Therapists in Groton, MA

Photo of Cameron Hewitt, LICSW, Clinical Social Work/Therapist
Cameron Hewitt
Clinical Social Work/Therapist, LICSW
Verified Verified
Groton, MA 01450  (Online Only)
My treatment approach is solution focused and based on the development of a strong therapeutic relationship. I specialize in helping clients chart the patterns in their lives and working together to translate insight into the tangible change that allows you to live the life you want. I have an extensive background in individual counseling, crisis treatment, education, child protection, and school counseling. I have been a practicing clinical social worker since 2013 as well as an adjunct faculty member at Mt. Wachusett Community College.
My treatment approach is solution focused and based on the development of a strong therapeutic relationship. I specialize in helping clients chart the patterns in their lives and working together to translate insight into the tangible change that allows you to live the life you want. I have an extensive background in individual counseling, crisis treatment, education, child protection, and school counseling. I have been a practicing clinical social worker since 2013 as well as an adjunct faculty member at Mt. Wachusett Community College.
(351) 277-3660 View (351) 277-3660
Photo of Cynthia A Petelle, MS, LMHC, Counselor
Cynthia A Petelle
Counselor, MS, LMHC
Verified Verified
2 Endorsed
Groton, MA 01450
Seeking help is not always easy: figuring out what to say, how to say it and if the therapist will understand are amongst just some of the beginnings. Building a good treatment relationship is something that I enjoy with adults, couples and teens. I have more than 20yrs experience in a variety of settings including group practice, private high schools, emergency rooms and insurance companies reviewing care with medical professionals. I can help you as an adult with anxiety, mood issues and overall stressors with work or life. We can figure out prospectives, increase coping options and resolve past unresolved issues, etc.
Seeking help is not always easy: figuring out what to say, how to say it and if the therapist will understand are amongst just some of the beginnings. Building a good treatment relationship is something that I enjoy with adults, couples and teens. I have more than 20yrs experience in a variety of settings including group practice, private high schools, emergency rooms and insurance companies reviewing care with medical professionals. I can help you as an adult with anxiety, mood issues and overall stressors with work or life. We can figure out prospectives, increase coping options and resolve past unresolved issues, etc.
(978) 310-0644 View (978) 310-0644
Photo of Ellison Rugg, MA, LMHC, Counselor
Ellison Rugg
Counselor, MA, LMHC
Verified Verified
Groton, MA 01450
There's nothing wrong with you. No, really—I know you struggle, and life can feel so hard sometimes. Maybe it feels like you'll never fit in, or you can't meet the expectations placed on you. Maybe it feels impossible to live the kind of life you want as your authentic self. But this world was not designed for you. Whether you're a neurodivergent or disabled human trying to make do in a one-size-fits-all world or your identities do not fit neatly into societal norms, let's work together to figure out what it means to adapt to the world we have, and to create small spaces that are a perfect fit for you.
There's nothing wrong with you. No, really—I know you struggle, and life can feel so hard sometimes. Maybe it feels like you'll never fit in, or you can't meet the expectations placed on you. Maybe it feels impossible to live the kind of life you want as your authentic self. But this world was not designed for you. Whether you're a neurodivergent or disabled human trying to make do in a one-size-fits-all world or your identities do not fit neatly into societal norms, let's work together to figure out what it means to adapt to the world we have, and to create small spaces that are a perfect fit for you.
(978) 915-7070 View (978) 915-7070
Photo of Abigail Breese-Young, LICSW, Clinical Social Work/Therapist
Abigail Breese-Young
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Groton, MA 01450
Welcome to our Breese Community Counseling! www.breesecs.com Whether you're struggling with anxiety, depression, relationship issues, or simply seeking personal growth, we offer a range of therapeutic approaches tailored to meet your unique needs. During our session we might work through past experiences that have shaped your current situation, current stressors that are affecting your day-to-day or managing the changes that come through transitioning into older adulthood.
Welcome to our Breese Community Counseling! www.breesecs.com Whether you're struggling with anxiety, depression, relationship issues, or simply seeking personal growth, we offer a range of therapeutic approaches tailored to meet your unique needs. During our session we might work through past experiences that have shaped your current situation, current stressors that are affecting your day-to-day or managing the changes that come through transitioning into older adulthood.
