Therapists in Westerville, OH

Photo of Tao Wilkes, Clinical Social Work/Therapist in Westerville, OH
Tao Wilkes
Clinical Social Work/Therapist, LISW
Verified Verified
Westerville, OH 43081
I am a Licensed Independent Clinical Social Worker in Ohio with over eight years of clinical experience. I have worked with individuals, couples, and families with a wide range of concerns, including Anxiety, Depression, Relationship Issues, Grief, Trauma, and PTSD. My counseling style consists of Christian Counseling, Cognitive Behavioral (CBT), Couples Therapy, Solution Focused Brief (SFBT), and Motivational Interviewing. It has been significant and rewarding to see how people walk out from problems, change, and have a happier life.
I am a Licensed Independent Clinical Social Worker in Ohio with over eight years of clinical experience. I have worked with individuals, couples, and families with a wide range of concerns, including Anxiety, Depression, Relationship Issues, Grief, Trauma, and PTSD. My counseling style consists of Christian Counseling, Cognitive Behavioral (CBT), Couples Therapy, Solution Focused Brief (SFBT), and Motivational Interviewing. It has been significant and rewarding to see how people walk out from problems, change, and have a happier life.
(614) 412-1914 View (614) 412-1914
Photo of Vincent Colecchi, Clinical Social Work/Therapist in Westerville, OH
Vincent Colecchi
Clinical Social Work/Therapist, LSW
Verified Verified
Westerville, OH 43081
Vinnie Colecchi, MSW, LSW is a licensed social worker who has been practicing therapy and substance use disorder counseling since 2016. He graduated from Indiana Wesleyan University in 2016 with a bachelor's degree of science in Addictions Counseling, and later in 2021 from The Ohio State University with a master's degree in Social Work. Vinnie believes in an approach to therapy which he characterizes as learning the skills to live a values-oriented life while confronting and making space for difficult emotions and life circumstances. Vinnie specializes in working with anxiety, addictions, and depressive disorders.
Vinnie Colecchi, MSW, LSW is a licensed social worker who has been practicing therapy and substance use disorder counseling since 2016. He graduated from Indiana Wesleyan University in 2016 with a bachelor's degree of science in Addictions Counseling, and later in 2021 from The Ohio State University with a master's degree in Social Work. Vinnie believes in an approach to therapy which he characterizes as learning the skills to live a values-oriented life while confronting and making space for difficult emotions and life circumstances. Vinnie specializes in working with anxiety, addictions, and depressive disorders.
(614) 683-4566 View (614) 683-4566
Photo of Michael D Perciful, Counselor in Westerville, OH
Michael D Perciful
Counselor, MACM, LPCC-S, LCDCIII, EMDR, CCTP
Verified Verified
Westerville, OH 43081
I don't believe anyone has to be defined by their past. It is often the case that life events are the very things that prevent people from living the life they both want and deserve. I have over 14 years experience working with people to assist them in overcoming substance use problems and ten plus years working with other mental health related problems. I would be honored to assist you in your journey to freedom from whatever it is that is holding you back.
I don't believe anyone has to be defined by their past. It is often the case that life events are the very things that prevent people from living the life they both want and deserve. I have over 14 years experience working with people to assist them in overcoming substance use problems and ten plus years working with other mental health related problems. I would be honored to assist you in your journey to freedom from whatever it is that is holding you back.
(614) 745-8531 View (614) 745-8531
Photo of Rylee Doherty, Licensed Professional Counselor in Westerville, OH
Rylee Doherty
Licensed Professional Counselor, LPC
Verified Verified
Westerville, OH 43081
Rylee is a Licensed Professional Counselor through the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board. Rylee graduated in 2022, with a Masters in Clinical Mental Health Counseling at Capella University. Before attending graduate school, Rylee graduated with a Bachelor of Arts in Psychology and Criminology from the Ohio State University. While also focusing on her clinical passions, Rylee serves her time as a federal employee managing security related incidents for the state of Ohio.
Rylee is a Licensed Professional Counselor through the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board. Rylee graduated in 2022, with a Masters in Clinical Mental Health Counseling at Capella University. Before attending graduate school, Rylee graduated with a Bachelor of Arts in Psychology and Criminology from the Ohio State University. While also focusing on her clinical passions, Rylee serves her time as a federal employee managing security related incidents for the state of Ohio.
