Photo of Liv McNulty, LAPC, Pre-Licensed Professional
Liv McNulty
Pre-Licensed Professional, LAPC
Verified Verified
Pittsburgh, PA 15219
As someone who is also neurodivergent, I help my clients learn how neurodiversity shows up for them in their spaces. I also support clients with their adoptee journey in whatever that means for them. I often work with clients who are trying to make sense and navigate their complex experiences as an adoptee. Sometimes, this looks like helping clients learn to be authentically themselves even when their childhood/environment require(d) them to assimilate. My work also extends to members of the LGBTQIA+ community in providing validating/ affirming care. I am interested in helping you find your voice even in the discomfort of others.
As someone who is also neurodivergent, I help my clients learn how neurodiversity shows up for them in their spaces. I also support clients with their adoptee journey in whatever that means for them. I often work with clients who are trying to make sense and navigate their complex experiences as an adoptee. Sometimes, this looks like helping clients learn to be authentically themselves even when their childhood/environment require(d) them to assimilate. My work also extends to members of the LGBTQIA+ community in providing validating/ affirming care. I am interested in helping you find your voice even in the discomfort of others.
View
Photo of Kalem Wright, LCSW, Clinical Social Work/Therapist
Kalem Wright
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15219  (Online Only)
Hi, I'm Kalem. I'm a Licensed Clinical Social Worker (LCSW) in Pennsylvania and see clients virtually throughout the state. I work with neurodivergent individuals and families navigating anxious thoughts, low mood or energy, and understanding relationships as they relate to neurodiverse and neurotypical processing styles. As your therapist, my ultimate goal is to create a space where you can do the work for healing and growth.
Hi, I'm Kalem. I'm a Licensed Clinical Social Worker (LCSW) in Pennsylvania and see clients virtually throughout the state. I work with neurodivergent individuals and families navigating anxious thoughts, low mood or energy, and understanding relationships as they relate to neurodiverse and neurotypical processing styles. As your therapist, my ultimate goal is to create a space where you can do the work for healing and growth.
(412) 660-6100 View (412) 660-6100
Photo of Dr. Cydney V. Quinn, PhD, NCSP
Dr. Cydney V. Quinn
PhD, NCSP
Verified Verified
1 Endorsed
Pittsburgh, PA 15219
Dr. Cydney V. Quinn, PhD, NCSP who conducts neuropsychological, psychological, academic, and independent educational evaluations. Dr. Quinn has over 10 years of experience in the field supporting clients with concerns related to ADHD, learning disabilities, autism spectrum disorder (ASD), mood disorders (e.g., bipolar, depression, anxiety), behavioral disorders (e.g., conduct, ODD, DMDD), personality disorders (e.g., BPD), trauma, and other diagnoses such as memory concerns, eating disorders, and OCD. She works with the individuals who are between 2 years and 65 years old
Dr. Cydney V. Quinn, PhD, NCSP who conducts neuropsychological, psychological, academic, and independent educational evaluations. Dr. Quinn has over 10 years of experience in the field supporting clients with concerns related to ADHD, learning disabilities, autism spectrum disorder (ASD), mood disorders (e.g., bipolar, depression, anxiety), behavioral disorders (e.g., conduct, ODD, DMDD), personality disorders (e.g., BPD), trauma, and other diagnoses such as memory concerns, eating disorders, and OCD. She works with the individuals who are between 2 years and 65 years old
(412) 447-5306 View (412) 447-5306
Photo of Gwen F Melnick, LCSW, LICSW, Clinical Social Work/Therapist
Gwen F Melnick
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Pittsburgh, PA 15219
Would you like to feel less overwhelmed, anxious, sad, fearful, depressed or unsure of yourself? Are you going through a life transition, dealing with chronic illness, or are unproductive behaviors holding you back? Perhaps you’re unhappy at work/school, experiencing grief/loss, uncertain about your professional goals, or dissatisfied with your relationships. Life issues may seem insurmountable. Once you begin therapy with me, we'll work collaboratively to increase your self-understanding & insight. I'll help you identify & effectuate necessary life changes (step by step), embrace self acceptance, or move toward a little of both.
Would you like to feel less overwhelmed, anxious, sad, fearful, depressed or unsure of yourself? Are you going through a life transition, dealing with chronic illness, or are unproductive behaviors holding you back? Perhaps you’re unhappy at work/school, experiencing grief/loss, uncertain about your professional goals, or dissatisfied with your relationships. Life issues may seem insurmountable. Once you begin therapy with me, we'll work collaboratively to increase your self-understanding & insight. I'll help you identify & effectuate necessary life changes (step by step), embrace self acceptance, or move toward a little of both.
