Therapists in Bixby, OK

Photo of undefined - Crown Counseling, Pastoral Counselor
Crown Counseling
Pastoral Counselor
Verified Verified
2 Endorsed
Bixby, OK 74008
Our experience enables us to offer effective counseling via the office or teletherapy. At the home compassionate mental health care we specialize in helping you navigate through, psychological pain, the unknown as well as personal matters that need a safe space for you to process and develop methods that best fit you to help you cope, heal and recover.
Our experience enables us to offer effective counseling via the office or teletherapy. At the home compassionate mental health care we specialize in helping you navigate through, psychological pain, the unknown as well as personal matters that need a safe space for you to process and develop methods that best fit you to help you cope, heal and recover.
(918) 387-7644 View (918) 387-7644
Photo of undefined - Christian Practices of Oklahoma, LLC, MS, MEd, LPC, Licensed Professional Counselor
Christian Practices of Oklahoma, LLC
Licensed Professional Counselor, MS, MEd, LPC
Verified Verified
1 Endorsed
Bixby, OK 74008
Christian Practices applies grace, and faith in the counseling process. Christian Practices offers affordable counseling for all seeking wholeness and a better quality of life. Whatever brings you to Christian Practices; depression, anxiety, loss, individual, couples, family, career, or stage of life issues you will find God’s love, and acceptance. This is essential to effective counseling; so there’s no need to be anxious in seeking support. Clients will experience an atmosphere of care, compassion, and encouragement as we walk through the issues of life. The more we can see ourselves as God sees us, the healthier we become.
Christian Practices applies grace, and faith in the counseling process. Christian Practices offers affordable counseling for all seeking wholeness and a better quality of life. Whatever brings you to Christian Practices; depression, anxiety, loss, individual, couples, family, career, or stage of life issues you will find God’s love, and acceptance. This is essential to effective counseling; so there’s no need to be anxious in seeking support. Clients will experience an atmosphere of care, compassion, and encouragement as we walk through the issues of life. The more we can see ourselves as God sees us, the healthier we become.
(539) 224-2889 View (539) 224-2889
Photo of Brittain Keifer, LMFT, SLP, Marriage & Family Therapist
Brittain Keifer
Marriage & Family Therapist, LMFT, SLP
Verified Verified
Bixby, OK 74008  (Online Only)
Hello, my name is Brittain Keifer and we offer premium mental health services. I have been a therapist since 2009 and I have extensive experience in helping individuals, couples, adolescents and families navigate through various seasons in life. Therapy is a place where you can come and there are no expectations of you. I take a client-centered approach implementing a variety of therapeutic techniques, assisting you to discover healthy ways of communicating, resolving conflict and establishing boundaries and self-discovery. This is YOUR time and it is my passion to help you on your journey! Come and experience the change.
Hello, my name is Brittain Keifer and we offer premium mental health services. I have been a therapist since 2009 and I have extensive experience in helping individuals, couples, adolescents and families navigate through various seasons in life. Therapy is a place where you can come and there are no expectations of you. I take a client-centered approach implementing a variety of therapeutic techniques, assisting you to discover healthy ways of communicating, resolving conflict and establishing boundaries and self-discovery. This is YOUR time and it is my passion to help you on your journey! Come and experience the change.
(918) 417-1255 View (918) 417-1255
Photo of undefined - True North Life Counseling, LPC, Licensed Professional Counselor
True North Life Counseling
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Bixby, OK 74008
Many individuals, adults, children and teens included, are affected by stress, trauma, unexpected life events and major life transitions or change. My work is dedicated toward seeing individuals succeed in life and achieve their God-given dreams, purpose and calling, by coming alongside individuals, couples and families to assist them to successfully navigate through life's challenges. I hope very much to help bring order and a sense of peace into chaos, in the situations individuals may be facing, that will help them heal, or to make changes or decisions with greater clarity and assuredness of better results.
Many individuals, adults, children and teens included, are affected by stress, trauma, unexpected life events and major life transitions or change. My work is dedicated toward seeing individuals succeed in life and achieve their God-given dreams, purpose and calling, by coming alongside individuals, couples and families to assist them to successfully navigate through life's challenges. I hope very much to help bring order and a sense of peace into chaos, in the situations individuals may be facing, that will help them heal, or to make changes or decisions with greater clarity and assuredness of better results.