(978) 440-3420 View (978) 440-3420
Photo of Linda Maguire, MSW, LICSW, Clinical Social Work/Therapist
Linda Maguire
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Groton, MA 01450
Not accepting new clients
I am a Licensed Independent Clinical Social Worker, focused on assisting individuals and families to navigate the unexpected challenges of life. At one time or another, we all find ourselves trying to cope with unforeseen problems or circumstances that feel too hard or complex to manage alone. “This is not what I planned!” Today you are making an important decision to reach out for assistance to cope with the life stressors you are currently experiencing. Areas of particular interest: coping with life transitions, anxiety, depression, loss, substance use or recovery for individuals / families, and challenges of military families.
I am a Licensed Independent Clinical Social Worker, focused on assisting individuals and families to navigate the unexpected challenges of life. At one time or another, we all find ourselves trying to cope with unforeseen problems or circumstances that feel too hard or complex to manage alone. “This is not what I planned!” Today you are making an important decision to reach out for assistance to cope with the life stressors you are currently experiencing. Areas of particular interest: coping with life transitions, anxiety, depression, loss, substance use or recovery for individuals / families, and challenges of military families.
(978) 845-1408 View (978) 845-1408
Photo of Margo J Vangeli, LICSW, Clinical Social Work/Therapist
Margo J Vangeli
Clinical Social Work/Therapist, LICSW
Verified Verified
Groton, MA 01450
Prefer working with women of all ages who are undergoing life transitions and seeking personal and/or professional growth. A typical client would be someone who is one or more of the following: pregnant, a new mother, recent grad, entering or changing professions, experiencing work/professional stress, experiencing relationship issues including divorce, empty nest, retirement.
Prefer working with women of all ages who are undergoing life transitions and seeking personal and/or professional growth. A typical client would be someone who is one or more of the following: pregnant, a new mother, recent grad, entering or changing professions, experiencing work/professional stress, experiencing relationship issues including divorce, empty nest, retirement.
(978) 449-4120 View (978) 449-4120
Photo of Alice Lenhart, LMHC, MA, MEd, Counselor
Alice Lenhart
Counselor, LMHC, MA, MEd
Verified Verified
1 Endorsed
Groton, MA 01450
Not accepting new clients
I believe the single-most effective tool in therapy is the therapeutic relationship and connection. In a good therapeutic relationship, both people change. This connection serves as the anchor for greater personal insight, meaningful and purposeful change, and new discoveries. Change can also be daunting, but through a supportive and collaborative connection, we often find new voice, perspective, and courage. I believe the therapeutic process can and should include humor, joy, safety, and a sense of purpose.
I believe the single-most effective tool in therapy is the therapeutic relationship and connection. In a good therapeutic relationship, both people change. This connection serves as the anchor for greater personal insight, meaningful and purposeful change, and new discoveries. Change can also be daunting, but through a supportive and collaborative connection, we often find new voice, perspective, and courage. I believe the therapeutic process can and should include humor, joy, safety, and a sense of purpose.
(978) 647-2228 View (978) 647-2228
Photo of DEBRA Holloway, LMHC, CPC, Counselor
DEBRA Holloway
Counselor, LMHC, CPC
Verified Verified
1 Endorsed
Groton, MA 01450
Are you looking for a trusted and experienced therapist to support you on your journey towards better mental health and overall well-being? Look no further. As a licensed mental health counselor with over two decades of experience, I understand how challenging it can be to navigate life's stressors and maintain a healthy balance. Whether you are dealing with anxiety, relationship issues, parenting challenges, work-related or general life stressors, I am here to help. Utilizing evidence-based therapy techniques, I provide tailored support to help improve your mood, manage stress, and build stronger relationships.
Are you looking for a trusted and experienced therapist to support you on your journey towards better mental health and overall well-being? Look no further. As a licensed mental health counselor with over two decades of experience, I understand how challenging it can be to navigate life's stressors and maintain a healthy balance. Whether you are dealing with anxiety, relationship issues, parenting challenges, work-related or general life stressors, I am here to help. Utilizing evidence-based therapy techniques, I provide tailored support to help improve your mood, manage stress, and build stronger relationships.
(978) 643-9037 View (978) 643-9037
Photo of Jocelyn Lopatin, MEd, LMHC, Counselor
Jocelyn Lopatin
Counselor, MEd, LMHC
Verified Verified
Groton, MA 01450  (Online Only)
