NY 11732
Are you experiencing anxiety or depression? Having difficulty with school, work, and/or your relationships? We can work together to overcome these challenges. Let us help you develop the skills needed to create a more secure sense of self and greater confidence in your everyday life.
Are you experiencing anxiety or depression? Having difficulty with school, work, and/or your relationships? We can work together to overcome these challenges. Let us help you develop the skills needed to create a more secure sense of self and greater confidence in your everyday life.
(516) 407-7011 View (516) 407-7011
Photo of Kalliopi Cabarcas, LMHC, Counselor
Kalliopi Cabarcas
Counselor, LMHC
Verified Verified
2 Endorsed
East Norwich, NY 11732  (Online Only)
My goal is to help make therapy a collaborative process. Whether you are seeking help for anxiety, depression or life stressors, we can work together to achieve your goals and live a more fulfilling life. I have experience working with individuals with depression, anxiety, bipolar disorders, life transitions, burnout, stress and relationships. I also have a passion for perinatal mental health and have worked with families on their journeys to family planning.
My goal is to help make therapy a collaborative process. Whether you are seeking help for anxiety, depression or life stressors, we can work together to achieve your goals and live a more fulfilling life. I have experience working with individuals with depression, anxiety, bipolar disorders, life transitions, burnout, stress and relationships. I also have a passion for perinatal mental health and have worked with families on their journeys to family planning.
(516) 689-9169 View (516) 689-9169
Photo of Fran Dalis, PsyD, LMSW, RPT-S, Psychologist
Fran Dalis
Psychologist, PsyD, LMSW, RPT-S
Verified Verified
3 Endorsed
East Norwich, NY 11732
I am a Clinical Psychologist and an ally who works with children, adolescents, and their families. I provide a neutral space for young people to express their needs and help families develop adaptive communication skills. As a diagnostician, I provide psychological testing for gifted students and those with special needs who require school accommodations. My approach is to employ integrative, evidence-based interventions, including CBT, ACT, and Psychodynamic therapy. Therapeutic populations include autism spectrum disorder, LGBTQ+ identity formation, chronic pain management, depression, anxiety, and behavioral issues.
I am a Clinical Psychologist and an ally who works with children, adolescents, and their families. I provide a neutral space for young people to express their needs and help families develop adaptive communication skills. As a diagnostician, I provide psychological testing for gifted students and those with special needs who require school accommodations. My approach is to employ integrative, evidence-based interventions, including CBT, ACT, and Psychodynamic therapy. Therapeutic populations include autism spectrum disorder, LGBTQ+ identity formation, chronic pain management, depression, anxiety, and behavioral issues.
(516) 614-3464 View (516) 614-3464
Photo of Elizabeth Libby Kahl - Libby Kahl, LMHC, LMHC, Counselor
Libby Kahl, LMHC
Counselor, LMHC
Verified Verified
East Norwich, NY 11732  (Online Only)
**I am only virtual** Are you looking to find the best version of yourself? Let's restore your mental balance together. Do you need help setting or accomplishing your goals? Whether you need help with a mental illness or negative thinking, I can offer my professional guidance to help you make the changes needed to improve the quality of your life. I can offer you a peaceful environment to process your feelings and help keep you accountable and motivated!
**I am only virtual** Are you looking to find the best version of yourself? Let's restore your mental balance together. Do you need help setting or accomplishing your goals? Whether you need help with a mental illness or negative thinking, I can offer my professional guidance to help you make the changes needed to improve the quality of your life. I can offer you a peaceful environment to process your feelings and help keep you accountable and motivated!
(631) 406-5176 View (631) 406-5176
Photo of Jennifer Atlas, MA, MFA, LCAT, CLAT, ATR-BC, Art Therapist
Jennifer Atlas
Art Therapist, MA, MFA, LCAT, CLAT, ATR-BC
Verified Verified
1 Endorsed
East Norwich, NY 11732
Slowing down is hard when our lives are busy, and we feel out of balance—it can feel like there is very little time to work on ourselves.  Therapy is about creating space for positive change. When we do manage to slow down and make room for ourselves, we can grow and create lasting adjustments that make our lives more balanced.  Entering therapy provides that space and opportunity. I work collaboratively with my clients, providing a safe and non-judgmental space to explore issues, gain perspective, develop new and creative coping skills, and strengthen one’s relationship with themselves and with others.
Slowing down is hard when our lives are busy, and we feel out of balance—it can feel like there is very little time to work on ourselves.  Therapy is about creating space for positive change. When we do manage to slow down and make room for ourselves, we can grow and create lasting adjustments that make our lives more balanced.  Entering therapy provides that space and opportunity. I work collaboratively with my clients, providing a safe and non-judgmental space to explore issues, gain perspective, develop new and creative coping skills, and strengthen one’s relationship with themselves and with others.
