Therapists in Glenmont, NY

Photo of John F. Crowe, MS, LMHC, BC, Counselor
John F. Crowe
Counselor, MS, LMHC, BC
Verified Verified
Glenmont, NY 12077  (Online Only)
My approach with my clients is collaborative, interactive, and respectful. I am an eclectic therapist because trauma affects each individual differently. I view the client as the expert on his/her journey and myself as a consultant or guide. I focus on releasing the shame and pain of the trauma/abuse using tools and approaches with which the client is most comfortable. Together we create as safe a space as possible so that this work may occur. I am a strong believer in skill building, empowerment and visibility as antidotes to shame, secrecy and victimization.
My approach with my clients is collaborative, interactive, and respectful. I am an eclectic therapist because trauma affects each individual differently. I view the client as the expert on his/her journey and myself as a consultant or guide. I focus on releasing the shame and pain of the trauma/abuse using tools and approaches with which the client is most comfortable. Together we create as safe a space as possible so that this work may occur. I am a strong believer in skill building, empowerment and visibility as antidotes to shame, secrecy and victimization.
(518) 728-2756 View (518) 728-2756
Photo of Jami Palladino, LCSW, Clinical Social Work/Therapist
Jami Palladino
Clinical Social Work/Therapist, LCSW
Verified Verified
Glenmont, NY 12077  (Online Only)
Welcome! My name is Jami and I am a Licensed Clinical Social Worker in the state of New York. I have worked with a wide range of clients on diverse issues including anxiety, coping skills, depression, grief, stress, relationship issues, substance abuse, and trauma & PTSD, amongst others.
Welcome! My name is Jami and I am a Licensed Clinical Social Worker in the state of New York. I have worked with a wide range of clients on diverse issues including anxiety, coping skills, depression, grief, stress, relationship issues, substance abuse, and trauma & PTSD, amongst others.
(929) 822-5501 View (929) 822-5501
Photo of Adam Abraham, LMHC, Counselor
Adam Abraham
Counselor, LMHC
Verified Verified
Glenmont, NY 12077  (Online Only)
Adam Abraham, 006553. My approach to therapy varies based on the needs of each client I work with. I most frequently use Cognitive Behavioral Therapy and Acceptance and Commitment Therapy, as both modalities help me, and the client build a shared understanding of their reality and allow us to work together to chart a path forward. My communication style is calm, accommodating, and personable. I want my clients to feel comfortable talking with me about anything, and I pride myself on my ability to listen without judgment.
Adam Abraham, 006553. My approach to therapy varies based on the needs of each client I work with. I most frequently use Cognitive Behavioral Therapy and Acceptance and Commitment Therapy, as both modalities help me, and the client build a shared understanding of their reality and allow us to work together to chart a path forward. My communication style is calm, accommodating, and personable. I want my clients to feel comfortable talking with me about anything, and I pride myself on my ability to listen without judgment.
(914) 768-2964 View (914) 768-2964
Photo of Ellen Brandon, LCSW, Clinical Social Work/Therapist
Ellen Brandon
Clinical Social Work/Therapist, LCSW
Verified Verified
Glenmont, NY 12077
Challenged by worrying thoughts? Wishing you could control your reactions to life better? Maybe old patterns are repeating and you’re feeling discouraged. You might be thinking: “I thought I took care of this before" or "why aren’t I feeling more confident and secure by now?” If any of this sounds familiar, one thing you know for sure is that something has to change. Making the decision to reach out for help is a bold and empowering step. I'll meet you where you're at and together we'll create a plan to help you achieve the peace and confidence you desire.
Challenged by worrying thoughts? Wishing you could control your reactions to life better? Maybe old patterns are repeating and you’re feeling discouraged. You might be thinking: “I thought I took care of this before" or "why aren’t I feeling more confident and secure by now?” If any of this sounds familiar, one thing you know for sure is that something has to change. Making the decision to reach out for help is a bold and empowering step. I'll meet you where you're at and together we'll create a plan to help you achieve the peace and confidence you desire.
(518) 278-7223 View (518) 278-7223
Photo of Beth Ehrichs, LCSW, Clinical Social Work/Therapist
Beth Ehrichs
Clinical Social Work/Therapist, LCSW
Verified Verified
Glenmont, NY 12077
Not accepting new clients
Fun-loving, sincere, and therapy dogs! Want to have better, more fulfilling sex with your partner? Struggling with painful sex or no orgasms? Are you considering divorce? If you need help remembering how to enjoy life without toxicity, would like to learn to take life less seriously while healing through your struggles, give me a call. If you're a middle- to upper-level executive who feels stuck but knows you're capable of more and wants to bust out of your current plateau, I coach executives and senior executives to reach peak potential while "lifting the veil" of toxicity to bring healthier patterns to your whole life.
Fun-loving, sincere, and therapy dogs! Want to have better, more fulfilling sex with your partner? Struggling with painful sex or no orgasms? Are you considering divorce? If you need help remembering how to enjoy life without toxicity, would like to learn to take life less seriously while healing through your struggles, give me a call. If you're a middle- to upper-level executive who feels stuck but knows you're capable of more and wants to bust out of your current plateau, I coach executives and senior executives to reach peak potential while "lifting the veil" of toxicity to bring healthier patterns to your whole life.
(518) 267-7277 View (518) 267-7277
Photo of Jason Steindler - Libertas Mind Interventional Mental Health Clinic, DO
Libertas Mind Interventional Mental Health Clinic
DO
Verified Verified
Glenmont, NY 12077
If you are experiencing anxiety, depression, or PTSD and have not found relief, new treatments are available. At Libertas Mind Interventional Mental Health Clinic we offer advanced treatments like Spravato therapy, ketamine infusion, and stellate ganglion blocks (SGB). These treatments aren't just unique, they are redefining treatment outcomes. If you continue to suffer symptoms like insomnia, panic attacks, hypervigilance, depression, and difficulties concentrating, contact us for options.
If you are experiencing anxiety, depression, or PTSD and have not found relief, new treatments are available. At Libertas Mind Interventional Mental Health Clinic we offer advanced treatments like Spravato therapy, ketamine infusion, and stellate ganglion blocks (SGB). These treatments aren't just unique, they are redefining treatment outcomes. If you continue to suffer symptoms like insomnia, panic attacks, hypervigilance, depression, and difficulties concentrating, contact us for options.
(518) 205-6029 View (518) 205-6029

