Therapists in Grove City, PA
![Photo of Carol L Frey, LPC, MS, CLC, Licensed Professional Counselor](https://photos.psychologytoday.com/8f64ae27-097f-4a4c-beae-968b4d30a1cb/2/320x400.jpeg)
I am passionate about helping adolescents, college students and adults in all stages of life to reach their full potential by assisting them in healing from past wounds and developing healthy patterns for the future. I am experienced in treating a wide variety of mental health issues and have helped my clients to heal from depression, anxiety, PSTD, OCD, relational conflicts and trauma related conditions. As well, I have coached clients toward reaching goals of significant weight loss, relationship resolutions, career transitions and reaching other personal goals.
I am passionate about helping adolescents, college students and adults in all stages of life to reach their full potential by assisting them in healing from past wounds and developing healthy patterns for the future. I am experienced in treating a wide variety of mental health issues and have helped my clients to heal from depression, anxiety, PSTD, OCD, relational conflicts and trauma related conditions. As well, I have coached clients toward reaching goals of significant weight loss, relationship resolutions, career transitions and reaching other personal goals.
![Photo of Richard Hoffman - Christian Counseling Associates of Western PA, Counselor](https://photos.psychologytoday.com/549f5c37-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website at ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website at ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
![Photo of Ben Makin, MA, LPC](https://photos.psychologytoday.com/6968ec9c-0423-4325-8524-d0a3fa9efb22/2/320x400.jpeg)
The journey toward personal growth and emotional well-being can be messy. Healing comes through real relationships based on trust and mutual respect. With this focus, integrating psychodynamic and relational counseling, I value the importance of understanding the unique dynamics that shape your relationships and influence your overall well-being. I don't want counseling to feel disconnected from real-world applications.
The journey toward personal growth and emotional well-being can be messy. Healing comes through real relationships based on trust and mutual respect. With this focus, integrating psychodynamic and relational counseling, I value the importance of understanding the unique dynamics that shape your relationships and influence your overall well-being. I don't want counseling to feel disconnected from real-world applications.
![Photo of Richard Hoffman - Christian Counseling Associates of Western PA, Licensed Professional Counselor](https://photos.psychologytoday.com/ba3261b6-0cbf-4404-89c0-76924b76f586/2/320x400.jpeg)
Christian Counseling Associates of Western PA
Licensed Professional Counselor
Verified Verified
Grove City, PA 16127
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website www.ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website www.ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
![Photo of Slippery Rock Counseling Services - Slippery Rock Counseling Services](https://photos.psychologytoday.com/4fb0f185-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Welcome to Slippery Rock Counseling Services! Are you feeling depressed, lonely, or stressed out? Do you have difficulty managing relationships or daily activities? If you are having these challenges Counseling can help! Making that first call to seek counseling services for you or a family member is often a very difficult decision. Once you have made the commitment to enter counseling you will be paired with a licensed therapist who will work with you during this journey. Together you will explore your past and present concerns, solve the challenges you are facing, and move towards finding balance and peace in life.
Welcome to Slippery Rock Counseling Services! Are you feeling depressed, lonely, or stressed out? Do you have difficulty managing relationships or daily activities? If you are having these challenges Counseling can help! Making that first call to seek counseling services for you or a family member is often a very difficult decision. Once you have made the commitment to enter counseling you will be paired with a licensed therapist who will work with you during this journey. Together you will explore your past and present concerns, solve the challenges you are facing, and move towards finding balance and peace in life.
![Photo of Dr. Jill Materna, PsyD, Psychologist](https://photos.psychologytoday.com/db91121e-8453-42c3-8317-f04b13f773a1/2/320x400.jpeg)
I will tailor your therapy to your unique needs using psychological evaluation to design services that are effective and efficient. I can help you learn to reduce anxieties, improve communication, and strengthen self control. You can increase your coping skills and understanding of your problems so you can build resilience to the things that stress you. I will help you learn to overcome life's confusing and difficult issues with compassion, sensitivity, and research based techniques.
I will tailor your therapy to your unique needs using psychological evaluation to design services that are effective and efficient. I can help you learn to reduce anxieties, improve communication, and strengthen self control. You can increase your coping skills and understanding of your problems so you can build resilience to the things that stress you. I will help you learn to overcome life's confusing and difficult issues with compassion, sensitivity, and research based techniques.