What would it be like to be able to look inside yourself and value what you find there? A positive, healthy connection with yourself gives you the confidence to take effective action in the world and helps you to feel worthy of self-care. Maybe, though, like so many people, you've learned to ignore your feelings and to mistrust yourself, and so it has become hard to believe that the answers you need are actually inside of you. Without a strong sense of trust in your own value and perceptions, it's all too easy to become depressed and anxious.
What would it be like to be able to look inside yourself and value what you find there? A positive, healthy connection with yourself gives you the confidence to take effective action in the world and helps you to feel worthy of self-care. Maybe, though, like so many people, you've learned to ignore your feelings and to mistrust yourself, and so it has become hard to believe that the answers you need are actually inside of you. Without a strong sense of trust in your own value and perceptions, it's all too easy to become depressed and anxious.
(978) 464-1933 View (978) 464-1933
Photo of Rosanna M Casavecchia, OTR/L, MT, CEAS, Occupational Therapist
Rosanna M Casavecchia
Occupational Therapist, OTR/L, MT, CEAS
Verified Verified
1 Endorsed
Groton, MA 01450
To establish a relationship with a therapist takes time and can be rewarding when you are able to build trust, knowing you are able to confide and share your perspective, your story. This process allows the individual the opportunity to gain clarity in a setting that is confidential and accepting. All too often emotional/physical pain can have a significant impact on our ability to remain independent, self-reliant, engaged in everyday tasks and life roles at level of independence that is rewarding to oneself and those they care for. As an Occupational Therapist with a background in behavioral health, I take a holistic approach.
To establish a relationship with a therapist takes time and can be rewarding when you are able to build trust, knowing you are able to confide and share your perspective, your story. This process allows the individual the opportunity to gain clarity in a setting that is confidential and accepting. All too often emotional/physical pain can have a significant impact on our ability to remain independent, self-reliant, engaged in everyday tasks and life roles at level of independence that is rewarding to oneself and those they care for. As an Occupational Therapist with a background in behavioral health, I take a holistic approach.
(978) 733-2586 View (978) 733-2586
Photo of Alexandra Lee Barbar, LICSW, Clinical Social Work/Therapist
Alexandra Lee Barbar
Clinical Social Work/Therapist, LICSW
Verified Verified
Groton, MA 01450
Always coming from a place of respect, warmth and authenticity I provide psychotherapy to children, adolescents and adults. It is my belief and has been my experience that individuals are resilient and have a wealth of resources within. Drawing from 27 years of training and experience in a variety of settings, we will use a collaborative approach to unearth and/or to build on strengths that develop insight and that foster healing and growth.
Always coming from a place of respect, warmth and authenticity I provide psychotherapy to children, adolescents and adults. It is my belief and has been my experience that individuals are resilient and have a wealth of resources within. Drawing from 27 years of training and experience in a variety of settings, we will use a collaborative approach to unearth and/or to build on strengths that develop insight and that foster healing and growth.
(978) 234-2314 View (978) 234-2314
Photo of Errika Gravlin, MAT
Errika Gravlin
MAT
Verified Verified
Groton, MA 01450
I am a CTI-trained Transformational Coach with a deep appreciation for the inherent creativity, resourcefulness, and wholeness within each individual. I believe in the power of personal transformation and spiritual growth to create profound change in our lives. As a professionally trained and experienced transformational coach, I have the tools and understanding to help you create the life you imagine and regain a renewed sense of self.
I am a CTI-trained Transformational Coach with a deep appreciation for the inherent creativity, resourcefulness, and wholeness within each individual. I believe in the power of personal transformation and spiritual growth to create profound change in our lives. As a professionally trained and experienced transformational coach, I have the tools and understanding to help you create the life you imagine and regain a renewed sense of self.
(978) 486-7246 View (978) 486-7246
Photo of Frank Vangeli - Relationship/Couples/Family Coaching and Mediation, LICSW, Clinical Social Work/Therapist
Relationship/Couples/Family Coaching and Mediation
Clinical Social Work/Therapist, LICSW
Verified Verified
Groton, MA 01450
