Therapists in Mount Royal, NJ

Photo of Kimberly Rivera, LPC, Licensed Professional Counselor
Kimberly Rivera
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Mount Royal, NJ 08061  (Online Only)
I'm Kimberly Rivera, a Licensed Professional Counselor (LPC) and a Nationally Certified Counselor (NCC) with a master's degree in education (M.Ed.). I am deeply passionate about supporting and empowering individuals across the spectrum of human experience, including but not limited to neurodiverse individuals such as ADHD, autistic, and neurodivergent adults, teens, and their families. This includes those who are self-diagnosed, late diagnosed, and exploring diagnosis.
I'm Kimberly Rivera, a Licensed Professional Counselor (LPC) and a Nationally Certified Counselor (NCC) with a master's degree in education (M.Ed.). I am deeply passionate about supporting and empowering individuals across the spectrum of human experience, including but not limited to neurodiverse individuals such as ADHD, autistic, and neurodivergent adults, teens, and their families. This includes those who are self-diagnosed, late diagnosed, and exploring diagnosis.
(856) 347-5482 View (856) 347-5482
Photo of Fern Reinbeck, LPC, Licensed Professional Counselor
Fern Reinbeck
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Mount Royal, NJ 08061  (Online Only)
My name is Fern Reinbeck. I am a Licensed Professional Counselor (LPC). I work with clients who have a variety of concerns, including relationship/codependency/attachment concerns, anxiety, OCD/phobias, trouble within family dynamics, substance use/abuse, and those who need help with transitions in life. Please understand that I can only help you to help yourself on this exploration of self care; therefore, if you are ready, we will begin by building a compassionate, caring, and trusting therapeutic relationship.
My name is Fern Reinbeck. I am a Licensed Professional Counselor (LPC). I work with clients who have a variety of concerns, including relationship/codependency/attachment concerns, anxiety, OCD/phobias, trouble within family dynamics, substance use/abuse, and those who need help with transitions in life. Please understand that I can only help you to help yourself on this exploration of self care; therefore, if you are ready, we will begin by building a compassionate, caring, and trusting therapeutic relationship.
(856) 895-2282 View (856) 895-2282
Photo of Theresa Sun Santucci, LCSW, Clinical Social Work/Therapist
Theresa Sun Santucci
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Mount Royal, NJ 08061  (Online Only)
My name is Theresa Santucci, LCSW- owner and therapist at Aurora Sun Counseling, LLC. I am a New Jersey Licensed Clinical Social Worker and received my Masters of Social Work from Fordham University and Bachelors in Social work from Stockton University . I am a Gottman Method Level 3 Trained therapist and trained in Trauma Focused CBT. My go to method is Cognitive behavioral therapy but I will use an eclectic method depending on the needs of each Individual. I love working alongside individuals to figure out the barriers to living their best life and how to achieve their therapeutic goals.
My name is Theresa Santucci, LCSW- owner and therapist at Aurora Sun Counseling, LLC. I am a New Jersey Licensed Clinical Social Worker and received my Masters of Social Work from Fordham University and Bachelors in Social work from Stockton University . I am a Gottman Method Level 3 Trained therapist and trained in Trauma Focused CBT. My go to method is Cognitive behavioral therapy but I will use an eclectic method depending on the needs of each Individual. I love working alongside individuals to figure out the barriers to living their best life and how to achieve their therapeutic goals.
View
Photo of Gina Neri, LPC, Licensed Professional Counselor
Gina Neri
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Mount Royal, NJ 08061  (Online Only)
The day begins being startled by the alarm clock; then, we move through the morning routine trying to get out the door to make it to the next destination on time. In between, we are multitasking and rushing to get through our checklist. Minutes go by, like every other morning, with the stomach feeling like it's in knots because of the tasks that need to be accomplished before walking out the door. Everyone is hearing "it's almost time to leave", as it echoes through the house for the thousandth time. You make it in the car and check that everyone has everything. Maybe this is when you have a moment to take a breath… maybe not.
