Therapists in Glenside, PA

Photo of Elyse Williams, Licensed Professional Counselor, MS, LPC, SEP
Elyse Williams
Licensed Professional Counselor, MS, LPC, SEP
2 Endorsed
Glenside, PA 19038
Hi and welcome! My name is Elyse and I am a psychotherapist based in the Philly area specializing in anxiety, trauma, and eating disorders. I believe that with some courage, commitment, and hope, we can do great things, and I am passionate about helping my clients realize their worth and how strong and resilient they really are. I understand that what is hurting you may also be protecting you, and that letting go is no easy feat. I'm here though, to hold your hand, cheer you on, and remind you that you can do this.
Hi and welcome! My name is Elyse and I am a psychotherapist based in the Philly area specializing in anxiety, trauma, and eating disorders. I believe that with some courage, commitment, and hope, we can do great things, and I am passionate about helping my clients realize their worth and how strong and resilient they really are. I understand that what is hurting you may also be protecting you, and that letting go is no easy feat. I'm here though, to hold your hand, cheer you on, and remind you that you can do this.
(484) 416-0583 View (484) 416-0583
Photo of Heather S Ziegenmeyer - Kindred Art Therapy Center, Licensed Professional Counselor, MA, LPC, ATR-BC
Kindred Art Therapy Center
Licensed Professional Counselor, MA, LPC, ATR-BC
Glenside, PA 19038
Waitlist for new clients
Sometimes it feels like anxiety is so overwhelming that it fills whatever space we give it--getting in the way of the things we want to do in life and affecting what we think we are capable of. If you feel like you are quietly suffering in the back seat when you'd rather be driving, there is hope. If you notice your child's true vibrant and independent nature paling when faced with scary new experiences, change, or social situations, we can work through this as a team. I believe change is possible through developing a meaningful relationship and emotional outlet, learning about the process and patterns of anxiety, and practice.
Sometimes it feels like anxiety is so overwhelming that it fills whatever space we give it--getting in the way of the things we want to do in life and affecting what we think we are capable of. If you feel like you are quietly suffering in the back seat when you'd rather be driving, there is hope. If you notice your child's true vibrant and independent nature paling when faced with scary new experiences, change, or social situations, we can work through this as a team. I believe change is possible through developing a meaningful relationship and emotional outlet, learning about the process and patterns of anxiety, and practice.
(484) 255-4039 View (484) 255-4039
Photo of Jessica Griffith, Clinical Social Work/Therapist, LCSW
Jessica Griffith
Clinical Social Work/Therapist, LCSW
Online Only
You’ve been holding a lot together—and it’s getting harder to keep it that way. I work with adults who are navigating anxiety, depression, trauma, relationship challenges, and life or career transitions - but my focus often extends beyond a single diagnosis. I also support complex mental health, including dissociative identity and schizophrenia. I'm especially mindful of stressors such as navigating the challenges of a loved one living with hoarding disorder, carrying loss connected to COVID, and layered intercultural or blended family dynamics.
You’ve been holding a lot together—and it’s getting harder to keep it that way. I work with adults who are navigating anxiety, depression, trauma, relationship challenges, and life or career transitions - but my focus often extends beyond a single diagnosis. I also support complex mental health, including dissociative identity and schizophrenia. I'm especially mindful of stressors such as navigating the challenges of a loved one living with hoarding disorder, carrying loss connected to COVID, and layered intercultural or blended family dynamics.
(267) 214-5852 View (267) 214-5852
Photo of Jenny Limm - Jenny Limm, MFT, M.Ed - Sex/Relationship Therapist, MFT, MEd
Jenny Limm, MFT, M.Ed - Sex/Relationship Therapist
Verified Verified
10 Endorsed
Glenside, PA 19038
Connections are important, especially when it comes to your therapist. Whether this is your first time working with a therapist or you've been trying to find a therapist you connect with, you're already half way there! Sometimes talking to friends or family members just isn't enough, especially if the closest people in your life are the hardest to get along with/primary cause of your stress. Or perhaps you're not sure why you're stressed, anxious, depressed, having communication difficulties and need someone to help you untangle some things. What's for certain, is that unless you try something new, things will stay the same.
Connections are important, especially when it comes to your therapist. Whether this is your first time working with a therapist or you've been trying to find a therapist you connect with, you're already half way there! Sometimes talking to friends or family members just isn't enough, especially if the closest people in your life are the hardest to get along with/primary cause of your stress. Or perhaps you're not sure why you're stressed, anxious, depressed, having communication difficulties and need someone to help you untangle some things. What's for certain, is that unless you try something new, things will stay the same.
