Therapists in Fayette County, OH

Photo of Sandra Lynn Bach - Mindful Healing & Behavioral Solutions, LLC, LPCC, NCC, LICDC, Counselor
Mindful Healing & Behavioral Solutions, LLC
Counselor, LPCC, NCC, LICDC
Verified Verified
I offer therapy for children, adolescent teens, and adults who suffer from a manifestation of psychological issues. These issues may include anxiety, depression, PTSD, personality disorders, disruptive, impulse-control, conduct disorders, and substance abuse issues. Psychological issues are difficult for individuals to surmount independently; therefore, with education and specialized therapy services, these individuals can not only learn how to develop coping mechanisms, but learn how to implement them. The Cognitive Behavioral Theory Approach is implemented with clients because it focuses on how an individual thinks can change feelings, behaviors, and distorted thinking patterns. The Client Centered and Existential Theory Approach are also implemented in therapy.
I offer therapy for children, adolescent teens, and adults who suffer from a manifestation of psychological issues. These issues may include anxiety, depression, PTSD, personality disorders, disruptive, impulse-control, conduct disorders, and substance abuse issues. Psychological issues are difficult for individuals to surmount independently; therefore, with education and specialized therapy services, these individuals can not only learn how to develop coping mechanisms, but learn how to implement them. The Cognitive Behavioral Theory Approach is implemented with clients because it focuses on how an individual thinks can change feelings, behaviors, and distorted thinking patterns. The Client Centered and Existential Theory Approach are also implemented in therapy.
(614) 845-6405 View (614) 845-6405
Photo of J Anthony Mosley, MA, LPCC, NCC, Counselor
J Anthony Mosley
Counselor, MA, LPCC, NCC
Verified Verified
1 Endorsed
I have been working in the counseling field since 1986. One of the great joys of my work is witnessing healthy change in individuals, couples, and families. I work closely with people in establishing goals and treatment plans to increase possibilities for successful outcomes. I am a primary referral source for Physicians, Pastors, and other professionals in Central Ohio and surrounding areas. It has been a privilege to work with the medical and faith community to meet the mental health needs of those who are hurting.
I have been working in the counseling field since 1986. One of the great joys of my work is witnessing healthy change in individuals, couples, and families. I work closely with people in establishing goals and treatment plans to increase possibilities for successful outcomes. I am a primary referral source for Physicians, Pastors, and other professionals in Central Ohio and surrounding areas. It has been a privilege to work with the medical and faith community to meet the mental health needs of those who are hurting.
(855) 867-6669 View (855) 867-6669
Photo of Sierra Mills, MA, LPC, Licensed Professional Counselor
Sierra Mills
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Now offering walk and talk therapy, where we'll blend a combination of physical activity and therapeutic conversation for an effective and unique form of therapy! Providing a safe and empathetic environment for my clients to feel heard is of utmost importance. I enjoy working with couples, adults, and teens. Together we can address things like anxiety, depression, self-esteem, codependency, relationship difficulties, and more. As a certified SYMBIS facilitator and completion of Level 1 Training in Gottman Method Couples Therapy, I specialize in marital and relationship counseling.
Now offering walk and talk therapy, where we'll blend a combination of physical activity and therapeutic conversation for an effective and unique form of therapy! Providing a safe and empathetic environment for my clients to feel heard is of utmost importance. I enjoy working with couples, adults, and teens. Together we can address things like anxiety, depression, self-esteem, codependency, relationship difficulties, and more. As a certified SYMBIS facilitator and completion of Level 1 Training in Gottman Method Couples Therapy, I specialize in marital and relationship counseling.
(937) 828-4554 View (937) 828-4554
Photo of Beverly Ondera, LPCC-S
Beverly Ondera
Licensed Professional Clinical Counselor, LPCC-S
Verified Verified