The day begins being startled by the alarm clock; then, we move through the morning routine trying to get out the door to make it to the next destination on time. In between, we are multitasking and rushing to get through our checklist. Minutes go by, like every other morning, with the stomach feeling like it's in knots because of the tasks that need to be accomplished before walking out the door. Everyone is hearing "it's almost time to leave", as it echoes through the house for the thousandth time. You make it in the car and check that everyone has everything. Maybe this is when you have a moment to take a breath… maybe not.
(856) 856-4363 View (856) 856-4363
Photo of Ariyon Fountaine, LSW
Ariyon Fountaine
Licensed Social Worker, LSW
Verified Verified
1 Endorsed
Mount Royal, NJ 08061  (Online Only)
Waitlist for new clients
I am a licensed social worker in New Jersey with over 10+ years of experience. I have worked with many different populations, but I truly enjoy working with adults and women of color, promoting self care and wellness. My clinical areas of expertise include depression, trauma, grief, and anxiety. As a black therapist, I work towards normalizing black mental health within our community.
I am a licensed social worker in New Jersey with over 10+ years of experience. I have worked with many different populations, but I truly enjoy working with adults and women of color, promoting self care and wellness. My clinical areas of expertise include depression, trauma, grief, and anxiety. As a black therapist, I work towards normalizing black mental health within our community.
(856) 446-3605 View (856) 446-3605
Photo of Angela Gelin, LAC, Counselor
Angela Gelin
Counselor, LAC
Verified Verified
1 Endorsed
Mount Royal, NJ 08061  (Online Only)
I enjoy working with couples to help them communicate and rediscover a love that builds beyond barriers. I also enjoy helping families learn to relate to one another and tackle problems as a team. I strive to equip clients with tools to cultivate greater self-awareness and overcome whatever obstacles they face. My approach takes into account counseling techniques that are incredibly useful in multicultural communities, helping clients to break free from old patterns and navigate new meaning in their life and relationships.
I enjoy working with couples to help them communicate and rediscover a love that builds beyond barriers. I also enjoy helping families learn to relate to one another and tackle problems as a team. I strive to equip clients with tools to cultivate greater self-awareness and overcome whatever obstacles they face. My approach takes into account counseling techniques that are incredibly useful in multicultural communities, helping clients to break free from old patterns and navigate new meaning in their life and relationships.
(856) 644-1888 View (856) 644-1888
Photo of Courtney Chileen, LCSW, LCADC, ICGC-II, Clinical Social Work/Therapist
Courtney Chileen
Clinical Social Work/Therapist, LCSW, LCADC, ICGC-II
Verified Verified
Mount Royal, NJ 08061  (Online Only)
I work with many types of clients, but my niche is working with adults with mental health issues, substance use disorders, and/or co-occurring disorders, as well as gambling disorders. I have extensive experience working with individuals who have PTSD and trauma, and specialize in working with veterans, as well as first responders. For the past 6 years, I have been working as a Readjustment Counselor at the South Jersey Vet Center. I hold a certification as an LCADC (Licensed Clinical Alcohol and Drug Counselor), and am also an ICGC-II (International Certified Gambling Counselor level 2).
I work with many types of clients, but my niche is working with adults with mental health issues, substance use disorders, and/or co-occurring disorders, as well as gambling disorders. I have extensive experience working with individuals who have PTSD and trauma, and specialize in working with veterans, as well as first responders. For the past 6 years, I have been working as a Readjustment Counselor at the South Jersey Vet Center. I hold a certification as an LCADC (Licensed Clinical Alcohol and Drug Counselor), and am also an ICGC-II (International Certified Gambling Counselor level 2).
(856) 746-6439 View (856) 746-6439
Photo of Graciela Montero, MSW, LCSW, Clinical Social Work/Therapist
Graciela Montero
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Mount Royal, NJ 08061  (Online Only)
I love using the skills I've developed to treat those going through trauma, depression, anxiety, mental illness, and other challenges. I have 5 years of experience working one-on-one with children and their families in an in-home environment. Though I work with adults as well, one of my niches is working with adolescents and teenagers.
I love using the skills I've developed to treat those going through trauma, depression, anxiety, mental illness, and other challenges. I have 5 years of experience working one-on-one with children and their families in an in-home environment. Though I work with adults as well, one of my niches is working with adolescents and teenagers.
(201) 762-8864 View (201) 762-8864

