Therapists in Kingsessing, Philadelphia, PA

Photo of Luke R White, MS
Luke R White
Verified Verified
1 Endorsed
Kingsessing, Philadelphia, PA 19143
The goal of therapy is to develop a connected relationship with an empathic professional that helps alleviate any issues that the client wants to work on. A client should expect a respectful and creative environment in which they can safely explore their needs and wants. Some people believe that they are not worthy of help or are ashamed of what seeking help means about themselves. Therapy is there for anyone who wants to use it, from people who just need a boost through a troubled time to people seeking long term work examining patterns and habits that interfere with their hope and happiness.
The goal of therapy is to develop a connected relationship with an empathic professional that helps alleviate any issues that the client wants to work on. A client should expect a respectful and creative environment in which they can safely explore their needs and wants. Some people believe that they are not worthy of help or are ashamed of what seeking help means about themselves. Therapy is there for anyone who wants to use it, from people who just need a boost through a troubled time to people seeking long term work examining patterns and habits that interfere with their hope and happiness.
(215) 598-6262 View (215) 598-6262
Photo of Ooreeel Flowers-Chandler, Pre-Licensed Professional, MA
Ooreeel Flowers-Chandler
Pre-Licensed Professional, MA
Kingsessing, Philadelphia, PA 19143
Beginning to address our mental health takes a lot of bravery, strength, and courage to take that first step. It is not easy to ask for help, especially when we are not used to doing so. Many of us, especially from marginalized communities, face additional challenges that make navigating through life a balancing act. Whether it be due to stigma surrounding mental health, prior negative experiences, lack of access, or fear of trying something new, I want to welcome you and join you in taking that next step in your journey.
Beginning to address our mental health takes a lot of bravery, strength, and courage to take that first step. It is not easy to ask for help, especially when we are not used to doing so. Many of us, especially from marginalized communities, face additional challenges that make navigating through life a balancing act. Whether it be due to stigma surrounding mental health, prior negative experiences, lack of access, or fear of trying something new, I want to welcome you and join you in taking that next step in your journey.
(215) 650-8303 View (215) 650-8303
Photo of Shesheena A. Bray - Going Inward Wellness, LLC, Licensed Professional Counselor, MSEd, LCC, LPC
Going Inward Wellness, LLC
Licensed Professional Counselor, MSEd, LCC, LPC
Kingsessing, Philadelphia, PA 19143
The most rewarding journey is inward. Through Going Inward Wellness, LLC, I offer people the opportunity to take off their cool in a safe space. Together, we peel back their labels, roles, addictions, and past hurts. Utilizing "old technology," I work with clients to understand and manage stress, depression, anxiety, and sexual violence; process life transitions, address trauma, and process existential questions. In addition, I support clients grieving from all forms of loss. I specialize in working with people of African descent (Black/African American/Caribbean/African) and others of the global majority.
The most rewarding journey is inward. Through Going Inward Wellness, LLC, I offer people the opportunity to take off their cool in a safe space. Together, we peel back their labels, roles, addictions, and past hurts. Utilizing "old technology," I work with clients to understand and manage stress, depression, anxiety, and sexual violence; process life transitions, address trauma, and process existential questions. In addition, I support clients grieving from all forms of loss. I specialize in working with people of African descent (Black/African American/Caribbean/African) and others of the global majority.
(215) 607-2459 View (215) 607-2459
Photo of Julia Markovitz, Marriage & Family Therapist, LMFT
Julia Markovitz
Marriage & Family Therapist, LMFT
2 Endorsed
Kingsessing, Philadelphia, PA 19143
I have wanted to be a therapist since I was a teenager and I still can’t imagine doing anything else. It is such a great privilege to hear your life stories. I think it takes a lot of bravery to walk into my office and share your inner thoughts and feelings with me, especially if you haven’t experienced a lot of empathic listening in your life. As a fellow frequenter of the couch myself, I know how hard it can be! And also, how deeply meaningful. Through my own journey of healing from trauma and witnessing profound transformations in my clients, I bring more than just clinical tools to the therapeutic process.
