Therapists in East Riverside, New Orleans, LA

Photo of Sarahbeth Cass, LCSW, Clinical Social Work/Therapist
Sarahbeth Cass
Clinical Social Work/Therapist, LCSW
Verified Verified
East Riverside, New Orleans, LA 70115
I am a Licensed Clinical Social Worker with 10 years of experience. I work with individuals presenting with relationship issues, anxiety, and depression, I offer individual therapy using CBT, DBT, EFT and the Gottman method couples therapy. I offer grief therapy for individuals coping with chronic illnesses and those caring for loved ones with complex medical histories.
I am a Licensed Clinical Social Worker with 10 years of experience. I work with individuals presenting with relationship issues, anxiety, and depression, I offer individual therapy using CBT, DBT, EFT and the Gottman method couples therapy. I offer grief therapy for individuals coping with chronic illnesses and those caring for loved ones with complex medical histories.
(504) 305-8897 View (504) 305-8897
Photo of Laura Niditch, PhD, Psychologist
Laura Niditch
Psychologist, PhD
Verified Verified
1 Endorsed
East Riverside, New Orleans, LA 70115
Not accepting new clients
Do you need answers? For several years, I've specialized in providing comprehensive, expert assessment for a variety of concerns. People seek my services to answer questions like: Does my child (or do I) have ADHD? Am I (or is my child) Autistic? How can I help my child (or myself) succeed academically? Is my child (or am I) gifted? How can I best understand and treat my (or my child's) emotional distress? My mission is to provide you with a roadmap to address your current concerns and move forward through specific, individually-tailored recommendations.
Do you need answers? For several years, I've specialized in providing comprehensive, expert assessment for a variety of concerns. People seek my services to answer questions like: Does my child (or do I) have ADHD? Am I (or is my child) Autistic? How can I help my child (or myself) succeed academically? Is my child (or am I) gifted? How can I best understand and treat my (or my child's) emotional distress? My mission is to provide you with a roadmap to address your current concerns and move forward through specific, individually-tailored recommendations.
(504) 517-7935 View (504) 517-7935
Photo of Tony Endelman, BA, PCC
Tony Endelman
BA, PCC
Verified Verified
East Riverside, New Orleans, LA 70115  (Online Only)
I'm guessing you landed on this page for a reason. And, the truth is, you've got everything it takes to create the life you deserve. Maybe you just need some inspiration. Or a swift kick in the ass. Or somebody to help you change your thinking. I know I did. If you feel stuck and unfulfilled and wonder why nothing seems to go your way, I can relate. I struggled in every aspect of my life, failing to see the world as a place of abundance. I struggled in my career and in relationships. I struggled to set goals. Many days, I struggled just to get out of bed. Then, I decided I'd had enough. I decided it was time for a change.
I'm guessing you landed on this page for a reason. And, the truth is, you've got everything it takes to create the life you deserve. Maybe you just need some inspiration. Or a swift kick in the ass. Or somebody to help you change your thinking. I know I did. If you feel stuck and unfulfilled and wonder why nothing seems to go your way, I can relate. I struggled in every aspect of my life, failing to see the world as a place of abundance. I struggled in my career and in relationships. I struggled to set goals. Many days, I struggled just to get out of bed. Then, I decided I'd had enough. I decided it was time for a change.
(504) 608-0961 View (504) 608-0961
Photo of Ashley Dueling Staehle, LCSW, Clinical Social Work/Therapist
Ashley Dueling Staehle
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
East Riverside, New Orleans, LA 70115  (Online Only)
Currently Accepting Waitlist Clients. Do you ever feel overwhelmed? That you want to do it all and there does not seem to be enough time in a day. Do you find yourself wondering if creating balance in your life is possible? Do you find yourself questioning who am I? If you answered yes to any of these questions. I can help you find balance, connection and vibrancy. No matter where you are in your life, counseling can help you achieve overall wellness. This allows you to achieve your goals and to make decisions based on your values or what is important to you.
