Therapists in Lewistown, MD

Photo of Shanice Daniels, LCSW-C, Clinical Social Work/Therapist
Shanice Daniels
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Lewistown, MD 21701  (Online Only)
Greetings! My name is Shanice, and I am a licensed clinical social worker (LCSW-C) with over 8 years of experience in the field of mental health. I hold a Master of Social Work (MSW) degree from the University of Maryland, Baltimore, and have provided therapy services in outpatient, hospital, and school settings.
Greetings! My name is Shanice, and I am a licensed clinical social worker (LCSW-C) with over 8 years of experience in the field of mental health. I hold a Master of Social Work (MSW) degree from the University of Maryland, Baltimore, and have provided therapy services in outpatient, hospital, and school settings.
(866) 738-3081 View (866) 738-3081
Photo of Beth Walters, LMSW, Clinical Social Work/Therapist
Beth Walters
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Lewistown, MD 21701
You may be feeling stressed, isolated, down, or not your best self. You may want to respond well to things that are out of your control, enhance your self worth, and/or create healthier personal and professional boundaries. I am here to listen, affirm you, and work through challenges with you. Building relationships and creating trust can be difficult, so I provide a patient, open, respectful, and safe space for you. We will identify aspects of your life that you want to improve, develop a treatment plan, and build healthy skills and outlook.
You may be feeling stressed, isolated, down, or not your best self. You may want to respond well to things that are out of your control, enhance your self worth, and/or create healthier personal and professional boundaries. I am here to listen, affirm you, and work through challenges with you. Building relationships and creating trust can be difficult, so I provide a patient, open, respectful, and safe space for you. We will identify aspects of your life that you want to improve, develop a treatment plan, and build healthy skills and outlook.
(410) 973-6482 View (410) 973-6482
Photo of Lucia Campos, LCSW-C, Clinical Social Work/Therapist
Lucia Campos
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Lewistown, MD 21701  (Online Only)
I’m Lucia Campos, the Therapist here to help you lessen emotional pain, thrive in your own skin, and establish meaningful connections with others. I believe self-awareness, healthy communication, and consistency are the foundation of change and are essential for healing and growth.
I’m Lucia Campos, the Therapist here to help you lessen emotional pain, thrive in your own skin, and establish meaningful connections with others. I believe self-awareness, healthy communication, and consistency are the foundation of change and are essential for healing and growth.
(240) 901-9551 View (240) 901-9551