I have wanted to be a therapist since I was a teenager and I still can’t imagine doing anything else. It is such a great privilege to hear your life stories. I think it takes a lot of bravery to walk into my office and share your inner thoughts and feelings with me, especially if you haven’t experienced a lot of empathic listening in your life. As a fellow frequenter of the couch myself, I know how hard it can be! And also, how deeply meaningful. Through my own journey of healing from trauma and witnessing profound transformations in my clients, I bring more than just clinical tools to the therapeutic process.
(215) 618-9572 View (215) 618-9572
Photo of Yin Hu, Licensed Professional Counselor, MA, LPC
Yin Hu
Licensed Professional Counselor, MA, LPC
Kingsessing, Philadelphia, PA 19143
Are you chronically stressed and anxious, always worried about what other people think of you? It feels good when you get the validation you want from others, but the good feelings are fleeting. It isn't long before you find yourself filled with anxiety and self-doubt again. This pattern may show up only in certain situations, or it may show up everywhere- at work, in your relationships, in your parenting... Perhaps you are ready to consider what change might look like.
Are you chronically stressed and anxious, always worried about what other people think of you? It feels good when you get the validation you want from others, but the good feelings are fleeting. It isn't long before you find yourself filled with anxiety and self-doubt again. This pattern may show up only in certain situations, or it may show up everywhere- at work, in your relationships, in your parenting... Perhaps you are ready to consider what change might look like.
(267) 536-4614 View (267) 536-4614
Photo of Hakneil Hairston, Pre-Licensed Professional, MEd
Hakneil Hairston
Pre-Licensed Professional, MEd
Kingsessing, Philadelphia, PA 19143
Are you feeling disconnected from yourself or weighed down by past experiences? Life’s challenges can sometimes leave us feeling overwhelmed and unsure of how to move forward. If you're seeking a safe, compassionate space to begin healing, I’m here for you. Together, we can explore what’s keeping you from living with more ease, presence, and confidence. You deserve to feel heard, seen, and understood, and I am committed to creating that space for you.
Are you feeling disconnected from yourself or weighed down by past experiences? Life’s challenges can sometimes leave us feeling overwhelmed and unsure of how to move forward. If you're seeking a safe, compassionate space to begin healing, I’m here for you. Together, we can explore what’s keeping you from living with more ease, presence, and confidence. You deserve to feel heard, seen, and understood, and I am committed to creating that space for you.
(215) 876-0528 View (215) 876-0528
Photo of Sappho Reynan Fulton, MA, MSW
Sappho Reynan Fulton
Verified Verified
Kingsessing, Philadelphia, PA 19143
To imagine an ideal client, I’d imagine someone that is open and willing to take an honest look at themselves; have a willingness to commit to building a safe space to heal and someone that can work remotely. They want someone who brings good energy to the space and they want to feel valued and heard.
To imagine an ideal client, I’d imagine someone that is open and willing to take an honest look at themselves; have a willingness to commit to building a safe space to heal and someone that can work remotely. They want someone who brings good energy to the space and they want to feel valued and heard.
(267) 223-0082 View (267) 223-0082
Photo of Chris Moore, Clinical Social Work/Therapist, LCSW
Chris Moore
Clinical Social Work/Therapist, LCSW
1 Endorsed
Kingsessing, Philadelphia, PA 19143
Being a human is difficult. Life is stressful and overwhelming. Things just don’t seem to make sense. And sometimes it feels like it’s your fault for not being able to keep up with it. You try and put effort in, but the same patterns keep repeating and you find yourself again demoralized, hurt, and confused. Why can’t you get it right? The good news is that there’s nothing wrong with you. These are normal reactions to the way things are. In the therapy room, we can slow things down to be with the stress and overwhelm, the hurt and confusion. We can bring compassion and validation to the tender areas that need healing and rest.
Being a human is difficult. Life is stressful and overwhelming. Things just don’t seem to make sense. And sometimes it feels like it’s your fault for not being able to keep up with it. You try and put effort in, but the same patterns keep repeating and you find yourself again demoralized, hurt, and confused. Why can’t you get it right? The good news is that there’s nothing wrong with you. These are normal reactions to the way things are. In the therapy room, we can slow things down to be with the stress and overwhelm, the hurt and confusion. We can bring compassion and validation to the tender areas that need healing and rest.
(267) 477-7451 View (267) 477-7451
Photo of Dr. Gwen White - Circle Counseling, Psychologist, Dir, PsyD, LP
Circle Counseling
Psychologist, Dir, PsyD, LP
1 Endorsed
Kingsessing, Philadelphia, PA 19143
