Therapists in Miami Gardens, FL

Photo of India Hudson, R, M, H, C, I, Pre-Licensed Professional
India Hudson
Pre-Licensed Professional, R, M, H, C, I
Verified Verified
Miami Gardens, FL 33169
My speciality is working with adolescents, adults, couples, and families who may need assistance with life challenges such as grief, loss, depression, anxiety, relationship issues, trauma, co-occurring disorders, relationship issues and various life transitions.
My speciality is working with adolescents, adults, couples, and families who may need assistance with life challenges such as grief, loss, depression, anxiety, relationship issues, trauma, co-occurring disorders, relationship issues and various life transitions.
(786) 551-4737 View (786) 551-4737
Photo of Zachary Moore, LCSW, Clinical Social Work/Therapist
Zachary Moore
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami Gardens, FL 33169
I am Zachary Moore, a Licensed Independent Clinical Social Worker (LCSW). I was trained by the US Army Medical Command Center and School with specifics on CBT/REBT and solution-focused therapy. I absolutely appreciate your understanding of the therapeutic modalities that you prefer and hopefully find conducive to your personal therapy. I strive to engage children, adolescents, adults, Veterans, seniors, and families in a process of healing and growth that celebrates their individuality, identifies all barriers to quality of life, mitigates those barriers, and challenges each participant to live to their utmost potential.
I am Zachary Moore, a Licensed Independent Clinical Social Worker (LCSW). I was trained by the US Army Medical Command Center and School with specifics on CBT/REBT and solution-focused therapy. I absolutely appreciate your understanding of the therapeutic modalities that you prefer and hopefully find conducive to your personal therapy. I strive to engage children, adolescents, adults, Veterans, seniors, and families in a process of healing and growth that celebrates their individuality, identifies all barriers to quality of life, mitigates those barriers, and challenges each participant to live to their utmost potential.
(786) 705-8895 View (786) 705-8895
Photo of Diana Lynn Foltz, LCSW, Clinical Social Work/Therapist
Diana Lynn Foltz
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami Gardens, FL 33169
My name is Diana Foltz, and I am a Licensed Clinical Social Worker (LCSW) based in Florida and working with individuals via Telehealth. I work with adolescents to geriatrics and have experience with all age groups with specialties in anxiety & mood disorders, grief/loss issues, traumatic stress (acute or post), and help with adjusting to major life changes using Cognitive Behavioral Therapy and trauma-informed care, including experience with EMDR. I work to help my clients navigate these transition periods and to build skills to allow them to feel better about themselves and develop a more positive outlook on life.
My name is Diana Foltz, and I am a Licensed Clinical Social Worker (LCSW) based in Florida and working with individuals via Telehealth. I work with adolescents to geriatrics and have experience with all age groups with specialties in anxiety & mood disorders, grief/loss issues, traumatic stress (acute or post), and help with adjusting to major life changes using Cognitive Behavioral Therapy and trauma-informed care, including experience with EMDR. I work to help my clients navigate these transition periods and to build skills to allow them to feel better about themselves and develop a more positive outlook on life.
(786) 833-8287 View (786) 833-8287
Photo of Dhaima Chin, LCSW, Clinical Social Work/Therapist
Dhaima Chin
Clinical Social Work/Therapist, LCSW
Verified Verified
6 Endorsed
Miami Gardens, FL 33169
Are you not feeling like yourself lately? Life has gotten you down? Are sleepless nights and racing thoughts keeping you hostage? Feel like you're navigating your struggles alone? If you answered yes to any of these questions please reach out to Miami Gardens Counseling we can help you. Many of our clients have experienced anxiety and depression.
Are you not feeling like yourself lately? Life has gotten you down? Are sleepless nights and racing thoughts keeping you hostage? Feel like you're navigating your struggles alone? If you answered yes to any of these questions please reach out to Miami Gardens Counseling we can help you. Many of our clients have experienced anxiety and depression.
(305) 563-3197 View (305) 563-3197
Photo of Carlos Sierra, LCSW, Clinical Social Work/Therapist
Carlos Sierra
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami Gardens, FL 33169