(614) 666-6709 View (614) 666-6709
Photo of Sharon Hawkins, Clinical Social Work/Therapist in Westerville, OH
Sharon Hawkins
Clinical Social Work/Therapist, MSW , LSW , LICDC
Verified Verified
Westerville, OH 43081
I'm not sure I have an ideal client. I believe in meeting a person where they are and moving forward from there. I feel people often come to therapy to help find the best version of themselves. I enjoy helping others find solutions to their problems, helping them identify their strengths, and deciding how to improve their weaknesses.
I'm not sure I have an ideal client. I believe in meeting a person where they are and moving forward from there. I feel people often come to therapy to help find the best version of themselves. I enjoy helping others find solutions to their problems, helping them identify their strengths, and deciding how to improve their weaknesses.
(380) 210-3436 View (380) 210-3436
Photo of Leah Thornton, Licensed Professional Counselor in Westerville, OH
Leah Thornton
Licensed Professional Counselor, LPCC
Verified Verified
Westerville, OH 43081
Not accepting new clients
I specialize in treating various populations such as those with Anxiety disorders, Depressive disorders, Trauma/PTSD, Adjustment disorders and other life stressors. I also assist with social and self-esteem issues, phobias, and mild-moderate OCD symptoms. In addition, I have experience with childhood disorders including ADHD, ODD, and high-functioning Autism/Asperger's. I enjoy working with adults, adolescents, and children, and I use an individualized and collaborative approach to treatment.
I specialize in treating various populations such as those with Anxiety disorders, Depressive disorders, Trauma/PTSD, Adjustment disorders and other life stressors. I also assist with social and self-esteem issues, phobias, and mild-moderate OCD symptoms. In addition, I have experience with childhood disorders including ADHD, ODD, and high-functioning Autism/Asperger's. I enjoy working with adults, adolescents, and children, and I use an individualized and collaborative approach to treatment.
(614) 368-0206 View (614) 368-0206
Photo of Shaun B O'Ryan, Counselor in Westerville, OH
Shaun B O'Ryan
Counselor, MACPC, LPCC-S
Verified Verified
Westerville, OH 43081
I began practicing in 2004, seeing children and teens, and working with their parents. Over the years I have broadened my scope of practice to include working with adults and couples as well. An initial focus on young clients' issues like ADHD, depression, anxiety, and behavioral issues like ODD and CD, has grown into addressing a wider number of issues including anxiety disorders (including phobias, PTSD, etc.), marital issues, depression in adults, and so on.
I began practicing in 2004, seeing children and teens, and working with their parents. Over the years I have broadened my scope of practice to include working with adults and couples as well. An initial focus on young clients' issues like ADHD, depression, anxiety, and behavioral issues like ODD and CD, has grown into addressing a wider number of issues including anxiety disorders (including phobias, PTSD, etc.), marital issues, depression in adults, and so on.
(614) 468-5064 View (614) 468-5064
Photo of Whitney Quinn, Clinical Social Work/Therapist in Westerville, OH
Whitney Quinn
Clinical Social Work/Therapist, LISW-S
Verified Verified
Westerville, OH 43082
Hi! I would be delighted to work with you on your mental health goals. I will take the time to get to know you well and understand what contributes to the patterns that may keep you stuck. I bring warmth to my clinical work, while holding hope and commitment to change for my clients. I view therapy as a meaningful collaborative process in which my curiosity helps me unlock new potential and internal wisdom from my clients, supporting them in finding relief.
Hi! I would be delighted to work with you on your mental health goals. I will take the time to get to know you well and understand what contributes to the patterns that may keep you stuck. I bring warmth to my clinical work, while holding hope and commitment to change for my clients. I view therapy as a meaningful collaborative process in which my curiosity helps me unlock new potential and internal wisdom from my clients, supporting them in finding relief.
(614) 762-9791 View (614) 762-9791
Photo of Joshua Stanley, Licensed Professional Counselor in Westerville, OH
Joshua Stanley
Licensed Professional Counselor, LPC
Verified Verified
Westerville, OH 43081
My ideal client is an individual who is open to working as a team and benefiting from a therapeutic relationship in which honesty, accountability, and empathy are paramount. While a client’s concerns are unique and personal, there is nothing they cannot overcome through effective therapeutic interventions and a highly-trained and relatable clinician.
