Therapists in Hales Corners, WI

Photo of Shaun Shambeau, Pre-Licensed Professional in Hales Corners, WI
Shaun Shambeau
Pre-Licensed Professional, LPC-IT, SAC-IT
Verified
2 Endorsed
Hales Corners, WI 53130  (Online Only)
At the center of any therapy, I believe it is a collaboration between therapist and client so you will be comfortable and aware throughout your journey, without ever feeling like strings are being pulled in the background. I provide psychoeducation to clients and together we strategize realistic goals to meet each individual’s needs. I have worked with individuals and groups utilizing various treatment approaches including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Acceptance and Commitment Therapy, and Motivational Interviewing, among others. I feel a synthesis of approaches helps a broader range of concerns.
At the center of any therapy, I believe it is a collaboration between therapist and client so you will be comfortable and aware throughout your journey, without ever feeling like strings are being pulled in the background. I provide psychoeducation to clients and together we strategize realistic goals to meet each individual’s needs. I have worked with individuals and groups utilizing various treatment approaches including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Acceptance and Commitment Therapy, and Motivational Interviewing, among others. I feel a synthesis of approaches helps a broader range of concerns.
(414) 240-4459 View (414) 240-4459
Photo of Anna Slawny, Licensed Professional Counselor in Hales Corners, WI
Anna Slawny
Licensed Professional Counselor, MS, LPC
Verified
1 Endorsed
Hales Corners, WI 53130
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. I believe it shouldn’t be so hard to live a better life.
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. I believe it shouldn’t be so hard to live a better life.
(414) 404-7617 View (414) 404-7617
Photo of Mary Claire Gintoli, Pre-Licensed Professional in Hales Corners, WI
Mary Claire Gintoli
Pre-Licensed Professional, LPC-IT
Verified
Hales Corners, WI 53130
Welcome! I am a mental health therapist that is ready to work collaboratively to reach goals and insights that serve YOU! Come have a comfortable seat while we explore parts of you that make you the unique individual that you are. I pride myself on creating a safe and secure place where you can explore feelings and be empowered. Therapy is an important self care activity that can create real change and have multiple benefits.
Welcome! I am a mental health therapist that is ready to work collaboratively to reach goals and insights that serve YOU! Come have a comfortable seat while we explore parts of you that make you the unique individual that you are. I pride myself on creating a safe and secure place where you can explore feelings and be empowered. Therapy is an important self care activity that can create real change and have multiple benefits.
(414) 867-2308 View (414) 867-2308
Photo of Michael S Kotkin, Psychologist in Hales Corners, WI
Michael S Kotkin
Psychologist, PhD
Verified
Hales Corners, WI 53130
I have been a licensed psychologist in clinical practice for over 30 years in a variety of settings, most recently in private practice. I meet mostly with adults; individually, as couples for marital or relationship work, and with families, and some adolescents. I am especially interested in the treatment of chronic pain disorders, anxiety, anger and stress management issues, and assessment and treatment of sexual dysfunctions and disorders.
I have been a licensed psychologist in clinical practice for over 30 years in a variety of settings, most recently in private practice. I meet mostly with adults; individually, as couples for marital or relationship work, and with families, and some adolescents. I am especially interested in the treatment of chronic pain disorders, anxiety, anger and stress management issues, and assessment and treatment of sexual dysfunctions and disorders.
(414) 219-0167 View (414) 219-0167
Photo of Mary Louise Bell, Psychologist in Hales Corners, WI
Mary Louise Bell
Psychologist, PhD
Verified
Hales Corners, WI 53130
I am a licensed psychologist, registered nurse and certified in hypnosis. I received a doctorate in psychology from Marquette University in 1992 and Bachelor of Science Degree in nursing form the Medical College of Wisconsin in 1986. I have 30 years combined experience helping individuals with physical and emotional problems. My specialized training includes extensive experience utilizing hypnosis (200 hrs. of training) in my practice, certification in Eye Movement Desensitization Reprocessing (EMDR) at Level 11 and treatment of Posttraumatic Stress Disorder (PTSD), and area of special training and the focus of my doctoral dissertation.
