Therapists in Oakwood, IL
![Photo of Barbara E Ortiz, MS, NCC, LCPC, Counselor](https://photos.psychologytoday.com/b876861f-eacd-4c5b-a148-37d01e77bf46/2/320x400.jpeg)
Life presents challenges and different seasons of life. Feelings exist because of life situations we have gone through. Our feelings are not a problem, but what we do with the feelings and how we cope with them can be. Having someone experienced to help you through those seasons and situations can be invaluable. I have many years of experience in providing, Cognitive Behavioral Therapy, Grief Counseling, Family/Relationship Conflict, Couples Counseling. Trauma Recovery, EMDR, and Christian Counseling. I am certified as a Telemental provider. I believe that anyone who is willing can improve their life with the right tools.
Life presents challenges and different seasons of life. Feelings exist because of life situations we have gone through. Our feelings are not a problem, but what we do with the feelings and how we cope with them can be. Having someone experienced to help you through those seasons and situations can be invaluable. I have many years of experience in providing, Cognitive Behavioral Therapy, Grief Counseling, Family/Relationship Conflict, Couples Counseling. Trauma Recovery, EMDR, and Christian Counseling. I am certified as a Telemental provider. I believe that anyone who is willing can improve their life with the right tools.
![Photo of Mickensy Leigh Ellis-White - MpowEr Counseling, PLLC, MS, LCPC, CPAT, MAC, RYT 500, Counselor](https://photos.psychologytoday.com/63edfd98-dbad-4bc7-9376-8448f4855661/1/320x400.jpeg)
MpowEr Counseling, PLLC
Counselor, MS, LCPC, CPAT, MAC, RYT 500
Verified Verified
1 Endorsed
Oakwood, IL 61858
Not accepting new clients
I strive to be the counselor I would want to talk to. I am an OIF/OND Veteran that has extensive experience working with military and Veteran populations. I am trained in Rational Emotive Behavior Therapy, Dialectical Behavioral Therapy, and Eye Movement Desensitization Reprocessing (EMDR). I offer a holistic, harm reduction approach to recovery as well as generalized mental health services. I teach lasting happiness with positive psychology and energy practices. I want to help you reduce stress, and live an optimal life. I am also a certified yoga instructor, which helps to connect your mind, body, and spirit.
I strive to be the counselor I would want to talk to. I am an OIF/OND Veteran that has extensive experience working with military and Veteran populations. I am trained in Rational Emotive Behavior Therapy, Dialectical Behavioral Therapy, and Eye Movement Desensitization Reprocessing (EMDR). I offer a holistic, harm reduction approach to recovery as well as generalized mental health services. I teach lasting happiness with positive psychology and energy practices. I want to help you reduce stress, and live an optimal life. I am also a certified yoga instructor, which helps to connect your mind, body, and spirit.
![Photo of Elizabeth Salmo, LCPC, Counselor](https://photos.psychologytoday.com/6e28d517-ad96-4897-9383-cf4e7548afab/2/320x400.png)
Hi! I'm Beth Salmo, licensed in MO, IL, and FL as a professional counselor. My work is focused on helping people who are struggling with mood disorders, anxiety, trauma, and moral injury. I've also helped clients with personality disorders and who are on the autism spectrum. I have many years of experience helping people with mood and anxiety disorders; those who are neurodivergent; and relational issues to include members of the LGBTQIA+ community. I approach therapy from a CBT and Reality-Choice lens and often infuse therapeutic humor into my sessions.
Hi! I'm Beth Salmo, licensed in MO, IL, and FL as a professional counselor. My work is focused on helping people who are struggling with mood disorders, anxiety, trauma, and moral injury. I've also helped clients with personality disorders and who are on the autism spectrum. I have many years of experience helping people with mood and anxiety disorders; those who are neurodivergent; and relational issues to include members of the LGBTQIA+ community. I approach therapy from a CBT and Reality-Choice lens and often infuse therapeutic humor into my sessions.
