Therapists in Teaneck, NJ

Photo of Abby U. Maitland, Clinical Social Work/Therapist in Teaneck, NJ
Abby U. Maitland
Clinical Social Work/Therapist, MSW, LCSW, LISW-S
Verified Verified
Teaneck, NJ 07666
Accepting limited number of new clients in NY, NJ and Ohio. I will provide professional expertise in a warm and personal manner in order to maximize your experience and make the most of your investment in our time together. I will tailor my approach to suit your need, not the other way around. If you are considering services for your child, be assured I have extensive experience with children of all ages, including youth resistant to therapy and/or court involved. I am the only Clinician in the greater NYC area certified in NMT by Neurosequential Network. Text if preferred. 740.501.7362.
Accepting limited number of new clients in NY, NJ and Ohio. I will provide professional expertise in a warm and personal manner in order to maximize your experience and make the most of your investment in our time together. I will tailor my approach to suit your need, not the other way around. If you are considering services for your child, be assured I have extensive experience with children of all ages, including youth resistant to therapy and/or court involved. I am the only Clinician in the greater NYC area certified in NMT by Neurosequential Network. Text if preferred. 740.501.7362.
(740) 501-7362 View (740) 501-7362
Photo of Racquel Houpt, Clinical Social Work/Therapist in Teaneck, NJ
Racquel Houpt
Clinical Social Work/Therapist, LCSW
Verified Verified
Teaneck, NJ 07666
My ideal client is willing to pick up the phone and make the call for help. After that, the partnership begins! Envision yourself actively working with me to establish goals that are clearly defined and measurable. See yourself becoming more focused and relaxed during each session. Learn tools to improve stress management and repair complicated relationships. Feel more comfortable in your own skin and take active steps toward living your best life.
My ideal client is willing to pick up the phone and make the call for help. After that, the partnership begins! Envision yourself actively working with me to establish goals that are clearly defined and measurable. See yourself becoming more focused and relaxed during each session. Learn tools to improve stress management and repair complicated relationships. Feel more comfortable in your own skin and take active steps toward living your best life.
(551) 212-3798 View (551) 212-3798
Photo of Chinwe Idigo, Psychologist in Teaneck, NJ
Chinwe Idigo
Psychologist, PhD
Verified Verified
1 Endorsed
Teaneck, NJ 07666
My approach to treatment is collaborative; I believe people are experts on themselves, and my role is to create a healing space that allows you to develop the tools needed to cultivate adequate coping resources. I emphasize building healthy relationships with the self, and others as a path to wellness. My style strikes a balance between providing empathy, and warmth when needed, and accountability and structure when appropriate. I am also committed to treating the whole person, and incorporate social context, and power dynamics into my conceptualization, and interventions. I look forward to our work together.
My approach to treatment is collaborative; I believe people are experts on themselves, and my role is to create a healing space that allows you to develop the tools needed to cultivate adequate coping resources. I emphasize building healthy relationships with the self, and others as a path to wellness. My style strikes a balance between providing empathy, and warmth when needed, and accountability and structure when appropriate. I am also committed to treating the whole person, and incorporate social context, and power dynamics into my conceptualization, and interventions. I look forward to our work together.
(201) 989-0446 View (201) 989-0446
Photo of Eva Lazar, Psychologist in Teaneck, NJ
Eva Lazar
Psychologist, PhD
Verified Verified
Teaneck, NJ 07666
At The Lazar Center, compassion, experience, and individual attention nurtures emotional growth. I offer a variety of psychological and educational services, including cognitive behavioral therapy (CBT), play therapy, social skills groups, consultation, and assessment in a warm and inviting setting. I am a NJ and NY Licensed Psychologist with over 20 years of experience in the education and mental health fields. I am a respected clinician and expert in child and adolescent therapy, providing evidence-based psychotherapy to individuals and families.
At The Lazar Center, compassion, experience, and individual attention nurtures emotional growth. I offer a variety of psychological and educational services, including cognitive behavioral therapy (CBT), play therapy, social skills groups, consultation, and assessment in a warm and inviting setting. I am a NJ and NY Licensed Psychologist with over 20 years of experience in the education and mental health fields. I am a respected clinician and expert in child and adolescent therapy, providing evidence-based psychotherapy to individuals and families.