(516) 558-5572 View (516) 558-5572
Photo of Patricia Traynor, LCSW-R, CLC, Clinical Social Work/Therapist
Patricia Traynor
Clinical Social Work/Therapist, LCSW-R, CLC
Verified Verified
East Norwich, NY 11732
Do you have feelings of sadness, anger, or dealing with overwhelming stress? Do you feel isolated, trapped, or alone? Confronting problems and making changes can be scary. But consider the rewards!! Are you ready to experience a sense of peace, balance and freedom. By partnering together, we will explore and develop attainable goals that will bring you personal and professional growth. Take the first step, call or email me for a free consultation.
Do you have feelings of sadness, anger, or dealing with overwhelming stress? Do you feel isolated, trapped, or alone? Confronting problems and making changes can be scary. But consider the rewards!! Are you ready to experience a sense of peace, balance and freedom. By partnering together, we will explore and develop attainable goals that will bring you personal and professional growth. Take the first step, call or email me for a free consultation.
(516) 252-3106 View (516) 252-3106
Photo of Sage Williamson, LMFT, Marriage & Family Therapist
Sage Williamson
Marriage & Family Therapist, LMFT
Verified Verified
East Norwich, NY 11732
Are you missing appreciation? Does he stonewall? Does she not stop criticizing? Anxious and having trust issues? Do you feel a lack of sexual desire? Fighting over sexual frequency? I can help you stop the negative cycle. Feel love again. Feel intimate again. Trained explicitly as a marriage and family therapist, I am a highly trained and experienced couples therapist. I believe in a collaborative approach and skilled at creating tools to foster healthy connections between couples and families. Together, we repair your relationship by introducing new methods of communication to increase empathy and flexibility.
Are you missing appreciation? Does he stonewall? Does she not stop criticizing? Anxious and having trust issues? Do you feel a lack of sexual desire? Fighting over sexual frequency? I can help you stop the negative cycle. Feel love again. Feel intimate again. Trained explicitly as a marriage and family therapist, I am a highly trained and experienced couples therapist. I believe in a collaborative approach and skilled at creating tools to foster healthy connections between couples and families. Together, we repair your relationship by introducing new methods of communication to increase empathy and flexibility.
(203) 408-6125 View (203) 408-6125
Photo of Elizabeth Crossfield, LMFT, Marriage & Family Therapist
Elizabeth Crossfield
Marriage & Family Therapist, LMFT
Verified Verified
East Norwich, NY 11732
Are you missing appreciation? Does he stonewall? Does she not stop criticizing? Anxious and having trust issues? Do you feel a lack of sexual desire? Fighting over sexual frequency? I can help you stop the negative cycle. Feel love again. Feel intimate again. Trained explicitly as a marriage and family therapist, I am a highly trained and experienced couples therapist. I believe in a collaborative approach and skilled at creating tools to foster healthy connections between couples and families. Together, we repair your relationship by introducing new methods of communication to increase empathy and flexibility.
Are you missing appreciation? Does he stonewall? Does she not stop criticizing? Anxious and having trust issues? Do you feel a lack of sexual desire? Fighting over sexual frequency? I can help you stop the negative cycle. Feel love again. Feel intimate again. Trained explicitly as a marriage and family therapist, I am a highly trained and experienced couples therapist. I believe in a collaborative approach and skilled at creating tools to foster healthy connections between couples and families. Together, we repair your relationship by introducing new methods of communication to increase empathy and flexibility.
(203) 344-7562 View (203) 344-7562
Photo of Adrianne Alfonso, MS, MHC-LP, Pre-Licensed Professional
Adrianne Alfonso
Pre-Licensed Professional, MS, MHC-LP
Verified Verified
9 Endorsed
East Norwich, NY 11732  (Online Only)
Reaching out for mental health support can be challenging, and finding the right therapist who is a good fit can be more difficult. I understand these struggles and am dedicated to making your therapeutic journey as supportive and affirming as possible. Trying to love yourself but feel guilty or uncertain about where to begin? Struggling in your relationships? I see you! I am here to support you in navigating, treating grief, anxiety, self-esteem, relationship dynamics or navigating life transition you are facing, and identifying solutions to improve your quality of life while honoring your cultural values and needs at your own pace
Reaching out for mental health support can be challenging, and finding the right therapist who is a good fit can be more difficult. I understand these struggles and am dedicated to making your therapeutic journey as supportive and affirming as possible. Trying to love yourself but feel guilty or uncertain about where to begin? Struggling in your relationships? I see you! I am here to support you in navigating, treating grief, anxiety, self-esteem, relationship dynamics or navigating life transition you are facing, and identifying solutions to improve your quality of life while honoring your cultural values and needs at your own pace
(914) 685-8722 View (914) 685-8722