Your relationships are important. While you don't expect to agree 100% of the time, you desire more harmony. You want to work together and may not know how to begin. I create a safe space to explore what's going on, and discover ways to make it better. I teach communication techniques that help you understand and stay connected through challenging times. Couples report I have helped them: argue less, recapture intimacy, resolve sex issues, resolve money issues, recover from affairs, decide the status of their relationship, establish parenting and visitation plans, mediate separation agreements and more.
Your relationships are important. While you don't expect to agree 100% of the time, you desire more harmony. You want to work together and may not know how to begin. I create a safe space to explore what's going on, and discover ways to make it better. I teach communication techniques that help you understand and stay connected through challenging times. Couples report I have helped them: argue less, recapture intimacy, resolve sex issues, resolve money issues, recover from affairs, decide the status of their relationship, establish parenting and visitation plans, mediate separation agreements and more.
(978) 448-2872 View (978) 448-2872
Photo of Rob Cooke, MSW, LICSW, PC, Clinical Social Work/Therapist
Rob Cooke
Clinical Social Work/Therapist, MSW, LICSW, PC
Verified Verified
Groton, MA 01450
I work with children and teens treating a variety of concerns including mood and attentional issues, defiance and conduct problems, social skills deficits, substance abuse, academic underperformance, and general family conflict. I enjoy working with adolescents and their families and am well versed in treating at-risk teens and those who have been resistant or challenging to engage in counseling. My treatment approach is family-oriented and my focus is on educating and empowering parents while working individually with children and teens to help them understand their behavior and find healthier ways to cope with the stresses they are facing.
I work with children and teens treating a variety of concerns including mood and attentional issues, defiance and conduct problems, social skills deficits, substance abuse, academic underperformance, and general family conflict. I enjoy working with adolescents and their families and am well versed in treating at-risk teens and those who have been resistant or challenging to engage in counseling. My treatment approach is family-oriented and my focus is on educating and empowering parents while working individually with children and teens to help them understand their behavior and find healthier ways to cope with the stresses they are facing.
(508) 809-4143 View (508) 809-4143
Photo of Katie Furcolo, LMHC
Katie Furcolo
Mental Health Counselor, LMHC
Verified Verified
Groton, MA 01450  (Online Only)
I have my Masters in Clinical Psychology and started my private practice in 2020, but have been working in the field for over 17 years in a variety of different roles and settings, including schools, hospitals, and outpatient counseling centers. I have worked with clients of all ages, demographics, and presenting issues/concerns and utilize an integrated approach based on multiple modalities of treatment. I have experience providing individual, family, and couples therapy. As a therapist, I view the therapeutic relationship, including the trust and rapport that I build with clients, as fundamental and central to the work.
I have my Masters in Clinical Psychology and started my private practice in 2020, but have been working in the field for over 17 years in a variety of different roles and settings, including schools, hospitals, and outpatient counseling centers. I have worked with clients of all ages, demographics, and presenting issues/concerns and utilize an integrated approach based on multiple modalities of treatment. I have experience providing individual, family, and couples therapy. As a therapist, I view the therapeutic relationship, including the trust and rapport that I build with clients, as fundamental and central to the work.
(978) 861-1262 View (978) 861-1262
Photo of Molly Salans, LICSW, LMFT, Clinical Social Work/Therapist
Molly Salans
Clinical Social Work/Therapist, LICSW, LMFT
Verified Verified
Groton, MA 01450
During the Corona Virus I am offering phone and video sessions.I am accepting new clients at this time age 18 and over. I will help you get to the crux of your issues. A superb listener, I see each and every one of you in your entirety. Something is out-of-balance, broken and painful which is why you are coming in to see me. I offer Emotionally Focused Therapy for adults and couples, and imbue therapy with meditation, mindfulness and the Constellation Approach, I help you begin to develop a new relationship with yourself. One that will bring peace and a sense of purpose to your life.
During the Corona Virus I am offering phone and video sessions.I am accepting new clients at this time age 18 and over. I will help you get to the crux of your issues. A superb listener, I see each and every one of you in your entirety. Something is out-of-balance, broken and painful which is why you are coming in to see me. I offer Emotionally Focused Therapy for adults and couples, and imbue therapy with meditation, mindfulness and the Constellation Approach, I help you begin to develop a new relationship with yourself. One that will bring peace and a sense of purpose to your life.