(267) 633-8212 View (267) 633-8212
Photo of Kate Forest, Clinical Social Work/Therapist, LCSW
Kate Forest
Clinical Social Work/Therapist, LCSW
Online Only
Waitlist for new clients
With over 25 years of experience as a Licensed Clinical Social Worker, I bring expertise in relationship work and addictions treatment. I work exclusively in creating and strengthening romantic relationships. For couples, I offer Emotionally Focused Therapy—bringing out deep emotional connections that last beyond simply ending conflict. For singles, I offer relationship and dating coaching services. I’ll help with creating and using dating apps, building confidence in dating skills and relationship creation. I am LGBTQ+ affirming.
With over 25 years of experience as a Licensed Clinical Social Worker, I bring expertise in relationship work and addictions treatment. I work exclusively in creating and strengthening romantic relationships. For couples, I offer Emotionally Focused Therapy—bringing out deep emotional connections that last beyond simply ending conflict. For singles, I offer relationship and dating coaching services. I’ll help with creating and using dating apps, building confidence in dating skills and relationship creation. I am LGBTQ+ affirming.
(215) 692-2068 View (215) 692-2068
Photo of Meghan Kraenbring Comerford, Psychologist, PsyD
Meghan Kraenbring Comerford
Psychologist, PsyD
1 Endorsed
Glenside, PA 19038
Welcome! I am Dr. Meghan, a pediatric psychologist, who is licensed in PA and certified by PSYPACT to provide services virtually to individuals in participating states. Life throws many challenges our way, some of which feel easy to manage, some more difficult. When your child or teen is faced with health, academic, or social obstacles, it can be overwhelming. I am here to help you and your child manage these challenges effectively and find a sense of purpose. I specialize in working with children, teens, and young adults with anxiety and depression, as well as acute and chronic health conditions.
Welcome! I am Dr. Meghan, a pediatric psychologist, who is licensed in PA and certified by PSYPACT to provide services virtually to individuals in participating states. Life throws many challenges our way, some of which feel easy to manage, some more difficult. When your child or teen is faced with health, academic, or social obstacles, it can be overwhelming. I am here to help you and your child manage these challenges effectively and find a sense of purpose. I specialize in working with children, teens, and young adults with anxiety and depression, as well as acute and chronic health conditions.
(267) 209-7750 View (267) 209-7750
Photo of Denise M. Carr, Marriage & Family Therapist, MS, LMFT
Denise M. Carr
Marriage & Family Therapist, MS, LMFT
2 Endorsed
Online Only
I believe we all have different struggles and I provide individualized treatment to explore the challenges in life. My philosophy is to work with the whole person, mind, body, and spirit to help you release anxiety, depression or stressful feelings that may be caused by unhelpful thoughts and behaviors. My goal is to establish a starting point that is comfortable for you in order to build a collaborative working relationship. Together, we will achieve your goals and increase fulfillment, happiness, and peace in your life.
I believe we all have different struggles and I provide individualized treatment to explore the challenges in life. My philosophy is to work with the whole person, mind, body, and spirit to help you release anxiety, depression or stressful feelings that may be caused by unhelpful thoughts and behaviors. My goal is to establish a starting point that is comfortable for you in order to build a collaborative working relationship. Together, we will achieve your goals and increase fulfillment, happiness, and peace in your life.
(215) 709-7452 View (215) 709-7452
Photo of Norma Kisaiti, Licensed Professional Counselor, MA, LPC
Norma Kisaiti
Licensed Professional Counselor, MA, LPC
Glenside, PA 19038
Do you often feel anxious, stuck in overthinking, or emotionally exhausted by everyday decisions? Maybe your mind keeps looping through possibilities, leaving you feeling paralyzed, unfocused, or unable to rest. You might also notice that connecting with others feels harder than it used to, leading you to keep your concerns to yourself. If any of this resonates, therapy can help.
Do you often feel anxious, stuck in overthinking, or emotionally exhausted by everyday decisions? Maybe your mind keeps looping through possibilities, leaving you feeling paralyzed, unfocused, or unable to rest. You might also notice that connecting with others feels harder than it used to, leading you to keep your concerns to yourself. If any of this resonates, therapy can help.
(215) 798-7129 View (215) 798-7129
Photo of Jennifer Serratore, Clinical Social Work/Therapist, LCSW
Jennifer Serratore