More Therapists Nearby

Photo of Christina M Kaplan, LPC, Licensed Professional Counselor
Christina M Kaplan
Licensed Professional Counselor, LPC
Verified Verified
West Deptford, NJ 08051  (Online Only)
Back to School transitions can be challenging. I help teens, young adults and women experiencing depression and anxiety that often arise from these changes. By increasing self confidence and empowering you to find strength and balance in your life. Together, we will work on developing coping skills, strategies and determine how to build resilience. At the same time enhancing your self awareness to better understand and manage the challenges that arise. I am here to listen without judgement, offer guidance, and help you cultivate the skills you need to adapt and thrive amidst the transitions in your life.
Back to School transitions can be challenging. I help teens, young adults and women experiencing depression and anxiety that often arise from these changes. By increasing self confidence and empowering you to find strength and balance in your life. Together, we will work on developing coping skills, strategies and determine how to build resilience. At the same time enhancing your self awareness to better understand and manage the challenges that arise. I am here to listen without judgement, offer guidance, and help you cultivate the skills you need to adapt and thrive amidst the transitions in your life.
(609) 455-1244 View (609) 455-1244
Photo of Kristin Young, LCSW, Clinical Social Work/Therapist
Kristin Young
Clinical Social Work/Therapist, LCSW
Verified Verified
Mantua, NJ 08051  (Online Only)
I offer a safe and non-judgmental environment to the individuals & families that I serve. I offer a holistic, strength-based, & person-centered approach. This approach focuses on everyone’s unique strengths and self-determination. I utilize empathy, openness, and curiosity to assist my clients gain self-awareness, re-envision their purpose, and achieve new insights. I employ evidence-based intervention for my clients, which includes cognitive behavioral therapy (CBT), motivational interviewing, & mindfulness practices. I provide my clients with a supportive space so they can begin their journey of personal reflection & healing.
I offer a safe and non-judgmental environment to the individuals & families that I serve. I offer a holistic, strength-based, & person-centered approach. This approach focuses on everyone’s unique strengths and self-determination. I utilize empathy, openness, and curiosity to assist my clients gain self-awareness, re-envision their purpose, and achieve new insights. I employ evidence-based intervention for my clients, which includes cognitive behavioral therapy (CBT), motivational interviewing, & mindfulness practices. I provide my clients with a supportive space so they can begin their journey of personal reflection & healing.
(856) 208-7283 View (856) 208-7283
Photo of Marina Brink, MA, LPC, Licensed Professional Counselor
Marina Brink
Licensed Professional Counselor, MA, LPC
Verified Verified
Mantua, NJ 08051
Not accepting new clients
You might be feeling upset and out of control about your life. You might have recently discovered that you're neurodivergent (or not even sure) and you want to explore the possibility in a safe environment. You might have been through one or more traumas.
You might be feeling upset and out of control about your life. You might have recently discovered that you're neurodivergent (or not even sure) and you want to explore the possibility in a safe environment. You might have been through one or more traumas.
(856) 245-2369 View (856) 245-2369
Photo of Julia Curtis, MA, LPC, CAS, CCTP, Licensed Professional Counselor
Julia Curtis
Licensed Professional Counselor, MA, LPC, CAS, CCTP
Verified Verified
West Deptford, NJ 08096  (Online Only)
Not accepting new clients
I focus on helping adults and teens struggling with trauma, anxiety, and or autism. As a certified clinical trauma professional and a certified autism specialist, I make it a priority to create a safe and comfortable environment for my clients to heal and express themselves. Together we will utilize our sessions to explore the root of your discomfort through guided exploration as well as develop healthy coping strategies that will help you live a more balanced life.
I focus on helping adults and teens struggling with trauma, anxiety, and or autism. As a certified clinical trauma professional and a certified autism specialist, I make it a priority to create a safe and comfortable environment for my clients to heal and express themselves. Together we will utilize our sessions to explore the root of your discomfort through guided exploration as well as develop healthy coping strategies that will help you live a more balanced life.
(856) 644-4154 View (856) 644-4154
Photo of Dr. Alexis Walsh, DSW, LCSW, Clinical Social Work/Therapist
Dr. Alexis Walsh
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
1 Endorsed