More Therapists Nearby

Photo of Keri Chernuchin, PsyD, Psychologist
Keri Chernuchin
Psychologist, PsyD
Verified Verified
Syosset, NY 11791
Dr. Keri Chernuchin is licensed Psychologist providing individual, family and group therapy in the Syosset, New York community since 1999, and more recently, telehealth services. Dr. Chernuchin is also the director of Psychological FACTS (Family, Adolescent and Child Therapy Services), a small group mental health practice.
Dr. Keri Chernuchin is licensed Psychologist providing individual, family and group therapy in the Syosset, New York community since 1999, and more recently, telehealth services. Dr. Chernuchin is also the director of Psychological FACTS (Family, Adolescent and Child Therapy Services), a small group mental health practice.
(516) 730-9705 View (516) 730-9705
North Coast Psychological Services
Psychologist, PhD
Verified Verified
Syosset, NY 11791
North Coast Psychological Services, PLLC, provides comprehensive psychological and neuropsychological assessment for children and adolescents, as well as therapy and consultation to children, adolescents, adults and families. All therapy and testing clients have an initial assessment in order to guide treatment or assessment planning. Our goal is to be comprehensive in working with clients, including coordinating with other clinicians, physicians, teachers, and schools to work with you so that we can best understand the difficulties you are experiencing, evaluate progress, and modify the treatment plan when necessary.
North Coast Psychological Services, PLLC, provides comprehensive psychological and neuropsychological assessment for children and adolescents, as well as therapy and consultation to children, adolescents, adults and families. All therapy and testing clients have an initial assessment in order to guide treatment or assessment planning. Our goal is to be comprehensive in working with clients, including coordinating with other clinicians, physicians, teachers, and schools to work with you so that we can best understand the difficulties you are experiencing, evaluate progress, and modify the treatment plan when necessary.
(516) 806-6757 View (516) 806-6757
Photo of Luis Miguel Amador, LMSW
Luis Miguel Amador
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Oyster Bay, NY 11771
I aim to support and guide clients through their struggles, transitions, and successes with empathy and courage. I am dedicated to helping families and each member within the family unit grow and communicate more effectively. My career has allowed me to assist families with behavior concerns at home, improve parent-child communication, and support children and young adults through the challenges of growing up. I also bring extensive experience in helping individuals manage anxiety, depression, stress, and a general sense of being stuck.
I aim to support and guide clients through their struggles, transitions, and successes with empathy and courage. I am dedicated to helping families and each member within the family unit grow and communicate more effectively. My career has allowed me to assist families with behavior concerns at home, improve parent-child communication, and support children and young adults through the challenges of growing up. I also bring extensive experience in helping individuals manage anxiety, depression, stress, and a general sense of being stuck.
(516) 788-8740 View (516) 788-8740
Photo of Deborah V. DeAngelo, LCSW, LICSW, Clinical Social Work/Therapist
Deborah V. DeAngelo
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Syosset, NY 11791  (Online Only)
Please contact me about my current openings, email is best. I work collaboratively with clients in facing challenges related to life transitions, relational issues, anxiety and depression. I am committed to supporting clients in gaining greater insight and self awareness about feelings, thoughts and internal conflicts that may impact your living a more satisfied life. My approach to therapy is compassionate, ethical and non-judgmental with a focus on encouraging self-compassion/acceptance, identifying strengths and changing patterns. You can make the changes you desire with support, and identifying patterns that keep you stuck.