(412) 356-9859 View (412) 356-9859
Photo of Valerie Stout - DiVine Guidance VS LLC, MS, LPC, Licensed Professional Counselor
DiVine Guidance VS LLC
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Pittsburgh, PA 15219
Are you struggling with feelings of hopelessness & stagnation? Does Communication with your children seem strained? Tired of feeling lost/ worried about the future? Do you feel you've tried every approach known to man to feel better? Each of us have been there at some point in our lives, so don't feel alone. The past three years of coping with the pandemic has only increased those feelings of worry and hopelessness. Through out our time together you will learn to identify the root of anxious thoughts and depressive mood and learn to take back control of your life and find internal peace and joy. Your journey begins now!
Are you struggling with feelings of hopelessness & stagnation? Does Communication with your children seem strained? Tired of feeling lost/ worried about the future? Do you feel you've tried every approach known to man to feel better? Each of us have been there at some point in our lives, so don't feel alone. The past three years of coping with the pandemic has only increased those feelings of worry and hopelessness. Through out our time together you will learn to identify the root of anxious thoughts and depressive mood and learn to take back control of your life and find internal peace and joy. Your journey begins now!
(724) 390-6359 View (724) 390-6359
Photo of Brooke N. Generett, MSW, LCSW, Clinical Social Work/Therapist
Brooke N. Generett
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Pittsburgh, PA 15219
Brooke Generett, a licensed clinical social worker, founded Generett Counseling Services, LLC in 2012. She equips her clients with essential life skills for problem-solving in challenging environments. Her approach for improving mental health highlights her clients' strengths, helps them identify barriers to their personal successes, and tailors wellness strategies to their needs that produce positive outcomes. Brooke received her bachelor's degree in psychology from Hampton University and her Master of Social Work, with an emphasis in mental health, from the University of Pittsburgh.
Brooke Generett, a licensed clinical social worker, founded Generett Counseling Services, LLC in 2012. She equips her clients with essential life skills for problem-solving in challenging environments. Her approach for improving mental health highlights her clients' strengths, helps them identify barriers to their personal successes, and tailors wellness strategies to their needs that produce positive outcomes. Brooke received her bachelor's degree in psychology from Hampton University and her Master of Social Work, with an emphasis in mental health, from the University of Pittsburgh.
View
Photo of Dakota Forrest - Aurora Health Services, MA, Pre-Licensed Professional
Aurora Health Services
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Pittsburgh, PA 15219  (Online Only)
Now Accepting New Clients of all ages with Immediate Openings with No Wait Lists! Aurora Health Services is a wellness organization serving All of Pennsylvania and Florida, providing client-specific counseling services. Aurora also offers additional specialized programs to support the unique needs of one's evolving day-to-day life. We have 16 therapists specializing in a broad spectrum of modalities.
Now Accepting New Clients of all ages with Immediate Openings with No Wait Lists! Aurora Health Services is a wellness organization serving All of Pennsylvania and Florida, providing client-specific counseling services. Aurora also offers additional specialized programs to support the unique needs of one's evolving day-to-day life. We have 16 therapists specializing in a broad spectrum of modalities.
(724) 585-8456 View (724) 585-8456
Photo of Daniela García Zubieta, LCSW, Clinical Social Work/Therapist
Daniela García Zubieta
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15219
Waitlist for new clients
Hello! I'm glad you're here. Over the last decade, I have worked with folks from various backgrounds and have found that most everyone can benefit from a safe, warm space to explore and process inner aspects of themselves. Coming from a stance of curiosity rather than judgment, I guide my clients to finding meaning and truth they already had within themselves. If I seem like a good fit for you, I look forward to witnessing your process and bringing compassion and support to your journey.