Clinical Social Work/Therapist, LCSW
Online Only
Welcome! So many of us find ourselves overwhelmed by life stressors. We live in a fast paced world with what seems to be ever growing expectations. In the frenzy of career, family and social expectations you may have a growing sense of disconnection. This often shows up as sleep disturbances, tension and irritability. In order to find balance, I will help you heal through connection. Reconnecting to yourself through journaling, meditation, movement and self exploration.
Welcome! So many of us find ourselves overwhelmed by life stressors. We live in a fast paced world with what seems to be ever growing expectations. In the frenzy of career, family and social expectations you may have a growing sense of disconnection. This often shows up as sleep disturbances, tension and irritability. In order to find balance, I will help you heal through connection. Reconnecting to yourself through journaling, meditation, movement and self exploration.
(267) 214-2723 View (267) 214-2723
Photo of Lisa Richman, Clinical Social Work/Therapist, LCSW
Lisa Richman
Clinical Social Work/Therapist, LCSW
Online Only
The only constant in life is change. However, change can often be challenging and painful, leaving us feeling stuck in old patterns. I believe that every individual is capable of change, given the right tools and support. Utilizing a client-centered, humanistic, and trauma-informed approach, I provide the safe, supportive space that my clients need in order to achieve the growth and change that they seek. Having worked most recently with members of the LGBTQ community, I understand how important it is to have the acceptance and support of someone in a non-judgmental space in order to grow.
The only constant in life is change. However, change can often be challenging and painful, leaving us feeling stuck in old patterns. I believe that every individual is capable of change, given the right tools and support. Utilizing a client-centered, humanistic, and trauma-informed approach, I provide the safe, supportive space that my clients need in order to achieve the growth and change that they seek. Having worked most recently with members of the LGBTQ community, I understand how important it is to have the acceptance and support of someone in a non-judgmental space in order to grow.
(215) 948-2856 View (215) 948-2856
Photo of Felicia P. Roche, Licensed Professional Counselor, LPC
Felicia P. Roche
Licensed Professional Counselor, LPC
Glenside, PA 19038
I am dedicated to providing a safe and compassionate space to explore your thoughts and emotions, gain valuable insights, and develop the tools needed to navigate life's complexities. Whether you're dealing with stress, anxiety, depression, or facing relationship issues, I am here to support you on your journey to personal growth and emotional healing! Take a look at my areas of training and expertise below.
I am dedicated to providing a safe and compassionate space to explore your thoughts and emotions, gain valuable insights, and develop the tools needed to navigate life's complexities. Whether you're dealing with stress, anxiety, depression, or facing relationship issues, I am here to support you on your journey to personal growth and emotional healing! Take a look at my areas of training and expertise below.
(267) 209-7742 View (267) 209-7742
Photo of Ilysa Richman, Clinical Social Work/Therapist, LCSW
Ilysa Richman
Clinical Social Work/Therapist, LCSW
Online Only
The only constant in life is change. I see my primary role as therapist to be acting as steward and support for a client as they grow and change. I strive to create a safe a supportive space where a client can explore their identity without fear of judgement. I also seek to support my clients during their road to recovery from past trauma, attachment issues, and relationship struggles. I have been working as a therapist trained in supporting folx identifying as LGBTQIA+ as well as trans and gender variant, and have had the honor of supporting teens and adults during their gender exploration and transition.
The only constant in life is change. I see my primary role as therapist to be acting as steward and support for a client as they grow and change. I strive to create a safe a supportive space where a client can explore their identity without fear of judgement. I also seek to support my clients during their road to recovery from past trauma, attachment issues, and relationship struggles. I have been working as a therapist trained in supporting folx identifying as LGBTQIA+ as well as trans and gender variant, and have had the honor of supporting teens and adults during their gender exploration and transition.
(267) 481-7386 View (267) 481-7386
Photo of Dr. Wendell H Scanterbury, Marriage & Family Therapist, PhD, LMFT
Dr. Wendell H Scanterbury
Marriage & Family Therapist, PhD, LMFT
1 Endorsed
Glenside, PA 19038