More Therapists Nearby

Photo of Hali Watson, LCPC, LGPAT, Counselor
Hali Watson
Counselor, LCPC, LGPAT
Verified Verified
1 Endorsed
Frederick, MD 21701  (Online Only)
Now accepting new youth and young adults clients via telehealth for art therapy, talk therapy or both! If you or someone you love is in need of a creative approach to identifying needs, learning coping skills or healing from emotional pain or sadness, I'd love to help. I have extensive experience in crisis intervention, depression, grief, adjustment disorder, ADHD, sexual trauma and anxiety. My therapeutic approach to helping clients heal from complex trauma draws from my work with marginalized populations and sexual abuse survivors.
Now accepting new youth and young adults clients via telehealth for art therapy, talk therapy or both! If you or someone you love is in need of a creative approach to identifying needs, learning coping skills or healing from emotional pain or sadness, I'd love to help. I have extensive experience in crisis intervention, depression, grief, adjustment disorder, ADHD, sexual trauma and anxiety. My therapeutic approach to helping clients heal from complex trauma draws from my work with marginalized populations and sexual abuse survivors.
(240) 624-2107 View (240) 624-2107
Photo of Madison O'Beirne, LMSW, Clinical Social Work/Therapist
Madison O'Beirne
Clinical Social Work/Therapist, LMSW
Verified Verified
Frederick, MD 21702
My clients typically face challenges with anxiety, depression, and interpersonal relationships. They benefit from a supportive, safe environment to explore and heal. My clients are also often looking to improve mental wellness, healthier relationships, and personal empowerment with the tools learned and practiced in therapy.
My clients typically face challenges with anxiety, depression, and interpersonal relationships. They benefit from a supportive, safe environment to explore and heal. My clients are also often looking to improve mental wellness, healthier relationships, and personal empowerment with the tools learned and practiced in therapy.
(301) 409-4009 View (301) 409-4009
Photo of Megan Graham, LCSW-C, Clinical Social Work/Therapist
Megan Graham
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Frederick, MD 21701
Waitlist for new clients
My approach to therapy is rooted in the belief that who you are makes sense. Even when your emotions, behaviors, or relationships are extremely different than what you want them to be. I believe that our feelings carry wisdom, our behaviors serve a function, and our current situation becomes clear in the context of our whole story. With this stance of curiosity and acceptance, I can help you understand the parts of your life that are causing distress and move toward the life you want to be living. I am an ideal fit for clients who want to make a change in their behavior while understanding the way those behaviors have functioned.
My approach to therapy is rooted in the belief that who you are makes sense. Even when your emotions, behaviors, or relationships are extremely different than what you want them to be. I believe that our feelings carry wisdom, our behaviors serve a function, and our current situation becomes clear in the context of our whole story. With this stance of curiosity and acceptance, I can help you understand the parts of your life that are causing distress and move toward the life you want to be living. I am an ideal fit for clients who want to make a change in their behavior while understanding the way those behaviors have functioned.
(240) 557-3892 View (240) 557-3892
Photo of Nicole Hast, MS, EdS, LCPC, NCC
Nicole Hast
Licensed Clinical Professional Counselor, MS, EdS, LCPC, NCC
Verified Verified
10 Endorsed
Frederick, MD 21705
Not accepting new clients
Have you found yourself feeling sad, worn-down, angry, lonely, or anxious lately? Is your relationship with your significant other, child, or parent not what you would like and you're having trouble relating to them in manner you want? The bad news is that these issues can make life difficult or even unbearable and can lead to further feelings of loneliness and isolation; the good news is that change is possible and you are not alone. As your counselor, we will collaborate to create a plan to meet your goals quickly and effectively.
Have you found yourself feeling sad, worn-down, angry, lonely, or anxious lately? Is your relationship with your significant other, child, or parent not what you would like and you're having trouble relating to them in manner you want? The bad news is that these issues can make life difficult or even unbearable and can lead to further feelings of loneliness and isolation; the good news is that change is possible and you are not alone. As your counselor, we will collaborate to create a plan to meet your goals quickly and effectively.
(301) 658-2265 View (301) 658-2265
Photo of George Stallings
George Stallings
Licensed Clinical Professional Counselor
Verified Verified
Frederick, MD 21702  (Online Only)
George Stallings is professional mental health counselor. In 2005, I graduated from Towson, University, with a MS, Counseling Psychology and in 2010 Ph.D, counseling psychology from Capella University. I am a Licensed Clinical Professional Counselor and I have been working in the field of counseling since 1999. . I have experience in assisting people recover from depression, anxiety, relationship problems, trauma, student life, PTSD, divorce, separation, parenting issues, grief, substance abuse issues, and just the stress that can come from everyday living.