My ideal client is an individual who is open to working as a team and benefiting from a therapeutic relationship in which honesty, accountability, and empathy are paramount. While a client’s concerns are unique and personal, there is nothing they cannot overcome through effective therapeutic interventions and a highly-trained and relatable clinician.
(380) 333-6687 View (380) 333-6687
Photo of Alaina Deighan, Counselor in Westerville, OH
Alaina Deighan
Counselor, PC
Verified Verified
Westerville, OH 43081
Alaina "Ally" Deighan (she/her) was born and raised in Columbus, Ohio. She graduated with a Bachelor of Arts in Sociology and Criminology from Otterbein University. She is currently enrolled in the Clinical Mental Health Counseling Master's program at the University of Dayton and is practicing as a Licensed Counselor Trainee through the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board. Ally has over ten years' experience working in the behavioral health field.
Alaina "Ally" Deighan (she/her) was born and raised in Columbus, Ohio. She graduated with a Bachelor of Arts in Sociology and Criminology from Otterbein University. She is currently enrolled in the Clinical Mental Health Counseling Master's program at the University of Dayton and is practicing as a Licensed Counselor Trainee through the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board. Ally has over ten years' experience working in the behavioral health field.
(614) 666-6746 View (614) 666-6746
Photo of Stephanie Eich, Licensed Professional Clinical Counselor in Westerville, OH
Stephanie Eich
Licensed Professional Clinical Counselor, LPCC-S
Verified Verified
Westerville, OH 43082
I believe we are all complex beings and that sometimes we need to untangle the past to make sense of the present. My goal in counseling is to create a safe space where you are able to speak freely, practice vulnerability and build resilience though personal growth. I am passionate about helping my clients learn to express and identify their emotions to build self-awareness and emotional intelligence.
I believe we are all complex beings and that sometimes we need to untangle the past to make sense of the present. My goal in counseling is to create a safe space where you are able to speak freely, practice vulnerability and build resilience though personal growth. I am passionate about helping my clients learn to express and identify their emotions to build self-awareness and emotional intelligence.
(614) 683-3690 View (614) 683-3690
Photo of Kevin Jaworski, Licensed Professional Counselor in Westerville, OH
Kevin Jaworski
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Westerville, OH 43081  (Online Only)
Not accepting new clients
As a therapist specializing in OCD, I understand the pain and futility that accompanies chronic overthinking and the difficulty of being mired in the same unhelpful behaviors and emotions. I understand the bewilderment of not knowing what could help, as well as the frustration of knowing, yet still feeling unable to move forward. We want agency over ourselves and our lives, but we also want to be able to let go of that which is out of our control. While I put no timetable on recovery, my hope for my clients is that they come to a place where they feel like they no longer need my services.
As a therapist specializing in OCD, I understand the pain and futility that accompanies chronic overthinking and the difficulty of being mired in the same unhelpful behaviors and emotions. I understand the bewilderment of not knowing what could help, as well as the frustration of knowing, yet still feeling unable to move forward. We want agency over ourselves and our lives, but we also want to be able to let go of that which is out of our control. While I put no timetable on recovery, my hope for my clients is that they come to a place where they feel like they no longer need my services.
(440) 271-8276 View (440) 271-8276
Photo of Bradley K. Fox, Psychologist in Westerville, OH
Bradley K. Fox
Psychologist, PhD
Verified Verified
Westerville, OH 43081
Not accepting new clients
Sometimes we hit a wall. Maybe we would usually describe our life as going pretty well, but lately we find it harder to find motivation, or we’re more irritable, anxious, or just plain sad. Sometimes we’ve struggled a long time (with nightmares, stress, bad memories, or feeling depressed) and it's beyond what a friend can help with. Whether your goals are to manage emotions, sleep better, think more clearly, feel better about yourself or key relationships, finally accept what can't be changed, better understand relationship patterns, or find a deeper sense of purpose and meaning in life, counseling / psychotherapy may be helpful.
