Therapists in Lyndon, KY
![Photo of Raeko Diemer, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/1bb25a13-7662-47e2-89ba-a0f0b0a9c5b6/3/320x400.jpeg)
Raeko Diemer
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Lyndon, KY 40222
Waitlist for new clients
Everyone is different and needs treatment based on your individual needs and strengths. As an experienced therapist, I can teach you the skills you need to resolve current stressors and challenges. I will help you identify where you feel stuck and help you move towards positive change.
Everyone is different and needs treatment based on your individual needs and strengths. As an experienced therapist, I can teach you the skills you need to resolve current stressors and challenges. I will help you identify where you feel stuck and help you move towards positive change.
![Photo of Mike Rankin, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3bbc8e78-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Albert Einstein discovered several years ago that the Universe is expanding every day. What a great message for us all, as we are part of the Universe and have a part to play in our own expanding life. Our lives can help us to sincerely believe that life is worth living! We have the resources within our self to expand our lives, so that life can be adventurous, exciting, surprising, open to taking some risks, and being playful. What a great list of categories to discern how we are doing in our expanding our lives!.
Albert Einstein discovered several years ago that the Universe is expanding every day. What a great message for us all, as we are part of the Universe and have a part to play in our own expanding life. Our lives can help us to sincerely believe that life is worth living! We have the resources within our self to expand our lives, so that life can be adventurous, exciting, surprising, open to taking some risks, and being playful. What a great list of categories to discern how we are doing in our expanding our lives!.
![Photo of Patricia Costa Tague, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/447ec3dc-be7d-4215-92e8-ac728eba0d45/2/320x400.jpeg)
In strength-based practices I work with adults and couples who find themselves in difficult stages of life. Navigating the grief and loss that are intrinsic parts of difficult stages I also assist my clients in developing curiosity and realistic expectations. With individuals, some stages include young adulthood seeking self-awareness, the end of a relationship due to divorce, relocation or death, shifting parental roles, and re-establishing oneself after family, career or death of a partner. With couples, regaining loving camaraderie moving forward through tragedies and infidelity as well as renewing connection and enjoyment.
In strength-based practices I work with adults and couples who find themselves in difficult stages of life. Navigating the grief and loss that are intrinsic parts of difficult stages I also assist my clients in developing curiosity and realistic expectations. With individuals, some stages include young adulthood seeking self-awareness, the end of a relationship due to divorce, relocation or death, shifting parental roles, and re-establishing oneself after family, career or death of a partner. With couples, regaining loving camaraderie moving forward through tragedies and infidelity as well as renewing connection and enjoyment.
![Photo of Brianna Jones, LPA, Psychological Associate](https://photos.psychologytoday.com/a800303c-0a32-4acc-a568-0aeecac7a130/4/320x400.jpeg)
I specialize in working with young adults, 18-35, struggling with anxiety, trauma, or grief and loss. I enjoy working with clients who are experiencing difficulty with who they are, how to handle their emotions, next steps for their life, or people pleasing tendencies. Maybe you identify as the strong one or have a hard time asking for help. Maybe you struggle with identifying what you want or need in your life and relationships or you feel misunderstood and ignored in your relationships.
I specialize in working with young adults, 18-35, struggling with anxiety, trauma, or grief and loss. I enjoy working with clients who are experiencing difficulty with who they are, how to handle their emotions, next steps for their life, or people pleasing tendencies. Maybe you identify as the strong one or have a hard time asking for help. Maybe you struggle with identifying what you want or need in your life and relationships or you feel misunderstood and ignored in your relationships.
![Photo of Meaghan Rankin, MFTA, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/12730c93-2943-4fe1-8b98-838d8d07e72f/1/320x400.jpeg)
Meaghan Rankin
Marriage & Family Therapist Associate, MFTA
Verified Verified
1 Endorsed
Lyndon, KY 40222
When working with individuals, I utilize methods including Narrative Therapy, Solution Focused Therapy, Cognitive Behavioral Therapy, and Mindfulness. When working with couples and intimate partnerships, I find Emotion Focused Therapy interventions and Solution Focused Therapy are helpful.