George Stallings is professional mental health counselor. In 2005, I graduated from Towson, University, with a MS, Counseling Psychology and in 2010 Ph.D, counseling psychology from Capella University. I am a Licensed Clinical Professional Counselor and I have been working in the field of counseling since 1999. . I have experience in assisting people recover from depression, anxiety, relationship problems, trauma, student life, PTSD, divorce, separation, parenting issues, grief, substance abuse issues, and just the stress that can come from everyday living.
(866) 738-3081 View (866) 738-3081
Photo of Laurie McNeil, LCSW-C, Clinical Social Work/Therapist
Laurie McNeil
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Frederick, MD 21701
Anchored in a humanistic approach that places an emphasis on the innate drive we all have to move toward healing and wholeness, my goal is to cultivate a very caring and safe emotional space for you to address the pain that brought you to therapy by meeting you where you are with empathy and understanding.. I will help you to uncover the underlying causes of painful feelings, helping you to shift from reactive patterns of behavior to greater self awareness. I have close to 30 years of experience, and I continue to be committed to learning and training in the modalities that I have found most effective for emotional healing.
Anchored in a humanistic approach that places an emphasis on the innate drive we all have to move toward healing and wholeness, my goal is to cultivate a very caring and safe emotional space for you to address the pain that brought you to therapy by meeting you where you are with empathy and understanding.. I will help you to uncover the underlying causes of painful feelings, helping you to shift from reactive patterns of behavior to greater self awareness. I have close to 30 years of experience, and I continue to be committed to learning and training in the modalities that I have found most effective for emotional healing.
(301) 684-5009 View (301) 684-5009
Photo of Christopher Stephens, LCPC, CAC-AD
Christopher Stephens
Licensed Clinical Professional Counselor, LCPC, CAC-AD
Verified Verified
Frederick, MD 21701
Christopher Stephens has experience working with clients in both inpatient and outpatient settings; he is credentialed to treat indviduals experiencing mental health symptoms and co-occurring substance use issues. Christopher champions an approach that includes Person-Centered, Motivational Interviewing (MI), and Cognitive Behavioral (CBT) modalities and has had success working alongside clients in a range of developmental stages from late adolescence into late adulthood. He is a therapist that is determined to place the client first to deliver the best results imaginable!
Christopher Stephens has experience working with clients in both inpatient and outpatient settings; he is credentialed to treat indviduals experiencing mental health symptoms and co-occurring substance use issues. Christopher champions an approach that includes Person-Centered, Motivational Interviewing (MI), and Cognitive Behavioral (CBT) modalities and has had success working alongside clients in a range of developmental stages from late adolescence into late adulthood. He is a therapist that is determined to place the client first to deliver the best results imaginable!
(667) 243-9629 View (667) 243-9629
Photo of Beth Frankel, MSc, LCPC, LPC
Beth Frankel
Licensed Clinical Professional Counselor, MSc, LCPC, LPC
Verified Verified
2 Endorsed
Frederick, MD 21701
Trying to find a therapist who has both expertise and understands you is hard work! But finding that right fit is not optional, it is essential for you to meet your goals. Many of Beth’s clients have reported feeling more understood by her than any previous therapist. Beth skillfully balances between empathetic listening and gentle motivation to help clients change via skill use. Through working with Beth in individual therapy, many clients attest to managing their symptoms of depression, PTSD, addiction, and anxiety, and feel better equipped to tackle their life circumstances.
Trying to find a therapist who has both expertise and understands you is hard work! But finding that right fit is not optional, it is essential for you to meet your goals. Many of Beth’s clients have reported feeling more understood by her than any previous therapist. Beth skillfully balances between empathetic listening and gentle motivation to help clients change via skill use. Through working with Beth in individual therapy, many clients attest to managing their symptoms of depression, PTSD, addiction, and anxiety, and feel better equipped to tackle their life circumstances.
(240) 384-4860 View (240) 384-4860
Photo of Tobi B Goldfus, LCSW-C, BCD, Clinical Social Work/Therapist
Tobi B Goldfus
Clinical Social Work/Therapist, LCSW-C, BCD
Verified Verified
Frederick, MD 21701
Are you stuck in unhelpful mind or behavior patterns, difficult times in a relationship or stressed in a way that is affecting all of the above? I believe that we all possess the resources to experience ourselves "new and improved" and move toward being the best that we can be. We know what has worked for us and what hasn't. Finding ways to make lasting changes and experience relief that is tailored to who YOU are, is my commitment to you. It will be an exciting journey into self-discovery, relief of unwanted symptoms and new confidence.