![Photo of Lawrence E. Cross - New Wilmington Psychotherapy & Counseling LLC, MA, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/403bf8ea-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
New Wilmington Psychotherapy & Counseling LLC
Clinical Social Work/Therapist, MA, MSW, LCSW
Verified Verified
Grove City, PA 16127
We are licensed psychotherapists who have been practicing for over 30 years. Our therapeutic work is based in the idea that quality of life is largely dependent upon a feeling of belonging or a sense of connectedness to others. Sometimes though, we feel unwanted, lacking value and self-worth. We can be profoundly uncertain of our own potential or where we stand in our relationships with others. We all grapple with stress, self-doubt and the challenges of finding meaning, purpose, and solving our ultimate existential concerns - "Who am I," and "Where am I headed?"
We are licensed psychotherapists who have been practicing for over 30 years. Our therapeutic work is based in the idea that quality of life is largely dependent upon a feeling of belonging or a sense of connectedness to others. Sometimes though, we feel unwanted, lacking value and self-worth. We can be profoundly uncertain of our own potential or where we stand in our relationships with others. We all grapple with stress, self-doubt and the challenges of finding meaning, purpose, and solving our ultimate existential concerns - "Who am I," and "Where am I headed?"
![Photo of Lucero Eberly, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7381bde4-57d8-436c-bc40-51f6062fc9c0/1/320x400.jpeg)
Lucero Eberly
Clinical Social Work/Therapist, LCSW
Verified Verified
Grove City, PA 16127 (Online Only)
Hi there, I'm Lucy! I am a licensed clinical social worker looking to create a connection and an atmosphere where you can feel supported and comfortable to share openly your concerns. I see individuals of all ages and stages and incorporate a range of strategies to best promote growth and healing while creating a fun and engaging experience for those younger clients.
Hi there, I'm Lucy! I am a licensed clinical social worker looking to create a connection and an atmosphere where you can feel supported and comfortable to share openly your concerns. I see individuals of all ages and stages and incorporate a range of strategies to best promote growth and healing while creating a fun and engaging experience for those younger clients.
![Photo of Sarah Wagner - Balanced Mind, LLC, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/543204f0-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Looking for a judgement free zone to improve your quality of life and work on the issues that are holding you back? Balanced Mind, LLC is a small private practice that offers a safe, judgement free, and confidential place to explore personal growth. We would love the opportunity to help you improve your mood, increase coping strategies, reduce conflict, explore the past and work to improve your future. If you are ready to take the first step, give us a call today!
Looking for a judgement free zone to improve your quality of life and work on the issues that are holding you back? Balanced Mind, LLC is a small private practice that offers a safe, judgement free, and confidential place to explore personal growth. We would love the opportunity to help you improve your mood, increase coping strategies, reduce conflict, explore the past and work to improve your future. If you are ready to take the first step, give us a call today!
![Photo of Marcee Klixbull - North Country Counseling, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/00639b1d-23ed-47ef-a932-6b1d255f0979/2/320x400.jpeg)
North Country Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Grove City, PA 16127
Do you sometimes feel alone or that no one understands you? Do you feel stuck and not sure what to do? Are you struggling to manage your anxiety, having a hard time with relationships or are events from the past getting in the way of living your best life? Do you feel overwhelmed with work, school or family responsibilities? Do you wonder how to move forward? Counseling can help! The supportive environment of therapy will help you understand where you are in life, assist you in overcoming challenges, and guide you toward acheiving your goal(s).
Do you sometimes feel alone or that no one understands you? Do you feel stuck and not sure what to do? Are you struggling to manage your anxiety, having a hard time with relationships or are events from the past getting in the way of living your best life? Do you feel overwhelmed with work, school or family responsibilities? Do you wonder how to move forward? Counseling can help! The supportive environment of therapy will help you understand where you are in life, assist you in overcoming challenges, and guide you toward acheiving your goal(s).
![Photo of Terri L Pears, MSW, LCSW, CCTP, CATP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/57c5cbf2-a19f-4d7e-a668-3f4f214a090c/3/320x400.jpeg)
Terri L Pears
Clinical Social Work/Therapist, MSW, LCSW, CCTP, CATP
Verified Verified
Grove City, PA 16127
Not accepting new clients
Maya Angelou once said: "There is no greater agony than bearing an untold story inside you." Committing to therapy may at times appear intimidating, though I will provide you the most comfort and ease to overcome and manage difficult times in your life. I look forward to meeting you and helping you through your journey of self growth and empowerment. I have 15 years of clinical experience and currently providing outpatient therapy services both within the office and via telehealth.