When working with individuals, I utilize methods including Narrative Therapy, Solution Focused Therapy, Cognitive Behavioral Therapy, and Mindfulness. When working with couples and intimate partnerships, I find Emotion Focused Therapy interventions and Solution Focused Therapy are helpful.
![Photo of Nate Mitchell, PhD, Psychologist](https://photos.psychologytoday.com/5392ba0f-acc5-48da-b752-3728fcc08b06/2/320x400.jpeg)
Is anxiety part of your life? Do you or your child struggle with uncertainty? Do you find yourself feeling like you have to do something over and over again to deal with stress and worry? Does your child miss school or complain of sickness often? Perhaps Dr. Nate Mitchell can help.
Is anxiety part of your life? Do you or your child struggle with uncertainty? Do you find yourself feeling like you have to do something over and over again to deal with stress and worry? Does your child miss school or complain of sickness often? Perhaps Dr. Nate Mitchell can help.
![Photo of Kimberly A Maugans, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/bee0b83f-2b04-40d1-ad05-1c1157ca9f51/1/320x400.jpeg)
I enjoy working with adults and couples in a safe, confidential, non-judgmental environment where you can share your thoughts and feelings while giving you helpful, practical skills and information on how you can gain power and happiness in your life as well as peace. I have been voted as a 3 Best marriage counselors in Louisville, KY (2016 & 2019) and was ranked by "Kev's Best" as a top marriage counsellor in Spring 2022. I enjoy helping couples of all stages and challenges to succeed with long term happiness and peace in their relationships.
I enjoy working with adults and couples in a safe, confidential, non-judgmental environment where you can share your thoughts and feelings while giving you helpful, practical skills and information on how you can gain power and happiness in your life as well as peace. I have been voted as a 3 Best marriage counselors in Louisville, KY (2016 & 2019) and was ranked by "Kev's Best" as a top marriage counsellor in Spring 2022. I enjoy helping couples of all stages and challenges to succeed with long term happiness and peace in their relationships.
![Photo of Stephanie Adamkin Delambre, MS, LPP](https://photos.psychologytoday.com/dfc5846f-58e5-440c-87d7-8cb4954922d6/1/320x400.png)
I wish I had a magic wand and could make all the pain, hurt, trauma & stress, behavior problems, worries, hard days & long nights disappear. I don't believe my job is to have all the answers for you. I see my role as being a helper and listener to support you in finding your answers & teaching new skills to help make the process a little easier. We all have hectic lives so the strategies, interventions, & resources we discuss need to be useful & also manageable for you to use in your every day life. I want you to know that you are not alone & things do and will get better.
I wish I had a magic wand and could make all the pain, hurt, trauma & stress, behavior problems, worries, hard days & long nights disappear. I don't believe my job is to have all the answers for you. I see my role as being a helper and listener to support you in finding your answers & teaching new skills to help make the process a little easier. We all have hectic lives so the strategies, interventions, & resources we discuss need to be useful & also manageable for you to use in your every day life. I want you to know that you are not alone & things do and will get better.
![Photo of Christopher Brody - Lifewell Counseling Services, Marriage & Family Therapist](https://photos.psychologytoday.com/283109ff-a262-4a1e-8122-c3257243e4ca/2/320x400.jpeg)
Christopher Brody - Lifewell Counseling Services
Marriage & Family Therapist
Verified Verified
Lyndon, KY 40222
Does anxiety, relationship problems, trauma, or addiction cause daily life to be challenging and even overwhelming at times? Do you feel like no matter what you have tried, nothing seems to help or get better? Maybe you have made progress and find that you need some extra help. This might be the first time you are seeking help. Whatever your situation, I believe that you possess the abilities and skills within yourself to help you meet your goals. My desire is to work with you to help you further grow, heal, and find peace and connection within yourself and within your relationships.