Currently Accepting Waitlist Clients. Do you ever feel overwhelmed? That you want to do it all and there does not seem to be enough time in a day. Do you find yourself wondering if creating balance in your life is possible? Do you find yourself questioning who am I? If you answered yes to any of these questions. I can help you find balance, connection and vibrancy. No matter where you are in your life, counseling can help you achieve overall wellness. This allows you to achieve your goals and to make decisions based on your values or what is important to you.
(504) 350-2300 View (504) 350-2300
Photo of Rebecca Waltner, MEd, NCC, LPC, Licensed Professional Counselor
Rebecca Waltner
Licensed Professional Counselor, MEd, NCC, LPC
Verified Verified
8 Endorsed
East Riverside, New Orleans, LA 70118
Do you want to change but don't know where to begin? Are you tired of experiencing the same outcomes in your relationships? Is it time for you to try something new? Has someone you know suggested you need to talk to someone? Do you feel lost or alone? As a counselor, I believe everyone has the ability to change their life and make meaning out of life. If this sounds like you, I can help.
Do you want to change but don't know where to begin? Are you tired of experiencing the same outcomes in your relationships? Is it time for you to try something new? Has someone you know suggested you need to talk to someone? Do you feel lost or alone? As a counselor, I believe everyone has the ability to change their life and make meaning out of life. If this sounds like you, I can help.
(504) 608-6039 View (504) 608-6039
Photo of Sarah Wroblewski - Free Your Mind Nola, NCC, LPC, Licensed Professional Counselor
Free Your Mind Nola
Licensed Professional Counselor, NCC, LPC
Verified Verified
East Riverside, New Orleans, LA 70118
I am a Licensed Professional Counselor. I work with a variety of clients, many of whom have a trauma background. I use EMDR, AIT and DBT in my sessions. The clinician-client relationship is important and flexibility with treatment is necessary in achieving change. We work together to get you to where you want to be. I tell all of my clients, "I have a big bag of tricks, we just need to find what works for you." Feel like you have been trying and not getting to where you want to be? I can help and I would love to work with you.
I am a Licensed Professional Counselor. I work with a variety of clients, many of whom have a trauma background. I use EMDR, AIT and DBT in my sessions. The clinician-client relationship is important and flexibility with treatment is necessary in achieving change. We work together to get you to where you want to be. I tell all of my clients, "I have a big bag of tricks, we just need to find what works for you." Feel like you have been trying and not getting to where you want to be? I can help and I would love to work with you.
(504) 608-4628 View (504) 608-4628
Photo of Kim Gordon, LCSW, Clinical Social Work/Therapist
Kim Gordon
Clinical Social Work/Therapist, LCSW
Verified Verified
East Riverside, New Orleans, LA 70115
Kim Gordon is a Certified Clinical Trauma Professional and a Licensed Clinical Social Worker in Louisiana, North Carolina, and Virginia. She has over 20 years of clinical experience.
Kim Gordon is a Certified Clinical Trauma Professional and a Licensed Clinical Social Worker in Louisiana, North Carolina, and Virginia. She has over 20 years of clinical experience.
(504) 882-9572 View (504) 882-9572
Photo of Annie Bachrach, LCSW, BACS, Clinical Social Work/Therapist
Annie Bachrach
Clinical Social Work/Therapist, LCSW, BACS
Verified Verified
East Riverside, New Orleans, LA 70115
I primarily work with clients aged 10-25 struggling with anxiety and depression, life transitions, social and behavioral issues, and identity development. I have a particular interest in working with college students as they develop greater independence and learn to manage increasing personal and academic responsibilities while also attending to their social and emotional needs.
I primarily work with clients aged 10-25 struggling with anxiety and depression, life transitions, social and behavioral issues, and identity development. I have a particular interest in working with college students as they develop greater independence and learn to manage increasing personal and academic responsibilities while also attending to their social and emotional needs.
(504) 766-3880 View (504) 766-3880
Photo of Ciera Trufant, MA, LPC-S, NCC, Licensed Professional Counselor
Ciera Trufant
Licensed Professional Counselor, MA, LPC-S, NCC
Verified Verified
2 Endorsed
East Riverside, New Orleans, LA 70115  (Online Only)
Are you feeling weighed down by the struggles and uncertainties of daily life? Do you feel like you are living in a constant state of fear? Adverse life experiences and hardships have the capacity to perpetuate problems in your present life and may prompt you to feel like your world is a bit out of control at times. I understand that life’s challenges can be overwhelming, and I’m here to provide you with the guidance and support you need to navigate through them.
