Therapists in Mount Hood Parkdale, OR

Photo of Anna Bellard, Clinical Social Work/Therapist, LCSW
Anna Bellard
Clinical Social Work/Therapist, LCSW
3 Endorsed
Serves Area
I work with adults who are high-functioning on the outside yet feel anxious, chronically stressed, emotionally exhausted, or disconnected on the inside. Clients I work with typically struggle with anxiety, trauma, burnout or a persistent sense that something isn't quite right, even when it feels like they are doing all of the right things. I offer therapy that goes beyond talking to support the nervous system on a deeper level to make meaningful, lasting change. If you are feeling overwhelmed or exhausted from pushing through, this may be a space where you begin to feel understood.
I work with adults who are high-functioning on the outside yet feel anxious, chronically stressed, emotionally exhausted, or disconnected on the inside. Clients I work with typically struggle with anxiety, trauma, burnout or a persistent sense that something isn't quite right, even when it feels like they are doing all of the right things. I offer therapy that goes beyond talking to support the nervous system on a deeper level to make meaningful, lasting change. If you are feeling overwhelmed or exhausted from pushing through, this may be a space where you begin to feel understood.
(720) 821-4242 View (720) 821-4242

More Therapists Nearby

Photo of Jani Belcoe, Clinical Social Work/Therapist, LCSW
Jani Belcoe
Clinical Social Work/Therapist, LCSW
Online Only
As a compassionate and experienced therapist, I'm honored to work with individuals who are seeking a safe and supportive space to explore their thoughts, feelings, and experiences. My approach is centered around empowering you to tap into your inner strength, resilience, and wisdom.
As a compassionate and experienced therapist, I'm honored to work with individuals who are seeking a safe and supportive space to explore their thoughts, feelings, and experiences. My approach is centered around empowering you to tap into your inner strength, resilience, and wisdom.
(208) 366-1858 View (208) 366-1858
Photo of Melody Nadeau - Melody Nadeau, EMDR Consulting & Intensives, Clinical Social Work/Therapist, LCSW, LISW-CP
Melody Nadeau, EMDR Consulting & Intensives
Clinical Social Work/Therapist, LCSW, LISW-CP
7 Endorsed
Hood River, OR 97031
Waitlist for new clients
Availability for EMDR Consultation for therapists-Waitlist currently for clients. You're doing the best you can, yet you still feel like you're walking through life on autopilot, just going through the motions. Maybe there's something recent or from your childhood that you've been avoiding & while not wanting to feel that pain now you're not feeling much of anything, even when you want to. You know what 'it' is that needs to be tended to & you finally feel ready, with the right support. Intensive EMDR essentially is having longer sessions for a shorter period of time to get symptom relief faster, so the past doesn't feel so present.
Availability for EMDR Consultation for therapists-Waitlist currently for clients. You're doing the best you can, yet you still feel like you're walking through life on autopilot, just going through the motions. Maybe there's something recent or from your childhood that you've been avoiding & while not wanting to feel that pain now you're not feeling much of anything, even when you want to. You know what 'it' is that needs to be tended to & you finally feel ready, with the right support. Intensive EMDR essentially is having longer sessions for a shorter period of time to get symptom relief faster, so the past doesn't feel so present.
(864) 409-7030 View (864) 409-7030
Photo of Henri M. Shields-Lucero, Clinical Social Work/Therapist, LCSW, CADCIII
Henri M. Shields-Lucero
Clinical Social Work/Therapist, LCSW, CADCIII
Hood River, OR 97031
Sometimes we can be unkind to ourselves, feel disconnected in our relationships or overwhelmed by life's problems. I believe counseling is a learning process. I will work with you to develop a compassionate understanding of who you are and new insight about areas in your life where you want support to change. I am passionate about working with individuals and families to support mental health and healing from addiction. I believe our well-being is informed by a healthy connection to family and community. In the therapy process I incorporate perspectives including relationship attachment, developing insight through mindfulness and understanding the effects of trauma.
Sometimes we can be unkind to ourselves, feel disconnected in our relationships or overwhelmed by life's problems. I believe counseling is a learning process. I will work with you to develop a compassionate understanding of who you are and new insight about areas in your life where you want support to change. I am passionate about working with individuals and families to support mental health and healing from addiction. I believe our well-being is informed by a healthy connection to family and community. In the therapy process I incorporate perspectives including relationship attachment, developing insight through mindfulness and understanding the effects of trauma.