(918) 972-0656 View (918) 972-0656
Photo of Julie Mullins-Marshall, MS, LPC, Licensed Professional Counselor
Julie Mullins-Marshall
Licensed Professional Counselor, MS, LPC
Verified Verified
4 Endorsed
Bixby, OK 74008
The steps in reaching out for help can be a daunting task. I am here to help you clear the path toward wellbeing & happiness in your life. Whether this involves confronting your innermost feelings, examining the past & letting go of learned defenses, or you are looking for help in overcoming other tough challenges in life, I will walk alongside you to find direction & support in this journey. I enjoy working with clients in exploring ways to learn to live in the “here & now” successfully. Aligning with a client’s goals & needs, my approach is to provide a safe, secure space to move through self-discovery, healing & empowerment.
The steps in reaching out for help can be a daunting task. I am here to help you clear the path toward wellbeing & happiness in your life. Whether this involves confronting your innermost feelings, examining the past & letting go of learned defenses, or you are looking for help in overcoming other tough challenges in life, I will walk alongside you to find direction & support in this journey. I enjoy working with clients in exploring ways to learn to live in the “here & now” successfully. Aligning with a client’s goals & needs, my approach is to provide a safe, secure space to move through self-discovery, healing & empowerment.
(918) 302-2008 View (918) 302-2008
Photo of Lorie Dorholt Tandy, MS, LPC, LLC, Licensed Professional Counselor
Lorie Dorholt Tandy
Licensed Professional Counselor, MS, LPC, LLC
Verified Verified
Bixby, OK 74008
I have been in the mental healthcare profession for 30+ years and began counseling in 1997 at Laureate Psychiatric Clinic & Hospital. I specialize in eating disorders and grief recovery, but also have years of experience treating depression, anxiety, trauma, relationship issues, and anger management. I treat males and females between the ages of 16 and 75 in individual, couples, and family therapy.
I have been in the mental healthcare profession for 30+ years and began counseling in 1997 at Laureate Psychiatric Clinic & Hospital. I specialize in eating disorders and grief recovery, but also have years of experience treating depression, anxiety, trauma, relationship issues, and anger management. I treat males and females between the ages of 16 and 75 in individual, couples, and family therapy.
(918) 926-6909 View (918) 926-6909
Photo of Katie Worthington, MEd, LPC, Licensed Professional Counselor
Katie Worthington
Licensed Professional Counselor, MEd, LPC
Verified Verified
Bixby, OK 74008  (Online Only)
You wake up every morning with a pit in your stomach. You feel nauseated and just can't calm down. Everything in your life feels like a mountain that you have to climb. School is overwhelming and you can't stay on top of your classes. The expectations at your job are growing faster than you are able to keep up. You try daily to fend off the panic, the worry, the stress. When you finally try to sleep, you spend hours fighting off the negative thoughts and fears, only to wake up and do it all again tomorrow.
You wake up every morning with a pit in your stomach. You feel nauseated and just can't calm down. Everything in your life feels like a mountain that you have to climb. School is overwhelming and you can't stay on top of your classes. The expectations at your job are growing faster than you are able to keep up. You try daily to fend off the panic, the worry, the stress. When you finally try to sleep, you spend hours fighting off the negative thoughts and fears, only to wake up and do it all again tomorrow.
(918) 779-1058 View (918) 779-1058
Photo of undefined - Serenity Marriage and Family Counseling, LLC, MA, LMFT, Marriage & Family Therapist
Serenity Marriage and Family Counseling, LLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
12 Endorsed
Bixby, OK 74008
Not accepting new clients
Are you feeling empty? Come find hope, rest, and freedom! At Serenity Counseling, you will learn coping skills to help you better face present difficulties and disturbances from your past. As an EMDR trained Christian counselor I am dedicated to working with individuals, families, and couples experiencing any of the following: anxiety, depression, stress, anger, mood disorders, relationship turmoil, life transitions, ineffective communication styles, and post traumatic reactions. Furthermore, I provide premarital therapy services. I am also DBT informed.
