Therapists in Erie, PA

Photo of Sexual Wellness PA, LLC, Licensed Professional Counselor in Erie, PA
Sexual Wellness PA, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Erie, PA 16506
Hi there! I'm so glad you're here! Most of us have been taught not to talk about sex and our bodies, and many of us have been taught to be ashamed of our bodies and what we think about, fantasize about, and do sexually.  I believe that everyone is a sexual being, and that sexual expression is a healthy part of all of our lives.  I enjoy working with folks on issues of desire, desire differences in relationships, healing from sexual trauma, sexual behavior that feels out of control, sexual self-esteem and body image, sexual function concerns, kinky and poly experiences, gender-related concerns and more.
Hi there! I'm so glad you're here! Most of us have been taught not to talk about sex and our bodies, and many of us have been taught to be ashamed of our bodies and what we think about, fantasize about, and do sexually.  I believe that everyone is a sexual being, and that sexual expression is a healthy part of all of our lives.  I enjoy working with folks on issues of desire, desire differences in relationships, healing from sexual trauma, sexual behavior that feels out of control, sexual self-esteem and body image, sexual function concerns, kinky and poly experiences, gender-related concerns and more.
(814) 787-3134 View (814) 787-3134
Photo of Cognitive Behavior Institute, Clinical Social Work/Therapist in Erie, PA
Cognitive Behavior Institute
Clinical Social Work/Therapist
Verified Verified
Erie, PA 16509
Welcome to Cognitive Behavior Institute! We are committed to providing the best care possible through established treatment methods. These treatment methods are proven to be effective for a wide range of mental health diagnoses and psychological distresses. Cognitive Behavior Institute (CBI) is proud to employ adept licensed clinicians, board-certified psychiatrists, and compassionate administrative staff with diverse experience in their respective fields.
Welcome to Cognitive Behavior Institute! We are committed to providing the best care possible through established treatment methods. These treatment methods are proven to be effective for a wide range of mental health diagnoses and psychological distresses. Cognitive Behavior Institute (CBI) is proud to employ adept licensed clinicians, board-certified psychiatrists, and compassionate administrative staff with diverse experience in their respective fields.
(814) 666-2920 View (814) 666-2920
Photo of Christine Kalie, Licensed Professional Counselor in Erie, PA
Christine Kalie
Licensed Professional Counselor, MA, LPC, NCP
Verified Verified
1 Endorsed
Erie, PA 16506
Do you feel like your life is lacking joy; clouded by stress, anxiety and depression? Or do you find yourself constantly arguing with your partner? Do you yearn for peace in a chaotic home? Let me walk with you on your journey as you develop new insights and learn skills that will renew the peace and joy in your life. I can help you deepen your friendship with your partner, create increased intimacy and develop a shared meaning for the future through research proven methods. ***Former family therapy supervisor now offering supervision for LPC licensure.
Do you feel like your life is lacking joy; clouded by stress, anxiety and depression? Or do you find yourself constantly arguing with your partner? Do you yearn for peace in a chaotic home? Let me walk with you on your journey as you develop new insights and learn skills that will renew the peace and joy in your life. I can help you deepen your friendship with your partner, create increased intimacy and develop a shared meaning for the future through research proven methods. ***Former family therapy supervisor now offering supervision for LPC licensure.
(814) 240-0419 View (814) 240-0419
Photo of Amy Leveto, Licensed Professional Counselor in Erie, PA
Amy Leveto
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Erie, PA 16506
Waitlist for new clients
In a world which can pull a person away from themselves, it is of vital importance to get back into a healthy and honest relationship with yourself. When this alignment happens within self, one tends to find inner balance and life begins to fall into place. I believe that by providing an environment of listening, empathy, non-judgement and validation, a person can get in touch with who they are, who they want to be, how they feel, and what they think and believe. This is where healing begins. I will support you as you rediscover an empowered version of yourself and encourage you in what you need and want in life.
In a world which can pull a person away from themselves, it is of vital importance to get back into a healthy and honest relationship with yourself. When this alignment happens within self, one tends to find inner balance and life begins to fall into place. I believe that by providing an environment of listening, empathy, non-judgement and validation, a person can get in touch with who they are, who they want to be, how they feel, and what they think and believe. This is where healing begins. I will support you as you rediscover an empowered version of yourself and encourage you in what you need and want in life.
