Therapists in Littleton, CO

Photo of AllHealth Network, Clinical Social Work/Therapist in Littleton, CO
AllHealth Network
Clinical Social Work/Therapist, LCSW, PhD, LPC, LMFT, PsyD
Verified Verified
Littleton, CO 80120
AllHealth Network provides mental health services and substance abuse services for children, adolescents, adults, older adults, couples, and families. These services include: assessment and treatment planning with one of our master’s-level or licensed therapists, counseling, group therapy and medication services. We also have an Intensive Outpatient Program in Littleton & Castle Rock for adults working towards recovery from substance use and mental health concerns. We offer medication-assisted therapy (MAT) for individual trying to get off of pain killers or opioids.
AllHealth Network provides mental health services and substance abuse services for children, adolescents, adults, older adults, couples, and families. These services include: assessment and treatment planning with one of our master’s-level or licensed therapists, counseling, group therapy and medication services. We also have an Intensive Outpatient Program in Littleton & Castle Rock for adults working towards recovery from substance use and mental health concerns. We offer medication-assisted therapy (MAT) for individual trying to get off of pain killers or opioids.
(720) 386-2150 View (720) 386-2150
Photo of Caitlin Opland, Clinical Social Work/Therapist in Littleton, CO
Caitlin Opland
Clinical Social Work/Therapist, LCSW
Verified Verified
Littleton, CO 80123  (Online Only)
Caitlin Opland is a compassionate and empathetic Licensed Clinical Social Worker (LCSW) with over 8 years of experience dedicated to helping individuals overcome mental health challenges. With a background at a community hospital, Caitlin has developed a deep understanding of mental health issues and the importance of providing non-judgmental care. Specializing in anxiety, depression, substance use, grief, stress, and work/life balance, Caitlin prioritizes a person-centered and strengths-based approach in her practice. She believes in creating a safe and supportive environment where clients feel respected, valued, and understood.
Caitlin Opland is a compassionate and empathetic Licensed Clinical Social Worker (LCSW) with over 8 years of experience dedicated to helping individuals overcome mental health challenges. With a background at a community hospital, Caitlin has developed a deep understanding of mental health issues and the importance of providing non-judgmental care. Specializing in anxiety, depression, substance use, grief, stress, and work/life balance, Caitlin prioritizes a person-centered and strengths-based approach in her practice. She believes in creating a safe and supportive environment where clients feel respected, valued, and understood.
(720) 571-4685 View (720) 571-4685
Photo of Bev Priest in Littleton, CO
Bev Priest
PhD, MPhil, LPC
Verified Verified
Littleton, CO 80123
I believe; gaining insight and understanding, feeling more hopeful, knowing someone is there to listen, and being in a safe and non-judgmental environment, are just some of the important keys to therapy. One of the most difficult and courageous things someone can do is to walk into a clinician's office and ask for help. Sometimes people may hesitate to seek help because they feel alone in their pain or that no one will understand them. I work with clients ages two and older, from diverse cultural groups, and foster an atmosphere of understanding across these various age and cultural groups.
I believe; gaining insight and understanding, feeling more hopeful, knowing someone is there to listen, and being in a safe and non-judgmental environment, are just some of the important keys to therapy. One of the most difficult and courageous things someone can do is to walk into a clinician's office and ask for help. Sometimes people may hesitate to seek help because they feel alone in their pain or that no one will understand them. I work with clients ages two and older, from diverse cultural groups, and foster an atmosphere of understanding across these various age and cultural groups.
(720) 712-1486 View (720) 712-1486
Photo of Kimberly Hettel, Counselor in Littleton, CO
Kimberly Hettel
Counselor, MS, LPCC, NCC
Verified Verified
Littleton, CO 80120
To those who are looking for someone to talk to: I’m so glad you’re here. I'm glad you're taking these steps toward growth, healing, finding peace, letting go, or taking back. While counseling helps in a variety of ways, it is my belief that the therapeutic relationship is the most impactful. Therefore, my goal is to be a safe, accepting, and competent counselor for you—no matter where you've come from or where you're trying to go.
To those who are looking for someone to talk to: I’m so glad you’re here. I'm glad you're taking these steps toward growth, healing, finding peace, letting go, or taking back. While counseling helps in a variety of ways, it is my belief that the therapeutic relationship is the most impactful. Therefore, my goal is to be a safe, accepting, and competent counselor for you—no matter where you've come from or where you're trying to go.
(720) 802-2508 View (720) 802-2508
Photo of Phil Jason Stone, Clinical Social Work/Therapist in Littleton, CO
Phil Jason Stone
Clinical Social Work/Therapist, LCSW
Verified Verified
Littleton, CO 80123
Welcome to the next phase of your life! My name is Phil and I am honored to be your guide in healing and transformation. I will help you heal from past traumas, overcome obstacles, manage mental health & substance abuse issues and grow to become the person you have always wanted to be. I have had the privilege of serving as a Therapist in a variety of settings for the past 20 years. I enjoy working with adolescents (12+), adults and couples. I offer individual therapy, group therapy, life coaching and video therapy.