Are you feeling weighed down by the struggles and uncertainties of daily life? Do you feel like you are living in a constant state of fear? Adverse life experiences and hardships have the capacity to perpetuate problems in your present life and may prompt you to feel like your world is a bit out of control at times. I understand that life’s challenges can be overwhelming, and I’m here to provide you with the guidance and support you need to navigate through them.
(504) 414-4616 View (504) 414-4616
Photo of Madison Lusco, MHS, LPC, NCC, Licensed Professional Counselor
Madison Lusco
Licensed Professional Counselor, MHS, LPC, NCC
Verified Verified
1 Endorsed
East Riverside, New Orleans, LA 70115
I primarily work with adult and college-age clients, specializing in trauma, attachment/relational wounds, depression, and anxiety. Do you feel like you have been putting a bandaid on old wounds and traumas rather than getting to the core and healing them? Our work together often involves identifying unhealthy patterns that are being repeated, exploring the origin of these patterns, and learning new ways of coping. If you are feeling stuck and wanting a new approach to healing, please contact me.
I primarily work with adult and college-age clients, specializing in trauma, attachment/relational wounds, depression, and anxiety. Do you feel like you have been putting a bandaid on old wounds and traumas rather than getting to the core and healing them? Our work together often involves identifying unhealthy patterns that are being repeated, exploring the origin of these patterns, and learning new ways of coping. If you are feeling stuck and wanting a new approach to healing, please contact me.
(504) 826-3261 View (504) 826-3261
Photo of Meredith DuBose, LCSW, PMH-C, Clinical Social Work/Therapist
Meredith DuBose
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
3 Endorsed
East Riverside, New Orleans, LA 70115
Welcome! I am here to help you work through life's tough transitions and emotional difficulties. I provide an approach based in acceptance, but I also find it important to be direct and give concrete solutions and responses to my clients. I use many different treatment modalities, dependent on what best fits you and your needs. I have specialized training in cognitive behavioral therapy, solution-focused therapy, and trauma-informed care. I also recently obtained certification in Perinatal Mental Health (PMH-C) as a specialist for women struggling with mood while pregnant through postpartum and beyond.
Welcome! I am here to help you work through life's tough transitions and emotional difficulties. I provide an approach based in acceptance, but I also find it important to be direct and give concrete solutions and responses to my clients. I use many different treatment modalities, dependent on what best fits you and your needs. I have specialized training in cognitive behavioral therapy, solution-focused therapy, and trauma-informed care. I also recently obtained certification in Perinatal Mental Health (PMH-C) as a specialist for women struggling with mood while pregnant through postpartum and beyond.
(504) 608-3218 View (504) 608-3218
Photo of Chris Bindewald, LCSW, Clinical Social Work/Therapist
Chris Bindewald
Clinical Social Work/Therapist, LCSW
Not Verified Not Verified
East Riverside, New Orleans, LA 70115  (Online Only)
“Dealing with stuff" is in your DNA. You know how to handle yourself in a crisis. You are a problem solver. Others can count on you when "the stuff hits the fan". But there is another side to you... one, no one REALLY knows. I help high functioning people overcome negative reactions to trauma. Whether it’s an explosive reaction to a minor inconvenience or not understanding your overwhelming sadness, trauma manifests in many ways. Dealing with trauma can feel like pushing a heavy boulder up a hill without a finish line in sight. The good news is that there are effective tools that will propel you towards healing & moving forward.
“Dealing with stuff" is in your DNA. You know how to handle yourself in a crisis. You are a problem solver. Others can count on you when "the stuff hits the fan". But there is another side to you... one, no one REALLY knows. I help high functioning people overcome negative reactions to trauma. Whether it’s an explosive reaction to a minor inconvenience or not understanding your overwhelming sadness, trauma manifests in many ways. Dealing with trauma can feel like pushing a heavy boulder up a hill without a finish line in sight. The good news is that there are effective tools that will propel you towards healing & moving forward.
(228) 338-3635 View (228) 338-3635