Sometimes we hit a wall. Maybe we would usually describe our life as going pretty well, but lately we find it harder to find motivation, or we’re more irritable, anxious, or just plain sad. Sometimes we’ve struggled a long time (with nightmares, stress, bad memories, or feeling depressed) and it's beyond what a friend can help with. Whether your goals are to manage emotions, sleep better, think more clearly, feel better about yourself or key relationships, finally accept what can't be changed, better understand relationship patterns, or find a deeper sense of purpose and meaning in life, counseling / psychotherapy may be helpful.
(614) 924-7411 x3 View (614) 924-7411 x3
Jon Lucas
Clinical Social Work/Therapist, LISW
Verified Verified
Westerville, OH 43081
Jon Lucas is a Licensed Independent Social Worker, who has been practicing for 10 years. He graduated from The Ohio State University in Columbus, OH with his Master's Degree in Social Work with a focus on Community practice. Jon believes in client centered therapy and that each person is the expert in the own lives and that each person carriers with them the capacity to overcome life's challenges, sometimes they just need a bit of help to identify this.
Jon Lucas is a Licensed Independent Social Worker, who has been practicing for 10 years. He graduated from The Ohio State University in Columbus, OH with his Master's Degree in Social Work with a focus on Community practice. Jon believes in client centered therapy and that each person is the expert in the own lives and that each person carriers with them the capacity to overcome life's challenges, sometimes they just need a bit of help to identify this.
(380) 600-9396 View (380) 600-9396
Photo of Joel T Hardin, Counselor in Westerville, OH
Joel T Hardin
Counselor, MA, LPCC-S, LICDC, NCC
Verified Verified
2 Endorsed
Westerville, OH 43082
Even though counseling often focuses on relieving distress, I view counseling as a way of helping people to flourish and to reach their goals. I work with individuals, couples, families, and adolescents. I am a Supervising Licensed Professional Clinical Counselor (LPCC-S), National Certified Counselor (NCC), and Licensed Independent Chemical Dependency Counselor (LICDC). I use many approaches, including CBT, EMDR and Mindfulness. My past experience includes work at Maryhaven and Dublin Springs Hospital. I currently serve as the Director of Pathways Counseling Center in Westerville, where I have been in practice since 2013.
Even though counseling often focuses on relieving distress, I view counseling as a way of helping people to flourish and to reach their goals. I work with individuals, couples, families, and adolescents. I am a Supervising Licensed Professional Clinical Counselor (LPCC-S), National Certified Counselor (NCC), and Licensed Independent Chemical Dependency Counselor (LICDC). I use many approaches, including CBT, EMDR and Mindfulness. My past experience includes work at Maryhaven and Dublin Springs Hospital. I currently serve as the Director of Pathways Counseling Center in Westerville, where I have been in practice since 2013.
(614) 980-0460 View (614) 980-0460
Photo of Matthew Escano, Licensed Professional Counselor in Westerville, OH
Matthew Escano
Licensed Professional Counselor, MA , LPCC
Verified Verified
Westerville, OH 43081
I specialize in anxiety, depression, ADHD, various forms of addiction, autism, & more. Are your goals oriented towards reducing maladaptive symptoms, identifying the behaviors you wish to engage in, being the person you want to be, and, ultimately, the life you aspire to live? Do you desire change and growth & are willing to put the necessary effort in? As your counselor, I do not effect change; that responsibility belongs to you. I aim to empower you to recognize your innate strengths, develop them further, and effectively use them towards your goals in life.
I specialize in anxiety, depression, ADHD, various forms of addiction, autism, & more. Are your goals oriented towards reducing maladaptive symptoms, identifying the behaviors you wish to engage in, being the person you want to be, and, ultimately, the life you aspire to live? Do you desire change and growth & are willing to put the necessary effort in? As your counselor, I do not effect change; that responsibility belongs to you. I aim to empower you to recognize your innate strengths, develop them further, and effectively use them towards your goals in life.
(380) 214-2515 View (380) 214-2515
Photo of Rebecca Owens in Westerville, OH
Rebecca Owens
MA, LPCC
Verified Verified
1 Endorsed
Westerville, OH 43081
Not accepting new clients
Sometimes life presents challenges and circumstances that leave us feeling lost, hurt, frustrated, or overwhelmed. I would be privileged to walk alongside you and provide support as you navigate through the journey of recovering from your circumstances. We will work together to implement helpful coping skills to provide what you need to move forward with strength and confidence.