Are you feeling empty? Come find hope, rest, and freedom! At Serenity Counseling, you will learn coping skills to help you better face present difficulties and disturbances from your past. As an EMDR trained Christian counselor I am dedicated to working with individuals, families, and couples experiencing any of the following: anxiety, depression, stress, anger, mood disorders, relationship turmoil, life transitions, ineffective communication styles, and post traumatic reactions. Furthermore, I provide premarital therapy services. I am also DBT informed.
(918) 932-3978 View (918) 932-3978
Photo of Claire Domeck, MA, LMFT, Marriage & Family Therapist
Claire Domeck
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Bixby, OK 74008
Waitlist for new clients
I have been practicing counseling in a variety of settings for over 20 years now! I am a Faith-based Psychotherapist who is fully qualified to work with a host of mental health issues. I specialize in incorporating a family systems approach. Overall, I truly love helping my clients from all walks of life in my private practice!
I have been practicing counseling in a variety of settings for over 20 years now! I am a Faith-based Psychotherapist who is fully qualified to work with a host of mental health issues. I specialize in incorporating a family systems approach. Overall, I truly love helping my clients from all walks of life in my private practice!
(918) 779-0506 View (918) 779-0506
Photo of Lindsay Benson, MS, LPC, Licensed Professional Counselor
Lindsay Benson
Licensed Professional Counselor, MS, LPC
Verified Verified
4 Endorsed
Bixby, OK 74008
Hello, I'm Lindsay Benson M.S.,LPC. I provide individual therapy in a supportive setting. I strive to help others find balance and peace in their life. I believe that we all have the power within us to heal past hurts, love ourselves and create the life we want. My goal is to equip others with the knowledge, skills and insight needed to enjoy life. I like to partner with people and assist them to alter their limiting beliefs and perceptions about themselves and others; and to empower people to utilize their inherent strengths and potentials.
Hello, I'm Lindsay Benson M.S.,LPC. I provide individual therapy in a supportive setting. I strive to help others find balance and peace in their life. I believe that we all have the power within us to heal past hurts, love ourselves and create the life we want. My goal is to equip others with the knowledge, skills and insight needed to enjoy life. I like to partner with people and assist them to alter their limiting beliefs and perceptions about themselves and others; and to empower people to utilize their inherent strengths and potentials.
(918) 992-7622 View (918) 992-7622
Photo of Daniel G Morris, LPC, LADC, BCN, Licensed Professional Counselor
Daniel G Morris
Licensed Professional Counselor, LPC, LADC, BCN
Verified Verified
4 Endorsed
Bixby, OK 74008
Waitlist for new clients
Has life become difficult through no fault of your own? Or maybe it's entirely because of things you've done or failed to do. Either way, you shouldn't have to face it alone. It takes courage to ask for help but the rewards can lead to something greater. Everyone's a little more anxious or depressed these days and sometimes you need help to get back on track. You don't have to do this alone.
Has life become difficult through no fault of your own? Or maybe it's entirely because of things you've done or failed to do. Either way, you shouldn't have to face it alone. It takes courage to ask for help but the rewards can lead to something greater. Everyone's a little more anxious or depressed these days and sometimes you need help to get back on track. You don't have to do this alone.
(918) 223-3239 View (918) 223-3239
Photo of Casey Ritchie, LPC, LADC, Licensed Professional Counselor
Casey Ritchie
Licensed Professional Counselor, LPC, LADC
Verified Verified
Bixby, OK 74008
All humans have inherent worth, yet I believe a lack of self-worth is at the core of all emotional pain. I use a narrative approach to allow clients to share their story as they see it and then help them reframe to build a life that better meets their desired goals. Self-defeating behaviors created to cope with difficult situations, such as trauma, gender identity and a lack of validation, can be changed when identified and understood. I join my client on their journey to become the person they desire. I am a member of World Professional Association of Health and of International Society for the Study of Trauma and Dissociation.
All humans have inherent worth, yet I believe a lack of self-worth is at the core of all emotional pain. I use a narrative approach to allow clients to share their story as they see it and then help them reframe to build a life that better meets their desired goals. Self-defeating behaviors created to cope with difficult situations, such as trauma, gender identity and a lack of validation, can be changed when identified and understood. I join my client on their journey to become the person they desire. I am a member of World Professional Association of Health and of International Society for the Study of Trauma and Dissociation.