More Therapists Nearby

Photo of Jenny Weil Malatras, PhD, Psychologist
Jenny Weil Malatras
Psychologist, PhD
Verified Verified
1 Endorsed
Delmar, NY 12054  (Online Only)
As the founder of Wellstream Psychology, I believe everyone deserves the skills to live and parent well. With expertise in pediatric psychology and extensive experience working with children, caregivers, and adults, I offer comprehensive care across the lifespan. My evidence-based, individualized approach is tailored to your unique needs. I provide individual therapy for all ages, parent training in effective strategies, techniques to change unhelpful thought and behavior patterns, tools to improve emotional awareness and control, and guidance to align your life with what matters most to you.
As the founder of Wellstream Psychology, I believe everyone deserves the skills to live and parent well. With expertise in pediatric psychology and extensive experience working with children, caregivers, and adults, I offer comprehensive care across the lifespan. My evidence-based, individualized approach is tailored to your unique needs. I provide individual therapy for all ages, parent training in effective strategies, techniques to change unhelpful thought and behavior patterns, tools to improve emotional awareness and control, and guidance to align your life with what matters most to you.
(518) 676-0570 View (518) 676-0570
Photo of Rebecca Cohen, MA, LMHC
Rebecca Cohen
Mental Health Counselor, MA, LMHC
Verified Verified
Delmar, NY 12054
I have a passion for working in the counseling field and have dedicated my career to assisting individuals, couples, and families to live a happier, healthier and more balanced life. I have a great deal of experience in the counseling profession with an extensive background working with depression, bipolarity, anxiety, stress management, communication and life skills, healthy relationships, learning disabilities, ADD/ ADHD, addiction and substance abuse treatment and recovery and more. Additionally, I have facilitated groups in relapse prevention, healthy relationships, anger and emotion management, and problem solving.
I have a passion for working in the counseling field and have dedicated my career to assisting individuals, couples, and families to live a happier, healthier and more balanced life. I have a great deal of experience in the counseling profession with an extensive background working with depression, bipolarity, anxiety, stress management, communication and life skills, healthy relationships, learning disabilities, ADD/ ADHD, addiction and substance abuse treatment and recovery and more. Additionally, I have facilitated groups in relapse prevention, healthy relationships, anger and emotion management, and problem solving.
(518) 348-5615 View (518) 348-5615
Photo of Alida Crisafulli, PhD, LCSW-R, Clinical Social Work/Therapist
Alida Crisafulli
Clinical Social Work/Therapist, PhD, LCSW-R
Verified Verified
Albany, NY 12209
Not accepting new clients
Unable to accept new clients at this time. I am a practicing therapist for over 20 years. I love the diversity of my work, counseling various age groups including children and adults, across an array of mood, interpersonal, relationship and/or family issues. (This web contact is not always monitored. If you have an emergency, call 911 or go to the nearest emergency room. Crisis contact: Capital District Psychiatric Center: 518.549.6500. National Suicide Prevention Lifeline: 1.800.273.8255 or dial 988.
Unable to accept new clients at this time. I am a practicing therapist for over 20 years. I love the diversity of my work, counseling various age groups including children and adults, across an array of mood, interpersonal, relationship and/or family issues. (This web contact is not always monitored. If you have an emergency, call 911 or go to the nearest emergency room. Crisis contact: Capital District Psychiatric Center: 518.549.6500. National Suicide Prevention Lifeline: 1.800.273.8255 or dial 988.
(518) 643-4082 View (518) 643-4082
Photo of Karla Karpowicz, MA, LCAT, BC-DMT, RYT
Karla Karpowicz
Creative Arts Therapist, MA, LCAT, BC-DMT, RYT
Verified Verified
5 Endorsed
Albany, NY 12209