I am a licensed psychologist, registered nurse and certified in hypnosis. I received a doctorate in psychology from Marquette University in 1992 and Bachelor of Science Degree in nursing form the Medical College of Wisconsin in 1986. I have 30 years combined experience helping individuals with physical and emotional problems. My specialized training includes extensive experience utilizing hypnosis (200 hrs. of training) in my practice, certification in Eye Movement Desensitization Reprocessing (EMDR) at Level 11 and treatment of Posttraumatic Stress Disorder (PTSD), and area of special training and the focus of my doctoral dissertation.
(414) 369-2919 View (414) 369-2919
Photo of Samantha Bartlett, Counselor in Hales Corners, WI
Samantha Bartlett
Counselor, MS, LPC, NCC
Verified
Hales Corners, WI 53130
My goal is to provide a space where you feel comfortable to explore your needs. I believe you enter therapy with your best tool, you. I strive to meet every individual where they are while challenging them to move forward. I am here to walk alongside you as you discover what works best for you. My approach is creative and flexible to help you express yourself in your own unique way. I have experience integrating art, play, and music interventions. Together, we will find the best course of treatment for you.
My goal is to provide a space where you feel comfortable to explore your needs. I believe you enter therapy with your best tool, you. I strive to meet every individual where they are while challenging them to move forward. I am here to walk alongside you as you discover what works best for you. My approach is creative and flexible to help you express yourself in your own unique way. I have experience integrating art, play, and music interventions. Together, we will find the best course of treatment for you.
(414) 409-9936 View (414) 409-9936
Photo of Ellie Mental Health , Licensed Professional Counselor in Hales Corners, WI
Ellie Mental Health
Licensed Professional Counselor, LPC, LCSW, SAC
Verified
Hales Corners, WI 53130
Are you tired of breaking up with therapists? Do you want a therapist you can vibe with? Us too! Ellie is a mental health clinic opening across the US and Hales Corners (Milwaukee suburb) is Ellie's first location in WI! At Ellie Mental Health, we fill the gap in mental health care through providing you with a space that breaks down social barriers, accepts everyone as they are, and has a client-therapist match system that ends those uncomfortable breakups with your therapist! Our core values are innovation, humor, creativity, authenticity, determination, acceptance, and compassion.
Are you tired of breaking up with therapists? Do you want a therapist you can vibe with? Us too! Ellie is a mental health clinic opening across the US and Hales Corners (Milwaukee suburb) is Ellie's first location in WI! At Ellie Mental Health, we fill the gap in mental health care through providing you with a space that breaks down social barriers, accepts everyone as they are, and has a client-therapist match system that ends those uncomfortable breakups with your therapist! Our core values are innovation, humor, creativity, authenticity, determination, acceptance, and compassion.
(414) 409-0206 View (414) 409-0206
Photo of Tammy Giannopoulos, Clinical Social Work/Therapist in Hales Corners, WI
Tammy Giannopoulos
Clinical Social Work/Therapist, MS, LCSW
Verified
Hales Corners, WI 53130
I believe that everyone can benefit from seeing a therapist as it is a great stress reducer and can help you achieve the most out of life. It is important to have a place to release all worries and stress without fear of being judged. I use an eclectic approach to helping others by using the best therapeutic technique based on individual needs. I am dedicated to putting my clients first and helping them live a quality life.
I believe that everyone can benefit from seeing a therapist as it is a great stress reducer and can help you achieve the most out of life. It is important to have a place to release all worries and stress without fear of being judged. I use an eclectic approach to helping others by using the best therapeutic technique based on individual needs. I am dedicated to putting my clients first and helping them live a quality life.
(414) 982-1445 View (414) 982-1445
Photo of Miranda Greenwood, Licensed Professional Counselor in Hales Corners, WI
Miranda Greenwood
Licensed Professional Counselor, LPC
Verified
Hales Corners, WI 53130
