Therapists in Monticello, IL

Photo of Kathleen Wirth-Couch, LPC, Licensed Professional Counselor
Kathleen Wirth-Couch
Licensed Professional Counselor, LPC
Verified Verified
Monticello, IL 61856
I am a Licensed Professional Counselor, as well as a National Certified Counselor. I received my Master’s degree in Clinical and School Counseling from Eastern Illinois University. I have 20+ years of experience counseling people. I began my counseling career working with active duty military populations and their families. I am currently a Veterans advocate, assisting active duty and military retirees.
I am a Licensed Professional Counselor, as well as a National Certified Counselor. I received my Master’s degree in Clinical and School Counseling from Eastern Illinois University. I have 20+ years of experience counseling people. I began my counseling career working with active duty military populations and their families. I am currently a Veterans advocate, assisting active duty and military retirees.
(217) 764-8112 View (217) 764-8112
Photo of Karyn Warford, LCSW, Clinical Social Work/Therapist
Karyn Warford
Clinical Social Work/Therapist, LCSW
Verified Verified
Monticello, IL 61856
Hi! I’m a licensed therapist with over 6 years of experience helping individuals with issues such as anxiety, depression, women's issues, relationship issues, addiction, ADHD, stress, and more. I draw from modalities such as Acceptance and Commitment (ACT), Client-Centered Therapy, Cognitive Behavioral (CBT), Dance/Movement Therapy, and the Gottman Method. If you’re feeling stuck in the same patterns that keep you from living your most meaningful life and reaching your goals, or your current strategies aren’t helping you to achieve your bigger goals, I can help.
Hi! I’m a licensed therapist with over 6 years of experience helping individuals with issues such as anxiety, depression, women's issues, relationship issues, addiction, ADHD, stress, and more. I draw from modalities such as Acceptance and Commitment (ACT), Client-Centered Therapy, Cognitive Behavioral (CBT), Dance/Movement Therapy, and the Gottman Method. If you’re feeling stuck in the same patterns that keep you from living your most meaningful life and reaching your goals, or your current strategies aren’t helping you to achieve your bigger goals, I can help.
(708) 742-6792 View (708) 742-6792
Photo of Kristin Pasley, LCSW, Clinical Social Work/Therapist
Kristin Pasley
Clinical Social Work/Therapist, LCSW
Verified Verified
Monticello, IL 61856
I am a Licensed Clinical Social Worker in the state of Illinois, with a Master’s Degree in Social Work from the University of Illinois Urbana-Champaign. I have experience working in residential settings with an array of populations that allowed me to have experience with all varieties of mental health concerns, including personality disorders, mood disorders, trauma, substance abuse issues, and psychosis. I am comfortable working with adults and utilize techniques from several therapy styles, including Cognitive Behavioral Therapy, Person-Centered Therapy, Solution-Focused Therapy, and Dialectical Behavioral Therapy.
I am a Licensed Clinical Social Worker in the state of Illinois, with a Master’s Degree in Social Work from the University of Illinois Urbana-Champaign. I have experience working in residential settings with an array of populations that allowed me to have experience with all varieties of mental health concerns, including personality disorders, mood disorders, trauma, substance abuse issues, and psychosis. I am comfortable working with adults and utilize techniques from several therapy styles, including Cognitive Behavioral Therapy, Person-Centered Therapy, Solution-Focused Therapy, and Dialectical Behavioral Therapy.
(217) 439-3960 View (217) 439-3960
Photo of Shelli Billingsley, MEd, LPC, Licensed Professional Counselor
Shelli Billingsley
Licensed Professional Counselor, MEd, LPC
Verified Verified
Monticello, IL 61856
I am a licensed counselor and received my Master’s Degree in 2001 from the University of Illinois in Springfield. Prior to entering private practice, I worked as a junior high and high school counselor for 25 years. I have also worked in an inpatient psychiatric facility with both adults and adolescents. Most recently, I have been employed in child welfare with families involved with DCFS in foster care and reunification of families when appropriate. My employment experience in different fields has allowed me to see life from many perspectives and viewpoints.
I am a licensed counselor and received my Master’s Degree in 2001 from the University of Illinois in Springfield. Prior to entering private practice, I worked as a junior high and high school counselor for 25 years. I have also worked in an inpatient psychiatric facility with both adults and adolescents. Most recently, I have been employed in child welfare with families involved with DCFS in foster care and reunification of families when appropriate. My employment experience in different fields has allowed me to see life from many perspectives and viewpoints.
(217) 393-6198 View (217) 393-6198
Photo of Angela R. Wilson, LCPC, Counselor
Angela R. Wilson
Counselor, LCPC
Verified Verified
1 Endorsed
Monticello, IL 61856
We strive for happiness and avoid discomfort. I am passionate about helping you with your discomfort using various theraputic methods to find your happier place. Working in a private practice allows me to utilize many techniques of counseling and psychotherapy. Clinically, I adapt a treatment approach based on client goals or goals we set together. I believe one's life story as it relates to his or her behavior is a fascinating self-exploration exercise that everyone should have the chance to experience - especially given the fact that understanding self is imperative to acceptance and/or change.
We strive for happiness and avoid discomfort. I am passionate about helping you with your discomfort using various theraputic methods to find your happier place. Working in a private practice allows me to utilize many techniques of counseling and psychotherapy. Clinically, I adapt a treatment approach based on client goals or goals we set together. I believe one's life story as it relates to his or her behavior is a fascinating self-exploration exercise that everyone should have the chance to experience - especially given the fact that understanding self is imperative to acceptance and/or change.
(217) 645-6283 View (217) 645-6283
Photo of Tamara Montealegre, LCSW, Clinical Social Work/Therapist
Tamara Montealegre
Clinical Social Work/Therapist, LCSW
Verified Verified
Monticello, IL 61856