Are you struggling with depression or anxiety or have you experienced trauma in your past? My desire is to connect with you on a deep level through therapy to help you learn how to overcome difficult emotions. Sometimes experiencing a deeply disappointing or devastating life event might make you feel stuck and unable to move past your reactions to those painful circumstances. Being able to walk alongside you on a path towards inner healing is an honor for me as a therapist. Together we can find the peace of mind we all long for. If you are ready to start your journey towards healing, call for a free consultation.
Are you struggling with depression or anxiety or have you experienced trauma in your past? My desire is to connect with you on a deep level through therapy to help you learn how to overcome difficult emotions. Sometimes experiencing a deeply disappointing or devastating life event might make you feel stuck and unable to move past your reactions to those painful circumstances. Being able to walk alongside you on a path towards inner healing is an honor for me as a therapist. Together we can find the peace of mind we all long for. If you are ready to start your journey towards healing, call for a free consultation.
(740) 495-7382 View (740) 495-7382
Photo of Jana M Harrington, MA, LPCC-S, CCTAP, Counselor
Jana M Harrington
Counselor, MA, LPCC-S, CCTAP
Verified Verified
2 Endorsed
Whether past or present, we have all faced difficulties or storms in our lives that seem bigger than we can handle alone. It takes a great deal of courage to ask for help, to begin a journey of healing whether your storm has passed and you are left with the aftermath or the storm is presently raging. These storms take on many names: depression, anxiety, stress, impulsivity, mood swings, anger, codependency, relationship difficulties, parenting/co-parenting/single parenting struggles, identity issues, life transitions, divorce, grief/loss, technology/social media overload, addiction/substance use. They affect people of all ages.
Whether past or present, we have all faced difficulties or storms in our lives that seem bigger than we can handle alone. It takes a great deal of courage to ask for help, to begin a journey of healing whether your storm has passed and you are left with the aftermath or the storm is presently raging. These storms take on many names: depression, anxiety, stress, impulsivity, mood swings, anger, codependency, relationship difficulties, parenting/co-parenting/single parenting struggles, identity issues, life transitions, divorce, grief/loss, technology/social media overload, addiction/substance use. They affect people of all ages.
(740) 265-2361 View (740) 265-2361
Photo of Monica Baucher, LPCC-S, CCTP
Monica Baucher
LPCC-S, CCTP
Verified Verified
1 Endorsed
Washington Court House, OH 43160  (Online Only)
You might think it is impossible to heal and overcome what you are facing. You might believe you are too broken, unworthy, unlovable, and ready to give up. Whether it be anxiety from unmanageable stress, depression, trauma, divorce, a death, or just trouble with navigating through life....there is hope! You can recover and heal! Broken vessels are often the ones that shine the brightest!
You might think it is impossible to heal and overcome what you are facing. You might believe you are too broken, unworthy, unlovable, and ready to give up. Whether it be anxiety from unmanageable stress, depression, trauma, divorce, a death, or just trouble with navigating through life....there is hope! You can recover and heal! Broken vessels are often the ones that shine the brightest!
(740) 224-8113 View (740) 224-8113
Photo of Bethany Danielle Bolin, MA,  LPC
Bethany Danielle Bolin
Licensed Professional Clinical Counselor , MA, LPC
Verified Verified
1 Endorsed
Washington Court House, OH 43160  (Online Only)
Does any of this sound familiar? Life weighs you down so much that hope is a thing of the past. Activities that you enjoyed a few short years ago now are meaningless and uninteresting. Depression is the ruler of your life and decisions, and you do not even recognize the person in the mirror. Your relationships with family and friends have hit rock bottom. As a parent, especially, this brings immense amounts of guilt because you can’t be as present as you feel you should.
Does any of this sound familiar? Life weighs you down so much that hope is a thing of the past. Activities that you enjoyed a few short years ago now are meaningless and uninteresting. Depression is the ruler of your life and decisions, and you do not even recognize the person in the mirror. Your relationships with family and friends have hit rock bottom. As a parent, especially, this brings immense amounts of guilt because you can’t be as present as you feel you should.
(740) 327-5338 View (740) 327-5338