(541) 292-4777 View (541) 292-4777
Photo of Natasha Hendricks, Counselor, MA, LMHC, CMNCS, NCC
Natasha Hendricks
Counselor, MA, LMHC, CMNCS, NCC
2 Endorsed
Serves Area
Pain. Pain shows up in emotional, physical, and spiritual ways. Walking through pain in isolation can feel paralyzing. God created us to live in connection with one another, and it's within that connection that we can find redemption and healing. For those who are Christ followers, faith integration is foundational in our work together. I work with both Christians and non-Christians. For all of my clients, you are respected and honored right where you are. Faith is integrated into your care when you choose for it to be.
Pain. Pain shows up in emotional, physical, and spiritual ways. Walking through pain in isolation can feel paralyzing. God created us to live in connection with one another, and it's within that connection that we can find redemption and healing. For those who are Christ followers, faith integration is foundational in our work together. I work with both Christians and non-Christians. For all of my clients, you are respected and honored right where you are. Faith is integrated into your care when you choose for it to be.
(360) 869-0504 View (360) 869-0504
Photo of Jen Mathisen - Jen Mathisen Counseling, LLC, Licensed Professional Counselor, LPC, MA
Jen Mathisen Counseling, LLC
Licensed Professional Counselor, LPC, MA
The Dalles, OR 97058
WHEN YOU JUST NEED SOMEONE TO HEAR YOUR STORY. I am a counselor committed to helping my clients find solutions for the places they may feel "stuck". My training allows me to work with young children, adolescents, adults, couples, and families. Together we would utilize a collaborative approach to help you meet your goals. I am a Licensed Professional Counselor in Oregon and currently registered in Washington.
WHEN YOU JUST NEED SOMEONE TO HEAR YOUR STORY. I am a counselor committed to helping my clients find solutions for the places they may feel "stuck". My training allows me to work with young children, adolescents, adults, couples, and families. Together we would utilize a collaborative approach to help you meet your goals. I am a Licensed Professional Counselor in Oregon and currently registered in Washington.
(458) 200-4004 View (458) 200-4004
Photo of Melanie Marie Bikis, Counselor, LMHCA
Melanie Marie Bikis
Counselor, LMHCA
Online Only
During our therapy settings we organize our sessions based on the client and family’s goals and motivations. Working together we find a wide variety of interventions to help them improve their everyday experience and meet the objective at hand. We identity road blocks, map what success looks like and trouble shoot together as a team using a combination of science supported, therapeutic art practices and talk therapy.
During our therapy settings we organize our sessions based on the client and family’s goals and motivations. Working together we find a wide variety of interventions to help them improve their everyday experience and meet the objective at hand. We identity road blocks, map what success looks like and trouble shoot together as a team using a combination of science supported, therapeutic art practices and talk therapy.
(971) 328-3346 View (971) 328-3346
Photo of Angie Arledge, Clinical Social Work/Therapist, LCSW, SWA
Angie Arledge
Clinical Social Work/Therapist, LCSW, SWA
Online Only
Currently Taking New Clients in Oregon and Washington states. My passion is to walk alongside individuals to support them in finding their strengths. I am compassionate and will meet you where you are at. I think that self-investing and community care are essential to our mental wellness, and together I will walk alongside you on your journey of finding that contentment you are searching for. I will provide a safe, non-judgmental space for you to process through and collaborate in finding those safe coping strategies to achieve your goals.
Currently Taking New Clients in Oregon and Washington states. My passion is to walk alongside individuals to support them in finding their strengths. I am compassionate and will meet you where you are at. I think that self-investing and community care are essential to our mental wellness, and together I will walk alongside you on your journey of finding that contentment you are searching for. I will provide a safe, non-judgmental space for you to process through and collaborate in finding those safe coping strategies to achieve your goals.
(971) 232-3430 View (971) 232-3430
Photo of Michele Vangelas, Licensed Professional Counselor, LPC, LCPC, LMHC
Michele Vangelas
Licensed Professional Counselor, LPC, LCPC, LMHC
Dufur, OR 97021
Waitlist for new clients