(814) 205-0951 View (814) 205-0951
Photo of Jerome Leo Troncone, Psychologist in Erie, PA
Jerome Leo Troncone
Psychologist, PsyD, PC
Verified Verified
Erie, PA 16506
I really don't have an ideal client as all individuals are different and have unique strengths and weaknesses that are useful to them in some way.. I tend to take a strength based approach and encourage independent problem solving dialogue. I feel very comfortable working with nearly all ages even younger children so long as their parents are actively engaged with treatment. Depression, anxiety, personal relationships, separation and loss, and disrupted adjustments are all within the scope of my work. Now, with telepsychology there are more opportunities to connect with people.
I really don't have an ideal client as all individuals are different and have unique strengths and weaknesses that are useful to them in some way.. I tend to take a strength based approach and encourage independent problem solving dialogue. I feel very comfortable working with nearly all ages even younger children so long as their parents are actively engaged with treatment. Depression, anxiety, personal relationships, separation and loss, and disrupted adjustments are all within the scope of my work. Now, with telepsychology there are more opportunities to connect with people.
(814) 734-0008 View (814) 734-0008
Jen Stahon- Tarot Therapy
Licensed Professional Counselor, LPC, MFA, MA
Verified Verified
1 Endorsed
Erie, PA 16511  (Online Only)
Hi! As with all of us, I have made many life changes since March 2020. I am pleased to start another professional endeavor, and adjust my therapy practice. I will now be exclusively offering tarot centered therapy sessions. If you are a fellow tarot lover, tarot curious, or simply looking for a new perspective on an old issue, tarot therapy might be for you! I am a licensed trauma trained therapist who has had 15 years of experience as a therapist and 20+ years reading tarot cards.
Hi! As with all of us, I have made many life changes since March 2020. I am pleased to start another professional endeavor, and adjust my therapy practice. I will now be exclusively offering tarot centered therapy sessions. If you are a fellow tarot lover, tarot curious, or simply looking for a new perspective on an old issue, tarot therapy might be for you! I am a licensed trauma trained therapist who has had 15 years of experience as a therapist and 20+ years reading tarot cards.
(814) 636-0295 View (814) 636-0295
Photo of Carly Frank, Licensed Professional Counselor in Erie, PA
Carly Frank
Licensed Professional Counselor, LPC, MS, NCC
Verified Verified
1 Endorsed
Erie, PA 16506
Starting therapy can be a very overwhelming but rewarding experience, so welcome! I am here to help you get through whatever it is you are currently struggling with. I offer a non-judgmental environment for you to speak freely and to walk beside you during some of these difficult times. I have years of experience working with a variety of individuals and want to assure you that you are not alone in this journey.
Starting therapy can be a very overwhelming but rewarding experience, so welcome! I am here to help you get through whatever it is you are currently struggling with. I offer a non-judgmental environment for you to speak freely and to walk beside you during some of these difficult times. I have years of experience working with a variety of individuals and want to assure you that you are not alone in this journey.
(814) 283-4122 View (814) 283-4122
Photo of Tracy Cross, Licensed Professional Counselor in Erie, PA
Tracy Cross
Licensed Professional Counselor, MA, NCC, LPC, BC-TMH
Verified Verified
Erie, PA 16506
Waitlist for new clients
Are you ready to make a change in your life? I practice from a holistic lens, focusing on overall health and wellness. You wouldn’t hesitate to go the doctor to treat your physical health, what’s holding you back from doing the same for your mental health? Therapy can not only support you in working through a current or past problem, it can also be a journey of self-exploration and personal growth.
Are you ready to make a change in your life? I practice from a holistic lens, focusing on overall health and wellness. You wouldn’t hesitate to go the doctor to treat your physical health, what’s holding you back from doing the same for your mental health? Therapy can not only support you in working through a current or past problem, it can also be a journey of self-exploration and personal growth.
(814) 527-3272 View (814) 527-3272
Photo of Jennifer LaRoche, Licensed Professional Counselor in Erie, PA
Jennifer LaRoche
Licensed Professional Counselor, LPC, MA
Verified Verified
Erie, PA 16506