Hello, I'm Carlos Sierra, a Licensed Clinical Social Worker. based in Florida. I have over 30 years of experience helping clients with anxiety, depression, coping with addictions, anger management, and self-esteem. My most used approach to therapy is Unconditional Positive Regard. I believe you are the expert of your story and that you have many strengths that will assist you in overcoming issues that challenge you. I'm here to support you in this process. I typically work with clients who are ready to embark on a journey of personal and spiritual growth.
Hello, I'm Carlos Sierra, a Licensed Clinical Social Worker. based in Florida. I have over 30 years of experience helping clients with anxiety, depression, coping with addictions, anger management, and self-esteem. My most used approach to therapy is Unconditional Positive Regard. I believe you are the expert of your story and that you have many strengths that will assist you in overcoming issues that challenge you. I'm here to support you in this process. I typically work with clients who are ready to embark on a journey of personal and spiritual growth.
(786) 610-6242 View (786) 610-6242
Photo of Sherda Pierre - AlterEgo & Co. , LMHC, Counselor
AlterEgo & Co.
Counselor, LMHC
Verified Verified
Miami Gardens, FL 33055
You did it, you took the first step in healing! I want to applaud you for being brave and finding the courage to persevere; not letting the world and your thoughts defer you from happiness. Life can be unfair, overwhelming, challenging, lonely, stressful, and most of all traumatizing. In therapy, I’m here to help guide you through any turmoil that you may be experiencing. I’m here to provide a safe haven and judgment free zone for you and your sacred deepest thoughts.
You did it, you took the first step in healing! I want to applaud you for being brave and finding the courage to persevere; not letting the world and your thoughts defer you from happiness. Life can be unfair, overwhelming, challenging, lonely, stressful, and most of all traumatizing. In therapy, I’m here to help guide you through any turmoil that you may be experiencing. I’m here to provide a safe haven and judgment free zone for you and your sacred deepest thoughts.
(954) 231-2794 View (954) 231-2794
Photo of Dr. Bethania Carrión, PsyD, Psychologist
Dr. Bethania Carrión
Psychologist, PsyD
Verified Verified
Miami Gardens, FL 33169
Welcome! I am a Licensed Clinical Psychologist in the state of Florida and New York. I speak English and Spanish. My role is to guide you to gain increased insight about yourself while you learn positive coping skills. I understand that everyone has unique qualities and distinctive minds. Through a collaborative approach, I strive to get to know you on a deeper level to be able to guide you. If you are suffering from depression, anxiety, trauma, self-esteem concerns, or problems with self-management/attention problems - I am here to help.
Welcome! I am a Licensed Clinical Psychologist in the state of Florida and New York. I speak English and Spanish. My role is to guide you to gain increased insight about yourself while you learn positive coping skills. I understand that everyone has unique qualities and distinctive minds. Through a collaborative approach, I strive to get to know you on a deeper level to be able to guide you. If you are suffering from depression, anxiety, trauma, self-esteem concerns, or problems with self-management/attention problems - I am here to help.
(954) 287-3759 View (954) 287-3759
Photo of Tanashia Taylor - F.A.V.O.R Therapeutic Services , LCSW, QS, Clinical Social Work/Therapist
F.A.V.O.R Therapeutic Services
Clinical Social Work/Therapist, LCSW, QS
Verified Verified
2 Endorsed
Miami Gardens, FL 33169  (Online Only)
Are you a parent seeking help for a child or adolescent who is experiencing grief or was exposed to trauma? Are you seeking guidance on how to deal with your child’s oppositional behavior, or looking for a therapist experienced in treating anxiety, depression, and adjustment issues in children of all ages? Is your child making all the wrong choices? If so, I can help. I address these issues with children and adolescents to eliminate the barriers such as fear, anxiety, depression, social skills, and relationship issues.
Are you a parent seeking help for a child or adolescent who is experiencing grief or was exposed to trauma? Are you seeking guidance on how to deal with your child’s oppositional behavior, or looking for a therapist experienced in treating anxiety, depression, and adjustment issues in children of all ages? Is your child making all the wrong choices? If so, I can help. I address these issues with children and adolescents to eliminate the barriers such as fear, anxiety, depression, social skills, and relationship issues.
(786) 876-8924 View (786) 876-8924
Photo of Dr. Beverly Nelson, DMFT, MSP
Dr. Beverly Nelson
Registered Mental Health Counselor Intern, DMFT, MSP
Verified Verified
1 Endorsed
Miami Gardens, FL 33056
Not accepting new clients
