Therapists in Grand Rapids, MN

Photo of Kathryn ('katie') Pratt, MA, LPCC, LADC, Counselor
Kathryn ('katie') Pratt
Counselor, MA, LPCC, LADC
Verified Verified
Grand Rapids, MN 55744  (Online Only)
Not accepting new clients
I am licensed in Minnesota with 13 years of professional work experience. I have experience in helping clients with a wide variety of issues: stress and anxiety, depression, coping with addictions and recovery, relationship issues, & life transitions. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you!
I am licensed in Minnesota with 13 years of professional work experience. I have experience in helping clients with a wide variety of issues: stress and anxiety, depression, coping with addictions and recovery, relationship issues, & life transitions. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you!
(651) 299-6324 View (651) 299-6324
Photo of Linh Scally - Well, LICSW, LMFT, Clinical Social Work/Therapist
Well
Clinical Social Work/Therapist, LICSW, LMFT
Verified Verified
Grand Rapids, MN 55744
Well was created with the purpose of helping individuals, couples, and families grow independently and as a whole.  We realize that life has its challenges and can sometimes feel overwhelming and unrelenting, which may leave us feeling hopeless.  Other times life may have us feeling stuck and needing someone to walk along side us as we seek understanding.  
Well was created with the purpose of helping individuals, couples, and families grow independently and as a whole.  We realize that life has its challenges and can sometimes feel overwhelming and unrelenting, which may leave us feeling hopeless.  Other times life may have us feeling stuck and needing someone to walk along side us as we seek understanding.  
(218) 322-1293 View (218) 322-1293
Photo of Janine A Hill, MS, LMFT, Marriage & Family Therapist
Janine A Hill
Marriage & Family Therapist, MS, LMFT
Verified Verified
Grand Rapids, MN 55744
In the last 24 years I have worked with clients who have sought to make changes in their lives. I have extensive experience in the areas of depression, anxiety, trauma, life transitions, relationship issues and grief and loss. My passion is helping individuals, families and couples find ways which support the desired growth and change they are seeking. I focus on individual, couple or family strengths brought into sessions as a building place for the onset of healing and change to take place. My collaborative and straightforward approach with clients has empowered them to take needed steps to achieve their goals.
In the last 24 years I have worked with clients who have sought to make changes in their lives. I have extensive experience in the areas of depression, anxiety, trauma, life transitions, relationship issues and grief and loss. My passion is helping individuals, families and couples find ways which support the desired growth and change they are seeking. I focus on individual, couple or family strengths brought into sessions as a building place for the onset of healing and change to take place. My collaborative and straightforward approach with clients has empowered them to take needed steps to achieve their goals.
(218) 228-0016 View (218) 228-0016
Photo of Krista A Mrozinski, MA, LMFT, IMH-E, Marriage & Family Therapist
Krista A Mrozinski
Marriage & Family Therapist, MA, LMFT, IMH-E
Verified Verified
1 Endorsed
Grand Rapids, MN 55744
I believe everyone should have a safe and healing place to work through life's difficulties. I assist families and couples through therapeutic work and help support and repair opportunities to honor fulfilling relationships with themselves and their greater support networks. I take a holistic approach and strive to provide clients with proactive, integrative strategies to assist with mental health concerns.
I believe everyone should have a safe and healing place to work through life's difficulties. I assist families and couples through therapeutic work and help support and repair opportunities to honor fulfilling relationships with themselves and their greater support networks. I take a holistic approach and strive to provide clients with proactive, integrative strategies to assist with mental health concerns.
(218) 999-7750 View (218) 999-7750
Photo of Inner Fokus, Psychologist
Inner Fokus
Psychologist
Not Verified Not Verified
Grand Rapids, MN 55744
More than just a way to capture attention, the spelling of Inner Fōkus also carries a personal meaning to the founders. The name is a nod to the German heritage shared by both Dr. Lori and Dr. Patrick, since “fōkus” is the correct spelling of “focus” in German. Our heritage, culture, and environment can have great impacts in shaping who we are. Our name, Inner Fōkus, also serves as a prominent reminder of the importance to occasionally break from current patterns and try new things.