The feeling of being safe, valued, and connected is something we all need and desire. We also crave relief and healing when we feel hurt or crushed in our emotional, relational, or life experiences. At times, we may try to cope by putting more effort or energy into numbing the pain or distancing ourselves from the problem only to find that it really hasn'tbeen resolved, or that we're even more entangled. What would it feel like to be listened to and deeply heard; to have your experiences validated; and to not be alone in gaining perspective and empowerment so that you can experience safety, worth, and connection again?
The feeling of being safe, valued, and connected is something we all need and desire. We also crave relief and healing when we feel hurt or crushed in our emotional, relational, or life experiences. At times, we may try to cope by putting more effort or energy into numbing the pain or distancing ourselves from the problem only to find that it really hasn'tbeen resolved, or that we're even more entangled. What would it feel like to be listened to and deeply heard; to have your experiences validated; and to not be alone in gaining perspective and empowerment so that you can experience safety, worth, and connection again?
(215) 999-8047 View (215) 999-8047
Photo of Karen Schwartz, Psychologist, PhD
Karen Schwartz
Psychologist, PhD
Glenside, PA 19038
Healing begins with feeling truly seen and understood. With over a decade of experience helping children, adolescents, and families navigate challenges like anxiety, depression, behavioral concerns and life’s transitions, I’m passionate about creating a safe, compassionate space where growth feels possible. My training as a clinical psychologist, specializing in evidence-based therapies, allows me to tailor treatment to each unique individual or family to most effectively support you reaching your goals.
Healing begins with feeling truly seen and understood. With over a decade of experience helping children, adolescents, and families navigate challenges like anxiety, depression, behavioral concerns and life’s transitions, I’m passionate about creating a safe, compassionate space where growth feels possible. My training as a clinical psychologist, specializing in evidence-based therapies, allows me to tailor treatment to each unique individual or family to most effectively support you reaching your goals.
(215) 385-5009 View (215) 385-5009
Photo of Jessica Gola, Licensed Professional Counselor, MA
Jessica Gola
Licensed Professional Counselor, MA
1 Endorsed
Online Only
As a therapist, it is always my goal to make the client feel safe, comfortable, and supported. I like to validate that starting the process of therapy and opening up to a stranger can be challenging but is the first step towards change. I have worked with many clients struggling with a wide range of issues, but mostly work with those struggling with anxiety, depression, and eating disorders. In working with clients, I utilize evidence based treatments such as CBT and DBT. I am here to help the client reach their goals by aiding them in learning tools and techniques that help them to cope and make changes.
As a therapist, it is always my goal to make the client feel safe, comfortable, and supported. I like to validate that starting the process of therapy and opening up to a stranger can be challenging but is the first step towards change. I have worked with many clients struggling with a wide range of issues, but mostly work with those struggling with anxiety, depression, and eating disorders. In working with clients, I utilize evidence based treatments such as CBT and DBT. I am here to help the client reach their goals by aiding them in learning tools and techniques that help them to cope and make changes.
(267) 704-7228 View (267) 704-7228
Photo of Julia Ruane, Clinical Social Work/Therapist, LCSW
Julia Ruane
Clinical Social Work/Therapist, LCSW
Online Only
Hi! I'm Julia. Seeking therapy can be overwhelming, and I commend you for taking this step towards improving your self care and well being! I recognize the complexity and difficulty of addressing emotional pain, and I like to bring warmth, compassion and humor to the process. I specialize and am certified in Perinatal Mental Health through Postpartum Support International. I work with clients through the unpredictability of trying to start a family, including adoption and fertility issues. I support families who are facing the pain of pregnancy loss, or dealing with the aftermath of birth trauma.
Hi! I'm Julia. Seeking therapy can be overwhelming, and I commend you for taking this step towards improving your self care and well being! I recognize the complexity and difficulty of addressing emotional pain, and I like to bring warmth, compassion and humor to the process. I specialize and am certified in Perinatal Mental Health through Postpartum Support International. I work with clients through the unpredictability of trying to start a family, including adoption and fertility issues. I support families who are facing the pain of pregnancy loss, or dealing with the aftermath of birth trauma.
(215) 344-5767 View (215) 344-5767
Photo of Alessandra Shaaban, MS, NCC, CSC, pre-LPC
Alessandra Shaaban
Verified Verified
Glenside, PA 19038