Online Therapists

Photo of Sheehan Byrne, LSW, Clinical Social Work/Therapist
Sheehan Byrne
Clinical Social Work/Therapist, LSW
Verified Verified
Blue Ash, OH 45242
My goal is to help you find joy and contentment despite the daily struggles and lifelong challenges you may be facing. I am here to help you manage anxiety and depression more effectively and grow from the recovery process. I will help you cultivate healthy coping skills, and enhance your focus, awareness, mindfulness, and self-compassion.
My goal is to help you find joy and contentment despite the daily struggles and lifelong challenges you may be facing. I am here to help you manage anxiety and depression more effectively and grow from the recovery process. I will help you cultivate healthy coping skills, and enhance your focus, awareness, mindfulness, and self-compassion.
(513) 640-9378 View (513) 640-9378
Photo of James Heckman, LISW-S, Clinical Social Work/Therapist
James Heckman
Clinical Social Work/Therapist, LISW-S
Verified Verified
1 Endorsed
Columbus, OH 43214
By creating a safe environment in which to explore emotions and inner patterns, we identify roadblocks which are interfering with the goals that the individual or family want to achieve. We use our meetings to gain understanding, create new ideas and support putting changes into practice.
By creating a safe environment in which to explore emotions and inner patterns, we identify roadblocks which are interfering with the goals that the individual or family want to achieve. We use our meetings to gain understanding, create new ideas and support putting changes into practice.
(614) 664-8042 View (614) 664-8042
Photo of Jessica Renee King Bailey - Jessica King Bailey, Psy.D. , PsyD, Psychologist
Jessica King Bailey, Psy.D.
Psychologist, PsyD
Verified Verified
1 Endorsed
Pickerington, OH 43147
Dr. Bailey is currently only accepting adult ADHD and ASD assessments involving an online diagnostic visit, an in-person day of testing and an online feedback session. Dr. Jessica King Bailey is a clinical health psychologist specializing in complex anxiety and traumatic stress disorders in neurodiverse populations. Dr. Bailey has extensive knowledge about the impact of chronic medical diagnoses on the functioning of children, families and adults from diverse backgrounds.
Dr. Bailey is currently only accepting adult ADHD and ASD assessments involving an online diagnostic visit, an in-person day of testing and an online feedback session. Dr. Jessica King Bailey is a clinical health psychologist specializing in complex anxiety and traumatic stress disorders in neurodiverse populations. Dr. Bailey has extensive knowledge about the impact of chronic medical diagnoses on the functioning of children, families and adults from diverse backgrounds.
(740) 921-1669 View (740) 921-1669
Photo of S. Lorena Shadwick, IMFT-S, LMFT-S, ATR-BC, Marriage & Family Therapist
S. Lorena Shadwick
Marriage & Family Therapist, IMFT-S, LMFT-S, ATR-BC
Verified Verified
3 Endorsed
Columbus, OH 43240  (Online Only)
Waitlist for new clients
I provide Telehealth sessions Mon - Thurs from 10a est - 5p EST. I am focused on working with adults and adolescents. I do not work with couples or children younger than 12. I am trauma and attachment focused. I offer a client-centered, affirming, collaborative, relational approach. I support clients struggling with Trauma, PTSD, and Grief & Loss. I am trained in Sensorimotor Psychotherapy (somatic trauma therapy) and Board Certified in Art Therapy. I am also LGBTQ allied and am affirming of all sexual, gender and relational identities. I am a Clinical Supervisor and can provide supervision to pre-licensed MFT/ATR trainees.
I provide Telehealth sessions Mon - Thurs from 10a est - 5p EST. I am focused on working with adults and adolescents. I do not work with couples or children younger than 12. I am trauma and attachment focused. I offer a client-centered, affirming, collaborative, relational approach. I support clients struggling with Trauma, PTSD, and Grief & Loss. I am trained in Sensorimotor Psychotherapy (somatic trauma therapy) and Board Certified in Art Therapy. I am also LGBTQ allied and am affirming of all sexual, gender and relational identities. I am a Clinical Supervisor and can provide supervision to pre-licensed MFT/ATR trainees.
(310) 487-2187 View (310) 487-2187
Photo of Gwendolyn Yvonne Reynolds, LSW
Gwendolyn Yvonne Reynolds
Licensed Social Worker, LSW
Verified Verified
1 Endorsed
Dayton, OH 45459
As a therapist, I am committed to creating a safe, non-judgmental space where you can explore your thoughts and feelings openly. I believe in the power of genuine connection, empathy, and collaboration to help you navigate life's challenges. Together, we will work to understand your experiences, identify your strengths, and develop strategies to support your growth and well-being.