Does anxiety, relationship problems, trauma, or addiction cause daily life to be challenging and even overwhelming at times? Do you feel like no matter what you have tried, nothing seems to help or get better? Maybe you have made progress and find that you need some extra help. This might be the first time you are seeking help. Whatever your situation, I believe that you possess the abilities and skills within yourself to help you meet your goals. My desire is to work with you to help you further grow, heal, and find peace and connection within yourself and within your relationships.
![Photo of Meghan Elizabeth Wnorowski-Bogle, MEd, LPAT, ATR-BC, Art Therapist](https://photos.psychologytoday.com/57d84f09-1aa3-4bb3-ba7a-bf3752f07d71/1/320x400.jpeg)
Meghan Elizabeth Wnorowski-Bogle
Art Therapist, MEd, LPAT, ATR-BC
Verified Verified
Lyndon, KY 40222
Beginning therapy can be an overwhelming yet courageous step, which can lead to powerful changes for those doing the work. I believe we often overlook being at our bravest when we feel it the least. The therapy process can help clients gain additional perspective, identify and explore unknown parts, reinterpret to better understand and know fears and weaknesses, and nurture strengths and acceptance.
Beginning therapy can be an overwhelming yet courageous step, which can lead to powerful changes for those doing the work. I believe we often overlook being at our bravest when we feel it the least. The therapy process can help clients gain additional perspective, identify and explore unknown parts, reinterpret to better understand and know fears and weaknesses, and nurture strengths and acceptance.
![Photo of Mary Grace Badami, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3e8232ae-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Mary Grace Badami
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lyndon, KY 40222 (Online Only)
I treat individuals, couples, and families. I provide treatment that includes helping you develop tools that will aid you in solving or managing your problems. I can help you deal with past hurts and manage current issues. I operate from a collaborative, strengths-based approach. I strive to treat each person with dignity and respect. While I am not a certified substance abuse provider, I have experience in treating substance abuse issues.
I treat individuals, couples, and families. I provide treatment that includes helping you develop tools that will aid you in solving or managing your problems. I can help you deal with past hurts and manage current issues. I operate from a collaborative, strengths-based approach. I strive to treat each person with dignity and respect. While I am not a certified substance abuse provider, I have experience in treating substance abuse issues.
![Photo of Christina Bayens, PsyD, MA, ACP-EFT, Psychologist](https://photos.psychologytoday.com/fbc1baba-1463-4b28-81ab-20f2be0c7eda/1/320x400.jpeg)
You are the focus of treatment, as you should be. I treat my clients as individuals, not as disorders. Treatment is geared to meet your individualized goals and evoke the power within each of you to be your own best healer. Whether you are a veteran of therapy or a newcomer, we will work together to find the seeds of change already present within you. Together we will plant and nourish your existing strengths in order to allow you to grow into the best version of yourself.
You are the focus of treatment, as you should be. I treat my clients as individuals, not as disorders. Treatment is geared to meet your individualized goals and evoke the power within each of you to be your own best healer. Whether you are a veteran of therapy or a newcomer, we will work together to find the seeds of change already present within you. Together we will plant and nourish your existing strengths in order to allow you to grow into the best version of yourself.
![Photo of Jodi Hatzell, MSSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3be838cf-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
As a Licensed Clinical Social Worker, I have been serving the Louisville community since 1994. I work with adults that have been faced with daily stressors or life challenges. Beginning counseling can be difficult and challenging. Recognizing this, I offer a supportive and comfortable environment to begin your counseling journey. I enjoy working with my clients to create new coping skills, new ways of thinking, along with building better communication skills.
As a Licensed Clinical Social Worker, I have been serving the Louisville community since 1994. I work with adults that have been faced with daily stressors or life challenges. Beginning counseling can be difficult and challenging. Recognizing this, I offer a supportive and comfortable environment to begin your counseling journey. I enjoy working with my clients to create new coping skills, new ways of thinking, along with building better communication skills.
