Therapists in Greensburg, PA

Photo of Ronda Overly-Ripple, Marriage & Family Therapist in Greensburg, PA
Ronda Overly-Ripple
Marriage & Family Therapist, LMFT, CAADC, CCTP
Verified Verified
Greensburg, PA 15601
I believe that the core to effective therapy is a strong and trusting relationship between therapist and client. Within this working relationship we can explore deeper issues and learn healthier ways of coping and bringing about positive change. People have within themselves the ability to heal but finding that inner strength is sometimes limited by unhealthy coping skills, stress, trauma and grief. It is important to treat the whole person, not just the addiction. I utilize a Person Centered/Strength Based Approach in helping clients reach their goals.
I believe that the core to effective therapy is a strong and trusting relationship between therapist and client. Within this working relationship we can explore deeper issues and learn healthier ways of coping and bringing about positive change. People have within themselves the ability to heal but finding that inner strength is sometimes limited by unhealthy coping skills, stress, trauma and grief. It is important to treat the whole person, not just the addiction. I utilize a Person Centered/Strength Based Approach in helping clients reach their goals.
(412) 231-9432 View (412) 231-9432
Photo of Counseling and Wellness Center of Pittsburgh, Licensed Professional Counselor in Greensburg, PA
Counseling and Wellness Center of Pittsburgh
Licensed Professional Counselor, LPC , PhD, LMFT, LCSW
Verified Verified
1 Endorsed
Greensburg, PA 15601
We provide counseling services to individuals, couples and families through Western Pennsylvania. Whether you are seeking treatment as an individual adult, a child, or teen, our multi-specialty approach will support your goals of resolving emotional, psychological, and relationship issues. For couples and families, our mental health specialists are experts in supporting your relationship as you gain greater friendship, intimacy, and communication barriers.
We provide counseling services to individuals, couples and families through Western Pennsylvania. Whether you are seeking treatment as an individual adult, a child, or teen, our multi-specialty approach will support your goals of resolving emotional, psychological, and relationship issues. For couples and families, our mental health specialists are experts in supporting your relationship as you gain greater friendship, intimacy, and communication barriers.
(878) 213-4810 View (878) 213-4810
Photo of Nicoletta Whiteman, Pre-Licensed Professional in Greensburg, PA
Nicoletta Whiteman
Pre-Licensed Professional, MS
Verified Verified
2 Endorsed
Greensburg, PA 15601
Are you feeling stuck in a rut? Seeing the goal but unsure how to get there? Are you feeling like your current situation and/or emotions are getting in the way of what could be? You're not alone. I can help.
Are you feeling stuck in a rut? Seeing the goal but unsure how to get there? Are you feeling like your current situation and/or emotions are getting in the way of what could be? You're not alone. I can help.
(724) 576-9488 View (724) 576-9488
Photo of Michael Chinn, Licensed Professional Counselor in Greensburg, PA
Michael Chinn
Licensed Professional Counselor, LPC, MSEd
Verified Verified
Greensburg, PA 15601
My approach to counseling that life is often uncontrollable, but we can control how we respond, how we communicate, and how we navigate through complex social/personal/professional issues. I work primarily with teens, young adults, college students, and adults on a variety of difficulties such as anxiety, depression, suicide/suicidality, personality disorders, and career/workplace stressors.
My approach to counseling that life is often uncontrollable, but we can control how we respond, how we communicate, and how we navigate through complex social/personal/professional issues. I work primarily with teens, young adults, college students, and adults on a variety of difficulties such as anxiety, depression, suicide/suicidality, personality disorders, and career/workplace stressors.
(724) 573-8170 View (724) 573-8170
Photo of New Directions Mental Health Greensburg, Licensed Professional Counselor in Greensburg, PA
New Directions Mental Health Greensburg
Licensed Professional Counselor, LPC
Verified Verified
Greensburg, PA 15601
New Directions Mental Health is an outpatient mental health care provider dedicated to serving Pennsylvania and the local Greensburg area. At our Greensburg clinic we provide a broad array of services including psychotherapy, child & adolescent therapy, group therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
New Directions Mental Health is an outpatient mental health care provider dedicated to serving Pennsylvania and the local Greensburg area. At our Greensburg clinic we provide a broad array of services including psychotherapy, child & adolescent therapy, group therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