As a therapist, I am committed to creating a safe, non-judgmental space where you can explore your thoughts and feelings openly. I believe in the power of genuine connection, empathy, and collaboration to help you navigate life's challenges. Together, we will work to understand your experiences, identify your strengths, and develop strategies to support your growth and well-being.
(937) 870-2190 x2 View (937) 870-2190 x2
Photo of Tory Trimble, MA, LPCC, RYT-200, Counselor
Tory Trimble
Counselor, MA, LPCC, RYT-200
Verified Verified
3 Endorsed
Columbus, OH 43215  (Online Only)
Hi, I'm Tory! I've been a mental health professional for several years and have experience working with people from a broad range of backgrounds, cultures, ages, and presenting concerns. I am especially passionate about, and skilled in, working with young adults and folks in the LGBTQIA+ and polyamorous/ENM communities (both of which are identities I hold myself). I strive to show up in session as my authentic self, and bring curiosity, kindness, and humor to my work. I am endlessly grateful to have the privilege of walking alongside clients every day, and to be a part of supporting their healing and growth.
Hi, I'm Tory! I've been a mental health professional for several years and have experience working with people from a broad range of backgrounds, cultures, ages, and presenting concerns. I am especially passionate about, and skilled in, working with young adults and folks in the LGBTQIA+ and polyamorous/ENM communities (both of which are identities I hold myself). I strive to show up in session as my authentic self, and bring curiosity, kindness, and humor to my work. I am endlessly grateful to have the privilege of walking alongside clients every day, and to be a part of supporting their healing and growth.
(740) 842-7885 View (740) 842-7885
Photo of Katelyn Studebaker, MS, LPCC
Katelyn Studebaker
Licensed Professional Clinical Counselor, MS, LPCC
Verified Verified
1 Endorsed
Middletown, OH 45005
Accepting clients ages 6 and older. Do you or your child experience a lot of "big feelings?" Maybe you live with anxiety, depression, trauma, ADHD, Autism, or maybe you're going through a big life transition. If that sounds like you, I could be a good fit. I've been in the mental health field for 10 years, working with kids (ages 6+), teens, adults, and families from many backgrounds. I am a warm and welcoming, laid back therapist who believes that therapy can be a fun and uplifting process. I will assign homework, ask you to try new things, and I'll strive to be creative and flexible in our work together.
Accepting clients ages 6 and older. Do you or your child experience a lot of "big feelings?" Maybe you live with anxiety, depression, trauma, ADHD, Autism, or maybe you're going through a big life transition. If that sounds like you, I could be a good fit. I've been in the mental health field for 10 years, working with kids (ages 6+), teens, adults, and families from many backgrounds. I am a warm and welcoming, laid back therapist who believes that therapy can be a fun and uplifting process. I will assign homework, ask you to try new things, and I'll strive to be creative and flexible in our work together.
(937) 442-8800 View (937) 442-8800
Photo of Lisa Goins, Clinical Social Work/Therapist
Lisa Goins
Clinical Social Work/Therapist
Verified Verified
Cincinnati, OH 45231
Lisa holds a LISW with the Marriage and Family Therapist Board of Ohio. Lisa believes that building trust and maintaining confidentiality are among the most important qualities to the creation of an effective therapeutic relationship. She is dedicated to providing a nonjudgemental environment for sharing life's ups and downs. Lisa received a Bachelor’s degree in Sociology from Baldwin Wallace University and a Master’s degree in Social Work (MSSA) from Case Western Reserve University. She has specialized in adolescent psychology and human development, family therapy, and solution focused approaches.
Lisa holds a LISW with the Marriage and Family Therapist Board of Ohio. Lisa believes that building trust and maintaining confidentiality are among the most important qualities to the creation of an effective therapeutic relationship. She is dedicated to providing a nonjudgemental environment for sharing life's ups and downs. Lisa received a Bachelor’s degree in Sociology from Baldwin Wallace University and a Master’s degree in Social Work (MSSA) from Case Western Reserve University. She has specialized in adolescent psychology and human development, family therapy, and solution focused approaches.
(216) 999-5357 View (216) 999-5357
Photo of Bonnie Gourley, MSW, LISW-S, Clinical Social Work/Therapist
Bonnie Gourley
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
Westerville, OH 43081
I enjoy working with adults and adolescents, to help navigate the challenges that come with depression, anxiety, self-esteem, relationship issues, grief/loss, divorce, life adjustments, and more. I’m here to offer support and enhance resiliency by promoting a sense of hope.
I enjoy working with adults and adolescents, to help navigate the challenges that come with depression, anxiety, self-esteem, relationship issues, grief/loss, divorce, life adjustments, and more. I’m here to offer support and enhance resiliency by promoting a sense of hope.