Hello! I am a Licensed Clinical Social Worker. I received my MSW from the University of Northern Iowa in 2018, where I specialized in trauma processing and trauma-informed care. I am a trained EMDR (Eye Movement Desensitization and Reprocessing) therapist and work with depression, anxiety, anger management, and addiction, among other issues. I like to use an eclectic style in my treatment modalities, and I believe there is no “one-size-fits-all” in therapy. I think people are the experts on their own experiences, so I enjoy working with individuals to tailor their mental health services to meet their needs.
Hello! I am a Licensed Clinical Social Worker. I received my MSW from the University of Northern Iowa in 2018, where I specialized in trauma processing and trauma-informed care. I am a trained EMDR (Eye Movement Desensitization and Reprocessing) therapist and work with depression, anxiety, anger management, and addiction, among other issues. I like to use an eclectic style in my treatment modalities, and I believe there is no “one-size-fits-all” in therapy. I think people are the experts on their own experiences, so I enjoy working with individuals to tailor their mental health services to meet their needs.
(847) 396-9808 View (847) 396-9808
Photo of Joanna Lewis, LCPC
Joanna Lewis
Licensed Clinical Professional Counselor, LCPC
Verified Verified
1 Endorsed
Monticello, IL 61856
I am a Licensed Clinical Professional Counselor, with a Master’s Degree in Clinical Counseling from Eastern Illinois University, and 10+ years experience. My experience includes counseling adults in community mental health, providing mental health counseling with at-risk youth, and delivering therapeutic care in an intensive outpatient program to support older adults. I also have an abundance of experience in working with military, veterans, and their families. I am passionate about providing supportive and collaborative care to find solutions that work best for you to overcome life challenges.
I am a Licensed Clinical Professional Counselor, with a Master’s Degree in Clinical Counseling from Eastern Illinois University, and 10+ years experience. My experience includes counseling adults in community mental health, providing mental health counseling with at-risk youth, and delivering therapeutic care in an intensive outpatient program to support older adults. I also have an abundance of experience in working with military, veterans, and their families. I am passionate about providing supportive and collaborative care to find solutions that work best for you to overcome life challenges.
(217) 860-6293 View (217) 860-6293
Photo of River O'Leary, LSW, Clinical Social Work/Therapist
River O'Leary
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Monticello, IL 61856
I work with children, teens, and adults with life issues such as trauma, anxiety, anger, self-harm, and relationship issues. I understand the complexity of intersecting identities that many of us have such as race, ethnicity, gender, sexual orientation, and ability status, and how these identities effect our life experiences and the life experiences of our children and teens. With a focus on fostering resilience and emotional well-being, I am committed to tailoring my approach to meet the unique needs of each client, regardless of age.
I work with children, teens, and adults with life issues such as trauma, anxiety, anger, self-harm, and relationship issues. I understand the complexity of intersecting identities that many of us have such as race, ethnicity, gender, sexual orientation, and ability status, and how these identities effect our life experiences and the life experiences of our children and teens. With a focus on fostering resilience and emotional well-being, I am committed to tailoring my approach to meet the unique needs of each client, regardless of age.
(217) 516-3591 View (217) 516-3591
Photo of Cassie Bestor, LCSW, Clinical Social Work/Therapist
Cassie Bestor
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Monticello, IL 61856  (Online Only)
People of all walks of life are often told to "ask for help"...maybe you're here because you know just the help you need or you are looking for guidance to define what "help" even means for you. I'm happy to meet you where you are and walk with you through the next steps, seasons, and beyond.
People of all walks of life are often told to "ask for help"...maybe you're here because you know just the help you need or you are looking for guidance to define what "help" even means for you. I'm happy to meet you where you are and walk with you through the next steps, seasons, and beyond.
(217) 262-1468 View (217) 262-1468
Photo of Brandon Carson, LSW, Clinical Social Work/Therapist
Brandon Carson
Clinical Social Work/Therapist, LSW
Verified Verified
Monticello, IL 61856
I am a Licensed Social Worker with a Master’s degree in Social Work from the Metropolitan State University in Denver Colorado with over fourteen years of experience in social work, starting with organizing for labor and community campaigns, followed by working with veterans who were experiencing homelessness.
I am a Licensed Social Worker with a Master’s degree in Social Work from the Metropolitan State University in Denver Colorado with over fourteen years of experience in social work, starting with organizing for labor and community campaigns, followed by working with veterans who were experiencing homelessness.
(217) 284-2137 View (217) 284-2137
Photo of Ann Ambrose, MSW, LSW, Clinical Social Work/Therapist
Ann Ambrose
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Monticello, IL 61856
I specialize in perinatal (pregnancy, birth, and postpartum) & parental mental health and have spent more than a decade serving families in the Champaign-Urbana area. I rely on honesty and authenticity in my work and believe that a strong, trusting therapeutic relationship is essential. Allow me to hold space for you as you navigate the growth of your family, starting wherever you are in the process. I create a warm and encouraging space to discuss the challenges, fears, grief, and joy of parenting, from pregnancy through postpartum, and beyond.
I specialize in perinatal (pregnancy, birth, and postpartum) & parental mental health and have spent more than a decade serving families in the Champaign-Urbana area. I rely on honesty and authenticity in my work and believe that a strong, trusting therapeutic relationship is essential. Allow me to hold space for you as you navigate the growth of your family, starting wherever you are in the process. I create a warm and encouraging space to discuss the challenges, fears, grief, and joy of parenting, from pregnancy through postpartum, and beyond.
(217) 216-8351 View (217) 216-8351