(724) 670-2768 View (724) 670-2768
Photo of Kimberly Ann Stenson, Marriage & Family Therapist in Greensburg, PA
Kimberly Ann Stenson
Marriage & Family Therapist, MA, LMFT
Verified Verified
Greensburg, PA 15601
Kim has over seven years of experience working with individuals, couples, families and groups of all ages. Her treatment of those with loved ones who suffer from substances use issues challenges individual thought processes and family patterns that keep people vulnerable to addiction. Kim has personal and professional experience and training to work with families formed through foster and kinship care and adoption. She can help you to define what you want in your relationships to help create lasting and rewarding relationships. Kim practices from an approach to therapy that considers relational dynamics.
Kim has over seven years of experience working with individuals, couples, families and groups of all ages. Her treatment of those with loved ones who suffer from substances use issues challenges individual thought processes and family patterns that keep people vulnerable to addiction. Kim has personal and professional experience and training to work with families formed through foster and kinship care and adoption. She can help you to define what you want in your relationships to help create lasting and rewarding relationships. Kim practices from an approach to therapy that considers relational dynamics.
(724) 987-5172 View (724) 987-5172
Photo of Cheryl A. Henkel, Psychologist in Greensburg, PA
Cheryl A. Henkel
Psychologist, MS, EdS
Verified Verified
Greensburg, PA 15601
Not accepting new clients
I am a certified EMDR therapist who works with adults on trauma related issues through Eye Movement Desensitization and Reprocessing. EMDR is a method to help people process trauma more adaptively. When a traumatic event occurs, it seems to get locked in the nervous system with the original pictures, sounds, thoughts and feelings. EMDR appears to unlock the nervous system and allows the brain to process unconscious material more adaptively.
I am a certified EMDR therapist who works with adults on trauma related issues through Eye Movement Desensitization and Reprocessing. EMDR is a method to help people process trauma more adaptively. When a traumatic event occurs, it seems to get locked in the nervous system with the original pictures, sounds, thoughts and feelings. EMDR appears to unlock the nervous system and allows the brain to process unconscious material more adaptively.
(724) 565-3976 View (724) 565-3976
Photo of Megan Byerly, Pre-Licensed Professional in Greensburg, PA
Megan Byerly
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Greensburg, PA 15601
I am a highly motivated, master's level therapist and I am passionate about walking with individuals through life’s challenges. I provide a collaborative approach to the therapeutic process, ensuring that techniques suit my client’s needs. I am particularly interested in a holistic approach to treating anxiety, depression, PTSD, mood disorders, relationship issues, family issues, addiction, as well as postpartum and other women’s issues. I work with teens, adults, and families. I enjoy being creative with my clients. I also enjoy using a mindfulness and wellness approach to treatment.
I am a highly motivated, master's level therapist and I am passionate about walking with individuals through life’s challenges. I provide a collaborative approach to the therapeutic process, ensuring that techniques suit my client’s needs. I am particularly interested in a holistic approach to treating anxiety, depression, PTSD, mood disorders, relationship issues, family issues, addiction, as well as postpartum and other women’s issues. I work with teens, adults, and families. I enjoy being creative with my clients. I also enjoy using a mindfulness and wellness approach to treatment.
(724) 302-3445 View (724) 302-3445
Photo of Innersight Llc, Clinical Social Work/Therapist in Greensburg, PA
Innersight Llc
Clinical Social Work/Therapist
Verified Verified
Greensburg, PA 15601
Sometimes the smallest step in the right direction ends up being the biggest step in your life. We are offering therapy in Norwin, Greater Latrobe and Penn Trafford School Districts along with our offices in Greensburg. Innersight is proud to offer quality care with one of our 22 licensed therapists and CRNP's. I am a Licensed Clinical Social Worker with 23 years of experience and owner of out group practice. We work children and adults with a wide range of mental health diagnosis including but not limited to : PTSD, Anxiety, Depression, Adjustment Disorder, ADHD & ODD. We also provide medication management with our 3 CRNP's.