Maya Angelou once said: "There is no greater agony than bearing an untold story inside you." Committing to therapy may at times appear intimidating, though I will provide you the most comfort and ease to overcome and manage difficult times in your life. I look forward to meeting you and helping you through your journey of self growth and empowerment. I have 15 years of clinical experience and currently providing outpatient therapy services both within the office and via telehealth.
![Photo of Steven Friebe, MA, CCC, Pre-Licensed Professional](https://photos.psychologytoday.com/51ea2bbc-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Life is hard and is often so very different from what we imagined it would be. We wrestle day in and day out with disappointment--the sadness that comes from recognizing the gap between reality and how we imagined our lives would look. We lament the gravity of our history and the way it has come between us and our dreams. We suffer the shame of recognizing how our choices have shaped our current situations. We study the wounds we carry as reminders of the pain that has been inflicted upon us. We mourn our weary past and fear the unknown future. After all we've been through, how can we expect to hold onto hope for a better tomorrow?
Life is hard and is often so very different from what we imagined it would be. We wrestle day in and day out with disappointment--the sadness that comes from recognizing the gap between reality and how we imagined our lives would look. We lament the gravity of our history and the way it has come between us and our dreams. We suffer the shame of recognizing how our choices have shaped our current situations. We study the wounds we carry as reminders of the pain that has been inflicted upon us. We mourn our weary past and fear the unknown future. After all we've been through, how can we expect to hold onto hope for a better tomorrow?
![Photo of Cynthia Jo Reed, MS, CFRC, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/ca08b19e-aa66-4468-890e-d17ab305ed1c/3/320x400.jpeg)
Cynthia Jo Reed
Licensed Professional Counselor, MS, CFRC, LPC
Verified Verified
Grove City, PA 16127
Solutions are possible and within your reach. My approach to therapy is client centered, trauma informed and strength based. I have been fortunate to have served a variety of individuals with varying needs that include anxiety, depression, relationship issues, emotional regulation, anger issues and grief. Together we can find ways around stumbling blocks and discover stepping stones to peace of mind.
Solutions are possible and within your reach. My approach to therapy is client centered, trauma informed and strength based. I have been fortunate to have served a variety of individuals with varying needs that include anxiety, depression, relationship issues, emotional regulation, anger issues and grief. Together we can find ways around stumbling blocks and discover stepping stones to peace of mind.
![Photo of Tracey Lynn Boyle - Tracey Lynn Boyle, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/9ddf0687-c834-486c-a259-094c0ce57c23/1/320x400.jpeg)
I offer a judgement free ear for listening to all of life's hardships. I promote responsibility taking and accountability, while encouraging self-development and expression. I work to connect with individuals and create an open forum to explore topics and situations that may have long been misinterpreted as shameful or embarrassing.
I offer a judgement free ear for listening to all of life's hardships. I promote responsibility taking and accountability, while encouraging self-development and expression. I work to connect with individuals and create an open forum to explore topics and situations that may have long been misinterpreted as shameful or embarrassing.
![Photo of Susan Sheidy, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/40a0aec0-9434-4e41-8b25-915284e32f19/1/320x400.jpeg)
Susan Sheidy
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Grove City, PA 16127
Susan Sheidy, LMFT, is the Grace Counseling Services Clinical Director and a Licensed Marriage and Family Therapist. She earned her Bachelor of Science in Psychology and Christian Counseling from Liberty University and also received her Master of Arts graduate degree in Marriage and Family Therapy from Liberty. She is licensed in Pennsylvania & Tennessee. The late poet Maya Angelou quoted, “There is no greater agony than bearing an untold story inside of you”. This quote holds a powerful message to those interested in a therapeutic relationship.
Susan Sheidy, LMFT, is the Grace Counseling Services Clinical Director and a Licensed Marriage and Family Therapist. She earned her Bachelor of Science in Psychology and Christian Counseling from Liberty University and also received her Master of Arts graduate degree in Marriage and Family Therapy from Liberty. She is licensed in Pennsylvania & Tennessee. The late poet Maya Angelou quoted, “There is no greater agony than bearing an untold story inside of you”. This quote holds a powerful message to those interested in a therapeutic relationship.
![Photo of Ryan Mest Phd, PhD, Psychologist](https://photos.psychologytoday.com/b204ddaf-48f1-43a7-9065-50fb16adaa68/3/320x400.jpeg)
I work with people who are stuck in a feeling, thought, or behavior with no room for other feelings, other thoughts, or contact with others beyond what they are stuck with. I work with people experiencing something painful and curious that they know is coming from them but it's as if it is happening to them. In other words, something like a painful dream, which I know is coming from me but it's as if it's happening to me. I work with people who feel enough security in our relationship to be able to talk about our relationship. The arts and humanities have been a fixture of my professional life in addition to being a psychologist.