Welcome to the next phase of your life! My name is Phil and I am honored to be your guide in healing and transformation. I will help you heal from past traumas, overcome obstacles, manage mental health & substance abuse issues and grow to become the person you have always wanted to be. I have had the privilege of serving as a Therapist in a variety of settings for the past 20 years. I enjoy working with adolescents (12+), adults and couples. I offer individual therapy, group therapy, life coaching and video therapy.
(855) 712-8543 View (855) 712-8543
Photo of Kathleen Rhodes, Licensed Professional Counselor in Littleton, CO
Kathleen Rhodes
Licensed Professional Counselor, LPC
Verified Verified
Littleton, CO 80125
Not accepting new clients
I know that as a parent, you want to imagine a wildly successful and happy future for your child. Watching them struggle with family and friends, act out in school, and/or participate in risky behaviors like substance use or self harm can turn that hope into devastating worry as you see them in pain and feel helpless to heal it. It may feel impossible to support them alone- and you don't have to. With research backed strategies and years of experience, I can help teens work through their struggles and towards a brighter future.
I know that as a parent, you want to imagine a wildly successful and happy future for your child. Watching them struggle with family and friends, act out in school, and/or participate in risky behaviors like substance use or self harm can turn that hope into devastating worry as you see them in pain and feel helpless to heal it. It may feel impossible to support them alone- and you don't have to. With research backed strategies and years of experience, I can help teens work through their struggles and towards a brighter future.
(720) 734-8610 View (720) 734-8610
Photo of Liz Norris, Licensed Professional Counselor in Littleton, CO
Liz Norris
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
1 Endorsed
Littleton, CO 80120
Dr. Liz Norris is a Licensed Professional Counselor (LPC) and holds a PhD in Counselor Education and Supervision from Mercer University, a MA in Professional Counseling with a specialization in Trauma Counseling from Richmont Graduate University, and a BA in Communication from Valdosta State University. She is trained in EMDR, a Nationally Certified Counselor (NCC), and a Board Certified TeleMental Health Provider (BC-TMH). Liz has worked in a wide range of clinical settings, such as a homeless shelter and rehabilitation program, psychiatric hospital, missions agency, and private practice.
Dr. Liz Norris is a Licensed Professional Counselor (LPC) and holds a PhD in Counselor Education and Supervision from Mercer University, a MA in Professional Counseling with a specialization in Trauma Counseling from Richmont Graduate University, and a BA in Communication from Valdosta State University. She is trained in EMDR, a Nationally Certified Counselor (NCC), and a Board Certified TeleMental Health Provider (BC-TMH). Liz has worked in a wide range of clinical settings, such as a homeless shelter and rehabilitation program, psychiatric hospital, missions agency, and private practice.
(404) 666-8533 View (404) 666-8533
Photo of Tracy S Stuart, Licensed Professional Counselor in Littleton, CO
Tracy S Stuart
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Littleton, CO 80120
My ideal client is struggling with trauma, depression and/or anxiety. They may have been struggling for months, years, or decades and are ready to explore their issues. Creating a safe space for you to tell your story and then learn and begin to apply coping skills are the first steps toward releasing and healing your pain. My ideal client is also ready to explore how they can unwind ineffective thought processes in order to find a new and healthy mindset that allows for the possibility of peace and happiness.
My ideal client is struggling with trauma, depression and/or anxiety. They may have been struggling for months, years, or decades and are ready to explore their issues. Creating a safe space for you to tell your story and then learn and begin to apply coping skills are the first steps toward releasing and healing your pain. My ideal client is also ready to explore how they can unwind ineffective thought processes in order to find a new and healthy mindset that allows for the possibility of peace and happiness.
(303) 952-4510 View (303) 952-4510
Photo of Miranda Bortmas, Clinical Social Work/Therapist in Littleton, CO
Miranda Bortmas
Clinical Social Work/Therapist, LSW
Verified Verified
Littleton, CO 80123
Miranda Bortmas is a Licensed Social Worker with 10 years of experience in the field. She is passionate about helping individuals so they can heal and live the life they envision for themselves. She specializes in depression, anxiety, trauma, relationship concerns, major life transitions, grief, interpersonal conflicts, and work stress. Miranda completed her Master of Social Work (MSW) at the University of Pittsburgh in 2018.
Miranda Bortmas is a Licensed Social Worker with 10 years of experience in the field. She is passionate about helping individuals so they can heal and live the life they envision for themselves. She specializes in depression, anxiety, trauma, relationship concerns, major life transitions, grief, interpersonal conflicts, and work stress. Miranda completed her Master of Social Work (MSW) at the University of Pittsburgh in 2018.
(720) 759-3217 View (720) 759-3217
Photo of Alexis Chiani, Clinical Social Work/Therapist in Littleton, CO
Alexis Chiani
