Therapists in Peekskill, NY

Lynn Bogin
Counselor, PhD, LMHC
Verified Verified
Peekskill, NY 10566
I am a licensed Mental Health Counselor with experience working with children, families and adults. I offer a supportive, non-judgmental environment where you can confront the challenges keeping your from the life you want to lead, using your own strengths, values and goals.
I am a licensed Mental Health Counselor with experience working with children, families and adults. I offer a supportive, non-judgmental environment where you can confront the challenges keeping your from the life you want to lead, using your own strengths, values and goals.
(845) 516-8185 View (845) 516-8185
Photo of Sabrina Fenyo, LMHC, MS, CCTP, Counselor
Sabrina Fenyo
Counselor, LMHC, MS, CCTP
Verified Verified
3 Endorsed
Peekskill, NY 10566
Waitlist for new clients
Seeking therapy is often the first step we take when we realize that our quality of life has started to slip. If you find that you've put your own needs on the bottom of the to-do list because you've put everyone else around you first, it's time to take the steps to start regaining control of your life and wellbeing. Together, we can help you build an better understanding of the ways your circumstances can impact your thoughts, emotions, behaviors, relationships, and life roles. By exploring our boundaries, learning to care for ourselves, and creating healthier patterns; we can help you shift from surviving to thriving.
Seeking therapy is often the first step we take when we realize that our quality of life has started to slip. If you find that you've put your own needs on the bottom of the to-do list because you've put everyone else around you first, it's time to take the steps to start regaining control of your life and wellbeing. Together, we can help you build an better understanding of the ways your circumstances can impact your thoughts, emotions, behaviors, relationships, and life roles. By exploring our boundaries, learning to care for ourselves, and creating healthier patterns; we can help you shift from surviving to thriving.
(914) 933-7090 View (914) 933-7090
Photo of Phyllis Elliott, LCSW-R, Clinical Social Work/Therapist
Phyllis Elliott
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Peekskill, NY 10566
Individual, Family,and Group counseling for adolescents through adults. Mental Health counseling for depression,anxiety,and bi-polar disorder. Coaching to develop and use coping skills to resolve life stage challenges.Individual Treatment for trauma,grief,relationship and self-esteem issues. Specializing in counseling for depression,anxiety,and bi-polar disorder.Parenting Coaching ,Conflict resolution.Co-parenting after divorce..Learning to use internal strengths as motivation to change and achieve goals.
Individual, Family,and Group counseling for adolescents through adults. Mental Health counseling for depression,anxiety,and bi-polar disorder. Coaching to develop and use coping skills to resolve life stage challenges.Individual Treatment for trauma,grief,relationship and self-esteem issues. Specializing in counseling for depression,anxiety,and bi-polar disorder.Parenting Coaching ,Conflict resolution.Co-parenting after divorce..Learning to use internal strengths as motivation to change and achieve goals.
(845) 617-9964 View (845) 617-9964
Photo of Kenneth Reinhard, PhD, ABPP, Psychologist
Kenneth Reinhard
Psychologist, PhD, ABPP
Verified Verified
Peekskill, NY 10566
I have transitioned my office and hospital practice of 40 years fully to tele health modalities. It is a pleasure to be able to treat patients on a mutually convenient platform that saves time and travel that still builds strong working relationships built on trust and honest collaboration.
I have transitioned my office and hospital practice of 40 years fully to tele health modalities. It is a pleasure to be able to treat patients on a mutually convenient platform that saves time and travel that still builds strong working relationships built on trust and honest collaboration.
(914) 417-4637 View (914) 417-4637
Photo of Maria Rosado Mock, LCSW, Clinical Social Work/Therapist
Maria Rosado Mock
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Peekskill, NY 10566  (Online Only)
I am a Licensed Clinical Social Worker with 22 years experience working with adults doing individual and group therapy.
I am a Licensed Clinical Social Worker with 22 years experience working with adults doing individual and group therapy.
(845) 393-6994 View (845) 393-6994
Photo of Diane Lotto, MSW, LCSW-R, Clinical Social Work/Therapist
Diane Lotto
Clinical Social Work/Therapist, MSW, LCSW-R
Verified Verified
4 Endorsed
Peekskill, NY 10566
Not accepting new clients