I am a Doctor of Marriage and Family Therapy (DMFT), and Registered Mental Health Counselor Intern, providing in-person or teletherapy, and solution focused coaching. Therapy with Dr. Beverly specializes in working with adults, children, couples, and families. My experience expands to clients presenting with anxiety, depression, self-esteem, anger management concerns, relationship issues, domestic violence, and more. Therapy with Dr. Beverly assist with developing personable goals to increase your coping skills and encourage you to live the life that you desire to live.
I am a Doctor of Marriage and Family Therapy (DMFT), and Registered Mental Health Counselor Intern, providing in-person or teletherapy, and solution focused coaching. Therapy with Dr. Beverly specializes in working with adults, children, couples, and families. My experience expands to clients presenting with anxiety, depression, self-esteem, anger management concerns, relationship issues, domestic violence, and more. Therapy with Dr. Beverly assist with developing personable goals to increase your coping skills and encourage you to live the life that you desire to live.
(786) 244-2549 View (786) 244-2549
Photo of Cierra India Burnes - SoulVersation, MA, Counselor
SoulVersation
Counselor, MA
Verified Verified
Miami Gardens, FL 33056  (Online Only)
Cierra is a dedicated doctoral candidate at Barry University, pursuing a Ph.D. in Counseling, specializing in Marital, Couple, and Family Counseling, as part of the Barry University Mentorship Program. Cierra earned a master's degree in sports psychology from Argosy University. Cierra’s academic journey and certification as a life coach have equipped them with a deep understanding of effective trends and theories in mental health and sports counseling. Specialized coursework has provided Cierra insights into family interactions, trauma interventions for adults, group processes, and working with athletes.
Cierra is a dedicated doctoral candidate at Barry University, pursuing a Ph.D. in Counseling, specializing in Marital, Couple, and Family Counseling, as part of the Barry University Mentorship Program. Cierra earned a master's degree in sports psychology from Argosy University. Cierra’s academic journey and certification as a life coach have equipped them with a deep understanding of effective trends and theories in mental health and sports counseling. Specialized coursework has provided Cierra insights into family interactions, trauma interventions for adults, group processes, and working with athletes.
(954) 314-2586 View (954) 314-2586
Photo of Cynthia Schwartz, LCSW, Clinical Social Work/Therapist
Cynthia Schwartz
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami Gardens, FL 33056
Does life become overwhelming and out of control at times and that feeling of being in control seems to goes out the window? Together we can identify what's not working and get to an appropriate balance in your life. I utilize a mindfulness based approach applying deep breathing relaxation exercises to help you develop a strong relationship with yourself and others that affect your personal and professional life. My practice is based on how to learn about your unique strengths and the natural capabilities you have. Whether you are dealing with overwhelming relationships or cycles of anxiety or depression, I am here to help.
Does life become overwhelming and out of control at times and that feeling of being in control seems to goes out the window? Together we can identify what's not working and get to an appropriate balance in your life. I utilize a mindfulness based approach applying deep breathing relaxation exercises to help you develop a strong relationship with yourself and others that affect your personal and professional life. My practice is based on how to learn about your unique strengths and the natural capabilities you have. Whether you are dealing with overwhelming relationships or cycles of anxiety or depression, I am here to help.
(813) 819-8377 View (813) 819-8377
Photo of Nadly Mo Senatus, Clinical Social Work/Therapist
Nadly Mo Senatus
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Miami Gardens, FL 33169  (Online Only)
You are the focus- your safety, your wellbeing, your goals! Life changes, symptoms of depression and anxiety, traumatic experiences, searching to build healthy coping and awareness, or curiosity; whichever the driving force leading to counseling, as a licensed mental health professional I can help. I want clients to gain the feeling of being seen and heard in a safe (virtual) space. I seek to understand, support, and collaborate with clients. The positive gains from therapy encourage activating your natural power and applying tools learned in sessions to your life journey.