As a Mind/Body oriented Therapist, I understand that our emotions, behaviors, and physical body are sensitive to the stressors we face; we can literally FEEL anxiety, depression, and strong emotions. These stressors can affect our whole selves, often manifesting in negative thinking patterns and/or physical sensations of stress. Whether you are having trouble managing stress, and/or experiencing grief, loss, difficult emotions, relationship issues, anxiety/panic, or you feel like you've lost yourself somewhere along the way, working with your mind AND body through integrated psychotherapy, can help.
As a Mind/Body oriented Therapist, I understand that our emotions, behaviors, and physical body are sensitive to the stressors we face; we can literally FEEL anxiety, depression, and strong emotions. These stressors can affect our whole selves, often manifesting in negative thinking patterns and/or physical sensations of stress. Whether you are having trouble managing stress, and/or experiencing grief, loss, difficult emotions, relationship issues, anxiety/panic, or you feel like you've lost yourself somewhere along the way, working with your mind AND body through integrated psychotherapy, can help.
(845) 669-6238 View (845) 669-6238
Photo of Howard Bernstein, PsyD, Psychologist
Howard Bernstein
Psychologist, PsyD
Verified Verified
Albany, NY 12209  (Online Only)
Hello! I am a New York-based clinical psychologist with over 20 year of experience. My specialties include working with anxiety, panic attacks, phobias, depression, relationship issues, anger problems, work issues, and age-related issues. I primarily employ cognitive behavioral therapy approaches to help individuals manage problems and stressors by improving and teaching new skills and ways of viewing themselves and their environments.
Hello! I am a New York-based clinical psychologist with over 20 year of experience. My specialties include working with anxiety, panic attacks, phobias, depression, relationship issues, anger problems, work issues, and age-related issues. I primarily employ cognitive behavioral therapy approaches to help individuals manage problems and stressors by improving and teaching new skills and ways of viewing themselves and their environments.
(347) 609-7785 View (347) 609-7785
Photo of Karen Laquidara Howe, LCSW-R, Clinical Social Work/Therapist
Karen Laquidara Howe
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Delmar, NY 12054
Not accepting new clients
Do you feel as though your past hurts trigger your reactions in your current life? Do you wish you had more happiness in your life? I would like to help you in your journey through life by helping you learn coping skills and releasing the past.
Do you feel as though your past hurts trigger your reactions in your current life? Do you wish you had more happiness in your life? I would like to help you in your journey through life by helping you learn coping skills and releasing the past.
(518) 314-0223 View (518) 314-0223
Photo of Alfred M Volo, PhD, Psychologist
Alfred M Volo
Psychologist, PhD
Verified Verified
Delmar, NY 12054  (Online Only)
Waitlist for new clients
I favor a cognitive/behavioral approach to the general practice of clinical psychology for adults, children, couples and families. My clients most frequently are seeking help for depression, anxiety disorders, bi-polar disorders, and trauma-related problems.
I favor a cognitive/behavioral approach to the general practice of clinical psychology for adults, children, couples and families. My clients most frequently are seeking help for depression, anxiety disorders, bi-polar disorders, and trauma-related problems.
(518) 501-1554 View (518) 501-1554
Photo of Khira Fryar, LCSW, MFT, Clinical Social Work/Therapist
Khira Fryar
Clinical Social Work/Therapist, LCSW, MFT
Verified Verified
2 Endorsed
Albany, NY 12209  (Online Only)
Hey! So I'm Khira (like Ky-Ruh) and I'm really happy you're here! Have you been struggling with some sadness that won't seem to go away no matter how hard you try? Have you and your partner(s) been struggling to communicate? Family dysfunction getting the best of you? Maybe you've suffered a pretty big loss that you're having trouble navigating. Whatever it is, I want to help you through it. Fears, anxieties and traumas can stifle us. You don't have to be Super(wo)man all the time. Let's figure out how to put your cape down for a bit and take care of the most important person in your life...You!