Clinical Social Work/Therapist, MSW , LCSW
Verified Verified
Littleton, CO 80120  (Online Only)
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
(720) 806-9482 View (720) 806-9482
Photo of Amanda Bagwell, Licensed Professional Counselor Candidate in Littleton, CO
Amanda Bagwell
Licensed Professional Counselor Candidate, LPC
Verified Verified
Littleton, CO 80128
Amanda works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Amanda believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, she partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
Amanda works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Amanda believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, she partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
(303) 997-1683 View (303) 997-1683
Photo of Lucinda McGarvin, Clinical Social Work/Therapist in Littleton, CO
Lucinda McGarvin
Clinical Social Work/Therapist, LCSW
Verified Verified
Littleton, CO 80120
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
(720) 903-1158 View (720) 903-1158
Photo of Paige Smith, Licensed Professional Counselor in Littleton, CO
Paige Smith
Licensed Professional Counselor, LPC
Verified Verified
Littleton, CO 80120
At We Rise, we are dedicated counselors, coaches, and advocates for holistic healing and well-being. We recognize the intricate nature of human beings, encompassing biological, psychological, spiritual, social, emotional, and relational dimensions. Our approach is as diverse as our clients, tailored to each individual's unique needs. We firmly believe in the inherent goodness within every person and strive to help our clients uncover and embrace their essential selves. With profound empathy and respect, we accompany our clients on their journey toward healing and wholeness.
At We Rise, we are dedicated counselors, coaches, and advocates for holistic healing and well-being. We recognize the intricate nature of human beings, encompassing biological, psychological, spiritual, social, emotional, and relational dimensions. Our approach is as diverse as our clients, tailored to each individual's unique needs. We firmly believe in the inherent goodness within every person and strive to help our clients uncover and embrace their essential selves. With profound empathy and respect, we accompany our clients on their journey toward healing and wholeness.
(720) 445-6371 View (720) 445-6371
Photo of Mason Justice Moore, Counselor in Littleton, CO
Mason Justice Moore
Counselor, LPC, LAC
Verified Verified
3 Endorsed
Littleton, CO 80120
My approach is straightforward. I help people make difficult changes using a blend of evidence-based practices and individualized techniques drawn from 30+ years of experience. I will not tell you comfortable lies. Good therapy always results in some kind of change, so that's what we focus on. I treat anxiety, depression, couples in crisis, addiction, anger, habit change, Internet/video game issues, trauma/PTSD using EMDR or trauma focused CBT, sexually problematic behavior, fallout from divorce, parent-child conflict, failure to thrive, and social skills training.
My approach is straightforward. I help people make difficult changes using a blend of evidence-based practices and individualized techniques drawn from 30+ years of experience. I will not tell you comfortable lies. Good therapy always results in some kind of change, so that's what we focus on. I treat anxiety, depression, couples in crisis, addiction, anger, habit change, Internet/video game issues, trauma/PTSD using EMDR or trauma focused CBT, sexually problematic behavior, fallout from divorce, parent-child conflict, failure to thrive, and social skills training.
(303) 625-9369 View (303) 625-9369
Photo of Josh Kaplan - Specialized OCD and Anxiety Therapy, Clinical Social Work/Therapist in Littleton, CO
Josh Kaplan - Specialized OCD and Anxiety Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Littleton, CO 80120
Do you feel caught in a never-ending loop of worries or uncertainty? Maybe you’re troubled by recurrent intrusive thoughts and images? Do certain situations and triggers cause you to freeze up and panic? These, along with depression, are the common concerns my clients present with. Despite their best efforts they can’t seem to find lasting relief. However, there's hope. In my practice, I employ Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP), two of the most effective therapies science has given us for overcoming the challenges of Anxiety, OCD, and Depression. I'll help guide you toward peace of mind.
Do you feel caught in a never-ending loop of worries or uncertainty? Maybe you’re troubled by recurrent intrusive thoughts and images? Do certain situations and triggers cause you to freeze up and panic? These, along with depression, are the common concerns my clients present with. Despite their best efforts they can’t seem to find lasting relief. However, there's hope. In my practice, I employ Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP), two of the most effective therapies science has given us for overcoming the challenges of Anxiety, OCD, and Depression. I'll help guide you toward peace of mind.
(720) 706-3761 View (720) 706-3761
Photo of Sheridan Hall, Counselor in Littleton, CO
Sheridan Hall
Counselor, LPC
Verified Verified
Littleton, CO 80120
You are probably here because there is part of you that knows you were made for deeper connections, more freedom and laughter, and a greater sense of purpose and fullness of life. But life is hard. And somewhere along the way we often begin relating to ourselves and others from a place of fear and woundedness. We numb ourselves or make ourselves small to hide the parts that we fear will be rejected. We get stuck in patterns of feeling unlovable, unworthy, and disconnect from joy.