Are you stuck in unhelpful mind or behavior patterns, difficult times in a relationship or stressed in a way that is affecting all of the above? I believe that we all possess the resources to experience ourselves "new and improved" and move toward being the best that we can be. We know what has worked for us and what hasn't. Finding ways to make lasting changes and experience relief that is tailored to who YOU are, is my commitment to you. It will be an exciting journey into self-discovery, relief of unwanted symptoms and new confidence.
(301) 842-4351 View (301) 842-4351
Photo of Jason Bair, LGPC, Counselor
Jason Bair
Counselor, LGPC
Verified Verified
Frederick, MD 21701
Life is too short to live with constant struggle and suffering. By looking for a therapist you are already taking a huge step to improve your life and learning skills to make it a great one. You may just need someone trained to help you find it. Maybe you worry too much about the past or the future. You may be so sad getting out of bed feels like climbing a mountain. Maybe you have addictions such as drugs, alcohol, gambling, sex, pornography etc. that are keeping you from doing what matters most. Many of us had difficulties growing up that still affect us to this day with our relationships and how we view the world.
Life is too short to live with constant struggle and suffering. By looking for a therapist you are already taking a huge step to improve your life and learning skills to make it a great one. You may just need someone trained to help you find it. Maybe you worry too much about the past or the future. You may be so sad getting out of bed feels like climbing a mountain. Maybe you have addictions such as drugs, alcohol, gambling, sex, pornography etc. that are keeping you from doing what matters most. Many of us had difficulties growing up that still affect us to this day with our relationships and how we view the world.
(240) 852-2437 View (240) 852-2437
Photo of Amy Sayler, MS, LGPC, NCC, Counselor
Amy Sayler
Counselor, MS, LGPC, NCC
Verified Verified
4 Endorsed
Frederick, MD 21701
Are you a couple craving a deeper connection and better communication? A teen or adult struggling with anxiety, depression, relationship issues, or navigating life transitions? Whether you are feeling overwhelmed, stressed, or ‘stuck’, I am here to help you embark on a journey of awareness, acceptance, and growth. My focus is on creating a warm and inviting space for you (or you and your partner) to explore the thoughts, emotions, and experiences associated with your unique story. We will work together to develop personalized treatment plans aimed at achieving the goals YOU want to achieve. Life is hard, therapy helps!
Are you a couple craving a deeper connection and better communication? A teen or adult struggling with anxiety, depression, relationship issues, or navigating life transitions? Whether you are feeling overwhelmed, stressed, or ‘stuck’, I am here to help you embark on a journey of awareness, acceptance, and growth. My focus is on creating a warm and inviting space for you (or you and your partner) to explore the thoughts, emotions, and experiences associated with your unique story. We will work together to develop personalized treatment plans aimed at achieving the goals YOU want to achieve. Life is hard, therapy helps!
(240) 575-5340 View (240) 575-5340
Photo of Joe Hodge, LPC, CAIMHP, Licensed Professional Counselor
Joe Hodge
Licensed Professional Counselor, LPC, CAIMHP
Verified Verified
1 Endorsed
Frederick, MD 21701  (Online Only)
Are you currently struggling with depression, anxiety, stress, unresolved trauma, or relationship issues? We all face challenges in our journey through life that may feel too heavy to manage on our own. My primary goal is to provide a safe, non-judgmental space for a client to feel supported and empowered in navigating each individual journey and experience. I am passionate about helping clients from all backgrounds identify their strengths, explore opportunities for growth, and reach their desired goals at a comfortable pace.
Are you currently struggling with depression, anxiety, stress, unresolved trauma, or relationship issues? We all face challenges in our journey through life that may feel too heavy to manage on our own. My primary goal is to provide a safe, non-judgmental space for a client to feel supported and empowered in navigating each individual journey and experience. I am passionate about helping clients from all backgrounds identify their strengths, explore opportunities for growth, and reach their desired goals at a comfortable pace.
(240) 808-6736 View (240) 808-6736
Photo of Charity Mitchell - Amorous Therapeutic Wellness, LMSW, CTP, Clinical Social Work/Therapist
Amorous Therapeutic Wellness
Clinical Social Work/Therapist, LMSW, CTP
Verified Verified
1 Endorsed
Frederick, MD 21701
Therapy can help us navigate personal relationships with society, work, or sex. As your therapist, I aim to work alongside you on your healing journey by tailoring your therapeutic goals to your specific needs. I am in the process of obtaining certification in sex therapy/sex education with The University of Michigan and AASECT. My goal is to empower others to embrace their sexual selves, whether through addressing a person’s relationship with sex, sexual trauma, or sexual addiction. Let me walk beside you on your journey of healing and empowerment.