(201) 590-4177 View (201) 590-4177
Photo of Linda Voogd, Drug & Alcohol Counselor in Teaneck, NJ
Linda Voogd
Drug & Alcohol Counselor, MA, LCADC
Verified Verified
Teaneck, NJ 07666
I am a licensed therapist and certified Life Coach. I am a compassionate counselor who supports each person I work with as they journey on their road to self discovery. I use a holistic approach utilizing mindfulness, relaxation and visualization. I stress self awareness and finding balance in one's life as key factors to mental health. The mind is a very powerful tool with the ability to transform our lives. I have worked extensively with a variety of mental and emotional disorders including anxiety, depression and trauma. I have 25 years experience working with individuals affected by chemical addiction.
I am a licensed therapist and certified Life Coach. I am a compassionate counselor who supports each person I work with as they journey on their road to self discovery. I use a holistic approach utilizing mindfulness, relaxation and visualization. I stress self awareness and finding balance in one's life as key factors to mental health. The mind is a very powerful tool with the ability to transform our lives. I have worked extensively with a variety of mental and emotional disorders including anxiety, depression and trauma. I have 25 years experience working with individuals affected by chemical addiction.
(551) 226-7805 View (551) 226-7805
Photo of Barbara C Hollman, Clinical Social Work/Therapist in Teaneck, NJ
Barbara C Hollman
Clinical Social Work/Therapist, LCSW
Verified Verified
Teaneck, NJ 07666
Talking to someone can really help. It's hard to take the first step...As a psychotherapist in private practice for 25 years, I believe everyone has a desire to grow and be healthy. I am committed to working with clients in a confidential & effective manner, one that is solution focused and respectful of underlying values & choices. My clients describe me as warm, authentic, & empathic. I am a NJ and NY licensed clinical social worker. I received a certificate of Psychoanalysis from Manhattan Institute of Psychoanalysis after completing a 5 year advanced course of study. I have specialized training in marriage & relationships, overeating, & parenting issues.
Talking to someone can really help. It's hard to take the first step...As a psychotherapist in private practice for 25 years, I believe everyone has a desire to grow and be healthy. I am committed to working with clients in a confidential & effective manner, one that is solution focused and respectful of underlying values & choices. My clients describe me as warm, authentic, & empathic. I am a NJ and NY licensed clinical social worker. I received a certificate of Psychoanalysis from Manhattan Institute of Psychoanalysis after completing a 5 year advanced course of study. I have specialized training in marriage & relationships, overeating, & parenting issues.
(201) 875-3124 View (201) 875-3124
Photo of David Solomon Gruskin, Clinical Social Work/Therapist in Teaneck, NJ
David Solomon Gruskin
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Teaneck, NJ 07666  (Online Only)
I can start explaining a little about myself.  How I like to work.  The last years, I've been working with a mixture of individuals using primarily psychodynamic, psychoanalytic, and CBT techniques.  I like to work with a small number of patients often over a period of time. So no quick fixes here. And if, after this initial session, you decide to move forward, we should aim to meet at this time and this location each and every week. The purpose, or the aim, is to create a time and a space which is entirely yours, week on week.
I can start explaining a little about myself.  How I like to work.  The last years, I've been working with a mixture of individuals using primarily psychodynamic, psychoanalytic, and CBT techniques.  I like to work with a small number of patients often over a period of time. So no quick fixes here. And if, after this initial session, you decide to move forward, we should aim to meet at this time and this location each and every week. The purpose, or the aim, is to create a time and a space which is entirely yours, week on week.
View
Photo of Susan Lazar, Clinical Social Work/Therapist in Teaneck, NJ
Susan Lazar
Clinical Social Work/Therapist, LCSW
Verified Verified
Teaneck, NJ 07666
I believe therapy works because of the relationship between the therapist and the patient. When there is an environment of mutual trust, you, as the patient, can feel free to talk about things that you may not have not been able to talk about before. When that begins to happen, there is an immediate sense of relief. As therapy continues and you start to feel less anxious and depressed, you can begin to make positive changes in your life.