Life can be full of challenges that leave you feeling uncertain or overwhelmed, but you don’t have to navigate them alone. Whether you’re seeking clarity, healing, or growth, I offer a supportive space to explore your unique experiences and uncover your strengths. My goal is to help you build resilience, break through barriers, and create a fulfilling life that aligns with your values and aspirations. My approach is inquisitive, warm, and affirming, creating a space where you can feel truly seen and heard. I believe every individual has the inner resources needed for growth and healing, and I use a client-centered, strengths-based
Life can be full of challenges that leave you feeling uncertain or overwhelmed, but you don’t have to navigate them alone. Whether you’re seeking clarity, healing, or growth, I offer a supportive space to explore your unique experiences and uncover your strengths. My goal is to help you build resilience, break through barriers, and create a fulfilling life that aligns with your values and aspirations. My approach is inquisitive, warm, and affirming, creating a space where you can feel truly seen and heard. I believe every individual has the inner resources needed for growth and healing, and I use a client-centered, strengths-based
(541) 696-3330 View (541) 696-3330
Photo of Summer Valentine, MA, LPC
Summer Valentine
Verified Verified
3 Endorsed
The Dalles, OR 97058
Waitlist for new clients
You may be here because you're feeling overwhelmed — whether by anxiety, panic attacks, depression, relationship conflict, or major life transitions. Maybe you're struggling to build healthier, more secure relationships. Perhaps you're noticing the impact of past experiences, trauma, or family dynamics and you're ready for a change — but unsure where to start. Whether you're looking to process trauma through EMDR therapy, navigate difficult relationships, manage symptoms of ADHD, or simply want to feel more grounded and in control of your life, I'm here to help.
You may be here because you're feeling overwhelmed — whether by anxiety, panic attacks, depression, relationship conflict, or major life transitions. Maybe you're struggling to build healthier, more secure relationships. Perhaps you're noticing the impact of past experiences, trauma, or family dynamics and you're ready for a change — but unsure where to start. Whether you're looking to process trauma through EMDR therapy, navigate difficult relationships, manage symptoms of ADHD, or simply want to feel more grounded and in control of your life, I'm here to help.
(503) 461-0998 View (503) 461-0998
Photo of Dr. Alex Pinchot, ND
Dr. Alex Pinchot
Verified Verified
Hood River, OR 97031
Those that I work with describe me as receptive, kind, extremely engaged and at times even challenging. I am not a passive listener; my therapy work takes the form of an active, two-way dialogue. While my style is compassionate, informal, and truly nonjudgmental, I believe it is often essential for our default positions to be explored within a safe context. Good therapy provides the help of someone trained to see and artfully communicate what we sometimes cannot see ourselves. The therapeutic relationship must be compassionate, open-hearted, and enjoyable, yet honest.
Those that I work with describe me as receptive, kind, extremely engaged and at times even challenging. I am not a passive listener; my therapy work takes the form of an active, two-way dialogue. While my style is compassionate, informal, and truly nonjudgmental, I believe it is often essential for our default positions to be explored within a safe context. Good therapy provides the help of someone trained to see and artfully communicate what we sometimes cannot see ourselves. The therapeutic relationship must be compassionate, open-hearted, and enjoyable, yet honest.
(458) 235-4819 View (458) 235-4819
Photo of Holly J. Thompson, Clinical Social Work/Therapist, LCSW, LICSW
Holly J. Thompson
Clinical Social Work/Therapist, LCSW, LICSW
1 Endorsed
Hood River, OR 97031
When we are struggling and a trusted person to talk with would really help, it can be the hardest time to reach out. At this point we are brave to dig deep and reach out for support! Whether life has brought heartbreak, depression, divorce, trauma or things are mostly fine but you feel something is missing and your relationships could be richer I am here to support you on your path back to a brighter more joyful self.
When we are struggling and a trusted person to talk with would really help, it can be the hardest time to reach out. At this point we are brave to dig deep and reach out for support! Whether life has brought heartbreak, depression, divorce, trauma or things are mostly fine but you feel something is missing and your relationships could be richer I am here to support you on your path back to a brighter more joyful self.
(458) 217-8671 View (458) 217-8671
Photo of Tawnia Anthony Berens, Clinical Social Work/Therapist, LCSW
Tawnia Anthony Berens
Clinical Social Work/Therapist, LCSW
Online Only
“Do not conform to the pattern of this world, but be transformed by the renewing of your mind” Romans 12:2 I invite potential clients to work together toward the purpose of renewing their minds. Whether anxiety, depression, addiction or trauma, these problems can be transformed and healed with the right kind of counseling. When it comes to developmental differences of brain functioning, such as autism and ADHD, with better understanding strengths and challenges as well as honoring uniqueness, thriving is possible.