More Therapists Nearby

Photo of Karen Hill-Davis, LCSW, Clinical Social Work/Therapist
Karen Hill-Davis
Clinical Social Work/Therapist, LCSW
Verified Verified
Bement, IL 61813
My name is Karen Hill-Davis. I am a Licensed Clinical Social Worker in the state of Illinois with over 20 years of experience helping individuals and families cope with a variety of challenges that life has presented them with. Through the therapeutic relationship, l will help you recognize your strengths so you can become empowered to effect positive change in your life. Most frequently work with adults. Experiencing difficulties or struggles with changes in healthy relationships and life stages.
My name is Karen Hill-Davis. I am a Licensed Clinical Social Worker in the state of Illinois with over 20 years of experience helping individuals and families cope with a variety of challenges that life has presented them with. Through the therapeutic relationship, l will help you recognize your strengths so you can become empowered to effect positive change in your life. Most frequently work with adults. Experiencing difficulties or struggles with changes in healthy relationships and life stages.
(312) 626-7594 View (312) 626-7594
Photo of Barbara Adams, LCPC, Counselor
Barbara Adams
Counselor, LCPC
Verified Verified
Bement, IL 61813
My name is Barb Adams. I am a Licensed Clinical Professional Counselor, Certified Clinical Trauma Professional, and Certified Alcohol and Drug Counselor. I have provided individual, couples, family, as well as group therapy for over 30 years. I also specialize in working with impaired professionals. I have an extensive history of working with many differing diagnoses. Some of my specialties include working with depression, anxiety, and substance abuse, among others. I have also spent over 10 years working specifically with impaired professionals in the medical and legal professions.
My name is Barb Adams. I am a Licensed Clinical Professional Counselor, Certified Clinical Trauma Professional, and Certified Alcohol and Drug Counselor. I have provided individual, couples, family, as well as group therapy for over 30 years. I also specialize in working with impaired professionals. I have an extensive history of working with many differing diagnoses. Some of my specialties include working with depression, anxiety, and substance abuse, among others. I have also spent over 10 years working specifically with impaired professionals in the medical and legal professions.
(773) 945-9916 View (773) 945-9916