Miranda Greenwood is a Licensed Professional Counselor in Wisconsin who has been practicing since 2021. She has a Master's Degree (MS) from Marquette University. Miranda's goal is to provide a safe space for all individuals to address and process certain challenges or difficulties they are facing. With an empathetic, non-judgmental, and individualized approach, clients will be able to start/continue to make positive growth in their mental health journey. In her spare time, Miranda enjoys traveling to various countries and learning about different cultures.
Miranda Greenwood is a Licensed Professional Counselor in Wisconsin who has been practicing since 2021. She has a Master's Degree (MS) from Marquette University. Miranda's goal is to provide a safe space for all individuals to address and process certain challenges or difficulties they are facing. With an empathetic, non-judgmental, and individualized approach, clients will be able to start/continue to make positive growth in their mental health journey. In her spare time, Miranda enjoys traveling to various countries and learning about different cultures.
(262) 592-5230 View (262) 592-5230
Photo of Nolan Campbell, Licensed Professional Counselor in Hales Corners, WI
Nolan Campbell
Licensed Professional Counselor, LPC
Verified
Hales Corners, WI 53130
Nolan Campbell is a Licensed Professional Counselor in Wisconsin who has been practicing since 2021. He earned his Bachelor of Science Degree in Psychology from the University of Wisconsin Whitewater and his Master's Degree in Clinical Mental Health Counseling at the University of Wisconsin Parkside. Nolan works with individuals, couples, and families to help work toward unique therapeutic goals. He has more than 6 years of mental health experience working with a wide range of populations in residential, community-based, inpatient, school-based, and private-practice settings.
Nolan Campbell is a Licensed Professional Counselor in Wisconsin who has been practicing since 2021. He earned his Bachelor of Science Degree in Psychology from the University of Wisconsin Whitewater and his Master's Degree in Clinical Mental Health Counseling at the University of Wisconsin Parkside. Nolan works with individuals, couples, and families to help work toward unique therapeutic goals. He has more than 6 years of mental health experience working with a wide range of populations in residential, community-based, inpatient, school-based, and private-practice settings.
(262) 300-7408 View (262) 300-7408
Photo of Heidi Clement, Clinical Social Work/Therapist in Hales Corners, WI
Heidi Clement
Clinical Social Work/Therapist, LCSW
Verified
Hales Corners, WI 53130
Heidi Clement is a Licensed Clinical Social Worker in Wisconsin who has been practicing since 2017. She has a Bachelor's of Science in Psychology from Upper Iowa University and a Master of Social Work from the University of Wisconsin "“ Milwaukee. Heidi has experience working in inpatient, partial hospitalization, and intensive outpatient settings, and has worked with all ages from 4 years old to 90 years old.
Heidi Clement is a Licensed Clinical Social Worker in Wisconsin who has been practicing since 2017. She has a Bachelor's of Science in Psychology from Upper Iowa University and a Master of Social Work from the University of Wisconsin "“ Milwaukee. Heidi has experience working in inpatient, partial hospitalization, and intensive outpatient settings, and has worked with all ages from 4 years old to 90 years old.
(262) 217-2151 View (262) 217-2151
Photo of Monica Maniaci, Clinical Social Work/Therapist in Hales Corners, WI
Monica Maniaci
Clinical Social Work/Therapist, LCSW
Verified
Hales Corners, WI 53130
Monica Maniaci is a Licensed Clinical Social Worker in Wisconsin who has been practicing since 2018. She received a BFA from UW-Madison and an MSW from UW-Milwaukee. Monica enjoys providing individual and family therapy. She addresses depression, anxiety, OCD, grief, anger, ADHD, trauma, and family relational problems. Monica has special training and interest in working with trauma, providing brainspotting therapy as a helping aid. She loves to help individuals move towards healthier relationships with others and with themselves.
Monica Maniaci is a Licensed Clinical Social Worker in Wisconsin who has been practicing since 2018. She received a BFA from UW-Madison and an MSW from UW-Milwaukee. Monica enjoys providing individual and family therapy. She addresses depression, anxiety, OCD, grief, anger, ADHD, trauma, and family relational problems. Monica has special training and interest in working with trauma, providing brainspotting therapy as a helping aid. She loves to help individuals move towards healthier relationships with others and with themselves.