Not accepting new clients
*I am currently at capacity and not taking new clients. Please check back for availability.* What's the one thing we all have in common? We all carry around a bag full of memories, experiences, and stories that impact who we are, how we see ourselves, and how we make our way through life. Carrying all of that around, every hour of every day, can be exhausting. Sometimes the best thing to do is have someone sort through that bag with you so that it can begin to make sense.
*I am currently at capacity and not taking new clients. Please check back for availability.* What's the one thing we all have in common? We all carry around a bag full of memories, experiences, and stories that impact who we are, how we see ourselves, and how we make our way through life. Carrying all of that around, every hour of every day, can be exhausting. Sometimes the best thing to do is have someone sort through that bag with you so that it can begin to make sense.
(814) 273-6021 View (814) 273-6021
Photo of Courtney Brooke Hopkins, Licensed Professional Counselor in Erie, PA
Courtney Brooke Hopkins
Licensed Professional Counselor, MA, LPC, LLC
Verified Verified
Erie, PA 16508
I am a LPC with 10+ years of experience and am the owner of my LLC, Therapy For A Better You. I hold a certification for CBIT to help patients with Tics/Tourette’s Disorders and experienced with TF-CBT. I specialize in ODD, ADHD, Anxiety, Depression, Mood Disorders, Trauma, PTSD, Adjustment Disorders, dual diagnoses and behavior modification. I also have experience working with families and their children facing family stressors, such as divorce, co-parenting, financial stressors and discord. I have worked with children, preteens, teenagers and adults.
I am a LPC with 10+ years of experience and am the owner of my LLC, Therapy For A Better You. I hold a certification for CBIT to help patients with Tics/Tourette’s Disorders and experienced with TF-CBT. I specialize in ODD, ADHD, Anxiety, Depression, Mood Disorders, Trauma, PTSD, Adjustment Disorders, dual diagnoses and behavior modification. I also have experience working with families and their children facing family stressors, such as divorce, co-parenting, financial stressors and discord. I have worked with children, preteens, teenagers and adults.
(814) 247-2870 View (814) 247-2870
Photo of Donnelle Super Counseling, LLC, Clinical Social Work/Therapist in Erie, PA
Donnelle Super Counseling, LLC
Clinical Social Work/Therapist, MEd psy, MSW, LCSW
Verified Verified
Erie, PA 16505
I am a National Board Certified and State Licensed Professional Clinical Social Worker with an additional Master's Degree in School Psychology. I have been providing professional counseling in the Erie area for over 20 years. My areas of expertise include Teenagers, Depression and Anxiety, Couples, Aging, Career Difficulties and Stress. I also do coaching for sports anxiety with a fee for service charge if done out of the office.
I am a National Board Certified and State Licensed Professional Clinical Social Worker with an additional Master's Degree in School Psychology. I have been providing professional counseling in the Erie area for over 20 years. My areas of expertise include Teenagers, Depression and Anxiety, Couples, Aging, Career Difficulties and Stress. I also do coaching for sports anxiety with a fee for service charge if done out of the office.
(814) 501-4544 View (814) 501-4544
Photo of Katy Gregory, Licensed Professional Counselor in Erie, PA
Katy Gregory
Licensed Professional Counselor, LPC
Verified Verified
Erie, PA 16506
My experience has lended itself to working with adolescents and young adults on issues around depression and anxiety. This looks different in all people, including adults whom I am happy to work with. My abilities also extend to working through emotion management with all ages. Emotions are hard sometimes and having someone to talk to about them helps, especially when given the tools to help manage them.
My experience has lended itself to working with adolescents and young adults on issues around depression and anxiety. This looks different in all people, including adults whom I am happy to work with. My abilities also extend to working through emotion management with all ages. Emotions are hard sometimes and having someone to talk to about them helps, especially when given the tools to help manage them.
(814) 250-8781 View (814) 250-8781
Photo of Marjorie Cobin, Clinical Social Work/Therapist in Erie, PA
Marjorie Cobin
Clinical Social Work/Therapist, LCSW
Verified Verified
Erie, PA 16501  (Online Only)
Hello, I'm Marjorie, an experienced clinical social worker, licensed in the states of Pa. and NJ. My specialties include working with adolescents and adults from varied backgrounds, identities, and cultures who suffer from symptoms of depression, anxiety, or mood disorders. There may be times when you are struggling with relationships and/or are overwhelmed with anxiety or depression which is interfering with your personal or work life. Together, we will identify your particular patterns that aren't working for you and find goals you would like to reach. Collaboration and mutual respect underlie all my work.