(918) 716-9568 View (918) 716-9568
Photo of undefined - A Bright Future Counseling, PLLC, LCSW, Clinical Social Work/Therapist
A Bright Future Counseling, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Bixby, OK 74008
Are you living the life you were created to live? Do you feel limited in your capacity to achieve your highest potential due to fear, your past, or some other struggle? My passion is to help you work through the difficulties in your life that hold you back from achieving personal success in your life and in your relationships with others. In a safe and relational environment, my goal is to build upon your strengths and empower you to attain the personal growth you are committed to accomplishing.
Are you living the life you were created to live? Do you feel limited in your capacity to achieve your highest potential due to fear, your past, or some other struggle? My passion is to help you work through the difficulties in your life that hold you back from achieving personal success in your life and in your relationships with others. In a safe and relational environment, my goal is to build upon your strengths and empower you to attain the personal growth you are committed to accomplishing.
(918) 376-3933 View (918) 376-3933
Photo of Rebecca St. Clair, LPC, MA, Licensed Professional Counselor
Rebecca St. Clair
Licensed Professional Counselor, LPC, MA
Verified Verified
Bixby, OK 74008  (Online Only)
Life's challenges often lead us to ask "why," seeking meaning and understanding. While this quest can feel overwhelming, remember that we are the experts of our own lives, capable of finding our own answers and forging our path forward. How would it feel to not have to face the unknown alone as you seek the help you need?
Life's challenges often lead us to ask "why," seeking meaning and understanding. While this quest can feel overwhelming, remember that we are the experts of our own lives, capable of finding our own answers and forging our path forward. How would it feel to not have to face the unknown alone as you seek the help you need?
(918) 347-1273 View (918) 347-1273
Photo of undefined - Mary Mihelich, PhD, PhD, LPC, LMFT, Licensed Professional Counselor
Mary Mihelich, PhD
Licensed Professional Counselor, PhD, LPC, LMFT
Verified Verified
Bixby, OK 74008
I have enjoyed the private practice of outpatient mental health in Oklahoma and around the world with our military. In addition to a doctorate in clinical psychology from the University of Tulsa, I am a graduate of the Menninger's Institute Program for Community Practitioners of Marriage and Family Therapy. Working with couples who desire to save their marriage and with families struggling to succeed with adolescent challenges are some of my favorite areas of focus. My doctoral level research involved conducting a clinical trial investigating the effectiveness of the EMDR method.
I have enjoyed the private practice of outpatient mental health in Oklahoma and around the world with our military. In addition to a doctorate in clinical psychology from the University of Tulsa, I am a graduate of the Menninger's Institute Program for Community Practitioners of Marriage and Family Therapy. Working with couples who desire to save their marriage and with families struggling to succeed with adolescent challenges are some of my favorite areas of focus. My doctoral level research involved conducting a clinical trial investigating the effectiveness of the EMDR method.
(918) 376-7620 View (918) 376-7620
Photo of undefined - Psychological Assessment, Advocacy, and Treatment, PhD, NCSP, Psychologist
Psychological Assessment, Advocacy, and Treatment
Psychologist, PhD, NCSP
Verified Verified
Bixby, OK 74008
My primary clients are individuals between 2 - 21 years (Adults on a case-by-case basis). I work with children and their families to provide more information about current presenting social, emotional, and/or behavioral concerns through a thorough assessment (i.e., 5+ hours of direct assessment) and/or through counseling. In counseling, I alone cannot change the person once per week or every other week; parents are key to successful treatment by implementing appropriate strategies, support, and structure needed for improvement (i.e., there is work for the adults too!). I can also help with navigating the school system. So, "How can I help?"
My primary clients are individuals between 2 - 21 years (Adults on a case-by-case basis). I work with children and their families to provide more information about current presenting social, emotional, and/or behavioral concerns through a thorough assessment (i.e., 5+ hours of direct assessment) and/or through counseling. In counseling, I alone cannot change the person once per week or every other week; parents are key to successful treatment by implementing appropriate strategies, support, and structure needed for improvement (i.e., there is work for the adults too!). I can also help with navigating the school system. So, "How can I help?"
(918) 401-9515 View (918) 401-9515