More than just a way to capture attention, the spelling of Inner Fōkus also carries a personal meaning to the founders. The name is a nod to the German heritage shared by both Dr. Lori and Dr. Patrick, since “fōkus” is the correct spelling of “focus” in German. Our heritage, culture, and environment can have great impacts in shaping who we are. Our name, Inner Fōkus, also serves as a prominent reminder of the importance to occasionally break from current patterns and try new things.
(218) 485-3273 View (218) 485-3273
Photo of Andria Botzet, LMFT, Marriage & Family Therapist
Andria Botzet
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Grand Rapids, MN 55744  (Online Only)
Relationships can be so stressful. Finding common ground on parenting or values/beliefs at times feels impossible. A negative spiral begins where you don’t talk as much…you shut down, you yell, or maybe you just give up and walk away. You might begin to feel anxious or depressed and don’t know what else you can do to make this better for you and your family. Learning to communicate effectively and finding balance in your relationship can take work. I can help you and/or your partner learn how to improve communication, balance home/work responsibilities, and strengthen parenting strategies.
Relationships can be so stressful. Finding common ground on parenting or values/beliefs at times feels impossible. A negative spiral begins where you don’t talk as much…you shut down, you yell, or maybe you just give up and walk away. You might begin to feel anxious or depressed and don’t know what else you can do to make this better for you and your family. Learning to communicate effectively and finding balance in your relationship can take work. I can help you and/or your partner learn how to improve communication, balance home/work responsibilities, and strengthen parenting strategies.
(612) 326-9575 View (612) 326-9575
Photo of Melly Weidendorf, MS, LPCC, RYT-200, Counselor
Melly Weidendorf
Counselor, MS, LPCC, RYT-200
Verified Verified
Grand Rapids, MN 55744
If you are searching for meaning in your life, appreciate a good metaphor, and are looking for a different approach to therapy that doesn't focus on a diagnosis, I might be a good fit for you. Looking for an approach that connects you to your ancestors and the cycles of the earth? Like to paint, draw, or otherwise engage your creative side? Enjoy being outdoors? Feel better after laughing, singing, or moving your body? Been told you are too much, don't conform, are non-compliant, or you're a weirdo? Whatever is going on for you, I'm here to help you embrace who you are, in all your beauty and difficulty.
If you are searching for meaning in your life, appreciate a good metaphor, and are looking for a different approach to therapy that doesn't focus on a diagnosis, I might be a good fit for you. Looking for an approach that connects you to your ancestors and the cycles of the earth? Like to paint, draw, or otherwise engage your creative side? Enjoy being outdoors? Feel better after laughing, singing, or moving your body? Been told you are too much, don't conform, are non-compliant, or you're a weirdo? Whatever is going on for you, I'm here to help you embrace who you are, in all your beauty and difficulty.
(218) 261-7199 View (218) 261-7199
Photo of Charlene Colwell, MSW, LICSW, Clinical Social Work/Therapist
Charlene Colwell
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Grand Rapids, MN 55744  (Online Only)
Primary Therapy approaches: IFS, ERP, and EMDR. I also provide consultation for OCD therapy providers. Do you feel anxious, stressed, perfectionistic, self critical, bothered by repetitive anxious thoughts or stuck in past painful memories and hurts? Do you want to learn how to experience more peace, calm, and clarity on the inside so you can live more authentically, confidently, and compassionately? When working together in therapy we will explore your personal goals as well as aim towards you having a better relationship with yourself to live a more harmonious and peaceful life.
Primary Therapy approaches: IFS, ERP, and EMDR. I also provide consultation for OCD therapy providers. Do you feel anxious, stressed, perfectionistic, self critical, bothered by repetitive anxious thoughts or stuck in past painful memories and hurts? Do you want to learn how to experience more peace, calm, and clarity on the inside so you can live more authentically, confidently, and compassionately? When working together in therapy we will explore your personal goals as well as aim towards you having a better relationship with yourself to live a more harmonious and peaceful life.
(218) 297-7679 View (218) 297-7679