Please contact me about my current openings, email is best. I work collaboratively with clients in facing challenges related to life transitions, relational issues, anxiety and depression. I am committed to supporting clients in gaining greater insight and self awareness about feelings, thoughts and internal conflicts that may impact your living a more satisfied life. My approach to therapy is compassionate, ethical and non-judgmental with a focus on encouraging self-compassion/acceptance, identifying strengths and changing patterns. You can make the changes you desire with support, and identifying patterns that keep you stuck.
(508) 715-9255 View (508) 715-9255
Photo of Janine Rizzo, PhD, Psychologist
Janine Rizzo
Psychologist, PhD
Verified Verified
Oyster Bay, NY 11771  (Online Only)
Not accepting new clients
I view clients from a holistic perspective and consider the impact of health and wellness as an important part of our therapeutic work. I utilize Mindfulness practice in my work with adults and older adults who suffer from anxiety and depression, relationship issues, and parenting challenges of individuals on the Autism Spectrum . My focus is to help clients recognize their obstacles to inner peace and wellness by becoming more mindful in their daily lives. This awareness gives us the opportunity to make positive choices for real empowerment.
I view clients from a holistic perspective and consider the impact of health and wellness as an important part of our therapeutic work. I utilize Mindfulness practice in my work with adults and older adults who suffer from anxiety and depression, relationship issues, and parenting challenges of individuals on the Autism Spectrum . My focus is to help clients recognize their obstacles to inner peace and wellness by becoming more mindful in their daily lives. This awareness gives us the opportunity to make positive choices for real empowerment.
(516) 744-9972 View (516) 744-9972
Photo of Robert I Margolis, LCSW, Clinical Social Work/Therapist
Robert I Margolis
Clinical Social Work/Therapist, LCSW
Verified Verified
Syosset, NY 11773
I work with children, adolescents and adults offering psychotherapy and counseling services for anxiety, depression, loss, relationship difficulties, and family dysfunction for individuals, families, couples and groups. Because I believe in the mind-body connection I also work with people to achieve healthy weight loss and optimal health offering free health coaching towards learning transformational habits of health.
I work with children, adolescents and adults offering psychotherapy and counseling services for anxiety, depression, loss, relationship difficulties, and family dysfunction for individuals, families, couples and groups. Because I believe in the mind-body connection I also work with people to achieve healthy weight loss and optimal health offering free health coaching towards learning transformational habits of health.
(516) 362-2140 View (516) 362-2140
Photo of Peter Juliano, LCSW, CASAC, Clinical Social Work/Therapist
Peter Juliano
Clinical Social Work/Therapist, LCSW, CASAC
Verified Verified
1 Endorsed
Syosset, NY 11773
Peter Juliano is a Licensed Clinical Social Worker and a Credentialed Alcoholism and Substance Abuse Counselor. Peter has been helping adolescents, adults, and families struggling with addiction and mental health disorders for more than 10 years. He has worked as a counselor, family therapist, and administrator in inpatient substance use disorder treatment and hospital settings. Peter is currently an adjunct professor at Adelphi University School of Social Work and teaches graduate level courses in individual counseling, group counseling, motivational interviewing, and family therapy.
Peter Juliano is a Licensed Clinical Social Worker and a Credentialed Alcoholism and Substance Abuse Counselor. Peter has been helping adolescents, adults, and families struggling with addiction and mental health disorders for more than 10 years. He has worked as a counselor, family therapist, and administrator in inpatient substance use disorder treatment and hospital settings. Peter is currently an adjunct professor at Adelphi University School of Social Work and teaches graduate level courses in individual counseling, group counseling, motivational interviewing, and family therapy.
(516) 604-5163 View (516) 604-5163
Photo of Dr. Kimmy Ramotar, PsyD, Psychologist
Dr. Kimmy Ramotar
Psychologist, PsyD
Verified Verified
5 Endorsed
Syosset, NY 11773  (Online Only)