Hello! I'm glad you're here. Over the last decade, I have worked with folks from various backgrounds and have found that most everyone can benefit from a safe, warm space to explore and process inner aspects of themselves. Coming from a stance of curiosity rather than judgment, I guide my clients to finding meaning and truth they already had within themselves. If I seem like a good fit for you, I look forward to witnessing your process and bringing compassion and support to your journey.
(412) 293-0489 View (412) 293-0489
Photo of Dr. Taylor Day, PhD, Psychologist
Dr. Taylor Day
Psychologist, PhD
Verified Verified
1 Endorsed
Pittsburgh, PA 15219  (Online Only)
Did you know autism can be diagnosed in children as young as 14 months of age? So often parents are told to "wait and see" despite having concerns about their child's development. As a child psychologist, I have expertise in the early diagnosis and intervention of autism. I have over a decade of experience conducting gold-standard evaluations for autism and research to advance knowledge about early autism signs with over 25 peer-reviewed publications/book chapters. I offer both diagnosis and intervention services for families of young children via telehealth throughout the country (select states). Contact me for a FREE consult!
Did you know autism can be diagnosed in children as young as 14 months of age? So often parents are told to "wait and see" despite having concerns about their child's development. As a child psychologist, I have expertise in the early diagnosis and intervention of autism. I have over a decade of experience conducting gold-standard evaluations for autism and research to advance knowledge about early autism signs with over 25 peer-reviewed publications/book chapters. I offer both diagnosis and intervention services for families of young children via telehealth throughout the country (select states). Contact me for a FREE consult!
(412) 837-0965 View (412) 837-0965
Photo of Cheryl Lewis, LAPC, Pre-Licensed Professional
Cheryl Lewis
Pre-Licensed Professional, LAPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15219
I want to help you become the version of yourself you want to see. Sometimes we all need assistance or guidance to reach the next chapter in life. I would like to help you achieve and thrive in that next chapter. I have experiencing supporting individuals and couples navigating through life transitions. Teens and young adults who are facing anxiety and depression. I also support athletes and non-sport performers with overcoming mental health challenges and mental blocks they are facing. I offer a personalized approach to help you overcome barriers you are facing and regain control of your life.
I want to help you become the version of yourself you want to see. Sometimes we all need assistance or guidance to reach the next chapter in life. I would like to help you achieve and thrive in that next chapter. I have experiencing supporting individuals and couples navigating through life transitions. Teens and young adults who are facing anxiety and depression. I also support athletes and non-sport performers with overcoming mental health challenges and mental blocks they are facing. I offer a personalized approach to help you overcome barriers you are facing and regain control of your life.
(724) 604-5608 View (724) 604-5608
Photo of Brittany Littlejohn Maxshure - Littlejohn Counseling & Consulting, LLC, MSW, MPH, LCSW, Clinical Social Work/Therapist
Littlejohn Counseling & Consulting, LLC
Clinical Social Work/Therapist, MSW, MPH, LCSW
Verified Verified
Pittsburgh, PA 15219
Brittany Littlejohn Maxshure is a Licensed Clinical Social Worker in the state of Pennsylvania. She's spent much of her career working with individuals with chronic health conditions. Her experience with and understanding of the concerns and stressors of individuals among this population has equipped her with a unique skillset. She has an overall focus on supporting clients as they navigate through life’s transitions and challenges; whether it be in their personal or professional lives. Brittany strongly believes that everyone has the ability to reach their full potential and she has a desire to assist them in achieving their goals.
Brittany Littlejohn Maxshure is a Licensed Clinical Social Worker in the state of Pennsylvania. She's spent much of her career working with individuals with chronic health conditions. Her experience with and understanding of the concerns and stressors of individuals among this population has equipped her with a unique skillset. She has an overall focus on supporting clients as they navigate through life’s transitions and challenges; whether it be in their personal or professional lives. Brittany strongly believes that everyone has the ability to reach their full potential and she has a desire to assist them in achieving their goals.
(412) 407-8630 View (412) 407-8630
Photo of Alexander Aronson, LPCA, Counselor
Alexander Aronson
Counselor, LPCA
Verified Verified
Pittsburgh, PA 15219  (Online Only)