You are probably here because there is part of you that knows you were made for deeper connections, more freedom and laughter, and a greater sense of purpose and fullness of life. But life is hard. And somewhere along the way we often begin relating to ourselves and others from a place of fear and woundedness. We numb ourselves or make ourselves small to hide the parts that we fear will be rejected. We get stuck in patterns of feeling unlovable, unworthy, and disconnect from joy.
(303) 653-9554 View (303) 653-9554
Photo of Melinda Harriman LCSW, Clinical Social Work/Therapist in Littleton, CO
Melinda Harriman LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Littleton, CO 80120
I have over 30 years of experience as a clinical social worker. I have worked in school, hospital and outpatient mental health settings. I am very passionate about the work I have done as a clinical social worker and all the learning experiences it as provided and contributed to my personal and professional growth . My aim is to provide a safe, calm and affirming environment for us to discuss what brought you into therapy. I will work with you in creating a plan to support your healing and growth .
I have over 30 years of experience as a clinical social worker. I have worked in school, hospital and outpatient mental health settings. I am very passionate about the work I have done as a clinical social worker and all the learning experiences it as provided and contributed to my personal and professional growth . My aim is to provide a safe, calm and affirming environment for us to discuss what brought you into therapy. I will work with you in creating a plan to support your healing and growth .
(720) 789-8316 View (720) 789-8316
Photo of Meghan Lechuga, Psychologist in Littleton, CO
Meghan Lechuga
Psychologist, PsyD
Verified Verified
Littleton, CO 80120
Waitlist for new clients
I strive to help clients understand the causes of cognitive changes and provide recommendations that are individually tailored to meet their needs. I also aim to help adults understand the normal cognitive changes expected across the lifespan and take action to preserve brain health throughout the aging process.
I strive to help clients understand the causes of cognitive changes and provide recommendations that are individually tailored to meet their needs. I also aim to help adults understand the normal cognitive changes expected across the lifespan and take action to preserve brain health throughout the aging process.
(720) 776-5843 View (720) 776-5843
Photo of Amy Dexter, Psychologist in Littleton, CO
Amy Dexter
Psychologist, PsyD
Verified Verified
Littleton, CO 80120
I specialize in helping people who are struggling with depression, anxiety, relationship issues, and sleep and health-related issues. I primarily work with people whose lives have become narrowed and preoccupied by their struggles, and those who wish to live with more vitality, intention, and freedom from mental and emotional suffering. I also work with couples to improve conflict management and communication patterns, and promote strengthened trust, connection and intimacy. Overall, I aim to help people get unstuck and move towards living more full, satisfying, and personally meaningful lives.
I specialize in helping people who are struggling with depression, anxiety, relationship issues, and sleep and health-related issues. I primarily work with people whose lives have become narrowed and preoccupied by their struggles, and those who wish to live with more vitality, intention, and freedom from mental and emotional suffering. I also work with couples to improve conflict management and communication patterns, and promote strengthened trust, connection and intimacy. Overall, I aim to help people get unstuck and move towards living more full, satisfying, and personally meaningful lives.
(970) 642-3043 View (970) 642-3043
Photo of Samantha Wogan, Clinical Social Work/Therapist in Littleton, CO
Samantha Wogan
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Littleton, CO 80120  (Online Only)
I have been providing psychotherapy to individuals since 2016. I currently work with adults and I believe in using a strengths-based and person-centered approach to help empower clients to achieve their goals and make significant, positive changes in their lives. I provide a warm, open, and nonjudgemental space to explore and work through the problem or current circumstances. You will receive support, feedback, and suggestions from me as we work together for you to identify what you need within yourself to feel whole again.
I have been providing psychotherapy to individuals since 2016. I currently work with adults and I believe in using a strengths-based and person-centered approach to help empower clients to achieve their goals and make significant, positive changes in their lives. I provide a warm, open, and nonjudgemental space to explore and work through the problem or current circumstances. You will receive support, feedback, and suggestions from me as we work together for you to identify what you need within yourself to feel whole again.
(303) 529-8143 View (303) 529-8143

How does your Therapist compare?

Number of Therapists in Littleton, CO

600+

Average cost per session

$150

Therapists in Littleton, CO who prioritize treating:

94% Anxiety
87% Depression
78% Relationship Issues
75% Trauma and PTSD
74% Self Esteem
68% Grief
67% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

73% Aetna
69% UnitedHealthcare UHC | UBH
68% Cigna and Evernorth

How Therapists in Littleton, CO see their clients

79% In Person and Online
21% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Littleton?

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.