(614) 681-8545 View (614) 681-8545
Photo of Katherine McCullough, LSW, Clinical Social Work/Therapist
Katherine McCullough
Clinical Social Work/Therapist, LSW
Verified Verified
Westerville, OH 43082
Katie McCullough is a Licensed Social Work Trainee through the State of Ohio, Counselor, Social Worker, and Marriage and Family Therapist Board. She earned her Bachelor of Arts degree in Psychology with a minor in Education from The Ohio State University in May 2021. She is currently a graduate student in The Ohio State University's Master of Social Work Program and plans to graduate with her MSW in May 2024. Katie is currently interested in utilizing holistic, mind-body-spirit, strengths-based, and client-centered therapy frameworks to treat a wide range of client populations.
Katie McCullough is a Licensed Social Work Trainee through the State of Ohio, Counselor, Social Worker, and Marriage and Family Therapist Board. She earned her Bachelor of Arts degree in Psychology with a minor in Education from The Ohio State University in May 2021. She is currently a graduate student in The Ohio State University's Master of Social Work Program and plans to graduate with her MSW in May 2024. Katie is currently interested in utilizing holistic, mind-body-spirit, strengths-based, and client-centered therapy frameworks to treat a wide range of client populations.
(614) 968-8924 View (614) 968-8924
Photo of Brock Reiman, Psychologist
Brock Reiman
Psychologist
Verified Verified
Columbus, OH 43230  (Online Only)
Over 35 years of counseling experience.
Over 35 years of counseling experience.
(380) 230-4370 View (380) 230-4370
Photo of Jon McCormick, LPC, Licensed Professional Counselor
Jon McCormick
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Columbus, OH 43228
From young kids to aging adults, we will partner together to find the best course of treatment. Together we will build trust and write a personalized treatment plan that follows your own timeline. I believe in a "wholistic" approach (whole person - environmental, psychological, vocational, physiological, social, emotional, and spiritual) using innovative ways to promote personal wellness. I appreciate the diversity and individuality of all people, recognizing the rights of all human beings to be treated with respect and dignity.
From young kids to aging adults, we will partner together to find the best course of treatment. Together we will build trust and write a personalized treatment plan that follows your own timeline. I believe in a "wholistic" approach (whole person - environmental, psychological, vocational, physiological, social, emotional, and spiritual) using innovative ways to promote personal wellness. I appreciate the diversity and individuality of all people, recognizing the rights of all human beings to be treated with respect and dignity.
(614) 532-4520 View (614) 532-4520
Photo of Libby Murdoch, LPCC, CCTP-II, Counselor
Libby Murdoch
Counselor, LPCC, CCTP-II
Verified Verified
1 Endorsed
Mason, OH 45040
*IMMEDIATE OPENINGS AVAILABLE* You are ambitious, driven and determined. Sounds pretty good, until it's not. The tired but always wired feeling. Finding it hard to relax or enjoy anything that isn't "productive". And even when you do have down time you find it hard to be present with the people you love, you're too busy worrying about all of the things, or feeling disconnected from what's going on around you. And your inner critic, don't even get me started on that. You are sick and tired of caring so much what other people think. But you want so badly for others to see you as a good person. Someone who is valuable, successful.
*IMMEDIATE OPENINGS AVAILABLE* You are ambitious, driven and determined. Sounds pretty good, until it's not. The tired but always wired feeling. Finding it hard to relax or enjoy anything that isn't "productive". And even when you do have down time you find it hard to be present with the people you love, you're too busy worrying about all of the things, or feeling disconnected from what's going on around you. And your inner critic, don't even get me started on that. You are sick and tired of caring so much what other people think. But you want so badly for others to see you as a good person. Someone who is valuable, successful.
(513) 434-6812 View (513) 434-6812

See more therapy options for Fayette County

How does your Therapist compare?

Number of Therapists in Fayette County, OH

< 10

Therapists in Fayette County, OH who prioritize treating:

100% Depression
100% Anxiety
100% Grief
100% Trauma and PTSD
86% Suicidal Ideation
86% Coping Skills
86% Stress

Average years in practice

9 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Elevance

How Therapists in Fayette County, OH see their clients

72% In Person and Online
28% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Fayette County?

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.