My specialties are in working with older adolescents (16+) and adults struggling with trauma, disordered eating, depression, anxiety, grief, breakups & life transitions. By working together, we help you or your teen create new ways to deal & heal from life's toughest challenges. Much of my work focuses on healing from difficult emotions related to current or past experiences, setting boundaries, challenging diet culture, body neutrality, building self-esteem & acceptance (especially in the era of super unrealistic social media pressures), and fostering healthy relationships with yourself & the people you care about.
My specialties are in working with older adolescents (16+) and adults struggling with trauma, disordered eating, depression, anxiety, grief, breakups & life transitions. By working together, we help you or your teen create new ways to deal & heal from life's toughest challenges. Much of my work focuses on healing from difficult emotions related to current or past experiences, setting boundaries, challenging diet culture, body neutrality, building self-esteem & acceptance (especially in the era of super unrealistic social media pressures), and fostering healthy relationships with yourself & the people you care about.
(845) 271-7170 View (845) 271-7170
Photo of Richard Z. Ross, MA, CGP, LMHC, LP, Licensed Psychoanalyst
Richard Z. Ross
Licensed Psychoanalyst, MA, CGP, LMHC, LP
Verified Verified
1 Endorsed
Peekskill, NY 10566
DO ANY OF THE FOLLOWING STATEMENTS FEEL LIKE YOU? 1: I can't seem to fulfill my short or long term goals. 2: I'm often anxious, even panicky & sometimes don't know why. 3: I'm often depressed. 4: I often feel unappreciated. 5: I'm uncomfortable around people. 6: I pull away when feeling close to someone. 7: I fear intimacy in romantic & even in friendship relationships. 8; My wife/lover & I are not getting along well. 9: I have family, friends, a good job, & still feel empty and alone. 10: I have difficulty expressing my feelings, & thoughts, to others. 11: I tend to put everyone's feelings before mine, then feel resentful & angry.
DO ANY OF THE FOLLOWING STATEMENTS FEEL LIKE YOU? 1: I can't seem to fulfill my short or long term goals. 2: I'm often anxious, even panicky & sometimes don't know why. 3: I'm often depressed. 4: I often feel unappreciated. 5: I'm uncomfortable around people. 6: I pull away when feeling close to someone. 7: I fear intimacy in romantic & even in friendship relationships. 8; My wife/lover & I are not getting along well. 9: I have family, friends, a good job, & still feel empty and alone. 10: I have difficulty expressing my feelings, & thoughts, to others. 11: I tend to put everyone's feelings before mine, then feel resentful & angry.
(914) 984-5303 View (914) 984-5303
Photo of Nathan McKee, LCSW, Clinical Social Work/Therapist
Nathan McKee
Clinical Social Work/Therapist, LCSW
Verified Verified
Peekskill, NY 10566
Waitlist for new clients
We all need others in order to better see and understand ourselves. In our sessions we will work together to create a space built upon trust that fosters growth and insight. Therapy should be dynamic, and sometimes I'll be there to witness and support, other times I'll be more active and inquisitive.
We all need others in order to better see and understand ourselves. In our sessions we will work together to create a space built upon trust that fosters growth and insight. Therapy should be dynamic, and sometimes I'll be there to witness and support, other times I'll be more active and inquisitive.
(845) 439-2622 View (845) 439-2622
Photo of Annie Bingaman, LCSW, Clinical Social Work/Therapist
Annie Bingaman
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Peekskill, NY 10566
Coping with life’s challenges is not always easy and finding a therapist is often a huge step. Therapy can help us to better understand ourselves and develop the tools required for living our fullest and most authentic life. Together, we will work on creating new patterns of behavior and moving you toward positive change. I focus on helping women and the LGBTQ+ community with challenges such as: trauma, depression, anxiety, disordered eating and body shame. I also work with folks moving through life transitions such as career changes, grief/loss and breakups.
Coping with life’s challenges is not always easy and finding a therapist is often a huge step. Therapy can help us to better understand ourselves and develop the tools required for living our fullest and most authentic life. Together, we will work on creating new patterns of behavior and moving you toward positive change. I focus on helping women and the LGBTQ+ community with challenges such as: trauma, depression, anxiety, disordered eating and body shame. I also work with folks moving through life transitions such as career changes, grief/loss and breakups.
(845) 237-3848 View (845) 237-3848
Photo of Victoria M Krikorian, MS, LMHC, Counselor
Victoria M Krikorian
Counselor, MS, LMHC
Verified Verified
Peekskill, NY 10566  (Online Only)