Hi everyone. I'm Gwen White, Director for Circle Counseling. When you call our number you will be talking to me. I will help you to make a connection with a therapist best suited for you. We have been serving Philadelphia for 27 years. If you go to our website, you can get a look at our partners and learn more about us.
Hi everyone. I'm Gwen White, Director for Circle Counseling. When you call our number you will be talking to me. I will help you to make a connection with a therapist best suited for you. We have been serving Philadelphia for 27 years. If you go to our website, you can get a look at our partners and learn more about us.
(215) 770-3875 View (215) 770-3875
Photo of Michael Gerkovich, Licensed Professional Counselor, ATR-BC, LPC, MPS
Michael Gerkovich
Licensed Professional Counselor, ATR-BC, LPC, MPS
1 Endorsed
Kingsessing, Philadelphia, PA 19143
Living in our world can often feel dark and demoralizing as we’re exposed to forces that present daunting challenges to integral aspects of who we are. My therapeutic approach is rooted in systems thinking, addressing the interconnected dynamics of one’s inner world, the family system, interpersonal relationships, societal structures, and nature itself. “All that you touch you change. All that you change changes you. The only lasting truth is change.” Octavia Butler.
Living in our world can often feel dark and demoralizing as we’re exposed to forces that present daunting challenges to integral aspects of who we are. My therapeutic approach is rooted in systems thinking, addressing the interconnected dynamics of one’s inner world, the family system, interpersonal relationships, societal structures, and nature itself. “All that you touch you change. All that you change changes you. The only lasting truth is change.” Octavia Butler.
(504) 788-2286 View (504) 788-2286
Photo of Rochelle Grady, Marriage & Family Therapist, DA, LMFT
Rochelle Grady
Marriage & Family Therapist, DA, LMFT
Kingsessing, Philadelphia, PA 19143
Does it seem like you're stuck repeating the same patterns over and over? Are you working hard to manage negative thoughts and painful emotions? Whether these struggles are related to current circumstances or rooted in trauma and other past issues, I can help. I work with individuals and couples to process painful experiences, change limiting thought patterns and faulty beliefs, better manage emotions, and repair relationships. I believe therapy changes lives. It allows people to peel back the layers of their difficult experiences to gain understanding, change and grow, and embrace the future with greater joy and hope.
Does it seem like you're stuck repeating the same patterns over and over? Are you working hard to manage negative thoughts and painful emotions? Whether these struggles are related to current circumstances or rooted in trauma and other past issues, I can help. I work with individuals and couples to process painful experiences, change limiting thought patterns and faulty beliefs, better manage emotions, and repair relationships. I believe therapy changes lives. It allows people to peel back the layers of their difficult experiences to gain understanding, change and grow, and embrace the future with greater joy and hope.
(215) 607-6140 View (215) 607-6140
Photo of Ian Halim, MD, PhD
Ian Halim
Verified Verified
1 Endorsed
Serves Area
Hello! I’m a Harvard-trained, board-certified general adult psychiatrist, based in Pittsburgh. The focus of my practice is psychotherapy. I see adults with with anxiety, depression, panic disorder, insomnia, and with most common mental health problems. I'm available for telehealth visits throughout Pennsylvania, or for in-person visits at my office in Shadyside / East Liberty (in-person visits are currently on Wednesdays). I've written about the behavioral (non-medication-based) treatment for insomnia for Slate magazine: cognitive behavioral therapy for insomnia (CBT-I). And I've also taught trainee physicians about this treatment.
Hello! I’m a Harvard-trained, board-certified general adult psychiatrist, based in Pittsburgh. The focus of my practice is psychotherapy. I see adults with with anxiety, depression, panic disorder, insomnia, and with most common mental health problems. I'm available for telehealth visits throughout Pennsylvania, or for in-person visits at my office in Shadyside / East Liberty (in-person visits are currently on Wednesdays). I've written about the behavioral (non-medication-based) treatment for insomnia for Slate magazine: cognitive behavioral therapy for insomnia (CBT-I). And I've also taught trainee physicians about this treatment.
(412) 850-2974 View (412) 850-2974
Photo of Paige Malnofsky, Licensed Professional Counselor, LPC, MS, CCTP, CSTS, NCC
Paige Malnofsky
Licensed Professional Counselor, LPC, MS, CCTP, CSTS, NCC
1 Endorsed
Serves Area
Healing from trauma is a journey that does not have to define who you are. It’s important to recognize that while trauma can shape experiences, it does not determine your identity or future. Embracing the healing process allows you to reclaim your life and move forward with strength and resilience. Counseling can be a transformative journey, especially for those dealing with present or past events that are currently shaping their life in a negative way. It often requires dedication and hard work, but the rewards can lead to significant life changes.