Sometimes the smallest step in the right direction ends up being the biggest step in your life. We are offering therapy in Norwin, Greater Latrobe and Penn Trafford School Districts along with our offices in Greensburg. Innersight is proud to offer quality care with one of our 22 licensed therapists and CRNP's. I am a Licensed Clinical Social Worker with 23 years of experience and owner of out group practice. We work children and adults with a wide range of mental health diagnosis including but not limited to : PTSD, Anxiety, Depression, Adjustment Disorder, ADHD & ODD. We also provide medication management with our 3 CRNP's.
(724) 204-2758 View (724) 204-2758
Photo of Morgan Zimmerman, Marriage & Family Therapist in Greensburg, PA
Morgan Zimmerman
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Greensburg, PA 15601
Life can be overwhelming and difficult at times. It is healthy and beneficial to take time for yourself to work through these stressors and to learn effective strategies to cope with these pressures. I am committed to creating a safe and therapeutic space for my clients to be able to begin the healing process. It is my life's passion to help individuals and families experience relief from their current symptoms and improve family relationships and family dynamics.
Life can be overwhelming and difficult at times. It is healthy and beneficial to take time for yourself to work through these stressors and to learn effective strategies to cope with these pressures. I am committed to creating a safe and therapeutic space for my clients to be able to begin the healing process. It is my life's passion to help individuals and families experience relief from their current symptoms and improve family relationships and family dynamics.
(724) 647-3351 View (724) 647-3351
Photo of Shannon Kovalchick, Licensed Professional Counselor in Greensburg, PA
Shannon Kovalchick
Licensed Professional Counselor, LPC
Verified Verified
Greensburg, PA 15601
The transition to parenthood is one of the most transformative experiences a person can go through during their life. This time is both beautiful and extremely stressful. Whether it’s your first or your fifth+ child, in today’s world, almost all of us- both moms and dads- can benefit from some additional support in the years of pregnancy and raising children.
The transition to parenthood is one of the most transformative experiences a person can go through during their life. This time is both beautiful and extremely stressful. Whether it’s your first or your fifth+ child, in today’s world, almost all of us- both moms and dads- can benefit from some additional support in the years of pregnancy and raising children.
(484) 613-2947 View (484) 613-2947
Photo of Laiken Kistler, Licensed Professional Counselor in Greensburg, PA
Laiken Kistler
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Greensburg, PA 15601
At times, life can feel overwhelming. As if you are just going through the motions of day-to-day life. Many times you do not even recognize it until life becomes too hard and the task you once enjoyed, now takes all of your energy. My role as your therapist is to help you sort out negative emotions, thoughts, or behaviors that leave you feeling as if you are running on auto pilot. Together we will work on identifying unhealthy patterns in our thoughts and reactions, we will dig deep into our emotions and being, as well as develop techniques and skills to feel in control and stable.
At times, life can feel overwhelming. As if you are just going through the motions of day-to-day life. Many times you do not even recognize it until life becomes too hard and the task you once enjoyed, now takes all of your energy. My role as your therapist is to help you sort out negative emotions, thoughts, or behaviors that leave you feeling as if you are running on auto pilot. Together we will work on identifying unhealthy patterns in our thoughts and reactions, we will dig deep into our emotions and being, as well as develop techniques and skills to feel in control and stable.
(724) 801-3753 View (724) 801-3753
Photo of Krysta Best, Marriage & Family Therapist in Greensburg, PA
Krysta Best
Marriage & Family Therapist, LMFT
Verified Verified
Greensburg, PA 15601
Hello there you beautiful human! My name is Krysta and I am most excited and passionate about helping humans find their whole authentic selves. Whether you're struggling with a lifelong diagnosis, traumatic experiences that are interfering with your life, a recent crisis or setback, or are struggling to find your place in this life, I would be honored to work with you and help support you in all the next steps you are made to take. Life is hard enough as it is, throwing anything else on top of that can not only be overwhelming but often times incredibly lonely.