More Therapists Nearby

Photo of Troy David Otterson, MSW, LICSW, Clinical Social Work/Therapist
Troy David Otterson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Bovey, MN 55709
Bovey Health Center (also known as Otterson Mental Health Services Inc.) is dedicated to producing results through experience. Since 1989, after losing a classmate to suicide, Mr. Otterson dedicated his life to the fight against suicide and supporting others . He works to help those individuals, families and communities who are suffering one interaction at a time. The focus is positive, passionate, goal driven and evidence based.
Bovey Health Center (also known as Otterson Mental Health Services Inc.) is dedicated to producing results through experience. Since 1989, after losing a classmate to suicide, Mr. Otterson dedicated his life to the fight against suicide and supporting others . He works to help those individuals, families and communities who are suffering one interaction at a time. The focus is positive, passionate, goal driven and evidence based.
(218) 453-2485 View (218) 453-2485

Online Therapists

Photo of Jared Krichbaum, LICSW, Clinical Social Work/Therapist
Jared Krichbaum
Clinical Social Work/Therapist, LICSW
Verified Verified
Duluth, MN 55812  (Online Only)
Therapy should be a comfortable space where clients can explore problems, understand themselves and their experiences, and make necessary changes to build more fulfilling and authentic lives. Much of my work has been focused on serving Black, Indigenous, Latinx, Asian, LGBTQ2+, and working-class people struggling with anxiety, depression, trauma, loss, discrimination, relationships, identity, transitioning, disability, work, and family. My goal is to promote self-determination and work collaboratively with clients so they feel deeply understood, connected, and more empowered to move toward genuine healing and growth.
Therapy should be a comfortable space where clients can explore problems, understand themselves and their experiences, and make necessary changes to build more fulfilling and authentic lives. Much of my work has been focused on serving Black, Indigenous, Latinx, Asian, LGBTQ2+, and working-class people struggling with anxiety, depression, trauma, loss, discrimination, relationships, identity, transitioning, disability, work, and family. My goal is to promote self-determination and work collaboratively with clients so they feel deeply understood, connected, and more empowered to move toward genuine healing and growth.
(218) 227-2545 View (218) 227-2545
Photo of Allison C Gildner, MS, LPCC, Licensed Professional Counselor
Allison C Gildner
Licensed Professional Counselor, MS, LPCC
Verified Verified
3 Endorsed
Brainerd, MN 56401
Do you feel like you haven’t been yourself lately? Perhaps you have experienced an upsetting, difficult, or traumatic event. Or, you may be someone who is prone to anxiety, nervousness, or feeling overwhelmed. You might find yourself thinking, “Am I broken? Am I crazy? What is wrong with me?” I specialize in helping people who are struggling with difficult life experiences to restore peace and purpose to their lives.
Do you feel like you haven’t been yourself lately? Perhaps you have experienced an upsetting, difficult, or traumatic event. Or, you may be someone who is prone to anxiety, nervousness, or feeling overwhelmed. You might find yourself thinking, “Am I broken? Am I crazy? What is wrong with me?” I specialize in helping people who are struggling with difficult life experiences to restore peace and purpose to their lives.
(218) 422-3395 View (218) 422-3395
Photo of Sarah Cheney, LICSW, Clinical Social Work/Therapist
Sarah Cheney
Clinical Social Work/Therapist, LICSW
Verified Verified
Duluth, MN 55802  (Online Only)
We all want a life of peace and ease; however, life includes challenges and struggles with painful experiences. Fortunately, modern, science-based mental health interventions help people reduce suffering and live life with more meaning and engagement with the world. I can help you identify personal values, develop unique strengths, build coping skills, and experiment with behavior changes. Our work together will help connect you with who and what you most care about and help you build a fulfilling and active life.
We all want a life of peace and ease; however, life includes challenges and struggles with painful experiences. Fortunately, modern, science-based mental health interventions help people reduce suffering and live life with more meaning and engagement with the world. I can help you identify personal values, develop unique strengths, build coping skills, and experiment with behavior changes. Our work together will help connect you with who and what you most care about and help you build a fulfilling and active life.
(218) 427-4393 View (218) 427-4393
Photo of Amanda Weaver, MS, Pre-Licensed Professional
Amanda Weaver
Pre-Licensed Professional, MS
Verified Verified
Duluth, MN 55802