![Photo of Cheryl Ades, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9a07d895-6f1e-4a3a-b48b-36a7b675f270/3/320x400.jpeg)
For over 20 years, I have specialized in eating disorders/food addiction/addiction and trauma. Licensed in Kentucky and Illinois, I am a Certified IFS therapist and my goal is to help individuals and couples improve their physical, emotional, and spiritual well-being by helping them clear up issues that get in their way. These may include addictions, difficulty with family/couple relationships, sexual abuse and unresolved trauma. By involving mind, body, and spirit, I hope to lead my clients toward deeper levels of integration and fuller lives.
For over 20 years, I have specialized in eating disorders/food addiction/addiction and trauma. Licensed in Kentucky and Illinois, I am a Certified IFS therapist and my goal is to help individuals and couples improve their physical, emotional, and spiritual well-being by helping them clear up issues that get in their way. These may include addictions, difficulty with family/couple relationships, sexual abuse and unresolved trauma. By involving mind, body, and spirit, I hope to lead my clients toward deeper levels of integration and fuller lives.
![Photo of Pamela B Stein - Dr. Pamela B. Stein, PhD, Psychologist](https://photos.psychologytoday.com/3c3ad025-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Hello, my name is Dr. Pam Stein. I am a licensed clinical psychologist with 26 years of private practice experience. My hope for you in therapy is to achieve (or return to) your highest level of functioning and happiness. To this end, we will work hard together to alleviate, as needed: anxiety/fears, depression/sadness, self-doubt, stress, emotional/mood instability, and relationship patterns which are not working for you (e.g., difficulty with trust). I additionally have had great success helping people better manage their Diabetes (Type 1 and Type 2) to stay/become as healthy as possible.
Hello, my name is Dr. Pam Stein. I am a licensed clinical psychologist with 26 years of private practice experience. My hope for you in therapy is to achieve (or return to) your highest level of functioning and happiness. To this end, we will work hard together to alleviate, as needed: anxiety/fears, depression/sadness, self-doubt, stress, emotional/mood instability, and relationship patterns which are not working for you (e.g., difficulty with trust). I additionally have had great success helping people better manage their Diabetes (Type 1 and Type 2) to stay/become as healthy as possible.
![Photo of Cynthia D. Fletcher - Cynthia D. Fletcher, LCSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3dc23b98-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Cynthia D. Fletcher, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Lyndon, KY 40222 (Online Only)
Life's challenges are sometimes overwhelming and unsettling. I enjoy working with individuals and families interested in creating changes, while receiving necessary support. I assist clients in reaching short and long term personalized goals using traditional and nontraditional approaches to address depression, anxiety, trauma, and issues of abuse. In taking a holistic approach to wellness I work within all aspects of life to bring about personal and family growth and development. If you're feeling emotionally stuck, or consumed with no sense of direction, let us work together to make pertinent life changes.
Life's challenges are sometimes overwhelming and unsettling. I enjoy working with individuals and families interested in creating changes, while receiving necessary support. I assist clients in reaching short and long term personalized goals using traditional and nontraditional approaches to address depression, anxiety, trauma, and issues of abuse. In taking a holistic approach to wellness I work within all aspects of life to bring about personal and family growth and development. If you're feeling emotionally stuck, or consumed with no sense of direction, let us work together to make pertinent life changes.
![Photo of Morgan Davidson, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/45e837bb-b62d-4257-a39e-a954e174299a/1/320x400.jpeg)
Morgan Davidson
Clinical Social Work/Therapist, LCSW
Verified Verified
Lyndon, KY 40222 (Online Only)
Hey there! I'm Morgan, and I'm a telehealth therapist. Nice to meet you! I've had the pleasure of working with people from all walks of life, and let me tell you, each and every one of them has been unique in their own way. That's why I strongly believe that therapy shouldn't be a one size fits all approach. When we work together, you won't be talking to a robot—I promise! I make it a point to really get to know my clients on a deep level.