“Do not conform to the pattern of this world, but be transformed by the renewing of your mind” Romans 12:2 I invite potential clients to work together toward the purpose of renewing their minds. Whether anxiety, depression, addiction or trauma, these problems can be transformed and healed with the right kind of counseling. When it comes to developmental differences of brain functioning, such as autism and ADHD, with better understanding strengths and challenges as well as honoring uniqueness, thriving is possible.
(971) 407-5306 View (971) 407-5306
Justin Anderson
Marriage & Family Therapist, LMFT
Online Only
I am an experienced couples and individual therapist with a focus on improvement using holistic and integrative techniques for minfulness and practical skills to heal complex trauma. I work with addictions of all types, chemical, gambling, porn & internet addiciton. Relationships, complex trauma, neurdivergence and recovery from substance use are my specialities.
I am an experienced couples and individual therapist with a focus on improvement using holistic and integrative techniques for minfulness and practical skills to heal complex trauma. I work with addictions of all types, chemical, gambling, porn & internet addiciton. Relationships, complex trauma, neurdivergence and recovery from substance use are my specialities.
(503) 483-6740 View (503) 483-6740
Photo of Deanna Linville - Center for Transformative Healing , Marriage & Family Therapist, PhD, MS, LMFT
Center for Transformative Healing
Marriage & Family Therapist, PhD, MS, LMFT
Serves Area
We provide systemic, trauma-informed, and inclusive psychotherapy services for individuals, intimate partners, families, and groups. Our team of therapists is trained to conduct comprehensive ADHD/ASD assessments to 15YO and older. We are excited to have a team of therapists who have diverse lived experiences, perspectives, and areas of specialty, such as neurodivergent individuals & families, art & play therapy, life transitions (emerging adulthood, adolescent), parent-child relationships, parenting, couples therapy, and body image/disordered eating. We are currently able to offer therapy sessions in English, Yoruba, and Mandarin.
We provide systemic, trauma-informed, and inclusive psychotherapy services for individuals, intimate partners, families, and groups. Our team of therapists is trained to conduct comprehensive ADHD/ASD assessments to 15YO and older. We are excited to have a team of therapists who have diverse lived experiences, perspectives, and areas of specialty, such as neurodivergent individuals & families, art & play therapy, life transitions (emerging adulthood, adolescent), parent-child relationships, parenting, couples therapy, and body image/disordered eating. We are currently able to offer therapy sessions in English, Yoruba, and Mandarin.
(458) 217-1321 View (458) 217-1321
Photo of Sandra Stephen, Marriage & Family Therapist, LMFT
Sandra Stephen
Marriage & Family Therapist, LMFT
1 Endorsed
Serves Area
Get an intake within 2 weeks of your initial consultation when you schedule online at mwfits.clientsecure.me. This is the fastest, most secure way to make an appointment. It is my goal to support you in realizing and living your best self. I strive to provide and continuously improve on ways to support equity and social justice, non-violence, and strengths based, trauma informed care. Maybe you are tired of things being the same cycle that doesn't work, or want better relationships with others. Perhaps you're struggling with anxiety, depression, feeling triggered too often, or you have other relationship or lifestyle concerns.
Get an intake within 2 weeks of your initial consultation when you schedule online at mwfits.clientsecure.me. This is the fastest, most secure way to make an appointment. It is my goal to support you in realizing and living your best self. I strive to provide and continuously improve on ways to support equity and social justice, non-violence, and strengths based, trauma informed care. Maybe you are tired of things being the same cycle that doesn't work, or want better relationships with others. Perhaps you're struggling with anxiety, depression, feeling triggered too often, or you have other relationship or lifestyle concerns.
(503) 379-0297 View (503) 379-0297
Photo of April Agranoff, Professional Counselor Associate, MA, PCA-OR, RYT-200
April Agranoff
Professional Counselor Associate, MA, PCA-OR, RYT-200
Online Only
Welcome, I'm April. I'm a Registered Professional Counselor Associate (PCA), and hold a Master's in Clinical Mental Health Counseling. I provide depth-oriented somatic therapy, and have been teaching and working with yoga and body-based healing practices since 2018. My background includes leading women's trauma-informed yoga support groups, and facilitating abuse intervention groups. I provide telehealth therapy for River's Way Clinic in Portland, OR, a Process Work-oriented counseling center.