Are you seeking a therapist that provides a safe space to sort out what is on your mind with a warm, empathetic, laid-back and non-judgmental approach? This is the type of environment I strive to offer my clients in therapy. I am a holistic practitioner that offers a combination of both conventional and alternative techniques depending on my client's wants and needs. I provide counseling from a lens that recognizes the impact societal inequalities can have on an individual. I offer a style that is intended to build empowerment, confidence and freedom from what you think is holding you back.
Are you seeking a therapist that provides a safe space to sort out what is on your mind with a warm, empathetic, laid-back and non-judgmental approach? This is the type of environment I strive to offer my clients in therapy. I am a holistic practitioner that offers a combination of both conventional and alternative techniques depending on my client's wants and needs. I provide counseling from a lens that recognizes the impact societal inequalities can have on an individual. I offer a style that is intended to build empowerment, confidence and freedom from what you think is holding you back.
(845) 516-8948 View (845) 516-8948
Photo of Lauren Bachkosky, MA, MHC-LP
Lauren Bachkosky
MA, MHC-LP
Verified Verified
Peekskill, NY 10566
As a Mental Health Counselor, I am committed to providing a safe, supportive, and collaborative environment for my clients to explore their life challenges. I am here to validate your unique experience and work with you to find strategies that fit your life. I value the strength of the therapeutic relationship and believe it is the building block from which you can bring about positive change in your life. I use an integrative approach primarily rooted in Cognitive Behavioral Therapy (CBT), Acceptance Commitment Therapy (ACT), and solutions-focused techniques.
As a Mental Health Counselor, I am committed to providing a safe, supportive, and collaborative environment for my clients to explore their life challenges. I am here to validate your unique experience and work with you to find strategies that fit your life. I value the strength of the therapeutic relationship and believe it is the building block from which you can bring about positive change in your life. I use an integrative approach primarily rooted in Cognitive Behavioral Therapy (CBT), Acceptance Commitment Therapy (ACT), and solutions-focused techniques.
(845) 630-1801 View (845) 630-1801
Photo of Gail Giunta, LMHC, MA, BFA, Counselor
Gail Giunta
Counselor, LMHC, MA, BFA
Verified Verified
Peekskill, NY 10566  (Online Only)
Please visit my website to learn more about my approach to therapy and Book Online via Zocdoc for an inital session: www.gailmarinagiunta.com Anxiety and Fear have a grip on you? Feeling anxious, stuck, or worried about your next steps? Experiencing intense fear, even Panic of the unknown? My therapeutic approach includes utilizing integrative and pro-active approaches which consists of CBT, Expressive Arts, Mindfulness & Positive Psychology, and Somatic (body-centered) tools & techniques to help clients formulate and take ownership of attaining their personal growth goals.
Please visit my website to learn more about my approach to therapy and Book Online via Zocdoc for an inital session: www.gailmarinagiunta.com Anxiety and Fear have a grip on you? Feeling anxious, stuck, or worried about your next steps? Experiencing intense fear, even Panic of the unknown? My therapeutic approach includes utilizing integrative and pro-active approaches which consists of CBT, Expressive Arts, Mindfulness & Positive Psychology, and Somatic (body-centered) tools & techniques to help clients formulate and take ownership of attaining their personal growth goals.
(646) 461-4370 View (646) 461-4370
Photo of Sara Folks, LCSW, Clinical Social Work/Therapist
Sara Folks
Clinical Social Work/Therapist, LCSW
Verified Verified
Peekskill, NY 10566
I work from within the relationship of therapy to provide space for your most feared and painful ideas while challenging the stories you tell yourself about who you are, what the world is, and how things can be. Together we will work actively to dampen your daily stressors and find relief from your deeply held traumas. We will use our therapeutic relationship to gain insight into difficult relational patterns in your life and develop new ways of being in relationship. We will make meaning through work and play and we will discover what is possible.
I work from within the relationship of therapy to provide space for your most feared and painful ideas while challenging the stories you tell yourself about who you are, what the world is, and how things can be. Together we will work actively to dampen your daily stressors and find relief from your deeply held traumas. We will use our therapeutic relationship to gain insight into difficult relational patterns in your life and develop new ways of being in relationship. We will make meaning through work and play and we will discover what is possible.