Healing from trauma is a journey that does not have to define who you are. It’s important to recognize that while trauma can shape experiences, it does not determine your identity or future. Embracing the healing process allows you to reclaim your life and move forward with strength and resilience. Counseling can be a transformative journey, especially for those dealing with present or past events that are currently shaping their life in a negative way. It often requires dedication and hard work, but the rewards can lead to significant life changes.
(412) 419-3421 View (412) 419-3421
Photo of Elizabeth R. Weisman, Clinical Social Work/Therapist, LSW
Elizabeth R. Weisman
Clinical Social Work/Therapist, LSW
2 Endorsed
Serves Area
THE ONLY WAY OUT IS THROUGH (Robert Frost)... It is human to suffer and it is human to face challenges. When the suffering becomes too great, and the challenges too large, good therapy can play a key role in bringing about change. If you decide to work with me, I would consider it an honor to become part of your journey towards increased health and well-being. When you come to therapy, you will be treated with respect. I bring many years of experience as a therapist, providing both brief evidence-based interventions and long term psychodynamic approach. I will work carefully with you to define and achieve your personal goals.
THE ONLY WAY OUT IS THROUGH (Robert Frost)... It is human to suffer and it is human to face challenges. When the suffering becomes too great, and the challenges too large, good therapy can play a key role in bringing about change. If you decide to work with me, I would consider it an honor to become part of your journey towards increased health and well-being. When you come to therapy, you will be treated with respect. I bring many years of experience as a therapist, providing both brief evidence-based interventions and long term psychodynamic approach. I will work carefully with you to define and achieve your personal goals.
(267) 202-4386 View (267) 202-4386
Photo of Kathleen Scheppe, Marriage & Family Therapist, LMFT, ATR
Kathleen Scheppe
Marriage & Family Therapist, LMFT, ATR
2 Endorsed
Serves Area
I am a white, queer, art therapist and family and relationship therapist. I primarily work with neurodivergent, creative, and chronically ill folks who are interested in recognizing their place within systems, both interpersonal and oppressive, in order to be intentional in their conflict, communication, and care. I use artmaking, body awareness, internal dialogues, and critical evaluation of systems and interactions to support clients in self-understanding and relationship change.
I am a white, queer, art therapist and family and relationship therapist. I primarily work with neurodivergent, creative, and chronically ill folks who are interested in recognizing their place within systems, both interpersonal and oppressive, in order to be intentional in their conflict, communication, and care. I use artmaking, body awareness, internal dialogues, and critical evaluation of systems and interactions to support clients in self-understanding and relationship change.
(267) 848-9169 View (267) 848-9169
Photo of Krista Smith-Hanke, Clinical Social Work/Therapist, LSW
Krista Smith-Hanke
Clinical Social Work/Therapist, LSW
11 Endorsed
Serves Area
Therapy is a space for us to work together in exploration, growth, and play. I value curiosity and building a trusting & collaborative relationship between therapist and client where you are treated as the expert of your own experience! I strive to support people through identifying the ways trauma manifests in their lives, the impact of relationships and systems on their identities, and the connections between past and present. I have experience working with children, adolescents and young adults around issues of identity, life transitions, trauma, anxiety, gender and sexuality, body image and relationship challenges.
Therapy is a space for us to work together in exploration, growth, and play. I value curiosity and building a trusting & collaborative relationship between therapist and client where you are treated as the expert of your own experience! I strive to support people through identifying the ways trauma manifests in their lives, the impact of relationships and systems on their identities, and the connections between past and present. I have experience working with children, adolescents and young adults around issues of identity, life transitions, trauma, anxiety, gender and sexuality, body image and relationship challenges.
(267) 494-0592 View (267) 494-0592
Photo of Simona Antonia Duque, Clinical Social Work/Therapist, LMSW
Simona Antonia Duque
Clinical Social Work/Therapist, LMSW
4 Endorsed
Serves Area