Alexander Aronson, LPCA is a licensed therapist in Kentucky specializing in providing psychoanalysis, as well as psycho-dynamic psychotherapy. If you’re unfamiliar with these terms, don’t worry–psychoanalysis is often called “the talking cure”, and, if we work together, speaking freely, openly, and honestly about your struggles is precisely what you’ll be invited to do in the company of a non-judgmental, attentive, and curious listener who can help you to understand and experience yourself and your problems in new and laboratory ways.
Alexander Aronson, LPCA is a licensed therapist in Kentucky specializing in providing psychoanalysis, as well as psycho-dynamic psychotherapy. If you’re unfamiliar with these terms, don’t worry–psychoanalysis is often called “the talking cure”, and, if we work together, speaking freely, openly, and honestly about your struggles is precisely what you’ll be invited to do in the company of a non-judgmental, attentive, and curious listener who can help you to understand and experience yourself and your problems in new and laboratory ways.
(412) 567-4076 View (412) 567-4076
Photo of Shannon Edwards - Edwards and Associates, PsyD
Edwards and Associates
PsyD
Verified Verified
1 Endorsed
Pittsburgh, PA 15219
Dr. Edwards is a Clinical Forensic Psychologist. She serves the greater Pittsburgh area, as well as across the Commonwealth. Dr. Edwards is unique as her academic training in Forensic Psychology involved both law and psychology specialty coursework. All associates have extensive forensic and clinical experience working with juveniles, adults, and families.
Dr. Edwards is a Clinical Forensic Psychologist. She serves the greater Pittsburgh area, as well as across the Commonwealth. Dr. Edwards is unique as her academic training in Forensic Psychology involved both law and psychology specialty coursework. All associates have extensive forensic and clinical experience working with juveniles, adults, and families.
View
Photo of Brian Tessmer - The Counseling Center at Family Resources, Licensed Professional Counselor
The Counseling Center at Family Resources
Licensed Professional Counselor
Verified Verified
Pittsburgh, PA 15219
The Counseling Center at Family Resources provides compassionate and professional outpatient counseling to anyone seeking support for life's many challenges. Our team of licensed professional counselors, clinical social workers, marriage and family therapists, and psychiatrists are ready to help you work through issues such as trauma, stress, anxiety, depression, family/partner conflict, anger, and grief. We serve clients of nearly all ages and backgrounds.
The Counseling Center at Family Resources provides compassionate and professional outpatient counseling to anyone seeking support for life's many challenges. Our team of licensed professional counselors, clinical social workers, marriage and family therapists, and psychiatrists are ready to help you work through issues such as trauma, stress, anxiety, depression, family/partner conflict, anger, and grief. We serve clients of nearly all ages and backgrounds.
(412) 312-4047 x4 View (412) 312-4047 x4
Photo of Leese Hartman, MA, EMDR, CCTP, Pre-Licensed Professional
Leese Hartman
Pre-Licensed Professional, MA, EMDR, CCTP
Verified Verified
Pittsburgh, PA 15219
If you've experienced trauma, if you are looking for relief from physical symptoms of stress and anxiety, or if you feel unseen or unheard in this world, I'd be honored to support you. I help my clients explore their life stories, the complexity of their relationships, and the implications of living in our current societal structure.
If you've experienced trauma, if you are looking for relief from physical symptoms of stress and anxiety, or if you feel unseen or unheard in this world, I'd be honored to support you. I help my clients explore their life stories, the complexity of their relationships, and the implications of living in our current societal structure.
(412) 516-2684 View (412) 516-2684
Photo of Jennifer Leah Pizzuto, MSCP, LPC, Licensed Professional Counselor
Jennifer Leah Pizzuto
Licensed Professional Counselor, MSCP, LPC
Verified Verified
Pittsburgh, PA 15219
You're busy. You're pulled in a million different directions and you have a million more responsibilities. Sometimes you have someone to share this with, and sometimes not. Sometimes you feel lost under all of the pressure to "be better." I'm here to help. Let's peel away the layers of stress, grief, trauma, and pressure to reveal the very best version of you. Let's take journey of self-discovery together. I'm here to listen, support, and help.
You're busy. You're pulled in a million different directions and you have a million more responsibilities. Sometimes you have someone to share this with, and sometimes not. Sometimes you feel lost under all of the pressure to "be better." I'm here to help. Let's peel away the layers of stress, grief, trauma, and pressure to reveal the very best version of you. Let's take journey of self-discovery together. I'm here to listen, support, and help.