Online Therapists

Photo of Michelle Buxton, LCSW, Clinical Social Work/Therapist
Michelle Buxton
Clinical Social Work/Therapist, LCSW
Verified Verified
Champaign, IL 61820
Contentment and peace are achievable! No problem is too small or insignificant for therapy. Are you not as productive, fulfilled, or successful as you would like? Experiencing a phase of life transition like retirement or empty nest? Struggling with grief? Difficulty communicating with your partner or other important people in your life? You don't have to navigate these issues alone. Assisting and supporting you in achieving your maximum level of productivity, functioning, and happiness is my main goal. It is an honor, as well as a serious responsibility, to be chosen to assist you in this process.
Contentment and peace are achievable! No problem is too small or insignificant for therapy. Are you not as productive, fulfilled, or successful as you would like? Experiencing a phase of life transition like retirement or empty nest? Struggling with grief? Difficulty communicating with your partner or other important people in your life? You don't have to navigate these issues alone. Assisting and supporting you in achieving your maximum level of productivity, functioning, and happiness is my main goal. It is an honor, as well as a serious responsibility, to be chosen to assist you in this process.
(217) 262-1487 View (217) 262-1487
Photo of Kris Rinkenberger, LCPC, NCC, CCATP, EMDR, CCTP, Counselor
Kris Rinkenberger
Counselor, LCPC, NCC, CCATP, EMDR, CCTP
Verified Verified
Morton, IL 61550
Often, counseling focuses on the symptoms of emotional struggles and never addresses the root causes. My deep interest in people, problems, and processes has allowed me to recognize the complex patterns of individuals, life experiences, family, trauma, relationships and how these have influenced the way clients see themselves and the world around them. With grace, understanding, and support, I seek to help clients understand how their past has shaped them, discover how ensnaring behaviors began (and continue) and then to restore dignity, well-being, and relationships.
Often, counseling focuses on the symptoms of emotional struggles and never addresses the root causes. My deep interest in people, problems, and processes has allowed me to recognize the complex patterns of individuals, life experiences, family, trauma, relationships and how these have influenced the way clients see themselves and the world around them. With grace, understanding, and support, I seek to help clients understand how their past has shaped them, discover how ensnaring behaviors began (and continue) and then to restore dignity, well-being, and relationships.
(309) 204-9997 View (309) 204-9997
Photo of Cheryl Walton Strong - Strong Counseling Services, MA, LCPC, EMDR, trauma, Special, Counselor
Strong Counseling Services
Counselor, MA, LCPC, EMDR, trauma, Special
Verified Verified
2 Endorsed
Bloomington, IL 61704
You appear to have all your shit together on the outside, but you are a mess on the inside. You don't tell anyone how you really feel for fear of being judged. You are exhausted wearing the mask of the perfect imposter. You ask yourself, "Why is my best never good enough?" You want to believe God has a plan for you, but you're not even sure you believe in God anymore. I assure you, it is not just you. This real-time struggle is real. I know personally, there is hope. We all need the love of community to that hope. I look forward to hearing from you about ways I can help.
You appear to have all your shit together on the outside, but you are a mess on the inside. You don't tell anyone how you really feel for fear of being judged. You are exhausted wearing the mask of the perfect imposter. You ask yourself, "Why is my best never good enough?" You want to believe God has a plan for you, but you're not even sure you believe in God anymore. I assure you, it is not just you. This real-time struggle is real. I know personally, there is hope. We all need the love of community to that hope. I look forward to hearing from you about ways I can help.
(309) 518-4429 View (309) 518-4429
Photo of Kevin Lage, LCPC
Kevin Lage
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Mackinaw, IL 61755
Hello! I am a Licensed Clinical Professional Counselor with over 7 years of experience in the field. I work with adults, minors, couples, or families and specialize in addiction, anxiety, depression, anger management, and coping skills. I take a person-centered, eclectic, and supportive approach while using Rogerian and Trust-Based Relational Intervention modalities. I holistically look at the person I'm counseling from their full environmental perspective and listen in a non-judgmental and accepting way.