I’m a queer, nonbinary, Colombian-American therapist licensed in NY, NJ, PA, FL & VT. I believe in the power of the therapeutic alliance, aiming to create a warm, compassionate, & affirming container. My therapeutic approach is trauma-informed, collaborative, & holistic. My background in community herbalism, nightlife, contemplative practice, & creative expression offers a wealth of experiential knowledge that shapes my integrative approach as a therapist.
I’m a queer, nonbinary, Colombian-American therapist licensed in NY, NJ, PA, FL & VT. I believe in the power of the therapeutic alliance, aiming to create a warm, compassionate, & affirming container. My therapeutic approach is trauma-informed, collaborative, & holistic. My background in community herbalism, nightlife, contemplative practice, & creative expression offers a wealth of experiential knowledge that shapes my integrative approach as a therapist.
(929) 239-3559 View (929) 239-3559
Photo of Nicole Johnson, Clinical Social Work/Therapist, LCSW
Nicole Johnson
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
I’m Nicole Johnson, a licensed clinical social worker who provides trauma-informed care. I received my Bachelor of Social Work from East Carolina University and my Masters of Social Work from the University of Louisville. I have experience working with clients of all ages. In particular, I have experience dealing with the foster care system, childhood trauma, and correctional backgrounds.
I’m Nicole Johnson, a licensed clinical social worker who provides trauma-informed care. I received my Bachelor of Social Work from East Carolina University and my Masters of Social Work from the University of Louisville. I have experience working with clients of all ages. In particular, I have experience dealing with the foster care system, childhood trauma, and correctional backgrounds.
(610) 500-3354 View (610) 500-3354
Photo of Daya Deuskar, Clinical Social Work/Therapist, BMus, MSS, LSW
Daya Deuskar
Clinical Social Work/Therapist, BMus, MSS, LSW
4 Endorsed
Serves Area
Some of us hold onto "the hurt" for years and years until it becomes so faint— so normalized— we lose the ability to fully remember what life unburdened by "the hurt" can feel like. As a trauma therapist, my goal is to help you regain autonomy, awareness, and understanding over your life, your relationships, and your path forward. Each and every part of you has played a role in helping you survive "the world as it is." My goal is to help you discover the slice of "the world as it should be," mobilizing you towards finding healing community, chosen family, or space where you can flourish— where hypervigilance and fear melt away.
Some of us hold onto "the hurt" for years and years until it becomes so faint— so normalized— we lose the ability to fully remember what life unburdened by "the hurt" can feel like. As a trauma therapist, my goal is to help you regain autonomy, awareness, and understanding over your life, your relationships, and your path forward. Each and every part of you has played a role in helping you survive "the world as it is." My goal is to help you discover the slice of "the world as it should be," mobilizing you towards finding healing community, chosen family, or space where you can flourish— where hypervigilance and fear melt away.
(267) 651-8656 View (267) 651-8656
Photo of Hayley Peterson, Licensed Professional Counselor, MA, LPC, BC-TMH
Hayley Peterson
Licensed Professional Counselor, MA, LPC, BC-TMH
1 Endorsed
Serves Area
I believe that for counseling to be effective, you and I must collaborate on creating and achieving your counseling goals and assessing your progress. It is hoped that through counseling you will be able to gain insight into your issues, develop coping skills and resources, and a more positive outlook on life and its daily activities. Every individual is different. Therefore, the approach that I take with your concerns is based on the information you provide along with my assessment during our first session.
I believe that for counseling to be effective, you and I must collaborate on creating and achieving your counseling goals and assessing your progress. It is hoped that through counseling you will be able to gain insight into your issues, develop coping skills and resources, and a more positive outlook on life and its daily activities. Every individual is different. Therefore, the approach that I take with your concerns is based on the information you provide along with my assessment during our first session.
(724) 200-8590 View (724) 200-8590

How does your Therapist compare?

Number of Therapists in Kingsessing, Philadelphia, PA

100+

Average cost per session

$145

Therapists in Kingsessing, Philadelphia, PA who prioritize treating:

93% Anxiety
87% Depression
76% Relationship Issues
76% Trauma and PTSD
69% Self Esteem
69% Life Transitions
59% Grief

Average years in practice

10 Years

Top 3 insurances accepted

86% Aetna
57% Highmark
56% Cigna and Evernorth

How Therapists in Kingsessing, Philadelphia, PA see their clients

51% In Person and Online
49% Online Only

Gender breakdown

68% Female
19% Non-Binary
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Kingsessing, Philadelphia?

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.