Hello there you beautiful human! My name is Krysta and I am most excited and passionate about helping humans find their whole authentic selves. Whether you're struggling with a lifelong diagnosis, traumatic experiences that are interfering with your life, a recent crisis or setback, or are struggling to find your place in this life, I would be honored to work with you and help support you in all the next steps you are made to take. Life is hard enough as it is, throwing anything else on top of that can not only be overwhelming but often times incredibly lonely.
(724) 471-5193 View (724) 471-5193
Photo of Celeste Tempo-Innersight, Licensed Professional Counselor in Greensburg, PA
Celeste Tempo-Innersight
Licensed Professional Counselor, LPC
Verified Verified
Greensburg, PA 15601
"You've always had the power my dear, you just had to learn it for yourself." L. Frank Baum. Welcome to my page! I am a Certified Clinical Anxiety Treatment Professional, also certified in TF-CBT (Trauma Focused Cognitive Behavioral Therapy) and a Board Certified Licensed Professional Counselor. Throughout sessions, I treat my clients in a compassionate and professional manner, taking a collaborative approach to assist with empowerment in order to achieve personal and treatment plan goals. I offer a non-judgemental, safe space to work toward your specific goals.
"You've always had the power my dear, you just had to learn it for yourself." L. Frank Baum. Welcome to my page! I am a Certified Clinical Anxiety Treatment Professional, also certified in TF-CBT (Trauma Focused Cognitive Behavioral Therapy) and a Board Certified Licensed Professional Counselor. Throughout sessions, I treat my clients in a compassionate and professional manner, taking a collaborative approach to assist with empowerment in order to achieve personal and treatment plan goals. I offer a non-judgemental, safe space to work toward your specific goals.
(878) 645-3799 View (878) 645-3799
Photo of Richard Hoffman, Counselor in Greensburg, PA
Richard Hoffman
Counselor, PhD
Verified Verified
Greensburg, PA 15601
Dr. Rich Hoffman is the Founder and Clinical Director of Christian Counseling Associates (CCA). CCA is a leading faith based group private practice organization with over 50 locations, and a staff of over 70 Christian Counselors in Western Pennsylvania, Eastern Ohio, and West Virginia. Dr, Hoffman leads a group of clinical professionals who have developed effective approaches for marital, family, parent-child, and personal problems that occur in daily living. CCA will help you identify the core issues that have resulted in your emotional or personal problems, and immediately help develop strategies to resolve these issues.
Dr. Rich Hoffman is the Founder and Clinical Director of Christian Counseling Associates (CCA). CCA is a leading faith based group private practice organization with over 50 locations, and a staff of over 70 Christian Counselors in Western Pennsylvania, Eastern Ohio, and West Virginia. Dr, Hoffman leads a group of clinical professionals who have developed effective approaches for marital, family, parent-child, and personal problems that occur in daily living. CCA will help you identify the core issues that have resulted in your emotional or personal problems, and immediately help develop strategies to resolve these issues.
(724) 620-4283 View (724) 620-4283
Photo of Kimberly Broaddus, Licensed Professional Counselor in Greensburg, PA
Kimberly Broaddus
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Greensburg, PA 15601
We all experience difficulties, and at times it can be tough to sort through our thoughts and feelings alone. I believe that we all have patterns of reactions that arise in our thoughts and behaviors. Some of these patterns may be healthy and some unhealthy. I like to think of the therapeutic environment as a safe place to sort through what makes us, “us”. Within this environment we hope to become more aware of our patterns and decision making. With increased awareness we can make the decisions on what continues to work for us and what no longer serves us well.
We all experience difficulties, and at times it can be tough to sort through our thoughts and feelings alone. I believe that we all have patterns of reactions that arise in our thoughts and behaviors. Some of these patterns may be healthy and some unhealthy. I like to think of the therapeutic environment as a safe place to sort through what makes us, “us”. Within this environment we hope to become more aware of our patterns and decision making. With increased awareness we can make the decisions on what continues to work for us and what no longer serves us well.
(878) 203-0867 View (878) 203-0867
Photo of Medley Counseling, LLC, Licensed Professional Counselor in Greensburg, PA
Medley Counseling, LLC
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Greensburg, PA 15601
Waitlist for new clients
You deserve to live a life full of happiness, abundance and peace. Life can throw us in many different directions and it may become difficult to navigate. Your story needs to be told to somebody that has been there and done that and help guide you to where you want to be in life. Nobody knows you better than you. It is time to build a better version of yourself so let's start today. Please visit my website for further details on setting up your first appointment.