I believe therapy works because of the relationship between the therapist and the patient. When there is an environment of mutual trust, you, as the patient, can feel free to talk about things that you may not have not been able to talk about before. When that begins to happen, there is an immediate sense of relief. As therapy continues and you start to feel less anxious and depressed, you can begin to make positive changes in your life.
(201) 724-6999 View (201) 724-6999
Photo of M. Elizabeth Langell, Psychologist in Teaneck, NJ
M. Elizabeth Langell
Psychologist, PhD
Verified Verified
Teaneck, NJ 07666
I am Liz Langell, Ph. D., a psychologist with postdoctoral training in clinical psychology and neuropsychology from New York City's Beth Israel Medical Center. My training has been thorough, with exposure to many theories and styles of treatment. Years of teaching and supervising doctoral students have expanded my knowledge base. The most important factor influencing how I work with individuals, however, involves what they personally want to accomplish in therapy. I mainly determine this through collaborative discussion: I view psychotherapy as a partnership, and I am relatively active and open.
I am Liz Langell, Ph. D., a psychologist with postdoctoral training in clinical psychology and neuropsychology from New York City's Beth Israel Medical Center. My training has been thorough, with exposure to many theories and styles of treatment. Years of teaching and supervising doctoral students have expanded my knowledge base. The most important factor influencing how I work with individuals, however, involves what they personally want to accomplish in therapy. I mainly determine this through collaborative discussion: I view psychotherapy as a partnership, and I am relatively active and open.
(201) 688-7196 View (201) 688-7196
Photo of Dalia Lightman, Psychologist in Teaneck, NJ
Dalia Lightman
Psychologist, PsyD
Verified Verified
6 Endorsed
Teaneck, NJ 07666  (Online Only)
Not accepting new clients
As life continues to be challenging and stressful, you often wonder if it is possible to feel better. You may feel like you have tried everything or this may be your first time reaching out. You can feel better. Life doesn't have to be so painful. Imagine what it will be like to discover yourself and find new ways to manage your stressors and struggles. In my practice, issues of interpersonal distress will be discussed in a relaxed and nurturing manner in order to help you find the answers that will lead you to a more fulfilling life. Ultimately, the relationship that we build will be based on listening, empathy and understanding.
As life continues to be challenging and stressful, you often wonder if it is possible to feel better. You may feel like you have tried everything or this may be your first time reaching out. You can feel better. Life doesn't have to be so painful. Imagine what it will be like to discover yourself and find new ways to manage your stressors and struggles. In my practice, issues of interpersonal distress will be discussed in a relaxed and nurturing manner in order to help you find the answers that will lead you to a more fulfilling life. Ultimately, the relationship that we build will be based on listening, empathy and understanding.
(201) 730-4093 View (201) 730-4093
Photo of Rania M, Clinical Social Work/Therapist in Teaneck, NJ
Rania M
Clinical Social Work/Therapist, LCSW
Verified Verified
Teaneck, NJ 07666  (Online Only)
Finding the right therapist is a difficult task, but hopefully I can make it a bit easier. I offer a free 15 minute consultation, during which you can ask me any questions you may have and we can decide if working together will be beneficial. Our initial sessions will be a time we build the foundation to ultimately what your goals are and we track your progress along the way.
Finding the right therapist is a difficult task, but hopefully I can make it a bit easier. I offer a free 15 minute consultation, during which you can ask me any questions you may have and we can decide if working together will be beneficial. Our initial sessions will be a time we build the foundation to ultimately what your goals are and we track your progress along the way.
(856) 485-4276 View (856) 485-4276
Photo of Mars & Venus Counseling Center, Clinical Social Work/Therapist in Teaneck, NJ
Mars & Venus Counseling Center
Clinical Social Work/Therapist, LCSW, DCSW, CPC
Verified Verified
Teaneck, NJ 07666
Tele-counseling available - TEANECK, Ramsey, ORADELL, Ridgewood, DENVILLE, Manhattan: Adult counseling - Couples counseling - Relationship counseling - Premarital counseling - Marriage counseling - Family counseling - Child counseling - Teen counseling - ADHD - Addiction counseling - Grief & bereavement - Pet loss therapy - Stress and anxiety - Depression - Low self-esteem - Perfectionism - Worry - Indecision - Procrastination - Phobias - Assertiveness issues - Panic - Life Coaching / Weekends available / Spanish-speaking / Most insurances welcomed / Professional and compassionate full-service counseling for over 35 years.