Photo of Daniel M Stockley, PhD, Psychologist
Daniel M Stockley
Psychologist, PhD
Verified Verified
1 Endorsed
Bixby, OK 74008
Not accepting new clients
Dr. Stockley is a Licensed Psychologist located in the Tulsa area. He has a Degree in Psychology from Oklahoma State University and has had a successful growing practice since he began in 1990. Dr. Stockley has worked closely with the Tulsa County Juvenile Court, the Oklahoma Department of Human Services, the Oklahoma Office of Juvenile Affairs, as well as the Tulsa Boys' Home.
Dr. Stockley is a Licensed Psychologist located in the Tulsa area. He has a Degree in Psychology from Oklahoma State University and has had a successful growing practice since he began in 1990. Dr. Stockley has worked closely with the Tulsa County Juvenile Court, the Oklahoma Department of Human Services, the Oklahoma Office of Juvenile Affairs, as well as the Tulsa Boys' Home.
(918) 379-4645 View (918) 379-4645
Photo of Cathy Land-Morrel, LMFT, Marriage & Family Therapist
Cathy Land-Morrel
Marriage & Family Therapist, LMFT
Verified Verified
Bixby, OK 74008
Hello and welcome! I'm Cathy, I have a deep commitment to supporting the LGBTQIA+ community, those healing from religious trauma, and adolescents on their transformative journeys. A large percentage of my clients are neurodivergent and I am neurodivergent myself. My passion lies in creating empowering and inclusive therapeutic spaces where individuals can embrace their authentic selves and find healing and growth. I also have experience working with trans individuals, late diagnosed autistic individuals, ADHD, AuDHD, other LGBTQ+ individuals, and helping partners and parents of the above listed individuals.
Hello and welcome! I'm Cathy, I have a deep commitment to supporting the LGBTQIA+ community, those healing from religious trauma, and adolescents on their transformative journeys. A large percentage of my clients are neurodivergent and I am neurodivergent myself. My passion lies in creating empowering and inclusive therapeutic spaces where individuals can embrace their authentic selves and find healing and growth. I also have experience working with trans individuals, late diagnosed autistic individuals, ADHD, AuDHD, other LGBTQ+ individuals, and helping partners and parents of the above listed individuals.
(918) 486-9255 View (918) 486-9255
Photo of undefined - Angela Bauer, LCSW, PLLC, LCSW, Clinical Social Work/Therapist
Angela Bauer, LCSW, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Bixby, OK 74008
I have over 25 years experience helping people with depression, anxiety, trauma, and relationship issues. I provide compassionate, strengths-based, individualized care with day time, evening and weekend appointments available. Passion for families, parents and the LGBTQ+ population has fueled my life's work to help people get through difficult times or just explore how to improve on what is already working. Becoming our best selves takes work; work that I have been doing in my own life and with others for decades.
I have over 25 years experience helping people with depression, anxiety, trauma, and relationship issues. I provide compassionate, strengths-based, individualized care with day time, evening and weekend appointments available. Passion for families, parents and the LGBTQ+ population has fueled my life's work to help people get through difficult times or just explore how to improve on what is already working. Becoming our best selves takes work; work that I have been doing in my own life and with others for decades.
(539) 424-2969 View (539) 424-2969
Photo of K Renee Marlow, LCSW, BCD, Clinical Social Work/Therapist
K Renee Marlow
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
Bixby, OK 74008
I have been in private practice for over 40 years and have always had a broad general practice, which I prefer due to my ability to shift gears, when appropriate, to work with individuals, couples, families, or groups. It also fits my varied interests professionally in many diverse aspects of practice and treatment.
I have been in private practice for over 40 years and have always had a broad general practice, which I prefer due to my ability to shift gears, when appropriate, to work with individuals, couples, families, or groups. It also fits my varied interests professionally in many diverse aspects of practice and treatment.
(918) 550-5484 View (918) 550-5484

See more therapy options for Bixby

How does your Therapist compare?

Number of Therapists in Bixby, OK

90+

Average cost per session

$125

Therapists in Bixby, OK who prioritize treating:

95% Anxiety
91% Depression
84% Trauma and PTSD
83% Relationship Issues
83% Self Esteem
75% Stress
73% Coping Skills

Average years in practice

14 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
79% Health Choice
69% UnitedHealthcare UHC | UBH

How Therapists in Bixby, OK see their clients

91% In Person and Online
9% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bixby?

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.