(978) 424-4301 View (978) 424-4301
Photo of Christina Alsaraby, LMHC
Christina Alsaraby
LMHC
Verified Verified
2 Endorsed
Groton, MA 01450  (Online Only)
Waitlist for new clients
You can find more information about me at https://www.mcmentalhealth.com. I am passionate about working with children. My specialty is ages 3 - 16. I have years of experience working directly with children in my office, in schools and in their homes. I have expertise in treating childhood anxiety, ADHD and behavioral issues such as Oppositional Defiant Disorder and impulse control disorders.
You can find more information about me at https://www.mcmentalhealth.com. I am passionate about working with children. My specialty is ages 3 - 16. I have years of experience working directly with children in my office, in schools and in their homes. I have expertise in treating childhood anxiety, ADHD and behavioral issues such as Oppositional Defiant Disorder and impulse control disorders.
(978) 522-6388 View (978) 522-6388
Photo of Hilary Curtis, PhD, LMHC, CCATP, CAIMHP, Counselor
Hilary Curtis
Counselor, PhD, LMHC, CCATP, CAIMHP
Verified Verified
2 Endorsed
Groton, MA 01450
Waitlist for new clients
Co-Founder of Maxant & Curtis Mental Health. Finding a therapist is about the "match" as much as about the skill and experience of the clinician. I find that clients who feel the "match" with my work are looking for a practical dialogue about active problem solving, as well as feelings of trust and connection. The journey to find a matching therapist can be frustrating, and I work with clients to identify that early in the process. In therapy, some of our most difficult thoughts and feelings need a safe and supportive place to be heard, and ensuring that our work will be safe and respectful to your needs is goal number one.
Co-Founder of Maxant & Curtis Mental Health. Finding a therapist is about the "match" as much as about the skill and experience of the clinician. I find that clients who feel the "match" with my work are looking for a practical dialogue about active problem solving, as well as feelings of trust and connection. The journey to find a matching therapist can be frustrating, and I work with clients to identify that early in the process. In therapy, some of our most difficult thoughts and feelings need a safe and supportive place to be heard, and ensuring that our work will be safe and respectful to your needs is goal number one.
(978) 796-5054 View (978) 796-5054
Photo of Dawn Min, LICSW, Clinical Social Work/Therapist
Dawn Min
Clinical Social Work/Therapist, LICSW
Verified Verified
Groton, MA 01450
We're all on a journey and sometimes we hit bumps in the road. My goal is to help clients become stronger and more effective when encountering problems while striving to attain their goals. I offer a calm non-judgmental environment so we can lay the cards on the table and figure out the best strategies to problem solve and address needs using strengths and interests. Each individual's treatment will differ.
We're all on a journey and sometimes we hit bumps in the road. My goal is to help clients become stronger and more effective when encountering problems while striving to attain their goals. I offer a calm non-judgmental environment so we can lay the cards on the table and figure out the best strategies to problem solve and address needs using strengths and interests. Each individual's treatment will differ.
(978) 674-7364 View (978) 674-7364
Photo of Christa Maxant, LMHC, CMHC, Counselor
Christa Maxant
Counselor, LMHC, CMHC
Verified Verified
2 Endorsed
Groton, MA 01450
Not accepting new clients
You can find more information about me at https://www.mcmentalhealth.com **Not accepting new clients** Finding a counselor can be stressful. I feel that the relationship between therapist and client is the most important part of therapy. My approach is direct and without judgment and I will challenge and support you in making meaningful change in your life. I specialize in LGBTQ+ / trans affirming therapy, sex and body positivity, anxiety, grief/loss and self esteem building.
You can find more information about me at https://www.mcmentalhealth.com **Not accepting new clients** Finding a counselor can be stressful. I feel that the relationship between therapist and client is the most important part of therapy. My approach is direct and without judgment and I will challenge and support you in making meaningful change in your life. I specialize in LGBTQ+ / trans affirming therapy, sex and body positivity, anxiety, grief/loss and self esteem building.
(978) 796-5054 View (978) 796-5054
1

How does your Therapist compare?

Number of Therapists in Groton, MA

30+

Average cost per session

$150

Therapists in Groton, MA who prioritize treating:

97% Anxiety
86% Depression
86% Coping Skills
80% Self Esteem
71% Relationship Issues
71% Stress
57% Grief

Average years in practice

16 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
67% Tufts
54% Harvard Pilgrim

How Therapists in Groton, MA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

82% Female
15% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Groton?

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.