West Deptford, NJ 08086  (Online Only)
I enjoy working with adults, families, teens, and youth who are motivated to grow as individuals, improve relationships, and solve challenges they are currently experiencing. I work collaboratively with my clients to improve their sense of self and manage symptoms of anxiety, stress, trauma, and the discomfort that manifest from challenges presented in a busy world, full of stressors. We will work together to create an empowering plan that is realistic and manageable for you to alleviate the stress of the challenges that you are experiencing. We are a team and will tackle solutions together in a way that is effective for you!
I enjoy working with adults, families, teens, and youth who are motivated to grow as individuals, improve relationships, and solve challenges they are currently experiencing. I work collaboratively with my clients to improve their sense of self and manage symptoms of anxiety, stress, trauma, and the discomfort that manifest from challenges presented in a busy world, full of stressors. We will work together to create an empowering plan that is realistic and manageable for you to alleviate the stress of the challenges that you are experiencing. We are a team and will tackle solutions together in a way that is effective for you!
(856) 758-2297 View (856) 758-2297
Photo of Joseph M Williams, MA, LPC, LCADC, CCS, CPS, Licensed Professional Counselor
Joseph M Williams
Licensed Professional Counselor, MA, LPC, LCADC, CCS, CPS
Verified Verified
West Deptford, NJ 08051
Life's struggles can cause confusion, discomfort, and unhappiness in our life. Issues that are troubling can lead to substance use, increased stress, and or other unsettling thoughts/behaviors often resulting in unpleasant actions or regrettable decisions. It has been stated, "a wise man [person] seeks counsel", and truly a person who recognizes the benefits of counseling demonstrates action toward a healthier lifestyle and positive mental health. Regardless of the reasons why, it is important to feel empowered to overcome them and effectively cope with them in a more effective, healthier way.
Life's struggles can cause confusion, discomfort, and unhappiness in our life. Issues that are troubling can lead to substance use, increased stress, and or other unsettling thoughts/behaviors often resulting in unpleasant actions or regrettable decisions. It has been stated, "a wise man [person] seeks counsel", and truly a person who recognizes the benefits of counseling demonstrates action toward a healthier lifestyle and positive mental health. Regardless of the reasons why, it is important to feel empowered to overcome them and effectively cope with them in a more effective, healthier way.
(856) 794-1011 x314 View (856) 794-1011 x314
Photo of Michelle Schmidt, MA, NCC, LPC, Licensed Professional Counselor
Michelle Schmidt
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Mantua, NJ 08051
Are you facing challenges that leave you feeling frustrated, overwhelmed, defeated, depressed or anxious? Are these challenges blocking you from living a fulfilling life.
Are you facing challenges that leave you feeling frustrated, overwhelmed, defeated, depressed or anxious? Are these challenges blocking you from living a fulfilling life.
(856) 418-1950 View (856) 418-1950
Photo of Heather A Wilson, LCSW, LCADC, CCTP, Clinical Social Work/Therapist
Heather A Wilson
Clinical Social Work/Therapist, LCSW, LCADC, CCTP
Verified Verified
2 Endorsed
Mantua, NJ 08051
Welcome to a space of healing, it is so nice to meet you! My name is Heather Wilson, and I am a Licensed Clinical Social Worker and Licensed Clinical Alcohol and Drug Counselor with certifications in ARC-Grow, EMDR, and Trauma. My goal with clients is to empower them to become their authentic selves. Through life experiences, we oftentimes struggle with identifying who we are and how to align with our values. My therapeutic framework allows me to identify the root issues to client presenting problems and to provide tangible steps to healing. My background involves working adults, children, grief, loss, substance use, and trauma.
Welcome to a space of healing, it is so nice to meet you! My name is Heather Wilson, and I am a Licensed Clinical Social Worker and Licensed Clinical Alcohol and Drug Counselor with certifications in ARC-Grow, EMDR, and Trauma. My goal with clients is to empower them to become their authentic selves. Through life experiences, we oftentimes struggle with identifying who we are and how to align with our values. My therapeutic framework allows me to identify the root issues to client presenting problems and to provide tangible steps to healing. My background involves working adults, children, grief, loss, substance use, and trauma.
(856) 651-1361 View (856) 651-1361
Photo of Kay Hughes, MS, LPC, Licensed Professional Counselor
Kay Hughes
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
West Deptford, NJ 08096  (Online Only)