You deserve to live a life full of happiness, abundance and peace. Life can throw us in many different directions and it may become difficult to navigate. Your story needs to be told to somebody that has been there and done that and help guide you to where you want to be in life. Nobody knows you better than you. It is time to build a better version of yourself so let's start today. Please visit my website for further details on setting up your first appointment.
(724) 202-0848 View (724) 202-0848
Photo of Elysia Groschwitz, Licensed Professional Counselor in Greensburg, PA
Elysia Groschwitz
Licensed Professional Counselor, LPC
Verified Verified
Greensburg, PA 15601
For over 13 years, I have worked with a wide range of individuals with various diagnoses and concerns including anxiety, OCD, panic, major depression, trauma, suicidal ideation, non-suicidal self-injury, life transitions, stress, ADHD, peer and relationship issues, grief and loss, family conflict, bipolar, SPMI, and chronic health issues.
For over 13 years, I have worked with a wide range of individuals with various diagnoses and concerns including anxiety, OCD, panic, major depression, trauma, suicidal ideation, non-suicidal self-injury, life transitions, stress, ADHD, peer and relationship issues, grief and loss, family conflict, bipolar, SPMI, and chronic health issues.
(724) 571-2954 View (724) 571-2954
Photo of Sean K Borris - Trauma Therapy, Marriage & Family Therapist in Greensburg, PA
Sean K Borris - Trauma Therapy
Marriage & Family Therapist, LMFT
Verified Verified
Greensburg, PA 15601
Have you experienced trauma and aren't sure what to do next? Do you feel disconnected from yourself and others? Are your relationships struggling? Maybe you wonder if things could feel better... Happier. Healed. Carrying unresolved trauma infiltrates our relationships with ourselves and others. You don't have to endure this pain alone, but it can be overwhelming to know where to begin! I believe that all people are inherently able to create positive change and transform their lives. Together we will navigate the uniqueness of your situation and work towards empowerment and healing.
Have you experienced trauma and aren't sure what to do next? Do you feel disconnected from yourself and others? Are your relationships struggling? Maybe you wonder if things could feel better... Happier. Healed. Carrying unresolved trauma infiltrates our relationships with ourselves and others. You don't have to endure this pain alone, but it can be overwhelming to know where to begin! I believe that all people are inherently able to create positive change and transform their lives. Together we will navigate the uniqueness of your situation and work towards empowerment and healing.
(724) 604-5872 View (724) 604-5872
Photo of Tami G Adams, Clinical Social Work/Therapist in Greensburg, PA
Tami G Adams
Clinical Social Work/Therapist, LCSW
Verified Verified
Greensburg, PA 15601
Take care of yourself.... All too often we neglect our emotional health. Increased stress, worry and conflicts can all take their toll. The emotional impact of traumatic events affects the mind body and soul. I have 17 years experience in private practice as a Licensed Clinical Social Worker to use to your benefit. You may just need a guide to help define what needs to be different in your life. I'll help you develop the skills you need to make changes for a satisfying life. I welcome the opportunity to help you resolve more deeply painful events with respect and my best skills possible.
Take care of yourself.... All too often we neglect our emotional health. Increased stress, worry and conflicts can all take their toll. The emotional impact of traumatic events affects the mind body and soul. I have 17 years experience in private practice as a Licensed Clinical Social Worker to use to your benefit. You may just need a guide to help define what needs to be different in your life. I'll help you develop the skills you need to make changes for a satisfying life. I welcome the opportunity to help you resolve more deeply painful events with respect and my best skills possible.
(724) 471-4679 View (724) 471-4679

How does your Therapist compare?

Number of Therapists in Greensburg, PA

200+

Average cost per session

$100

Therapists in Greensburg, PA who prioritize treating:

97% Anxiety
95% Depression
82% Coping Skills
81% Relationship Issues
76% Trauma and PTSD
73% Grief
71% Stress

Average years in practice

11 Years

Top 3 insurances accepted

82% Aetna
80% Highmark
76% BlueCross and BlueShield

How Therapists in Greensburg, PA see their clients

91% In Person and Online
9% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Greensburg?

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.