(412) 561-9758 View (412) 561-9758
Photo of Virginia Wendt, MSCP, LPC, Licensed Professional Counselor
Virginia Wendt
Licensed Professional Counselor, MSCP, LPC
Verified Verified
Pittsburgh, PA 15219
Not accepting new clients
Hello! I'm a Licensed Professional Counselor with over 10 years of experience working in community mental health, including over seven years as a psychotherapist. I believe that when we're able to live as authentically, honestly, and purposefully as we can, we feel more satisfaction, connection, and peace. I believe that awareness, curiosity, and self-compassion are powerful and necessary tools for growth, and that how we make meaning - of our lives, relationships, and the world - is deeply connected to our ability to live a fulfilling life.
Hello! I'm a Licensed Professional Counselor with over 10 years of experience working in community mental health, including over seven years as a psychotherapist. I believe that when we're able to live as authentically, honestly, and purposefully as we can, we feel more satisfaction, connection, and peace. I believe that awareness, curiosity, and self-compassion are powerful and necessary tools for growth, and that how we make meaning - of our lives, relationships, and the world - is deeply connected to our ability to live a fulfilling life.
(412) 660-6100 View (412) 660-6100
Photo of Julian Katz - Kindbridge Behavioral Health, LPC, Counselor
Kindbridge Behavioral Health
Counselor, LPC
Verified Verified
Pittsburgh, PA 15219  (Online Only)
Experience working in multiple settings, including private practice and community healthcare. I look to help clients struggling with gambling addiction, drug and alcohol addiction, and other mental health disorders.
Experience working in multiple settings, including private practice and community healthcare. I look to help clients struggling with gambling addiction, drug and alcohol addiction, and other mental health disorders.
(702) 766-9125 View (702) 766-9125
Photo of Tracy Jeanette Stone, LPC, MA, NCC, Licensed Professional Counselor
Tracy Jeanette Stone
Licensed Professional Counselor, LPC, MA, NCC
Verified Verified
1 Endorsed
Pittsburgh, PA 15219  (Online Only)
I respect the courage and strength it takes to seek out help during those times when life becomes too much to deal with on your own. People seek therapy for many different reasons. Whatever the reason, it should be a life enhancing experience. I have assisted many individuals and couples in addressing a variety of issues such as depression, anxiety, anger management, low self-esteem issues, communication skills, and grief and loss. I strive to create a safe, welcoming and non-judgemental environment where clients can process their thoughts, worries, and feelings.
I respect the courage and strength it takes to seek out help during those times when life becomes too much to deal with on your own. People seek therapy for many different reasons. Whatever the reason, it should be a life enhancing experience. I have assisted many individuals and couples in addressing a variety of issues such as depression, anxiety, anger management, low self-esteem issues, communication skills, and grief and loss. I strive to create a safe, welcoming and non-judgemental environment where clients can process their thoughts, worries, and feelings.
(878) 205-2098 View (878) 205-2098
Photo of Jacqueline Musser, Clinical Social Work/Therapist
Jacqueline Musser
Clinical Social Work/Therapist
Verified Verified
Pittsburgh, PA 15219
Not accepting new clients
The human experience is both exceptional and at times incredibly challenging. As a therapist, I am committed to providing a safe space for you to process, explore, and overcome. Through our therapeutic journey we can work towards healing and growth, inner peace, and increased coping abilities to manage the rollercoasters presented in daily life.
The human experience is both exceptional and at times incredibly challenging. As a therapist, I am committed to providing a safe space for you to process, explore, and overcome. Through our therapeutic journey we can work towards healing and growth, inner peace, and increased coping abilities to manage the rollercoasters presented in daily life.
(412) 318-8795 View (412) 318-8795
1

See more therapy options for 15219

How does your Therapist compare?

Number of Therapists in 15219

90+

Average cost per session

$125

Therapists in 15219 who prioritize treating:

93% Anxiety
85% Depression
73% Stress
72% Relationship Issues
71% Trauma and PTSD
71% Life Transitions
70% Grief

Average years in practice

11 Years

Top 3 insurances accepted

83% Highmark
73% Aetna
71% UnitedHealthcare UHC | UBH

How Therapists in 15219 see their clients

73% In Person and Online
27% Online Only

Gender breakdown

81% Female
16% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 15219?

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.