![Photo of Marissa Krager, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/db25d4bc-70c7-4df4-b800-f0a44ad61be9/1/320x400.jpeg)
My name is Marissa Krager, I’m a Licensed Clinical Social Worker (LCSW) and Licensed School Social Worker (PEL) in the state of Illinois. I like to look at my clients as a whole, (environment, support, interests, strengths, weaknesses) not just individually. I go by my client’s pace, assessing how you are working in counseling and understanding what you're able to process/handle in those moments, never adding pressure. Specializing in trauma, anxiety, depression, and general counseling.
My name is Marissa Krager, I’m a Licensed Clinical Social Worker (LCSW) and Licensed School Social Worker (PEL) in the state of Illinois. I like to look at my clients as a whole, (environment, support, interests, strengths, weaknesses) not just individually. I go by my client’s pace, assessing how you are working in counseling and understanding what you're able to process/handle in those moments, never adding pressure. Specializing in trauma, anxiety, depression, and general counseling.
More Therapists Nearby
![Photo of Amber Loewenstein - Illume Counseling and Wellness Center](https://photos.psychologytoday.com/494f7a5f-e7d0-47d7-8f29-094a98faa78a/1/320x400.jpeg)
Illume Counseling and Wellness Center
Licensed Clinical Professional Counselor
Verified Verified
Danville, IL 61832
Life isn’t always easy. Occasionally we all need a little bit of help to work through some of life’s more challenging problems. At Illume Counseling and Wellness Center, we realize that no two people are the same, and we tailor our therapy to meet your specific needs as an individual. We focus on uncovering the root cause of your concerns and guide you towards better understanding of how you can make real change.
Life isn’t always easy. Occasionally we all need a little bit of help to work through some of life’s more challenging problems. At Illume Counseling and Wellness Center, we realize that no two people are the same, and we tailor our therapy to meet your specific needs as an individual. We focus on uncovering the root cause of your concerns and guide you towards better understanding of how you can make real change.
![Photo of Mildred J Williams - Speak2me2 Counseling LLC, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/468fc021-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Speak2me2 Counseling LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Danville, IL 61832 (Online Only)
The goal at Speak2me2 Counseling is to provide community based mental health services to families and individuals.
The goal at Speak2me2 Counseling is to provide community based mental health services to families and individuals.
![Photo of Kelly Fein, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3f775ba2-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Kelly Fein
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Danville, IL 61834 (Online Only)
I have over 12 years of experience in the field. Areas I like to address include, past trauma and abuse, depression, anxiety, relationships, eating disorders, personality disorders, self-esteem, bullying, social awareness, and parenting support among other issues. I have extensive training in therapeutic approaches with children and adolescents including art therapy and play-based approaches, however I enjoy working with all age groups.
I have over 12 years of experience in the field. Areas I like to address include, past trauma and abuse, depression, anxiety, relationships, eating disorders, personality disorders, self-esteem, bullying, social awareness, and parenting support among other issues. I have extensive training in therapeutic approaches with children and adolescents including art therapy and play-based approaches, however I enjoy working with all age groups.
![Photo of Hannah Kiefer, MS, ATR-P, Pre-Licensed Professional](https://photos.psychologytoday.com/b5a65338-2b31-403c-9cdb-0ebfa0a0a263/2/320x400.jpeg)
Hi there! My name is Hannah Kiefer, and it’s nice to meet you. I want to take a moment and congratulate you on finding help. Receiving therapy is for you and knowing when you are ready to seek help. It is difficult to find a therapist that you connect with, so take this time to search for a therapist that meets your needs. Your mental health is important, and support is here to help you throughout this journey.
Hi there! My name is Hannah Kiefer, and it’s nice to meet you. I want to take a moment and congratulate you on finding help. Receiving therapy is for you and knowing when you are ready to seek help. It is difficult to find a therapist that you connect with, so take this time to search for a therapist that meets your needs. Your mental health is important, and support is here to help you throughout this journey.