I take an empathic and supportive approach to therapy by establishing a safe space for my clients to uncover and explore painful emotions. Whether you have obsessive-compulsive disorder (OCD), PTSD, or are experiencing chronic stress, feeling anxious or depressed, together we will identify goals for therapy. I tailor treatment to meet the specific needs of every client—with the aim of helping the client develop new coping skills, enhance self-awareness, foster positive change, and increase overall satisfaction and well-being. My specialized training includes both cognitive-behavioral therapy (CBT) and psychodynamic therapy.
I take an empathic and supportive approach to therapy by establishing a safe space for my clients to uncover and explore painful emotions. Whether you have obsessive-compulsive disorder (OCD), PTSD, or are experiencing chronic stress, feeling anxious or depressed, together we will identify goals for therapy. I tailor treatment to meet the specific needs of every client—with the aim of helping the client develop new coping skills, enhance self-awareness, foster positive change, and increase overall satisfaction and well-being. My specialized training includes both cognitive-behavioral therapy (CBT) and psychodynamic therapy.
(646) 496-5412 View (646) 496-5412
Photo of Ryan Bodine, LCSW, Clinical Social Work/Therapist
Ryan Bodine
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Syosset, NY 11773
Sometimes the hardest thing to do is to ask for help. Especially when you are feeling the effects of stress, anxiety and/or depression. Just by looking for a therapist, you have already taken some of your first steps towards change and the healing process. You are doing great and just like everyone else; it helps to have someone in your corner. That’s where I come in. I am here to listen to your concerns and help you navigate the troubled waters that can be our thoughts and feelings. In my practice I provide a warm empathetic understanding coupled with real down to earth accountability.
Sometimes the hardest thing to do is to ask for help. Especially when you are feeling the effects of stress, anxiety and/or depression. Just by looking for a therapist, you have already taken some of your first steps towards change and the healing process. You are doing great and just like everyone else; it helps to have someone in your corner. That’s where I come in. I am here to listen to your concerns and help you navigate the troubled waters that can be our thoughts and feelings. In my practice I provide a warm empathetic understanding coupled with real down to earth accountability.
(516) 217-1003 View (516) 217-1003
Photo of Robin Bryman, PhD, Psychologist
Robin Bryman
Psychologist, PhD
Verified Verified
Syosset, NY 11773
I believe that the essence of therapy is to provide the tools necessary to make changes that can help someone improve their life or the lives of those around them. Therapy can be short-term or long-term, there are always effective strategies. I provide a safe and comfortable setting to facilitate growth and self awareness. I teach coping skills that will lead to lasting independence. In addition, I urge my clients over time to become introspective, explore their actions, and to eradicate unhealthy behavioral patterns.
I believe that the essence of therapy is to provide the tools necessary to make changes that can help someone improve their life or the lives of those around them. Therapy can be short-term or long-term, there are always effective strategies. I provide a safe and comfortable setting to facilitate growth and self awareness. I teach coping skills that will lead to lasting independence. In addition, I urge my clients over time to become introspective, explore their actions, and to eradicate unhealthy behavioral patterns.
(516) 704-9926 View (516) 704-9926

See more therapy options for East Norwich

How does your Therapist compare?

Number of Therapists in East Norwich, NY

10+

Average cost per session

$150

Therapists in East Norwich, NY who prioritize treating:

100% Depression
100% Anxiety
90% Relationship Issues
90% Coping Skills
90% Self Esteem
80% Family Conflict
80% Stress

Average years in practice

14 Years

Top 3 insurances accepted

89% Cigna and Evernorth
78% Aetna
78% Oxford

How Therapists in East Norwich, NY see their clients

70% In Person and Online
30% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counseling

How can I find a therapist in East Norwich?

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.