(845) 237-3761 View (845) 237-3761
Photo of Geri Friedman, LCSW, SEP, PsyAnal, Clinical Social Work/Therapist
Geri Friedman
Clinical Social Work/Therapist, LCSW, SEP, PsyAnal
Verified Verified
Peekskill, NY 10566
Is current life testing your ability to cope? Have chronic concerns persisted? My therapeutic style facilitates health in response to many struggles; anxiety, depression, mood disorders, relationship conflicts, grief, as well as, sexual, emotional, and physical trauma to improve your quality of life. With supportive use of psychodynamic knowledge and Somatic Experiencing, emotional resilience emerges. Assessing where progress can flourish, we use the most relevant methods for addressing your specific needs. I offer therapy that addresses acute and chronic issues, fostering healing by the integration of past, present, body and mind.
Is current life testing your ability to cope? Have chronic concerns persisted? My therapeutic style facilitates health in response to many struggles; anxiety, depression, mood disorders, relationship conflicts, grief, as well as, sexual, emotional, and physical trauma to improve your quality of life. With supportive use of psychodynamic knowledge and Somatic Experiencing, emotional resilience emerges. Assessing where progress can flourish, we use the most relevant methods for addressing your specific needs. I offer therapy that addresses acute and chronic issues, fostering healing by the integration of past, present, body and mind.
(914) 506-5365 View (914) 506-5365
Photo of Alexa Wolkoff, Alexa Wolkoff, LCSW, Clinical Social Work/Therapist
Alexa Wolkoff
Clinical Social Work/Therapist, Alexa Wolkoff, LCSW
Verified Verified
Peekskill, NY 10566
Waitlist for new clients
Our thoughts, beliefs and bodies reflect our emotional struggles. We often come to therapy when old ways of coping aren't working anymore- when we long for comfort, relief, or more authentic and deeper connections in our relationships. The whole person needs to be addressed in times of crisis, transition and loss. Healing is a word derived from the German hailjan- “to make whole.” I work with a holistic, acceptance-based and contemplative approach to psychotherapy. Practicing self-compassion and self- acceptance lead to less reactivity and more peaceful, integrated and intentional lives.
Our thoughts, beliefs and bodies reflect our emotional struggles. We often come to therapy when old ways of coping aren't working anymore- when we long for comfort, relief, or more authentic and deeper connections in our relationships. The whole person needs to be addressed in times of crisis, transition and loss. Healing is a word derived from the German hailjan- “to make whole.” I work with a holistic, acceptance-based and contemplative approach to psychotherapy. Practicing self-compassion and self- acceptance lead to less reactivity and more peaceful, integrated and intentional lives.
(646) 798-9046 View (646) 798-9046
Photo of Stephanie Traver, LCSW, Clinical Social Work/Therapist
Stephanie Traver
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Peekskill, NY 10566  (Online Only)
Therapy gives us the awareness we need to make changes and meet our goals. I work with people on a wide range of issues, including transitions in life, trauma, depression, anxiety, interpersonal conflicts. I work with individuals to identify underlying emotions and core strengths towards accomplishments.
Therapy gives us the awareness we need to make changes and meet our goals. I work with people on a wide range of issues, including transitions in life, trauma, depression, anxiety, interpersonal conflicts. I work with individuals to identify underlying emotions and core strengths towards accomplishments.
(845) 538-4064 View (845) 538-4064
Photo of Laurel Stanley-Glynn, MSSW, LCSW, Clinical Social Work/Therapist
Laurel Stanley-Glynn
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
Peekskill, NY 10566  (Online Only)
Coming to therapy takes a lot of courage, and it also probably means you have been doing your best to address your personal issues for some time now. I work from the vantage point that growth is always possible no matter how dire or stuck you may feel. In my practice, I use an eclectic therapeutic approach that stresses reflection, support, validation, collaboration, and aims to foster the insights and behaviors needed for change. My goal is to meet you where you are and get you to where you would like to be. I specialize in stress, depression, anxiety and related issues.
Coming to therapy takes a lot of courage, and it also probably means you have been doing your best to address your personal issues for some time now. I work from the vantage point that growth is always possible no matter how dire or stuck you may feel. In my practice, I use an eclectic therapeutic approach that stresses reflection, support, validation, collaboration, and aims to foster the insights and behaviors needed for change. My goal is to meet you where you are and get you to where you would like to be. I specialize in stress, depression, anxiety and related issues.