Hey there! I'm Morgan, and I'm a telehealth therapist. Nice to meet you! I've had the pleasure of working with people from all walks of life, and let me tell you, each and every one of them has been unique in their own way. That's why I strongly believe that therapy shouldn't be a one size fits all approach. When we work together, you won't be talking to a robot—I promise! I make it a point to really get to know my clients on a deep level.
![Photo of Katie Macri, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/2e3b4a44-0648-47ab-9065-67e00a5605c1/1/320x400.jpeg)
Katie Macri
Clinical Social Work/Therapist, LCSW
Verified Verified
Lyndon, KY 40222
Not accepting new clients
I seek to approach every human with curiosity, openness, and compassion. I work to develop a felt sense of safety in my connection with clients and believe this is an essential part of therapy. I am trained in trauma focused therapies including EMDR and a nervous system therapy called the Safe and Sound Protocol. I also specialize in Perinatal Mood and Anxiety Disorders and have found incorporating a trauma informed approach to be healing for both parents and their children. I am licensed in both Virginia and Kentucky.
I seek to approach every human with curiosity, openness, and compassion. I work to develop a felt sense of safety in my connection with clients and believe this is an essential part of therapy. I am trained in trauma focused therapies including EMDR and a nervous system therapy called the Safe and Sound Protocol. I also specialize in Perinatal Mood and Anxiety Disorders and have found incorporating a trauma informed approach to be healing for both parents and their children. I am licensed in both Virginia and Kentucky.
![Photo of Emily Logsdon, MEd, LPCC-S, NCC, Counselor](https://photos.psychologytoday.com/63926081-fd47-49be-8b6c-59e361977ec5/1/320x400.jpeg)
Emily Logsdon
Counselor, MEd, LPCC-S, NCC
Verified Verified
Lyndon, KY 40241 (Online Only)
Not accepting new clients
Life can sometimes feel like a lonely journey full of obstacles and challenges. I am passionate about facilitating a non-judgmental environment during your journey of finding health and restoration. By honoring what has led you to therapy, I provide a safe space to discover the underlying issues of life's challenges. I desire to validate and truly understand your deepest concerns, by providing compassion and a safe space to flourish and grow.
Life can sometimes feel like a lonely journey full of obstacles and challenges. I am passionate about facilitating a non-judgmental environment during your journey of finding health and restoration. By honoring what has led you to therapy, I provide a safe space to discover the underlying issues of life's challenges. I desire to validate and truly understand your deepest concerns, by providing compassion and a safe space to flourish and grow.
![Photo of Erin Hightower, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f07f8732-9035-4035-95eb-1f91dc23ef30/2/320x400.jpeg)
Erin Hightower
Clinical Social Work/Therapist, LCSW
Verified Verified
Lyndon, KY 40241 (Online Only)
Hello! I am a Licensed Marriage & Family Therapist as well as a Licensed Clinical Social Worker. I have over 10 years experience in the field and I am passionate about helping clients to reach the highest and best version of themselves.
Hello! I am a Licensed Marriage & Family Therapist as well as a Licensed Clinical Social Worker. I have over 10 years experience in the field and I am passionate about helping clients to reach the highest and best version of themselves.
See more therapy options for Lyndon
How does your Therapist compare?
Number of Therapists in Lyndon, KY
30+
Average cost per session
$120
Therapists in Lyndon, KY who prioritize treating:
87% | Anxiety |
74% | Depression |
66% | Trauma and PTSD |
61% | Grief |
61% | Coping Skills |
58% | Women's Issues |
55% | Self Esteem |
Average years in practice
10 Years
Top 3 insurances accepted
82% | UnitedHealthcare UHC | UBH |
77% | Aetna |
77% | BlueCross and BlueShield |
How Therapists in Lyndon, KY see their clients
72% | In Person and Online | |
28% | Online Only |
Gender breakdown
86% | Female | |
14% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Lyndon?
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
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.
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.
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.