Welcome, I'm April. I'm a Registered Professional Counselor Associate (PCA), and hold a Master's in Clinical Mental Health Counseling. I provide depth-oriented somatic therapy, and have been teaching and working with yoga and body-based healing practices since 2018. My background includes leading women's trauma-informed yoga support groups, and facilitating abuse intervention groups. I provide telehealth therapy for River's Way Clinic in Portland, OR, a Process Work-oriented counseling center.
(971) 406-4819 View (971) 406-4819
Photo of Christa Rude, Professional Counselor Associate, MA
Christa Rude
Professional Counselor Associate, MA
The Dalles, OR 97058
Thank you for your interest in my practice. If you are someone who needs something to change, I'd be honored to support you. I believe each of us has answers, and/or the ability to get to the answers that will bring us peace. Life circumstances and experiences can disconnect us and pile on feelings of sadness, frustration, anxiety that can be overwhelming. Counseling can help untangle that and and offer tools you need to find your way.
Thank you for your interest in my practice. If you are someone who needs something to change, I'd be honored to support you. I believe each of us has answers, and/or the ability to get to the answers that will bring us peace. Life circumstances and experiences can disconnect us and pile on feelings of sadness, frustration, anxiety that can be overwhelming. Counseling can help untangle that and and offer tools you need to find your way.
(458) 313-2370 View (458) 313-2370
Photo of Jon LaBella, Marriage & Family Therapist Associate, MA , AMFT
Jon LaBella
Marriage & Family Therapist Associate, MA , AMFT
2 Endorsed
Hood River, OR 97031
My ideal clients are individuals, couples, and families who care deeply about their relationships but feel stuck in patterns they can’t shift alone. They may be navigating life transitions, communication breakdowns, or intergenerational dynamics that are resurfacing in new ways. Beneath the frustration, there’s often a desire for stronger connections, healthier patterns, and a deeper sense of authenticity. My clients are looking for a space that offers both practical tools and meaningful exploration—a place where their experiences are honored and where real change can begin.
My ideal clients are individuals, couples, and families who care deeply about their relationships but feel stuck in patterns they can’t shift alone. They may be navigating life transitions, communication breakdowns, or intergenerational dynamics that are resurfacing in new ways. Beneath the frustration, there’s often a desire for stronger connections, healthier patterns, and a deeper sense of authenticity. My clients are looking for a space that offers both practical tools and meaningful exploration—a place where their experiences are honored and where real change can begin.
(541) 406-6569 View (541) 406-6569
Photo of Lindsay Nichole Crowner, Clinical Social Work/Therapist, LCSW
Lindsay Nichole Crowner
Clinical Social Work/Therapist, LCSW
4 Endorsed
Online Only
Often by the time an individual is entering my office, they have become bogged down and overwhelmed by stress in their life. It is my goal to help quiet the mind (and the busy, stressful world) enough to get in touch with the heart and find true healing. I am a down-to-earth therapist - essentially just another being walking this path of life and trying to find fulfillment in it. I deeply value the time spent with clients as they navigate their lives, figuring out their stressors and their innermost needs that are not being addressed & being with folks as they seek a more centered, authentic and empowered life.
Often by the time an individual is entering my office, they have become bogged down and overwhelmed by stress in their life. It is my goal to help quiet the mind (and the busy, stressful world) enough to get in touch with the heart and find true healing. I am a down-to-earth therapist - essentially just another being walking this path of life and trying to find fulfillment in it. I deeply value the time spent with clients as they navigate their lives, figuring out their stressors and their innermost needs that are not being addressed & being with folks as they seek a more centered, authentic and empowered life.
(971) 273-5148 View (971) 273-5148

How does your Therapist compare?

Number of Therapists in Mount Hood Parkdale, OR

< 10

Therapists in Mount Hood Parkdale, OR who prioritize treating:

100% Relationship Issues
100% ADHD
100% Depression
100% Anxiety
100% Dissociative Disorders (DID)
100% Grief
100% Trauma and PTSD

Average years in practice

6 Years

Top 3 insurances accepted

100% Aetna
100% Kaiser (Out-of-Network)
100% UnitedHealthcare UHC | UBH

How Therapists in Mount Hood Parkdale, OR see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Mount Hood Parkdale?

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.