Hey! So I'm Khira (like Ky-Ruh) and I'm really happy you're here! Have you been struggling with some sadness that won't seem to go away no matter how hard you try? Have you and your partner(s) been struggling to communicate? Family dysfunction getting the best of you? Maybe you've suffered a pretty big loss that you're having trouble navigating. Whatever it is, I want to help you through it. Fears, anxieties and traumas can stifle us. You don't have to be Super(wo)man all the time. Let's figure out how to put your cape down for a bit and take care of the most important person in your life...You!
(315) 388-7023 View (315) 388-7023
Photo of Courtney Slade, LCSW, Clinical Social Work/Therapist
Courtney Slade
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Delmar, NY 12054  (Online Only)
Are you finding it challenging to get your needs met? Have you considered therapy, but weren't sure how to enter into the process or how to vocalize what your needs or goals are? Do you want to feel more emotionally stable or manage your emotions better, maybe in times of higher stress or transition? I work with a variety of individuals looking for a safe space to explore ongoing or newer challenges in their life, that might be causing discomfort, worry/anxiety, mood fluctuations, and trouble within close relationships.
Are you finding it challenging to get your needs met? Have you considered therapy, but weren't sure how to enter into the process or how to vocalize what your needs or goals are? Do you want to feel more emotionally stable or manage your emotions better, maybe in times of higher stress or transition? I work with a variety of individuals looking for a safe space to explore ongoing or newer challenges in their life, that might be causing discomfort, worry/anxiety, mood fluctuations, and trouble within close relationships.
(518) 809-7651 View (518) 809-7651
Photo of Michelle Swanson, LCSW, Clinical Social Work/Therapist
Michelle Swanson
Clinical Social Work/Therapist, LCSW
Verified Verified
Delmar, NY 12054  (Online Only)
Michelle Swanson is a licensed clinical social worker who has been providing individual, group, and couples therapy to adult clients with a wide range of mental health challenges for eight years. She is passionate about helping clients to find lasting healing and has worked in both inpatient and outpatient settings. She specializes in evidence-based approaches including cognitive behavioral therapy, cognitive processing therapy, dialectical behavior therapy, acceptance and commitment therapy, and motivational interviewing. She looks forward to supporting you on your mental health journey.
Michelle Swanson is a licensed clinical social worker who has been providing individual, group, and couples therapy to adult clients with a wide range of mental health challenges for eight years. She is passionate about helping clients to find lasting healing and has worked in both inpatient and outpatient settings. She specializes in evidence-based approaches including cognitive behavioral therapy, cognitive processing therapy, dialectical behavior therapy, acceptance and commitment therapy, and motivational interviewing. She looks forward to supporting you on your mental health journey.
(518) 989-5724 View (518) 989-5724
Photo of Lauren Widmark, LMHC, Counselor
Lauren Widmark
Counselor, LMHC
Verified Verified
Delmar, NY 12054  (Online Only)
I am Lauren Widmark, an LMHC specializing in addiction, PTSD, Depression, Anxiety, life transitions, grief, and loss. My approach varies based on the client's needs, and I use a variety of methods that include Client-Centered Therapy, Cognitive Behavioral (CBT), Eclectic, Humanistic, and Trauma Focused therapies. I have found that each client requires a unique form of treatment. I believe that addiction and other issues are a symptoms of something deeper that is going on.
I am Lauren Widmark, an LMHC specializing in addiction, PTSD, Depression, Anxiety, life transitions, grief, and loss. My approach varies based on the client's needs, and I use a variety of methods that include Client-Centered Therapy, Cognitive Behavioral (CBT), Eclectic, Humanistic, and Trauma Focused therapies. I have found that each client requires a unique form of treatment. I believe that addiction and other issues are a symptoms of something deeper that is going on.
(646) 718-2119 View (646) 718-2119