(262) 393-4554 View (262) 393-4554
Photo of Lisa Rafalski, Clinical Social Work/Therapist in Hales Corners, WI
Lisa Rafalski
Clinical Social Work/Therapist, LPC
Verified
Hales Corners, WI 53130
Lee Rafalski is a Licensed Professional Counselor in Wisconsin who has been practicing since 2020. Lee's goal is to help willing clients learn how to take control back from their disorder, so that they can be the ones to lead their lives. In their spare time, Lee enjoys painting, reading, and playing video games most. But they are also an avid learner, so they take as many opportunities to try new activities and learn new things!.
Lee Rafalski is a Licensed Professional Counselor in Wisconsin who has been practicing since 2020. Lee's goal is to help willing clients learn how to take control back from their disorder, so that they can be the ones to lead their lives. In their spare time, Lee enjoys painting, reading, and playing video games most. But they are also an avid learner, so they take as many opportunities to try new activities and learn new things!.
(262) 300-7602 View (262) 300-7602
Photo of Christine Hansburg-Hotson, Clinical Social Work/Therapist in Hales Corners, WI
Christine Hansburg-Hotson
Clinical Social Work/Therapist, LCSW, CSAC, CEAP, ICSE
Verified
Hales Corners, WI 53130
Accepting New Patients. Christine is a Licensed Clinical Social Worker, specializing in drug and alcohol treatment. She is an empathetic listener whose style of therapy is focused on being open and frank with a realistic approach. Her goal is to help people feel competent and positive about their lives; or make realistic changes to get to where they wish to be.
Accepting New Patients. Christine is a Licensed Clinical Social Worker, specializing in drug and alcohol treatment. She is an empathetic listener whose style of therapy is focused on being open and frank with a realistic approach. Her goal is to help people feel competent and positive about their lives; or make realistic changes to get to where they wish to be.
(414) 626-1675 View (414) 626-1675
Photo of Kathleen Collins, Counselor in Hales Corners, WI
Kathleen Collins
Counselor, MS, LPC-IT
Verified
1 Endorsed
Hales Corners, WI 53130
If you are reading this, you have already taken the first steps to investing in yourself and your future. Whether you’re experiencing anxiety, depression, life’s general stresses, feeling “down,” or you want support to meet personalized goals, you do not have to do it alone. Together, we can set realistic goals and strategies using evidence-based psychotherapy techniques to ensure a personalized path to success.
If you are reading this, you have already taken the first steps to investing in yourself and your future. Whether you’re experiencing anxiety, depression, life’s general stresses, feeling “down,” or you want support to meet personalized goals, you do not have to do it alone. Together, we can set realistic goals and strategies using evidence-based psychotherapy techniques to ensure a personalized path to success.
(262) 261-8136 View (262) 261-8136
Photo of Modern Wellness - Counseling Solutions, Licensed Professional Counselor in Hales Corners, WI
Modern Wellness - Counseling Solutions
Licensed Professional Counselor, LPC
Verified
1 Endorsed
Hales Corners, WI 53130  (Online Only)
On the outside, it looks like you have it all together, but deep down you're filled with stress and anxiety. Are you trying to juggle everything, with little motivation and/or progress? It is a scary feeling that leaves you feeling overwhelmed, anxious, alone and stuck. Together we can work through life challenges, whether it involves current issues that interfere with daily life or past events that keep coming up. My goal is to open your mind, expand your thoughts on what is possible, to offer you a vision for your future, to enhance your current skills to create healthier ones. This is YOUR journey... Take charge today!
On the outside, it looks like you have it all together, but deep down you're filled with stress and anxiety. Are you trying to juggle everything, with little motivation and/or progress? It is a scary feeling that leaves you feeling overwhelmed, anxious, alone and stuck. Together we can work through life challenges, whether it involves current issues that interfere with daily life or past events that keep coming up. My goal is to open your mind, expand your thoughts on what is possible, to offer you a vision for your future, to enhance your current skills to create healthier ones. This is YOUR journey... Take charge today!
(414) 441-6006 View (414) 441-6006