![Photo of Tim Shea, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4953f962-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I have 30 years of experience working with adults, and adolescents. The last 20 I have enjoyed working in private practice. I work with individuals, couples, and families addressing a broad range of issues such as depression, anxiety, relationships, parenting, adoption, sexual orientation, and pornography addiction just to name a few. I believe 50% of therapy is in the relationship with your therapist. I'd be happy to talk to you on the phone or meet with you for an initial appointment to help you determine if I am a good fit for you.
I have 30 years of experience working with adults, and adolescents. The last 20 I have enjoyed working in private practice. I work with individuals, couples, and families addressing a broad range of issues such as depression, anxiety, relationships, parenting, adoption, sexual orientation, and pornography addiction just to name a few. I believe 50% of therapy is in the relationship with your therapist. I'd be happy to talk to you on the phone or meet with you for an initial appointment to help you determine if I am a good fit for you.
![Photo of Beth Walder, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/72be0d89-a594-49a9-8e80-a7a2a3b31c42/1/320x400.jpeg)
If life is taking you down a difficult road, I would be honored to help navigate your journey towards hope, healing, and happiness. As a Licensed Social Worker, I have experience working in the school setting, community mental health, and crisis settings. I specialize in working with individuals of all ages who are struggling with: depression, anxiety, self-esteem issues, religious issues, maternal/paternal mental health, grief, trauma, and stress. Using various evidence-based techniques, I am able to help guide you towards a healthier and more fulfilling life.
If life is taking you down a difficult road, I would be honored to help navigate your journey towards hope, healing, and happiness. As a Licensed Social Worker, I have experience working in the school setting, community mental health, and crisis settings. I specialize in working with individuals of all ages who are struggling with: depression, anxiety, self-esteem issues, religious issues, maternal/paternal mental health, grief, trauma, and stress. Using various evidence-based techniques, I am able to help guide you towards a healthier and more fulfilling life.
![Photo of Ocean Richardson, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b8d04f14-9d72-448b-b0b5-ed8fe98e4759/1/320x400.jpeg)
Ocean Richardson
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Danville, IL 61832
I am ready to listen, and here to help. Let's navigate this journey together. I offer sessions in the evenings and on weekends. I am compassionate about supporting and assisting children, adolescents, and adults with exploring and finding solutions for a variety of challenges. Those challenges may have led to stress, anxiety and depression or a combination of the three. I lead with an empathetic attitude that supports you in developing, prioritizing, and using coping skills and goals that will assist through your life changes
I am ready to listen, and here to help. Let's navigate this journey together. I offer sessions in the evenings and on weekends. I am compassionate about supporting and assisting children, adolescents, and adults with exploring and finding solutions for a variety of challenges. Those challenges may have led to stress, anxiety and depression or a combination of the three. I lead with an empathetic attitude that supports you in developing, prioritizing, and using coping skills and goals that will assist through your life changes
![Photo of Lindsay Froman, BCMMHC, Pre-Licensed Professional](https://photos.psychologytoday.com/c6a9b3d3-a5cf-4528-9b07-881cfa05435e/1/320x400.jpeg)
My passion for helping people has always been a part of who I am. Most of my interest and education in mental health was born from my own adversity and life challenges. I offer Christian life coaching and aim to support individuals who want to grow in their marriage, parenting, or ability to work through stress management, eating disorders, and trauma. My coaching certifications are in: Executive & Organizational Coaching, Eating Disorders, Marriage & Family, Childhood, Attachment, Stress, trauma, and adoption.
My passion for helping people has always been a part of who I am. Most of my interest and education in mental health was born from my own adversity and life challenges. I offer Christian life coaching and aim to support individuals who want to grow in their marriage, parenting, or ability to work through stress management, eating disorders, and trauma. My coaching certifications are in: Executive & Organizational Coaching, Eating Disorders, Marriage & Family, Childhood, Attachment, Stress, trauma, and adoption.