(845) 524-1807 View (845) 524-1807
Photo of Adrienne T. Voltaire, MSEd, LMHC, CASAC
Adrienne T. Voltaire
MSEd, LMHC, CASAC
Verified Verified
Peekskill, NY 10566  (Online Only)
Adrienne is a Licensed Mental Health Counselor and an Advanced Credentialed Alcoholism and Substance Abuse Counselor in the State of New York. She has over 15 years of experience working in the realms of education, social services, government, and non-profit management. She has practiced in schools, chemical dependency programs, and outpatient mental health clinics, providing services to people from all walks of life. She proudly identifies as a person in recovery. Find her at: secure.helloalma.com/providers/adrienne-voltaire/ AND headway.co/providers/adrienne-voltaire
Adrienne is a Licensed Mental Health Counselor and an Advanced Credentialed Alcoholism and Substance Abuse Counselor in the State of New York. She has over 15 years of experience working in the realms of education, social services, government, and non-profit management. She has practiced in schools, chemical dependency programs, and outpatient mental health clinics, providing services to people from all walks of life. She proudly identifies as a person in recovery. Find her at: secure.helloalma.com/providers/adrienne-voltaire/ AND headway.co/providers/adrienne-voltaire
(845) 295-1370 View (845) 295-1370
Photo of Nancy Arocho-Mercado, LCSW-R, Clinical Social Work/Therapist
Nancy Arocho-Mercado
Clinical Social Work/Therapist, LCSW-R
Verified Verified
5 Endorsed
Peekskill, NY 10566
The focus of my practice is to provide a safe place, where together we can work through any life-transition and/or challenges that may be keeping you from moving forward. Together, we will find understanding, resiliency and strength. I offer you a supportive, non-judgmental and compassionate environment. I favor a collaborative and person-centered approach. You have already taken the most difficult step by recognizing the courage involved with asking for help. I look forward to working with you.
The focus of my practice is to provide a safe place, where together we can work through any life-transition and/or challenges that may be keeping you from moving forward. Together, we will find understanding, resiliency and strength. I offer you a supportive, non-judgmental and compassionate environment. I favor a collaborative and person-centered approach. You have already taken the most difficult step by recognizing the courage involved with asking for help. I look forward to working with you.
(917) 624-9910 View (917) 624-9910
Photo of Carol Merle - Fishman, LMHC, LCAT, MA, CMT, Counselor
Carol Merle - Fishman
Counselor, LMHC, LCAT, MA, CMT
Verified Verified
Peekskill, NY 10566
Choosing a therapist can be a daunting task during times of crisis and concern; the time when most people are likely to seek help. When a part of your world is amiss, direction, reassurance and understanding is essential. As a Certified Integrative Psychotherapist, I offer a comprehensive approach to psychotherapy which considers the many ways people grow, develop and function during wellness and crisis. We are all unique in how we approach health, success, disappointment and the challenges of daily living. For therapy to be successful, it is essential that your individual approach to life be respected and understood.
Choosing a therapist can be a daunting task during times of crisis and concern; the time when most people are likely to seek help. When a part of your world is amiss, direction, reassurance and understanding is essential. As a Certified Integrative Psychotherapist, I offer a comprehensive approach to psychotherapy which considers the many ways people grow, develop and function during wellness and crisis. We are all unique in how we approach health, success, disappointment and the challenges of daily living. For therapy to be successful, it is essential that your individual approach to life be respected and understood.
(914) 487-3986 View (914) 487-3986

How does your Therapist compare?

Number of Therapists in Peekskill, NY

50+

Average cost per session

$160

Therapists in Peekskill, NY who prioritize treating:

85% Anxiety
77% Relationship Issues
75% Depression
67% Self Esteem
63% Grief
60% Stress
60% Life Transitions

Average years in practice

20 Years

Top 3 insurances accepted

77% Aetna
77% UnitedHealthcare UHC | UBH
68% Cigna and Evernorth

How Therapists in Peekskill, NY see their clients

62% In Person and Online
38% Online Only

Gender breakdown

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

How can I find a therapist in Peekskill?

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.