Hello! I am a Licensed Clinical Professional Counselor with over 7 years of experience in the field. I work with adults, minors, couples, or families and specialize in addiction, anxiety, depression, anger management, and coping skills. I take a person-centered, eclectic, and supportive approach while using Rogerian and Trust-Based Relational Intervention modalities. I holistically look at the person I'm counseling from their full environmental perspective and listen in a non-judgmental and accepting way.
(773) 900-4695 View (773) 900-4695
Photo of Amanda Noel, LCPC
Amanda Noel
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Morris, IL 60450
My name is Amanda Noel, and I am a Licensed Clinical Professional Counselor (LCPC) who has been practicing for over fifteen years. I earned my Master of Arts degree in Counseling Psychology from Lewis University. Recently, I earned credentials as a Certified Compassion Fatigue Professional and a Certified Clinical Anxiety Treatment Professional. I work with adults specializing in stress, anxiety, depression, relationship issues, self-esteem, and life transitions. My experience lies in working with adults experiencing anxiety, stress, and depression, desires to improve relationships, increase self-esteem and navigate life transitions
My name is Amanda Noel, and I am a Licensed Clinical Professional Counselor (LCPC) who has been practicing for over fifteen years. I earned my Master of Arts degree in Counseling Psychology from Lewis University. Recently, I earned credentials as a Certified Compassion Fatigue Professional and a Certified Clinical Anxiety Treatment Professional. I work with adults specializing in stress, anxiety, depression, relationship issues, self-esteem, and life transitions. My experience lies in working with adults experiencing anxiety, stress, and depression, desires to improve relationships, increase self-esteem and navigate life transitions
(872) 273-5738 View (872) 273-5738
Photo of Pamela Wendt-Creative Solutions Counseling Group, MS, LCPC, Counselor
Pamela Wendt-Creative Solutions Counseling Group
Counselor, MS, LCPC
Verified Verified
2 Endorsed
Champaign, IL 61820
Life is full of transitions. They can be extremely difficult. It can be easy to feel overwhelmed, discouraged and like nothing will improve. Transition can be even more overwhelming when it feels like you are going through it alone and don't have support. I utilize a client-centered, strengths based approach, and provide a compassionate and accepting environment.
Life is full of transitions. They can be extremely difficult. It can be easy to feel overwhelmed, discouraged and like nothing will improve. Transition can be even more overwhelming when it feels like you are going through it alone and don't have support. I utilize a client-centered, strengths based approach, and provide a compassionate and accepting environment.
(217) 548-5761 View (217) 548-5761
Photo of Hannah Williams, Pre-Licensed Professional
Hannah Williams
Pre-Licensed Professional
Verified Verified
Bloomington, IL 61701
My therapeutic approach centers on the transformative power of connection – to oneself and to others. Whether working with couples navigating relationship challenges, individuals seeking healing and growth, or children developing emotional resilience, I support clients in fostering meaningful connections, and navigating life's deeper questions with clarity and purpose.
My therapeutic approach centers on the transformative power of connection – to oneself and to others. Whether working with couples navigating relationship challenges, individuals seeking healing and growth, or children developing emotional resilience, I support clients in fostering meaningful connections, and navigating life's deeper questions with clarity and purpose.
(309) 247-8841 View (309) 247-8841

See more therapy options for Monticello

How does your Therapist compare?

Number of Therapists in Monticello, IL

10+

Average cost per session

$155

Therapists in Monticello, IL who prioritize treating:

100% Anxiety
91% Relationship Issues
91% Depression
91% Coping Skills
91% Self Esteem
91% Stress
82% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
73% Health Alliance
64% Aetna

How Therapists in Monticello, IL see their clients

91% In Person and Online
9% Online Only

Gender breakdown

72% Female
14% Male
14% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Monticello?

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.