![Photo of Jesssica Nemecz, LCPC, LMHC, Counselor](https://photos.psychologytoday.com/f853075a-9af1-4a82-a7c9-eea8e3acde45/1/320x400.jpeg)
What's lead you to start looking for support for your life? Whatever your reason, I want you to know that taking this first step takes a lot of courage and that you're not alone! I'll walk with you and provide support on your healing journey. I specialize in trauma therapy, perinatal support, and Christian counseling. I also provide business consulting and self-awareness coaching to entrepreneurs.
What's lead you to start looking for support for your life? Whatever your reason, I want you to know that taking this first step takes a lot of courage and that you're not alone! I'll walk with you and provide support on your healing journey. I specialize in trauma therapy, perinatal support, and Christian counseling. I also provide business consulting and self-awareness coaching to entrepreneurs.
![Photo of Jessica Nemecz - Two Roads Wellness Clinic, LCPC, LMCH, Counselor](https://photos.psychologytoday.com/f337b5f0-ff38-4114-9f74-d1defada421d/2/320x400.png)
Two Roads Wellness Clinic is an integrative mental health clinic that exists to support and empower all people to reach their best selves through emotional, physical, and spiritual wellness. It is our desire for each client to feel their best. Maybe you feel stuck or discouraged with an issue/challenge you've had for a while. Allow us to come alongside you; we can often achieve positive outcomes together that are typically much more difficult to experience on your own.
Two Roads Wellness Clinic is an integrative mental health clinic that exists to support and empower all people to reach their best selves through emotional, physical, and spiritual wellness. It is our desire for each client to feel their best. Maybe you feel stuck or discouraged with an issue/challenge you've had for a while. Allow us to come alongside you; we can often achieve positive outcomes together that are typically much more difficult to experience on your own.
![Photo of Jennifer Zerfowski, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7bc9c987-22c9-4deb-9f3a-fe25d8065975/2/320x400.jpeg)
My approach to therapy is not always your traditional approach. I utilize many evidence-based therapy modalities while also making our time together interesting and fun. Many times deep healing work can occur without even realizing it. You may find yourself feeling an array of emotions from crying to laughing as we work together. I believe that there is deep healing power in laughter.
My approach to therapy is not always your traditional approach. I utilize many evidence-based therapy modalities while also making our time together interesting and fun. Many times deep healing work can occur without even realizing it. You may find yourself feeling an array of emotions from crying to laughing as we work together. I believe that there is deep healing power in laughter.
![Photo of Milia B Bergkoetter, MS, MFCC, LCPC, Counselor](https://photos.psychologytoday.com/4060c8aa-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I'm a seasoned therapist with 30+ years of experience working with families, couples, children, and adolescents. In addition to conducting a successful private practice, my experience includes working in various settings ranging from hospital in-patient, residential treatment, out-reach, and community mental health. I'm trained in several modalities to treat a variety of presenting concerns; depression, anxiety, abuse, trauma, or stress.
I'm a seasoned therapist with 30+ years of experience working with families, couples, children, and adolescents. In addition to conducting a successful private practice, my experience includes working in various settings ranging from hospital in-patient, residential treatment, out-reach, and community mental health. I'm trained in several modalities to treat a variety of presenting concerns; depression, anxiety, abuse, trauma, or stress.
![Photo of Chel Garrison, CLC, Pre-Licensed Professional](https://photos.psychologytoday.com/646947e8-87f5-4998-81d7-e2a496c52ea5/2/320x400.png)
At the core of my being, I believe that every person is created with purpose and a plan for their life that is both unique and valuable. I believe you have the answers to where you want to go already, you just need someone to help you unwind the complexities of your thoughts, decide the first step, and then the next steps until you’ve become who you were designed to be! With a goal of becoming who you were created to be in all aspects of your life I am welcoming you to an opportunity to partner with her to intentionally choose the next steps in your journey.
At the core of my being, I believe that every person is created with purpose and a plan for their life that is both unique and valuable. I believe you have the answers to where you want to go already, you just need someone to help you unwind the complexities of your thoughts, decide the first step, and then the next steps until you’ve become who you were designed to be! With a goal of becoming who you were created to be in all aspects of your life I am welcoming you to an opportunity to partner with her to intentionally choose the next steps in your journey.