Having a safe place of support and connection to unload burdens goes a long way. It is exhausting to explore more about yourself, others, and your world when you are not feeling heard unconditionally. I am here to walk with you in a judgement-free, yet honest journey toward emotional safety. I am here whether you face anxiety, hard relationships, stress, or family tension.
Having a safe place of support and connection to unload burdens goes a long way. It is exhausting to explore more about yourself, others, and your world when you are not feeling heard unconditionally. I am here to walk with you in a judgement-free, yet honest journey toward emotional safety. I am here whether you face anxiety, hard relationships, stress, or family tension.
(215) 618-9138 View (215) 618-9138
Photo of Gregory Fortune, LPC, Counselor
Gregory Fortune
Counselor, LPC
Verified Verified
Clarksboro, NJ 08020  (Online Only)
We're here to help you reach your therapy goals at Lifebulb! We’ll connect you with the best possible therapist for your unique goals, someone who genuinely cares about helping you. We’re all about making therapy enjoyable for both therapists and clients. Our team consists of highly trained and licensed clinicians who are passionate about the therapy process. Let's work together to achieve your goals!
We're here to help you reach your therapy goals at Lifebulb! We’ll connect you with the best possible therapist for your unique goals, someone who genuinely cares about helping you. We’re all about making therapy enjoyable for both therapists and clients. Our team consists of highly trained and licensed clinicians who are passionate about the therapy process. Let's work together to achieve your goals!
(732) 706-8416 View (732) 706-8416
Photo of Michelle Sampson, NCC, LPC, ACS, Licensed Professional Counselor
Michelle Sampson
Licensed Professional Counselor, NCC, LPC, ACS
Verified Verified
1 Endorsed
Mickleton, NJ 08056
Great to meet you! I have been working in the mental health field for the past 20 years in various treatment settings including partial hospitalization, intensive outpatient, and outpatient. I attended Rowan University and earned my master's degree in Mental Health Counseling and Applied Psychology. I am licensed in NJ and PA. I have a particular interest in treating perinatal mood and anxiety disorders, women's issues, workplace issues, chronic medical issues, and codependency.
Great to meet you! I have been working in the mental health field for the past 20 years in various treatment settings including partial hospitalization, intensive outpatient, and outpatient. I attended Rowan University and earned my master's degree in Mental Health Counseling and Applied Psychology. I am licensed in NJ and PA. I have a particular interest in treating perinatal mood and anxiety disorders, women's issues, workplace issues, chronic medical issues, and codependency.
(856) 878-2905 View (856) 878-2905
Photo of Dot McIntyre, LPC, Licensed Professional Counselor
Dot McIntyre
Licensed Professional Counselor, LPC
Verified Verified
Woodbury Heights, NJ 08097
Not accepting new clients
Have you had that feeling that life is getting the best of you? Often this happens when things we have tried to put behind us don’t want to be left in the past. We may find that we’re missing some of the things that we feel are needed to make us whole, that we are struggling to adapt to new circumstances or that we’ve simply been managing for too long and we’re tired. When we get tired, our relationships often struggle. We may have panic attacks or just a general feeling of anxiety, we may not feel well, struggle at work or at school, or we may even have feelings of self-harm. If this speaks to you, you are not alone.
Have you had that feeling that life is getting the best of you? Often this happens when things we have tried to put behind us don’t want to be left in the past. We may find that we’re missing some of the things that we feel are needed to make us whole, that we are struggling to adapt to new circumstances or that we’ve simply been managing for too long and we’re tired. When we get tired, our relationships often struggle. We may have panic attacks or just a general feeling of anxiety, we may not feel well, struggle at work or at school, or we may even have feelings of self-harm. If this speaks to you, you are not alone.
(856) 420-6593 View (856) 420-6593

See more therapy options for Mount Royal

How does your Therapist compare?

Number of Therapists in Mount Royal, NJ

< 10

Therapists in Mount Royal, NJ who prioritize treating:

100% Depression
100% Anxiety
100% Peer Relationships
100% Stress
88% Divorce
88% Family Conflict
88% Self Esteem

Average years in practice

12 Years

Top 3 insurances accepted

100% Aetna
88% Horizon Blue Cross and Blue Shield
75% Cigna and Evernorth

How Therapists in Mount Royal, NJ see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Mount Royal?

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.