You are the focus- your safety, your wellbeing, your goals! Life changes, symptoms of depression and anxiety, traumatic experiences, searching to build healthy coping and awareness, or curiosity; whichever the driving force leading to counseling, as a licensed mental health professional I can help. I want clients to gain the feeling of being seen and heard in a safe (virtual) space. I seek to understand, support, and collaborate with clients. The positive gains from therapy encourage activating your natural power and applying tools learned in sessions to your life journey.
(954) 314-4062 View (954) 314-4062
Photo of Ron Gay, LMHC, Counselor
Ron Gay
Counselor, LMHC
Verified Verified
Miami Gardens, FL 33056  (Online Only)
Ron Gay is a Licensed Mental Health Counselor who is passionate about helping his clients overcome struggles that are hindering them from being the best version of themselves. He is a proud Alumnus of North Carolina Central University where he received his Bachelor's degree and Nova Southeastern where he received his Master's degree in Mental Health Counseling.
Ron Gay is a Licensed Mental Health Counselor who is passionate about helping his clients overcome struggles that are hindering them from being the best version of themselves. He is a proud Alumnus of North Carolina Central University where he received his Bachelor's degree and Nova Southeastern where he received his Master's degree in Mental Health Counseling.
(786) 882-6963 View (786) 882-6963
Photo of Ancquanetta D McKinney-Hankerson, MS, LMHC, Counselor
Ancquanetta D McKinney-Hankerson
Counselor, MS, LMHC
Verified Verified
Miami Gardens, FL 33056
I have a passion for helping individuals overcome life’s challenges by attempting to impart the skills necessary to increase overall wellbeing. My therapeutic approach is holistic, which means physical and spiritual health is a huge component in helping individuals feel whole. I attempt therapeutic approaches that are integrative and solution based on each clients specific needs. I have experience with symptoms of anxiety, depression, grief, life transitions, behavior development, anger management, stress, and low self-esteem.
I have a passion for helping individuals overcome life’s challenges by attempting to impart the skills necessary to increase overall wellbeing. My therapeutic approach is holistic, which means physical and spiritual health is a huge component in helping individuals feel whole. I attempt therapeutic approaches that are integrative and solution based on each clients specific needs. I have experience with symptoms of anxiety, depression, grief, life transitions, behavior development, anger management, stress, and low self-esteem.
(754) 240-8633 View (754) 240-8633
Photo of Der'Resha K. Bastien, MEd, LMHC, Counselor
Der'Resha K. Bastien
Counselor, MEd, LMHC
Verified Verified
2 Endorsed
Miami Gardens, FL 33056  (Online Only)
Are you feeling overwhelmed by anxiety or depression? Are you struggling to overcome some of your daily struggles? Are you looking forward to a healthy and meaningful life? If so, I am here to help. As a licensed therapist, I provide a safe and nonjudgemental space to process your thoughts and emotions while working with you to foster positive changes.
Are you feeling overwhelmed by anxiety or depression? Are you struggling to overcome some of your daily struggles? Are you looking forward to a healthy and meaningful life? If so, I am here to help. As a licensed therapist, I provide a safe and nonjudgemental space to process your thoughts and emotions while working with you to foster positive changes.
(786) 667-7048 View (786) 667-7048
Photo of Angela C. Brinson - PsychEd Solutions, P.A., PhD
PsychEd Solutions, P.A.
PhD
Verified Verified
Miami Gardens, FL 33169
Welcome! I am Angela C. Brinson, Ph.D. I have highly specialized training in assessment and testing. My experience as a Licensed Psychologist over the past 18 years includes working successfully with children, teenagers, adults and celebrities. In addition to the private sector, I have worked in the public and private school systems; Department of Juvenile Justice (DJJ); Law Enforcement; Media & Entertainment, Higher Education and Community Behavioral Health agencies.
Welcome! I am Angela C. Brinson, Ph.D. I have highly specialized training in assessment and testing. My experience as a Licensed Psychologist over the past 18 years includes working successfully with children, teenagers, adults and celebrities. In addition to the private sector, I have worked in the public and private school systems; Department of Juvenile Justice (DJJ); Law Enforcement; Media & Entertainment, Higher Education and Community Behavioral Health agencies.
(954) 504-6558 View (954) 504-6558
Photo of Claudette Elain Bailey - Oasis Integrative Counseling Services LLC, LCSW, MSW, Clinical Social Work/Therapist
Oasis Integrative Counseling Services LLC
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Miami Gardens, FL 33169