![Photo of Suzanne Martinez, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3bcb24f1-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
As a practical, interactive therapist, my treatment approach is to provide support and practical feedback to help clients resolve current problems and long-standing patterns. With sensitivity and compassion, I help clients find solutions for arange of life challenges and psychological issues.
In addition to therapy, I do life coaching. For years, I have lectured on change management and employer workplace issues. I have also worked directly with employees from manufacturing, medical fields, and academia to clarify, simplify and enhance their total life. In my work history prior to becoming a licensed therapist, I was a successful corporate executive.
As a practical, interactive therapist, my treatment approach is to provide support and practical feedback to help clients resolve current problems and long-standing patterns. With sensitivity and compassion, I help clients find solutions for arange of life challenges and psychological issues.
In addition to therapy, I do life coaching. For years, I have lectured on change management and employer workplace issues. I have also worked directly with employees from manufacturing, medical fields, and academia to clarify, simplify and enhance their total life. In my work history prior to becoming a licensed therapist, I was a successful corporate executive.
![Photo of Emily Cadman, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/72fa7e4b-534d-40f3-aaed-2f7f3c7e0832/1/320x400.jpeg)
Are you plagued by intrusive memories, flashbacks, or overwhelming emotions tied to traumatic events? Traumas such as accidents, abuse, or the sudden loss of a loved one can leave deep emotional scars that disrupt your daily life. Eye Movement Desensitization and Reprocessing (EMDR) is a powerful, evidence-based therapy designed to help individuals process and heal from these distressing experiences. EMDR can alleviate symptoms like anxiety, depression, and PTSD, allowing individuals to regain a sense of peace and well-being.
Are you plagued by intrusive memories, flashbacks, or overwhelming emotions tied to traumatic events? Traumas such as accidents, abuse, or the sudden loss of a loved one can leave deep emotional scars that disrupt your daily life. Eye Movement Desensitization and Reprocessing (EMDR) is a powerful, evidence-based therapy designed to help individuals process and heal from these distressing experiences. EMDR can alleviate symptoms like anxiety, depression, and PTSD, allowing individuals to regain a sense of peace and well-being.
![Photo of Vickie L McCarty, PhD, LCPC, Pastoral Counselor](https://photos.psychologytoday.com/a4d65a6d-5c3e-4dc5-9ca2-42d6253d5541/1/320x400.png)
My goal is not just to help people have a better life here on earth, but to help people have a right relationship with God. Over and over again we see the connection between spiritual health and emotional, mental and physical health. While spiritual health alone does not make every problem go away...spiritual health is critical to bringing emotional, mental and physical health. Most of us have experienced feelings of hurt, disappointment, fear, rejection, loneliness, grief, guilt, and/or shame. These feelings may cause us to project an image that is not necessarily true to who we really are.
My goal is not just to help people have a better life here on earth, but to help people have a right relationship with God. Over and over again we see the connection between spiritual health and emotional, mental and physical health. While spiritual health alone does not make every problem go away...spiritual health is critical to bringing emotional, mental and physical health. Most of us have experienced feelings of hurt, disappointment, fear, rejection, loneliness, grief, guilt, and/or shame. These feelings may cause us to project an image that is not necessarily true to who we really are.
See more therapy options for Oakwood
How does your Therapist compare?
Number of Therapists in Oakwood, IL
< 10
Therapists in Oakwood, IL who prioritize treating:
100% | Depression |
100% | Coping Skills |
100% | Stress |
75% | Anxiety |
75% | Trauma and PTSD |
75% | Divorce |
75% | Anger Management |
Average years in practice
16 Years
Top 3 insurances accepted
100% | Aetna |
100% | BlueCross and BlueShield |
100% | Cigna and Evernorth |
How Therapists in Oakwood, IL see their clients
100% | In Person and Online |
Gender breakdown
100% | Female |
FAQs - About Therapy and Counseling
How can I find a therapist in Oakwood?
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.