Hello, I'm Marjorie, an experienced clinical social worker, licensed in the states of Pa. and NJ. My specialties include working with adolescents and adults from varied backgrounds, identities, and cultures who suffer from symptoms of depression, anxiety, or mood disorders. There may be times when you are struggling with relationships and/or are overwhelmed with anxiety or depression which is interfering with your personal or work life. Together, we will identify your particular patterns that aren't working for you and find goals you would like to reach. Collaboration and mutual respect underlie all my work.
(814) 821-2634 View (814) 821-2634
Photo of Charen Pasky, Clinical Social Work/Therapist in Erie, PA
Charen Pasky
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Erie, PA 16504
I specialize in addictions, mental health, spirituality, and normal day stresses and feelings of being overwhelmed. I accept adults (18+), couples, and senior citizens. Conveniently located on east side of Erie next to the new UHAUL location on East Grandview off of Pine Ave. Evenings and some Saturday hours available to assist working/family responsibilities. I accept most insurance, including Medicaid and Medicare, and many EAP programs.
I specialize in addictions, mental health, spirituality, and normal day stresses and feelings of being overwhelmed. I accept adults (18+), couples, and senior citizens. Conveniently located on east side of Erie next to the new UHAUL location on East Grandview off of Pine Ave. Evenings and some Saturday hours available to assist working/family responsibilities. I accept most insurance, including Medicaid and Medicare, and many EAP programs.
(814) 275-6071 View (814) 275-6071
Photo of Kaden Anantarow, Licensed Professional Counselor in Erie, PA
Kaden Anantarow
Licensed Professional Counselor, MA
Verified Verified
Erie, PA 16506
Now accepting new clients. Do you want to make a change in your life? Have you wanted to talk about something but find it difficult to? Counseling can help. I believe that people are capable of doing hard things as long as they are willing to give their best effort and learn the tools necessary for the job. In my practice I want to give clients a place to feel safe and encouraged to be their best selves. Together we can navigate what you are experiencing including depression, drug/alcohol use, anxiety, relationships, and more.
Now accepting new clients. Do you want to make a change in your life? Have you wanted to talk about something but find it difficult to? Counseling can help. I believe that people are capable of doing hard things as long as they are willing to give their best effort and learn the tools necessary for the job. In my practice I want to give clients a place to feel safe and encouraged to be their best selves. Together we can navigate what you are experiencing including depression, drug/alcohol use, anxiety, relationships, and more.
(814) 679-3418 View (814) 679-3418
Photo of Dr. Tracey Ann Durkin, Licensed Professional Counselor in Erie, PA
Dr. Tracey Ann Durkin
Licensed Professional Counselor, PhD
Verified Verified
1 Endorsed
Erie, PA 16505
"The Lotus flower blooms most beautifully from the deepest mud."--- If you are struggling with trauma, grief, anxiety, stress, depression, or other concerns, I am a doctoral-level psychotherapist with over 15 years of counseling experience who can help. I provide services to adults and adolescents and encourage a more fulfilling and purposeful life. I am currently accepting new clients and insurance is accepted. To schedule an appointment call 814-572-0127.
"The Lotus flower blooms most beautifully from the deepest mud."--- If you are struggling with trauma, grief, anxiety, stress, depression, or other concerns, I am a doctoral-level psychotherapist with over 15 years of counseling experience who can help. I provide services to adults and adolescents and encourage a more fulfilling and purposeful life. I am currently accepting new clients and insurance is accepted. To schedule an appointment call 814-572-0127.
(814) 616-3251 View (814) 616-3251
Photo of Dr. Janice Di Luzio, Licensed Professional Counselor in Erie, PA
Dr. Janice Di Luzio
Licensed Professional Counselor, PhD, NCC, LPC
Verified Verified
Erie, PA 16509  (Online Only)
In its essence, psychotherapy is the art of healing the soul. As psychotherapists, we care for the soul of the other. Together we can explore and develop new resources for deep transformation to create a healing environment and establish peace, balance, and meaning. Do you want to identify your core strengths/weaknesses, gain greater self-awareness, and work through challenges more effectively? Do you want to understand the function of that Critical Inner Voice, Inner Oberserver, or Shadow? Or, learn how your personality protects you during times of conflict so you can become wiser and drop dysfunctional parts of your personality.