Sometimes life presents challenges and circumstances that leave us feeling lost, hurt, frustrated, or overwhelmed. I would be privileged to walk alongside you and provide support as you navigate through the journey of recovering from your circumstances. We will work together to implement helpful coping skills to provide what you need to move forward with strength and confidence.
(614) 763-6324 x713 View (614) 763-6324 x713
Photo of Grace Crawley, Counselor in Westerville, OH
Grace Crawley
Counselor, MA, LPCC
Verified Verified
Westerville, OH 43081
I am passionate about helping clients learn to love themselves in their current space. Life is hard and unpredictable and all of us come to points in our life where we need some extra help. Maybe you are finding yourself at a crossroad in life and are struggling to identify where to turn. Maybe you are wrestling with ongoing depression and anxiety that is beginning to feel debilitating. Maybe you are grieving the loss of a loved one, a relationship, a dream, or an old way of thinking. Wherever you are, if you have found yourself here, you have identified that you need support and I would love to meet you in that space.
I am passionate about helping clients learn to love themselves in their current space. Life is hard and unpredictable and all of us come to points in our life where we need some extra help. Maybe you are finding yourself at a crossroad in life and are struggling to identify where to turn. Maybe you are wrestling with ongoing depression and anxiety that is beginning to feel debilitating. Maybe you are grieving the loss of a loved one, a relationship, a dream, or an old way of thinking. Wherever you are, if you have found yourself here, you have identified that you need support and I would love to meet you in that space.
(380) 207-0521 View (380) 207-0521
Photo of Carol E McClure, Counselor in Westerville, OH
Carol E McClure
Counselor, MACMHC, LPCC
Verified Verified
3 Endorsed
Westerville, OH 43081
I have extensive training and over 30 years of experience working with adult survivors of childhood abuse and pregnancy loss, including abortion. I hold an MA in Mental Health Clinical Counseling and have completed the Jungian Professional Psychotherapy program with the CG Jung Institute of Chicago. Additionally, I work with couples using the Gottman Method to strengthen relationships and deal with underlying issues. I also hold a certification for coaching with the Enneagram. Recently, my husband and I celebrated 44 years of marriage.
I have extensive training and over 30 years of experience working with adult survivors of childhood abuse and pregnancy loss, including abortion. I hold an MA in Mental Health Clinical Counseling and have completed the Jungian Professional Psychotherapy program with the CG Jung Institute of Chicago. Additionally, I work with couples using the Gottman Method to strengthen relationships and deal with underlying issues. I also hold a certification for coaching with the Enneagram. Recently, my husband and I celebrated 44 years of marriage.
(614) 980-0093 View (614) 980-0093
Photo of Eric C Miller, Licensed Professional Counselor in Westerville, OH
Eric C Miller
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Westerville, OH 43081
Eric has a Master's degree in Clinical Mental Health Counseling from the University of Dayton and a Bachelor of Arts degree in Psychology from Otterbein University. He believes in the holistic approach to counseling individuals and couples. Eric values the integration of body, mind, and spirit in his counseling. He has taken a special interest in working with couples. He began studying what makes relationships "work" 25+ years ago when he got married and he helps couples reconnect emotionally. He can also share how he learned to manage the anxiety he struggled with in his 20’s and 30’s. He is accepting new clients .
Eric has a Master's degree in Clinical Mental Health Counseling from the University of Dayton and a Bachelor of Arts degree in Psychology from Otterbein University. He believes in the holistic approach to counseling individuals and couples. Eric values the integration of body, mind, and spirit in his counseling. He has taken a special interest in working with couples. He began studying what makes relationships "work" 25+ years ago when he got married and he helps couples reconnect emotionally. He can also share how he learned to manage the anxiety he struggled with in his 20’s and 30’s. He is accepting new clients .
(614) 980-2290 View (614) 980-2290

How does your Therapist compare?

Number of Therapists in Westerville, OH

200+

Average cost per session

$125

Therapists in Westerville, OH who prioritize treating:

90% Anxiety
88% Depression
72% Trauma and PTSD
71% Relationship Issues
68% Self Esteem
66% Grief
64% Stress

Average years in practice

10 Years

Top 3 insurances accepted

83% Aetna
75% Optum
70% Medical Mutual

How Therapists in Westerville, OH see their clients

82% In Person and Online
18% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Westerville?

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.