More Therapists Nearby

Photo of Beth Harms, Licensed Professional Counselor in Hales Corners, WI
Beth Harms
Licensed Professional Counselor, MA, LPC, NCC, SAC-IT
Verified
Milwaukee, WI 53228
Not accepting new clients
Individuals who may feel stuck in life, who wrestle with depression, anxiety, past trauma, and other mental health needs, are looking for relief, for hope, and for a new way of doing things. People want to feel heard and valued, they want to know that they matter and that their experiences are real. We all have an innate desire "to know and be known."
Individuals who may feel stuck in life, who wrestle with depression, anxiety, past trauma, and other mental health needs, are looking for relief, for hope, and for a new way of doing things. People want to feel heard and valued, they want to know that they matter and that their experiences are real. We all have an innate desire "to know and be known."
(262) 228-2603 View (262) 228-2603
Photo of Elizabeth Stetter, Licensed Professional Counselor in Hales Corners, WI
Elizabeth Stetter
Licensed Professional Counselor, LPC
Verified
Greenfield, WI 53220
I believe each person has their own journey in life and I am here to support my clients through that journey. I work with my clients to find out what is most helpful for them to make their journey better for them. I use a person-centered/humanistic approach in therapy where the client takes the lead and building the therapeutic relationship is key. I am a Licensed Professional Counselor and a Nationally Certified Counselor with over 15 years of experience working with adolescents and adults with anxiety, depression, adjustment issues, life transitions, stress, LGBTQIA+ areas, and individual relationship and family issues.
I believe each person has their own journey in life and I am here to support my clients through that journey. I work with my clients to find out what is most helpful for them to make their journey better for them. I use a person-centered/humanistic approach in therapy where the client takes the lead and building the therapeutic relationship is key. I am a Licensed Professional Counselor and a Nationally Certified Counselor with over 15 years of experience working with adolescents and adults with anxiety, depression, adjustment issues, life transitions, stress, LGBTQIA+ areas, and individual relationship and family issues.
(414) 667-6795 View (414) 667-6795
Photo of April D. Smith, Marriage & Family Therapist in Hales Corners, WI
April D. Smith
Marriage & Family Therapist, LMFT-IT
Verified
1 Endorsed
Greenfield, WI 53220
Struggling with your child's depression or anxiety? Does your teen or pre-teen have intense moments of crisis? Are they having thoughts of harming themselves? If you are looking for answers or just feel lost in what to do next, let's do this together. Finding your way back to your child does not have to be done alone.Let me help you navigate your adolescent's world. Together we can rebuild trust and communication with your child.
Struggling with your child's depression or anxiety? Does your teen or pre-teen have intense moments of crisis? Are they having thoughts of harming themselves? If you are looking for answers or just feel lost in what to do next, let's do this together. Finding your way back to your child does not have to be done alone.Let me help you navigate your adolescent's world. Together we can rebuild trust and communication with your child.
(262) 393-4449 View (262) 393-4449
Photo of Abigail Cohn, Clinical Social Work/Therapist in Hales Corners, WI
Abigail Cohn
Clinical Social Work/Therapist, LCSW
Verified
Greenfield, WI 53220
Abigail Cohn is a Licensed Clinical Social Worker in Wisconsin who has been practicing since 2014. She holds a Bachelor's Degree in Theater from Macalester College and a Master's Degree in Social Work from the University of Wisconsin-Milwaukee. Abigail offers a relaxed and non-judgmental approach. She aims to create a collaborative environment to enable clients to develop their own goals and experiment with making important changes. Abigail has experience working with children, adolescents, adults, and families.
Abigail Cohn is a Licensed Clinical Social Worker in Wisconsin who has been practicing since 2014. She holds a Bachelor's Degree in Theater from Macalester College and a Master's Degree in Social Work from the University of Wisconsin-Milwaukee. Abigail offers a relaxed and non-judgmental approach. She aims to create a collaborative environment to enable clients to develop their own goals and experiment with making important changes. Abigail has experience working with children, adolescents, adults, and families.
(414) 251-2210 View (414) 251-2210

See more therapy options for Hales Corners

How does your Therapist compare?

Number of Therapists in Hales Corners, WI

10+

Average cost per session

$145

Therapists in Hales Corners, WI who prioritize treating:

100% Depression
88% Anxiety
69% Grief
69% Trauma and PTSD
63% Relationship Issues
50% ADHD
50% Self Esteem

Average years in practice

3 Years

Top 3 insurances accepted

93% Aetna
71% Cigna and Evernorth
64% UnitedHealthcare UHC | UBH

How Therapists in Hales Corners, WI see their clients

88% In Person and Online
12% Online Only

Gender breakdown

72% Female
21% Male
7% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Hales Corners?

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.