Online Therapists

Photo of Mary Faust Smith - Bleakley Counseling LLC, LPC-S, LMFT, Licensed Professional Counselor
Bleakley Counseling LLC
Licensed Professional Counselor, LPC-S, LMFT
Verified Verified
New Orleans, LA 70130  (Online Only)
Welcome! At Bleakley Counseling LLC, we know that reaching out for help from someone you have never met can be stressful and overwhelming. We will try our best to make the process as easy and comfortable as possible. With over 18 years in the mental health field, Mary Smith LPC-S LMFT is currently a licensed professional counselor and a licensed marriage and family therapist in the state of Louisiana. Mary Smith LPC-S, LMFT offers evening and Saturday appointment times for your convenience.
Welcome! At Bleakley Counseling LLC, we know that reaching out for help from someone you have never met can be stressful and overwhelming. We will try our best to make the process as easy and comfortable as possible. With over 18 years in the mental health field, Mary Smith LPC-S LMFT is currently a licensed professional counselor and a licensed marriage and family therapist in the state of Louisiana. Mary Smith LPC-S, LMFT offers evening and Saturday appointment times for your convenience.
(985) 509-8348 View (985) 509-8348
Photo of Bracely Williams, LMFT, LPC, Marriage & Family Therapist
Bracely Williams
Marriage & Family Therapist, LMFT, LPC
Verified Verified
New Orleans, LA 70131  (Online Only)
Bracely is committed to helping you navigate through the challenges of life. She specializes in helping her clients overcome difficult issues, so that they can live purposeful and joy-filled lives. She has experience working with individuals, couples, children, adolescents, and adults dealing with emotional, spiritual, behavioral, and relationship concerns. Bracely offers individual, couple and family services. She works with a variety of presenting issues, including child behavior, grief, trauma, anxiety management, stress management, self-esteem, LGBTQ, marital conflict, occupational concerns and athletic/sports counseling.
Bracely is committed to helping you navigate through the challenges of life. She specializes in helping her clients overcome difficult issues, so that they can live purposeful and joy-filled lives. She has experience working with individuals, couples, children, adolescents, and adults dealing with emotional, spiritual, behavioral, and relationship concerns. Bracely offers individual, couple and family services. She works with a variety of presenting issues, including child behavior, grief, trauma, anxiety management, stress management, self-esteem, LGBTQ, marital conflict, occupational concerns and athletic/sports counseling.
(504) 313-6479 View (504) 313-6479
Photo of @ Darius - Anjali Healing Arts, LLC, MA, MHP, RYT-500
Anjali Healing Arts, LLC
MA, MHP, RYT-500
Verified Verified
New Orleans, LA 70116
How you see yourself might be deeply influenced by the emotional distress, negative thought patterns, or destructive and addictive behaviors you struggle with. As a Holistic Health Practitioner, I believe these conditions cover up, rather than define, who you truly are. My unique approach to holistic health and wellness encourages a balanced integration of the physical, emotional, mental and spiritual aspects of your wellbeing. I'd like to support you in creating optimal conditions for the safe, mindful, and deep exploration of your innate capacity for self-healing and radical transformation.
How you see yourself might be deeply influenced by the emotional distress, negative thought patterns, or destructive and addictive behaviors you struggle with. As a Holistic Health Practitioner, I believe these conditions cover up, rather than define, who you truly are. My unique approach to holistic health and wellness encourages a balanced integration of the physical, emotional, mental and spiritual aspects of your wellbeing. I'd like to support you in creating optimal conditions for the safe, mindful, and deep exploration of your innate capacity for self-healing and radical transformation.
(504) 882-9581 View (504) 882-9581
Photo of Ashley Cross, LCSW, BACS, Clinical Social Work/Therapist
Ashley Cross
Clinical Social Work/Therapist, LCSW, BACS
Verified Verified
1 Endorsed
New Orleans, LA 70122  (Online Only)
I am passionate about creating a safe, supportive space where individuals can explore their emotions, thoughts, and experiences without judgment. My approach is collaborative and client-centered, meaning I tailor each session to meet your unique needs and goals. Whether you're navigating a challenging life transition, seeking relief from persistent symptoms, or simply want to enhance your overall quality of life, I am here to support you every step of the way.
I am passionate about creating a safe, supportive space where individuals can explore their emotions, thoughts, and experiences without judgment. My approach is collaborative and client-centered, meaning I tailor each session to meet your unique needs and goals. Whether you're navigating a challenging life transition, seeking relief from persistent symptoms, or simply want to enhance your overall quality of life, I am here to support you every step of the way.