I am a Caribbean immigrant who has resided in the US for over several decades. I am passionate about incorporating a holistic approach to providing psychotherapy services to a diverse multicultural population within the South Florida region. My practice that focuses on therapy with individuals, couples, and families, includes children (ages 5 through 12), adolescents, and adults. My ideal client is one who, because of cultural or ethnic differences, may be hesitant toward accessing counseling elsewhere.
I am a Caribbean immigrant who has resided in the US for over several decades. I am passionate about incorporating a holistic approach to providing psychotherapy services to a diverse multicultural population within the South Florida region. My practice that focuses on therapy with individuals, couples, and families, includes children (ages 5 through 12), adolescents, and adults. My ideal client is one who, because of cultural or ethnic differences, may be hesitant toward accessing counseling elsewhere.
(305) 770-6933 View (305) 770-6933
Photo of Adam Taveras, LMFT, Marriage & Family Therapist
Adam Taveras
Marriage & Family Therapist, LMFT
Verified Verified
Miami Gardens, FL 33056
Hello my name is Adam Taveras, Master of Arts, LMFT QS and I believe in treating clients with respect, sensitivity, compassion and honesty. Over the years I have collaborated with clients to develop positive coping skills for symptoms of depression and anxiety. I have also helped those with parenting problems, trauma issues, life stage crisis, career challenges, relationship troubles, addiction and many other concerns.
Hello my name is Adam Taveras, Master of Arts, LMFT QS and I believe in treating clients with respect, sensitivity, compassion and honesty. Over the years I have collaborated with clients to develop positive coping skills for symptoms of depression and anxiety. I have also helped those with parenting problems, trauma issues, life stage crisis, career challenges, relationship troubles, addiction and many other concerns.
(813) 536-5486 View (813) 536-5486
Photo of Keisha Trotman, MS, LMHC, Counselor
Keisha Trotman
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Miami Gardens, FL 33169  (Online Only)
Hello! With 15 years of post-graduate experience, I've had the privilege of offering psychotherapy to individuals and families throughout Florida. I am deeply committed to your individual journey. My areas of expertise encompass building effective coping skills, emotional well-being, and enhancing interpersonal relationships. I am here to support you with compassion, authenticity, and personalized solutions tailored to your specific. Currently, I am focused on helping individuals navigate challenges such as anxiety, depression, relationship issues, imposter syndrome, and the complexities of preserving self-identity in the workplace.
Hello! With 15 years of post-graduate experience, I've had the privilege of offering psychotherapy to individuals and families throughout Florida. I am deeply committed to your individual journey. My areas of expertise encompass building effective coping skills, emotional well-being, and enhancing interpersonal relationships. I am here to support you with compassion, authenticity, and personalized solutions tailored to your specific. Currently, I am focused on helping individuals navigate challenges such as anxiety, depression, relationship issues, imposter syndrome, and the complexities of preserving self-identity in the workplace.
(954) 480-1631 View (954) 480-1631
Photo of Inga Antrobus, RMHCI, Pre-Licensed Professional
Inga Antrobus
Pre-Licensed Professional, RMHCI
Verified Verified
1 Endorsed
Miami Gardens, FL 33169  (Online Only)
My ideal client is someone who recognizes the profound impact of relationship trauma or a recent breakup on their emotional well-being and is motivated to embark on a journey of healing and self-discovery. They require a safe and non-judgmental space where they can express their thoughts and emotions openly, without fear of criticism.
My ideal client is someone who recognizes the profound impact of relationship trauma or a recent breakup on their emotional well-being and is motivated to embark on a journey of healing and self-discovery. They require a safe and non-judgmental space where they can express their thoughts and emotions openly, without fear of criticism.
(561) 778-1407 View (561) 778-1407
1

See more therapy options for Miami Gardens

How does your Therapist compare?

Number of Therapists in Miami Gardens, FL

50+

Average cost per session

$125

Therapists in Miami Gardens, FL who prioritize treating:

96% Anxiety
89% Depression
81% Coping Skills
77% Relationship Issues
75% Self Esteem
72% Stress
70% Grief

Average years in practice

10 Years

Top 3 insurances accepted

84% Cigna and Evernorth
82% Aetna
78% UnitedHealthcare UHC | UBH

How Therapists in Miami Gardens, FL see their clients

57% In Person and Online
43% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Miami Gardens?

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.