I am passionate about supporting people with anxiety, trauma, teaching coping skills for life transitions, and navigating challenging relationships. I am also comfortable with spiritual topics. I cultivate a non judgmental, shame free environment, and want every person to feel accepted in my space, because change happens when people are free to be as open as possible. I model this behavior in my own life, striving to live life authentically. I recognize that it takes trust and strong personal connection in order to do this in therapy, and I work hard to help my clients feel safe and open.
I am passionate about supporting people with anxiety, trauma, teaching coping skills for life transitions, and navigating challenging relationships. I am also comfortable with spiritual topics. I cultivate a non judgmental, shame free environment, and want every person to feel accepted in my space, because change happens when people are free to be as open as possible. I model this behavior in my own life, striving to live life authentically. I recognize that it takes trust and strong personal connection in order to do this in therapy, and I work hard to help my clients feel safe and open.
(218) 693-3923 View (218) 693-3923
Photo of Chelsea Leutgeb, MSW, LGSW, Pre-Licensed Professional
Chelsea Leutgeb
Pre-Licensed Professional, MSW, LGSW
Verified Verified
Duluth, MN 55804
Throughout my career I have prioritized a person centered approach with a focus on promoting resilience, empowering people, and fostering a positive and inclusive therapeutic environment. I truly believe in the power of building strong therapeutic alliances and creating space for individuals to explore their emotions and navigate life's complexities. I have worked with all ages, while more recently primarily late teen years through late adulthood, and I have a passion for working with people who identify as female and folks within the LGBTQ+ community. I value non judgmental care and open communication as well as body positivity.
Throughout my career I have prioritized a person centered approach with a focus on promoting resilience, empowering people, and fostering a positive and inclusive therapeutic environment. I truly believe in the power of building strong therapeutic alliances and creating space for individuals to explore their emotions and navigate life's complexities. I have worked with all ages, while more recently primarily late teen years through late adulthood, and I have a passion for working with people who identify as female and folks within the LGBTQ+ community. I value non judgmental care and open communication as well as body positivity.
(218) 276-6293 View (218) 276-6293
Photo of Amber Rosier, MSW, LICSW , Clinical Social Work/Therapist
Amber Rosier
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Brainerd, MN 56401
Waitlist for new clients
I have 4+ years of experience in working with trauma in all ages and genders. I utilize Accelerated Resolution Therapy (ART) and it is helping so many people in a short amount of time! Contact me for a consultation regarding ART. I also work with anxiety, depression, adjustment disorders, borderline personality disorder, bipolar, post-traumatic stress disorder, and many other diagnoses.
I have 4+ years of experience in working with trauma in all ages and genders. I utilize Accelerated Resolution Therapy (ART) and it is helping so many people in a short amount of time! Contact me for a consultation regarding ART. I also work with anxiety, depression, adjustment disorders, borderline personality disorder, bipolar, post-traumatic stress disorder, and many other diagnoses.
(218) 357-4567 View (218) 357-4567
Photo of Leslie Russell-Martin - True Balance Counseling, MS, LMFT, PhD, LP, RPT-S, Psychologist
True Balance Counseling
Psychologist, MS, LMFT, PhD, LP, RPT-S
Verified Verified
3 Endorsed
Little Falls, MN 56345
Anxiety? Depression? Just sick and tired of being sick and tired? We get it. Life can be a pain in the .....well.... a pain. Sometimes we just have to let it all out. Our team of experienced therapists get it. Trauma? YEP! ADHD? YEP! Military and public service? YEP! Let us help. We can offer you an alternative, non- doctory, take of your shoes and be comfy, place to let it all start to heal. We work with children, adults, couples, and families. Let us help you, help yourself.
Anxiety? Depression? Just sick and tired of being sick and tired? We get it. Life can be a pain in the .....well.... a pain. Sometimes we just have to let it all out. Our team of experienced therapists get it. Trauma? YEP! ADHD? YEP! Military and public service? YEP! Let us help. We can offer you an alternative, non- doctory, take of your shoes and be comfy, place to let it all start to heal. We work with children, adults, couples, and families. Let us help you, help yourself.
(320) 632-5524 View (320) 632-5524
Photo of Taylor Lemke, MSW, LGSW, Clinical Social Work/Therapist
Taylor Lemke
Clinical Social Work/Therapist, MSW, LGSW
Verified Verified
Duluth, MN 55802
I have immediate openings! I work from a strengths-based perspective to provide emotional support for my clients. We work together to set realistic and attainable goals for the changes they want to see in their lives. I help clients to center themselves, develop self-care practices that are sustainable, and work through issues or changes that are getting in the way of their physical and mental wellbeing.