I work with older children, teens, and young adults who feel overwhelmed, stressed, or just “not like themselves.” Many of the individuals and families I support are navigating anxiety, depression, perfectionism, academic pressure, or identity questions, along with friendship challenges or big changes at school or home. I also support clients experiencing self-injury, trauma, grief, family conflict, or substance use. I focus on understanding your experience and being a steady, supportive presence as you move through the parts of life that feel heavy or confusing.
I work with older children, teens, and young adults who feel overwhelmed, stressed, or just “not like themselves.” Many of the individuals and families I support are navigating anxiety, depression, perfectionism, academic pressure, or identity questions, along with friendship challenges or big changes at school or home. I also support clients experiencing self-injury, trauma, grief, family conflict, or substance use. I focus on understanding your experience and being a steady, supportive presence as you move through the parts of life that feel heavy or confusing.
(215) 515-4740 View (215) 515-4740
Photo of Barbara Gilin, Clinical Social Work/Therapist, MSW, LCSW
Barbara Gilin
Clinical Social Work/Therapist, MSW, LCSW
Glenside, PA 19038
Waitlist for new clients
I will listen carefully to your description of what is causing you the most stress and we will arrive at a plan together for how to help you. I am well trained in multiple theories and methods for helping people to feel better and act in ways that they prefer to act. I am respectful and empathetic and one of my primary goals is help you to feel hope that you will get through even the hardest experiences. I have seen how much a good therapeutic relationship can help to restore that hope and to expand your options for coping and for changing.
I will listen carefully to your description of what is causing you the most stress and we will arrive at a plan together for how to help you. I am well trained in multiple theories and methods for helping people to feel better and act in ways that they prefer to act. I am respectful and empathetic and one of my primary goals is help you to feel hope that you will get through even the hardest experiences. I have seen how much a good therapeutic relationship can help to restore that hope and to expand your options for coping and for changing.
(215) 883-8473 View (215) 883-8473
Photo of Cindy Shapiro, Clinical Social Work/Therapist, MSW, LCSW, CSC
Cindy Shapiro
Clinical Social Work/Therapist, MSW, LCSW, CSC
Online Only
Not accepting new clients
You are awakening to live an authentic, conscious life. Together we explore your awakening to bring in more of what brings you joy, love and ease: perhaps it is creativity, maybe opening to your soul's longings, or moving beyond old patterns. You feel it is time to trust your intuition and your heart space. You want someone who knows the courage it takes to change and live beyond the ego. You want someone who can deeply listen to the words and the wordless. You seek someone with traditional and alternative training to journey beyond what is traditionally explored in therapy.
You are awakening to live an authentic, conscious life. Together we explore your awakening to bring in more of what brings you joy, love and ease: perhaps it is creativity, maybe opening to your soul's longings, or moving beyond old patterns. You feel it is time to trust your intuition and your heart space. You want someone who knows the courage it takes to change and live beyond the ego. You want someone who can deeply listen to the words and the wordless. You seek someone with traditional and alternative training to journey beyond what is traditionally explored in therapy.
(215) 764-5693 View (215) 764-5693
Photo of Kelly L Lengel, Psychologist, PsyD
Kelly L Lengel
Psychologist, PsyD
Glenside, PA 19038
I practice a holistic model focusing on addressing body, mind, and spirit. Clients I see often come in wanting to decrease feeling anxious or depressed. Other issues I commonly address are managing navigating transitions, managing chronic pain and illness, supporting sobriety and getting unstuck from problems in relationships or work. I strive to support clients in building lives that are meaningful for them.
I practice a holistic model focusing on addressing body, mind, and spirit. Clients I see often come in wanting to decrease feeling anxious or depressed. Other issues I commonly address are managing navigating transitions, managing chronic pain and illness, supporting sobriety and getting unstuck from problems in relationships or work. I strive to support clients in building lives that are meaningful for them.
(484) 812-3097 View (484) 812-3097

See more therapy options for Glenside

How does your Therapist compare?

Number of Therapists in Glenside, PA

80+

Average cost per session

$150

Therapists in Glenside, PA who prioritize treating:

93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
88% Depression
77% Relationship Issues
75% Self Esteem

Average years in practice

14 Years

Top 3 insurances accepted

78% Aetna
59% Highmark
57% Cigna and Evernorth

How Therapists in Glenside, PA see their clients

71% In Person and Online
29% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Glenside?

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.