Tele-counseling available - TEANECK, Ramsey, ORADELL, Ridgewood, DENVILLE, Manhattan: Adult counseling - Couples counseling - Relationship counseling - Premarital counseling - Marriage counseling - Family counseling - Child counseling - Teen counseling - ADHD - Addiction counseling - Grief & bereavement - Pet loss therapy - Stress and anxiety - Depression - Low self-esteem - Perfectionism - Worry - Indecision - Procrastination - Phobias - Assertiveness issues - Panic - Life Coaching / Weekends available / Spanish-speaking / Most insurances welcomed / Professional and compassionate full-service counseling for over 35 years.
(201) 283-8187 View (201) 283-8187
Photo of Shani Barber, Clinical Social Work/Therapist in Teaneck, NJ
Shani Barber
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Teaneck, NJ 07666  (Online Only)
We sometimes feel isolated or alone when dealing with life's challenges. Whether feeling overwhelmed, frustrated by certain relationships in our lives, or trying to cope with a particularly challenging situation, I will help to create a safe, nurturing and non-judgmental environment to discuss these issues. Together we will explore your feelings, attitudes and perceptions towards these challenges and work to empower you to overcome these obstacles and live an emotionally healthy life.
We sometimes feel isolated or alone when dealing with life's challenges. Whether feeling overwhelmed, frustrated by certain relationships in our lives, or trying to cope with a particularly challenging situation, I will help to create a safe, nurturing and non-judgmental environment to discuss these issues. Together we will explore your feelings, attitudes and perceptions towards these challenges and work to empower you to overcome these obstacles and live an emotionally healthy life.
(973) 828-0515 View (973) 828-0515
Photo of Elizabeth A. Rundquist, Art Therapist in Teaneck, NJ
Elizabeth A. Rundquist
Art Therapist, MA, ATR-BC, ATCS
Verified Verified
Teaneck, NJ 07666  (Online Only)
Waitlist for new clients
I welcome the chance to work with you. I provide a safe emotional space, where you can very gradually talk about some of your worries.I imagine you might find it hard to trust a stranger, you may be wondering how talking, or drawing can make a difference in your life. I will listen to you. Life presents challenges, you may need help in doing the work of not repeating old, destructive patterns. Together we will embark on a creative journey towards health,growth, healing and lessening of fears that hold you back from experiencing joy in your daily life.
I welcome the chance to work with you. I provide a safe emotional space, where you can very gradually talk about some of your worries.I imagine you might find it hard to trust a stranger, you may be wondering how talking, or drawing can make a difference in your life. I will listen to you. Life presents challenges, you may need help in doing the work of not repeating old, destructive patterns. Together we will embark on a creative journey towards health,growth, healing and lessening of fears that hold you back from experiencing joy in your daily life.
(201) 304-7896 View (201) 304-7896
Photo of Sarah A Guttmann in Teaneck, NJ
Sarah A Guttmann
LSW, Coach
Verified Verified
Teaneck, NJ 07666
S. Guttmann, Private Practice is a Life Coaching and Counseling practice situated in Bergen County, NJ. With nearly 20 years of experience in the field, I have been working privately with clients for the past three years. I hold a social work license in the state of New Jersey and believe that my background in therapy and counseling greatly contributes to my approach. My private practice is registered as a Life Coaching Business, allowing me to work with individuals from any state. While I am unable to accept insurance, I work closely with families to accommodate their financial needs through the use of a sliding scale.
S. Guttmann, Private Practice is a Life Coaching and Counseling practice situated in Bergen County, NJ. With nearly 20 years of experience in the field, I have been working privately with clients for the past three years. I hold a social work license in the state of New Jersey and believe that my background in therapy and counseling greatly contributes to my approach. My private practice is registered as a Life Coaching Business, allowing me to work with individuals from any state. While I am unable to accept insurance, I work closely with families to accommodate their financial needs through the use of a sliding scale.
(201) 855-3406 View (201) 855-3406
Photo of Michael Bleicher, Clinical Social Work/Therapist in Teaneck, NJ
Michael Bleicher
Clinical Social Work/Therapist, LCSW
Verified Verified
Teaneck, NJ 07666
Courage, resilience, and strength are some of the traits you've developed while navigating through life. But infertility, reproductive loss, and postpartum anxiety and depression can make it feel like you’re unequipped for this chapter. As a therapist who specializes in sensitively supporting individuals throughout the fertility journey, I welcome you to my office where you can comfortably regain your footing. By tailoring your treatment to meet your individual goals, you can move through this challenge, emerging stronger than ever.