Neil J. Cervera
Clinical Social Work/Therapist
Verified Verified
Delmar, NY 12054
Dr. Neil Cervera is a licensed New York State Psychotherapist, who received his doctorate from New York University. Dr. Cervera has been in practice for more than 30 years. In addition, he is a Research Assistant Professor Emeritus in the School of Social Welfare at the University at Albany. He is a specialist in the areas of Infertility Therapy and Child and Family issues. His areas of specialization include: Infertility and Adoption issues; Depression and Anxiety; Relationship and Communication problems; Coping with life transitions such as divorce, remarriage or alternate lifestyles; Smoking cessation; Stress management; Child/adolescent and parent problems;
Dr. Neil Cervera is a licensed New York State Psychotherapist, who received his doctorate from New York University. Dr. Cervera has been in practice for more than 30 years. In addition, he is a Research Assistant Professor Emeritus in the School of Social Welfare at the University at Albany. He is a specialist in the areas of Infertility Therapy and Child and Family issues. His areas of specialization include: Infertility and Adoption issues; Depression and Anxiety; Relationship and Communication problems; Coping with life transitions such as divorce, remarriage or alternate lifestyles; Smoking cessation; Stress management; Child/adolescent and parent problems;
(518) 379-0246 View (518) 379-0246
Photo of Janice Masse - Families Together Counseling Services, LCSW, Clinical Social Work/Therapist
Families Together Counseling Services
Clinical Social Work/Therapist, LCSW
Verified Verified
Delmar, NY 12054
Families Together is a private group of highly trained, experienced therapists. We specialize in assisting individuals of all ages & families in helping to reduce conflict in their relationships, change distressing circumstances identify challenges, enhance insight & develop new tools to help manage their lives while guiding towards self-actualization & the restoration of dreams. Our welcoming atmosphere encourages feelings of peacefulness & well-being. Upon arrival to our office, individuals are greeted daily with calming music, gentle lighting & home stay decor evoking feelings of safety & security.
Families Together is a private group of highly trained, experienced therapists. We specialize in assisting individuals of all ages & families in helping to reduce conflict in their relationships, change distressing circumstances identify challenges, enhance insight & develop new tools to help manage their lives while guiding towards self-actualization & the restoration of dreams. Our welcoming atmosphere encourages feelings of peacefulness & well-being. Upon arrival to our office, individuals are greeted daily with calming music, gentle lighting & home stay decor evoking feelings of safety & security.
(518) 519-8140 View (518) 519-8140
Photo of Maureen Del Giacco, PhD, LCAT, Art Therapist
Maureen Del Giacco
Art Therapist, PhD, LCAT
Verified Verified
1 Endorsed
Delmar, NY 12054
With over 3 decades of successful experience, I use art therapy to assist clients who are struggling with anxiety, depression, or trauma related to their relationships or family. Your feelings are our priority, Teaching easy and comfortable exercises to relieve your pain will happen in the first session.
With over 3 decades of successful experience, I use art therapy to assist clients who are struggling with anxiety, depression, or trauma related to their relationships or family. Your feelings are our priority, Teaching easy and comfortable exercises to relieve your pain will happen in the first session.
(518) 621-0784 View (518) 621-0784

See more therapy options for Glenmont

How does your Therapist compare?

Number of Therapists in Glenmont, NY

< 10

Therapists in Glenmont, NY who prioritize treating:

83% Relationship Issues
83% Depression
83% Anxiety
83% Life Transitions
67% Chronic Pain
67% Grief
67% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

100% Aetna
75% Cigna and Evernorth
75% UnitedHealthcare UHC | UBH

How Therapists in Glenmont, NY see their clients

50% In Person and Online
50% Online Only

Gender breakdown

60% Female
40% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Glenmont?

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.