I work with people who are stuck in a feeling, thought, or behavior with no room for other feelings, other thoughts, or contact with others beyond what they are stuck with. I work with people experiencing something painful and curious that they know is coming from them but it's as if it is happening to them. In other words, something like a painful dream, which I know is coming from me but it's as if it's happening to me. I work with people who feel enough security in our relationship to be able to talk about our relationship. The arts and humanities have been a fixture of my professional life in addition to being a psychologist.
![Photo of Catherine Grieb - Hope Counseling Pittsburgh - Wexford, MA, LPC, NCC](https://photos.psychologytoday.com/a40c590c-fe6d-434e-91a8-5652d4d543a5/2/320x400.jpeg)
Do you struggle with challenging relationships? Does your anxiety prevent you from living the life you want? Are you struggling with a child who has a diagnosis of ADHD? Are you grieving the loss of a loved one and wonder how am I going to live without them? Is an addictive pattern of behavior causing you or a loved one harm? Do you feel unheard in your marriage? Now more than ever, people of all ages are experiencing feelings of overwhelm, frustration and anxiety about how they are to move forward in a meaningful way that honors their mental, emotional and spiritual well-being.
Do you struggle with challenging relationships? Does your anxiety prevent you from living the life you want? Are you struggling with a child who has a diagnosis of ADHD? Are you grieving the loss of a loved one and wonder how am I going to live without them? Is an addictive pattern of behavior causing you or a loved one harm? Do you feel unheard in your marriage? Now more than ever, people of all ages are experiencing feelings of overwhelm, frustration and anxiety about how they are to move forward in a meaningful way that honors their mental, emotional and spiritual well-being.
![Photo of Jennifer L Collins, MEd, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/544e8067-fd7f-4593-8fea-caf201ccbaf0/1/320x400.jpeg)
Jennifer L Collins
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Grove City, PA 16127
More Therapists Nearby
![Photo of Barbara Byers, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/afc709f4-8ce0-44d9-8ac2-4d2f5c329c10/1/320x400.png)
Barbara Byers, LCSW. My approach to therapy involves building a relationship with the client in order to better understand and assist. I believe in understanding all areas of the client's life in order to provide them with the best experience. I work primarily from a trauma-informed perspective in order to help clients understand themselves and others. I work best with women and men between the ages of 18-45. I work best with trauma survivors and those struggling with relationships, interpersonal issues, family issues, anxiety, and depression.
Barbara Byers, LCSW. My approach to therapy involves building a relationship with the client in order to better understand and assist. I believe in understanding all areas of the client's life in order to provide them with the best experience. I work primarily from a trauma-informed perspective in order to help clients understand themselves and others. I work best with women and men between the ages of 18-45. I work best with trauma survivors and those struggling with relationships, interpersonal issues, family issues, anxiety, and depression.
![Photo of Sue-Ellen Brown, PsyD, Psychologist](https://photos.psychologytoday.com/74237926-7c71-408b-a68f-1ef209abd940/2/320x400.png)
Therapy is about forming a safe relationship in order to explore your concerns and to to become more satisfied with yourself, your relationships, and your life. For over 30 years I have conducted individual and couple/family psychotherapy with children, adolescents and adults. Traumatic experiences can lead to depression, anxiety, and/or trouble in self esteem or close relationships. Treating childhood trauma can help people become the person they want to be.
Therapy is about forming a safe relationship in order to explore your concerns and to to become more satisfied with yourself, your relationships, and your life. For over 30 years I have conducted individual and couple/family psychotherapy with children, adolescents and adults. Traumatic experiences can lead to depression, anxiety, and/or trouble in self esteem or close relationships. Treating childhood trauma can help people become the person they want to be.
See more therapy options for Grove City
How does your Therapist compare?
Number of Therapists in Grove City, PA
10+
Average cost per session
$90
Therapists in Grove City, PA who prioritize treating:
94% | Depression |
94% | Anxiety |
89% | Grief |
78% | Relationship Issues |
72% | Trauma and PTSD |
67% | Coping Skills |
67% | Stress |
Average years in practice
11 Years
Top 3 insurances accepted
93% | University of Pittsburgh Medical Center (UPMC) Hea |
86% | Aetna |
79% | UnitedHealthcare UHC | UBH |
How Therapists in Grove City, PA see their clients
89% | In Person and Online | |
11% | Online Only |
Gender breakdown
62% | Female | |
38% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Grove City?
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
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.
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.
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.