(504) 226-6240 View (504) 226-6240
Photo of Rebecca S Ryan, LPC, MTBC, NCC, Licensed Professional Counselor
Rebecca S Ryan
Licensed Professional Counselor, LPC, MTBC, NCC
Verified Verified
New Orleans, LA 70119
I offer a supportive and nonjudgmental space where clients can feel safe to explore the issues that they may be struggling with. I aim to understand my clients' experiences as best I can as we work together to build a trusting relationship. I work with my clients on issues related to anxiety, depression, relationship issues and disruptions caused by life changes.
I offer a supportive and nonjudgmental space where clients can feel safe to explore the issues that they may be struggling with. I aim to understand my clients' experiences as best I can as we work together to build a trusting relationship. I work with my clients on issues related to anxiety, depression, relationship issues and disruptions caused by life changes.
(504) 414-4710 View (504) 414-4710
Photo of Brett Dupuy, LCSW, Clinical Social Work/Therapist
Brett Dupuy
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New Orleans, LA 70117  (Online Only)
Do you find yourself feeling anxious in relationships? Have you ever wondered why you keep repeating old behaviors? Are you battling internal voices that say you aren’t good enough? My practice focuses on adults dealing with anxiety, depression, self-esteem, childhood trauma, and relationship issues - including dating and negotiating forms of consensual non-monogamy.
Do you find yourself feeling anxious in relationships? Have you ever wondered why you keep repeating old behaviors? Are you battling internal voices that say you aren’t good enough? My practice focuses on adults dealing with anxiety, depression, self-esteem, childhood trauma, and relationship issues - including dating and negotiating forms of consensual non-monogamy.
View
Photo of Tanya Ralph Scott, MSW, LMSW, Clinical Social Work/Therapist
Tanya Ralph Scott
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
New Orleans, LA 70113
Are you emotionally and mentally drained? Do you find yourself repeating the same negative behavior over and over? Do you need to heal from a narcissistic relationship? If you’re looking for someone who can provide you with a realistic and nonjudgmental environment in which you can authentically be yourself and, become the best version of yourself - I’m your person! My therapeutic style is genuine, interactive, and solution focused. I’ll guide you with realistic coping strategies, positive communication strategies, and identify opportunities for inter-personal growth.
Are you emotionally and mentally drained? Do you find yourself repeating the same negative behavior over and over? Do you need to heal from a narcissistic relationship? If you’re looking for someone who can provide you with a realistic and nonjudgmental environment in which you can authentically be yourself and, become the best version of yourself - I’m your person! My therapeutic style is genuine, interactive, and solution focused. I’ll guide you with realistic coping strategies, positive communication strategies, and identify opportunities for inter-personal growth.
(504) 294-3468 View (504) 294-3468
Photo of Caro Clark, LCSW, Clinical Social Work/Therapist
Caro Clark
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New Orleans, LA 70117
I approach therapy as a way of making sense of past events, understanding how they inform patterns and behaviors in the present, and using fresh interpretations to facilitate change. This might mean rewiring the brain somewhat by building new narratives around painful memories and negative beliefs, or by nurturing the parts of you that have been wounded by difficult experiences. Growth looks different for everyone, and together we will build a therapeutic plan that acknowledges the complexity of your personal ecosystem.
I approach therapy as a way of making sense of past events, understanding how they inform patterns and behaviors in the present, and using fresh interpretations to facilitate change. This might mean rewiring the brain somewhat by building new narratives around painful memories and negative beliefs, or by nurturing the parts of you that have been wounded by difficult experiences. Growth looks different for everyone, and together we will build a therapeutic plan that acknowledges the complexity of your personal ecosystem.
(504) 290-0627 View (504) 290-0627

See more therapy options for East Riverside, New Orleans

How does your Therapist compare?

Number of Therapists in East Riverside, New Orleans, LA

10+

Average cost per session

$130

Therapists in East Riverside, New Orleans, LA who prioritize treating:

100% Anxiety
92% Relationship Issues
92% Depression
92% Coping Skills
92% Self Esteem
83% Trauma and PTSD
83% Peer Relationships

Average years in practice

11 Years

Top 3 insurances accepted

80% BlueCross and BlueShield
80% UnitedHealthcare UHC | UBH
60% Optum

How Therapists in East Riverside, New Orleans, LA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in East Riverside, New Orleans?

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.