Therapy can help us navigate personal relationships with society, work, or sex. As your therapist, I aim to work alongside you on your healing journey by tailoring your therapeutic goals to your specific needs. I am in the process of obtaining certification in sex therapy/sex education with The University of Michigan and AASECT. My goal is to empower others to embrace their sexual selves, whether through addressing a person’s relationship with sex, sexual trauma, or sexual addiction. Let me walk beside you on your journey of healing and empowerment.
(240) 201-9842 View (240) 201-9842
Photo of Lauren Riley - Two Coins Behavioral Health Group, LCSW-C, Clinical Social Work/Therapist
Two Coins Behavioral Health Group
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Frederick, MD 21701
We aim to inspire and empower our clients to overcome challenges, build healthy relationships, and discover their true potential. Our vision is to empower young and emerging adults as they navigate the challenges of transitioning into adulthood, or managing the onset of a mental health or substance use disorder, fostering growth, resilience, and self-discovery through family, group and individual therapy.
We aim to inspire and empower our clients to overcome challenges, build healthy relationships, and discover their true potential. Our vision is to empower young and emerging adults as they navigate the challenges of transitioning into adulthood, or managing the onset of a mental health or substance use disorder, fostering growth, resilience, and self-discovery through family, group and individual therapy.
(240) 448-7060 View (240) 448-7060
Photo of Susan McGilloway, MS, LCPC, LPCC
Susan McGilloway
Licensed Clinical Professional Counselor, MS, LCPC, LPCC
Verified Verified
Frederick, MD 21701  (Online Only)
Welcome to my world – an experience in which we engage in a unique partnership on what may be one of the most important journeys of your life. Are you feeling unloved, unappreciated, helpless, hopeless due to some unplanned reality in your life. Do you need healing from adversity such as the ending of a relationship, the loss of employment, an unexpected debilitating illness, the death of a loved one, post-partum depression. No matter what the adversity, we have resilience that lifts us up to recover from adversity, return to "normal" or create a new "normal."
Welcome to my world – an experience in which we engage in a unique partnership on what may be one of the most important journeys of your life. Are you feeling unloved, unappreciated, helpless, hopeless due to some unplanned reality in your life. Do you need healing from adversity such as the ending of a relationship, the loss of employment, an unexpected debilitating illness, the death of a loved one, post-partum depression. No matter what the adversity, we have resilience that lifts us up to recover from adversity, return to "normal" or create a new "normal."
(240) 743-3231 View (240) 743-3231
Photo of Jeanne Garrett, NCC , LGPC, Counselor
Jeanne Garrett
Counselor, NCC , LGPC
Verified Verified
Frederick, MD 21702
Do you grapple with an unshakeable sense of discontentment, feeling that something vital is missing in life? Do you recognize a void within yourself despite your achievements that is driving you to seek therapy? Do you seek to unravel the complexities of your identity, motivations, and desires, hoping to uncover the root cause of your dissatisfaction? You may want to address surface-level issues and embark on a journey of self-exploration and understanding. I specialize in anxiety, depression, college mental health, ADHD, and life transitions, making me equipped to address a wide range of concerns.
Do you grapple with an unshakeable sense of discontentment, feeling that something vital is missing in life? Do you recognize a void within yourself despite your achievements that is driving you to seek therapy? Do you seek to unravel the complexities of your identity, motivations, and desires, hoping to uncover the root cause of your dissatisfaction? You may want to address surface-level issues and embark on a journey of self-exploration and understanding. I specialize in anxiety, depression, college mental health, ADHD, and life transitions, making me equipped to address a wide range of concerns.
(240) 257-7391 View (240) 257-7391
Photo of Deitra Fant, MA, NCC, LCPC-S, LPC-AS, Licensed Professional Counselor
Deitra Fant
Licensed Professional Counselor, MA, NCC, LCPC-S, LPC-AS
Verified Verified
Frederick, MD 21702
I am a highly experienced and dedicated Board-Certified Licensed Clinical Professional Counselor with over 13 years of experience in the mental health field. Throughout my career, I've held various roles in employment, housing, ACT services, homeless services, case management, and leadership, showcasing my diverse skill set and commitment to helping others.
I am a highly experienced and dedicated Board-Certified Licensed Clinical Professional Counselor with over 13 years of experience in the mental health field. Throughout my career, I've held various roles in employment, housing, ACT services, homeless services, case management, and leadership, showcasing my diverse skill set and commitment to helping others.
(240) 443-2731 View (240) 443-2731

See more therapy options for Lewistown

How does your Therapist compare?

Number of Therapists in Lewistown, MD

< 10

Therapists in Lewistown, MD who prioritize treating:

100% Depression
100% Anxiety
67% Other
67% Stress
33% Relationship Issues
33% ADHD
33% Spirituality

Top 3 insurances accepted

67% Aetna
67% Cigna and Evernorth
67% UnitedHealthcare UHC | UBH

How Therapists in Lewistown, MD see their clients

66% Online Only
34% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Lewistown?

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.