Courage, resilience, and strength are some of the traits you've developed while navigating through life. But infertility, reproductive loss, and postpartum anxiety and depression can make it feel like you’re unequipped for this chapter. As a therapist who specializes in sensitively supporting individuals throughout the fertility journey, I welcome you to my office where you can comfortably regain your footing. By tailoring your treatment to meet your individual goals, you can move through this challenge, emerging stronger than ever.
(201) 371-4420 View (201) 371-4420
Photo of OCD Associates, Licensed Professional Counselor in Teaneck, NJ
OCD Associates
Licensed Professional Counselor, LPC
Verified Verified
Teaneck, NJ 07666  (Online Only)
We specialize in Rumination-Focused ERP for OCD and anxiety disorders. This approach focuses on treating compulsive rumination, and provides a highly systematic yet gentler approach to exposure therapy. RF-ERP can be helpful to patients who have not made significant progress in other types of treatment, including individuals with Pure O or Sensorimotor OCD.
We specialize in Rumination-Focused ERP for OCD and anxiety disorders. This approach focuses on treating compulsive rumination, and provides a highly systematic yet gentler approach to exposure therapy. RF-ERP can be helpful to patients who have not made significant progress in other types of treatment, including individuals with Pure O or Sensorimotor OCD.
(201) 720-3828 View (201) 720-3828
Photo of Joon Eui Lee, Licensed Professional Counselor in Teaneck, NJ
Joon Eui Lee
Licensed Professional Counselor, LPC, NCC, MS, MPA
Verified Verified
Teaneck, NJ 07666
I am a Korean and English speaking Licensed Professional Counselor with more than 20 years of experience in the field of mental health, relationship and parenting children. In my practice I work with individuals, couples, and families.
I am a Korean and English speaking Licensed Professional Counselor with more than 20 years of experience in the field of mental health, relationship and parenting children. In my practice I work with individuals, couples, and families.
(201) 425-0889 View (201) 425-0889
Photo of Sarah Bateman, Clinical Social Work/Therapist in Teaneck, NJ
Sarah Bateman
Clinical Social Work/Therapist, LCSW
Verified Verified
Teaneck, NJ 07666
My goal is to help anyone who's struggling realize that it doesn't have to be so hard. I help build healthy coping skills and break the cycle of behavior patterns that aren't working, and learn to manage feelings and emotions so that they are not overwhelming. I specialize in Eating Disorders as well as depression and anxiety. I believe that we can work together to change, build better relationships and help you feel more connected and happy in your life.
My goal is to help anyone who's struggling realize that it doesn't have to be so hard. I help build healthy coping skills and break the cycle of behavior patterns that aren't working, and learn to manage feelings and emotions so that they are not overwhelming. I specialize in Eating Disorders as well as depression and anxiety. I believe that we can work together to change, build better relationships and help you feel more connected and happy in your life.
(917) 746-8748 View (917) 746-8748
Photo of Regina Mezheritsky, Clinical Social Work/Therapist in Teaneck, NJ
Regina Mezheritsky
Clinical Social Work/Therapist, LCSW, PsyA
Verified Verified
3 Endorsed
Teaneck, NJ 07666
Seeking therapy can feel intimidating and daunting, but once established it can be enlightening and rewarding. I am a licensed clinical social worker with advanced clinical training in psychodynamic psychotherapy. My aim is to provide a safe space to share yourself openly, even in moments that may be challenging or call for reflection on difficult experiences.
Seeking therapy can feel intimidating and daunting, but once established it can be enlightening and rewarding. I am a licensed clinical social worker with advanced clinical training in psychodynamic psychotherapy. My aim is to provide a safe space to share yourself openly, even in moments that may be challenging or call for reflection on difficult experiences.
(201) 817-6232 View (201) 817-6232

How does your Therapist compare?

Number of Therapists in Teaneck, NJ

200+

Average cost per session

$175

Therapists in Teaneck, NJ who prioritize treating:

92% Anxiety
89% Depression
79% Relationship Issues
75% Self Esteem
65% Coping Skills
62% Grief
61% Trauma and PTSD

Average years in practice

15 Years

Top 3 insurances accepted

70% Aetna
51% Cigna and Evernorth
49% UnitedHealthcare UHC | UBH

How Therapists in Teaneck, NJ see their clients

78% In Person and Online
22% Online Only

Gender breakdown

71% Female
29% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Teaneck?

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.