I have immediate openings! I work from a strengths-based perspective to provide emotional support for my clients. We work together to set realistic and attainable goals for the changes they want to see in their lives. I help clients to center themselves, develop self-care practices that are sustainable, and work through issues or changes that are getting in the way of their physical and mental wellbeing.
(218) 514-6565 x502 View (218) 514-6565 x502
Photo of Sam Sakry, MSW, LGSW, Clinical Social Work/Therapist
Sam Sakry
Clinical Social Work/Therapist, MSW, LGSW
Verified Verified
Cloquet, MN 55720
Sam provides counseling services to individuals, couples, and families. With a background in social work, mental health, and human sexuality, Sam's professional interests are providing trauma-informed care for disadvantaged and underserved populations. Sam's background experience is in sexual prevention and education, having worked in community-based and correctional settings in the Twin Ports area on issues of domestic violence, sex trafficking, mental health, and support groups. Sam's approach to therapy is to affirm and empower clients through a trusted relationship that is free of judgment.
Sam provides counseling services to individuals, couples, and families. With a background in social work, mental health, and human sexuality, Sam's professional interests are providing trauma-informed care for disadvantaged and underserved populations. Sam's background experience is in sexual prevention and education, having worked in community-based and correctional settings in the Twin Ports area on issues of domestic violence, sex trafficking, mental health, and support groups. Sam's approach to therapy is to affirm and empower clients through a trusted relationship that is free of judgment.
(218) 300-1641 View (218) 300-1641
Photo of Sarah Stout, MSW, LGSW, Clinical Social Work/Therapist
Sarah Stout
Clinical Social Work/Therapist, MSW, LGSW
Verified Verified
Fort Ripley, MN 56449  (Online Only)
With my own personal experiences, and as a sexual violence survivor myself, I am deeply honored to walk alongside clients as they process their traumas, anxiety, depression, and grief. I believe that transparency and trust are imperative in any professional relationship, and I am looking to use those skills in the client base I am hoping to grow. I am interested to work with clients age 14 and older as I begin this professional journey.
With my own personal experiences, and as a sexual violence survivor myself, I am deeply honored to walk alongside clients as they process their traumas, anxiety, depression, and grief. I believe that transparency and trust are imperative in any professional relationship, and I am looking to use those skills in the client base I am hoping to grow. I am interested to work with clients age 14 and older as I begin this professional journey.
(320) 738-2409 View (320) 738-2409
Photo of Christina Goerdt, MSE, MHP, Pre-Licensed Professional
Christina Goerdt
Pre-Licensed Professional, MSE, MHP
Verified Verified
Virginia, MN 55792  (Online Only)
I use a variety of modalities and theories, tailoring each to fit client needs. I practice with a trauma focused, strength based, person-centered approach and believe the client is the most intricate part of the therapeutic process. I have a background and interest in working with individuals who struggle with complex trauma, personality disorders, ADHD, attachment issues, and PTSD. I am socially informed and knowledgeable on the community and societal issues experienced by BIPOC and LGBTQIA+ individuals. In my free time I enjoy traveling the world, propagating plants, spending time in nature, and playing with my animals.
I use a variety of modalities and theories, tailoring each to fit client needs. I practice with a trauma focused, strength based, person-centered approach and believe the client is the most intricate part of the therapeutic process. I have a background and interest in working with individuals who struggle with complex trauma, personality disorders, ADHD, attachment issues, and PTSD. I am socially informed and knowledgeable on the community and societal issues experienced by BIPOC and LGBTQIA+ individuals. In my free time I enjoy traveling the world, propagating plants, spending time in nature, and playing with my animals.
(952) 900-2451 View (952) 900-2451

See more therapy options for Grand Rapids

How does your Therapist compare?

Number of Therapists in Grand Rapids, MN

< 10

Therapists in Grand Rapids, MN who prioritize treating:

75% Anxiety
63% Relationship Issues
63% Depression
63% Trauma and PTSD
63% Family Conflict
63% Coping Skills
63% Marital and Premarital

Average years in practice

12 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Medica
100% UCare

How Therapists in Grand Rapids, MN see their clients

63% In Person and Online
37% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Grand Rapids?

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.