In its essence, psychotherapy is the art of healing the soul. As psychotherapists, we care for the soul of the other. Together we can explore and develop new resources for deep transformation to create a healing environment and establish peace, balance, and meaning. Do you want to identify your core strengths/weaknesses, gain greater self-awareness, and work through challenges more effectively? Do you want to understand the function of that Critical Inner Voice, Inner Oberserver, or Shadow? Or, learn how your personality protects you during times of conflict so you can become wiser and drop dysfunctional parts of your personality.
(814) 746-3200 View (814) 746-3200
Photo of Aurelia Jorden, Licensed Professional Counselor in Erie, PA
Aurelia Jorden
Licensed Professional Counselor, LPC, ATR
Verified Verified
Erie, PA 16506
Not accepting new clients
Are you tired of the cycle? Stuck in the same conversation with yourself or others wishing it was different? Still waiting for your mind & body to get on the same page? Is your body stuck in FEAR? When we carry negative beliefs about ourselves, many times in our healing process what we think and what we feel just don’t match. Somewhere along the line, events occurred that created a negative belief in your core that you have carried into other areas of life that don’t serve you and can even make life feel harder. We all know life has 'ups' and 'downs,' but when the scale tips more into the 'downs,' ease & relief can feel foreign.
Are you tired of the cycle? Stuck in the same conversation with yourself or others wishing it was different? Still waiting for your mind & body to get on the same page? Is your body stuck in FEAR? When we carry negative beliefs about ourselves, many times in our healing process what we think and what we feel just don’t match. Somewhere along the line, events occurred that created a negative belief in your core that you have carried into other areas of life that don’t serve you and can even make life feel harder. We all know life has 'ups' and 'downs,' but when the scale tips more into the 'downs,' ease & relief can feel foreign.
(814) 257-3962 View (814) 257-3962
Photo of Doug Hunsberger, Licensed Professional Counselor in Erie, PA
Doug Hunsberger
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Erie, PA 16506
I focus on relationships and uncovering patterns of behavior, most importantly the relationship to self. I believe a core issue for many is a lack of genuine connection to others, which often leads to feelings of anxiety, loneliness, emptiness, and depression. Uncovering patterns of avoidance, poor communication, feelings of unworthiness, lack of trust, fear of vulnerability is the beginning of healing. Finding and challenging self-limiting beliefs and behaviors is key to making lasting change, engaging more fully in life, and creating healthy relationships.
I focus on relationships and uncovering patterns of behavior, most importantly the relationship to self. I believe a core issue for many is a lack of genuine connection to others, which often leads to feelings of anxiety, loneliness, emptiness, and depression. Uncovering patterns of avoidance, poor communication, feelings of unworthiness, lack of trust, fear of vulnerability is the beginning of healing. Finding and challenging self-limiting beliefs and behaviors is key to making lasting change, engaging more fully in life, and creating healthy relationships.
(814) 467-2643 View (814) 467-2643
Photo of Erica Boncella, Licensed Professional Counselor in Erie, PA
Erica Boncella
Licensed Professional Counselor, MS, LPC, CCTP
Verified Verified
Erie, PA 16505
Accepting New Clients! I have not only experience but passion for helping clients start their journey toward a more positive view of their internal selves. I work with domestic violence survivors not to "force or confront" the person to leave their relationship but to have a safe place to feel that they may begin to heal from current or past trauma.
Accepting New Clients! I have not only experience but passion for helping clients start their journey toward a more positive view of their internal selves. I work with domestic violence survivors not to "force or confront" the person to leave their relationship but to have a safe place to feel that they may begin to heal from current or past trauma.
(814) 667-8153 View (814) 667-8153

How does your Therapist compare?

Number of Therapists in Erie, PA

200+

Average cost per session

$120

Therapists in Erie, PA who prioritize treating:

91% Anxiety
88% Depression
76% Self Esteem
72% Coping Skills
71% Trauma and PTSD
63% Relationship Issues
58% Grief

Average years in practice

11 Years

Top 3 insurances accepted

90% Optum
88% Highmark
83% UnitedHealthcare UHC | UBH

How Therapists in Erie, PA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Erie?

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.