Therapists in Mifflin, PA

Photo of Michael Raskind, LCSW, Clinical Social Work/Therapist
Michael Raskind
Clinical Social Work/Therapist, LCSW
Verified Verified
Mifflin, PA 17058  (Online Only)
Getting to the root of your pain, learning to deal with it, building upon your strengths then learning to act versus react to people and events is the goal of our approach. We have a long history of working with diverse populations, who have developed varied problems: Mental Health, Substance Abuse, Marital, Parenting, Occupational, grief and more Our approach is to work with your strengths; help you to develop new views and skills and then organize them into a plan that works in obtaining your goals. As a psychotherapy group practice, we can see just about anyone no matter what you're dealing with.
Getting to the root of your pain, learning to deal with it, building upon your strengths then learning to act versus react to people and events is the goal of our approach. We have a long history of working with diverse populations, who have developed varied problems: Mental Health, Substance Abuse, Marital, Parenting, Occupational, grief and more Our approach is to work with your strengths; help you to develop new views and skills and then organize them into a plan that works in obtaining your goals. As a psychotherapy group practice, we can see just about anyone no matter what you're dealing with.
(717) 807-5614 View (717) 807-5614

More Therapists Nearby

Photo of Olivia Wise, MS, LPC, Licensed Professional Counselor
Olivia Wise
Licensed Professional Counselor, MS, LPC
Verified Verified
Mifflintown, PA 17059
Not accepting new clients
Have you experienced a traumatic event, or recently lost someone close to you? Have you been avoiding people, places and activities that may cause to you have intrusive thoughts, involuntary memories, or flashbacks? This can be extremely painful and debilitating but is a common response to trauma and loss. Unfortunately, many people learn to avoid topics related to their trauma or loss for fear that talking about it will cause uncontrollable painful emotions to arise. This can lead to feelings of guilt, shame, numbness, feeling detached from others and low self-esteem and can have negative long-term impacts.
Have you experienced a traumatic event, or recently lost someone close to you? Have you been avoiding people, places and activities that may cause to you have intrusive thoughts, involuntary memories, or flashbacks? This can be extremely painful and debilitating but is a common response to trauma and loss. Unfortunately, many people learn to avoid topics related to their trauma or loss for fear that talking about it will cause uncontrollable painful emotions to arise. This can lead to feelings of guilt, shame, numbness, feeling detached from others and low self-esteem and can have negative long-term impacts.
(717) 864-8693 View (717) 864-8693
Photo of Danielle Marie Mink - Two Trails Mental Health & Wellness Center, LLC., PsyD
Two Trails Mental Health & Wellness Center, LLC.
PsyD
Verified Verified
McAlisterville, PA 17049
Let Two Trails Mental Health and Wellness Center provide the support and direction you are seeking. Our clinicians are here to help you with difficult life changes and to offer you support during the healing process. We can help you to feel better about yourself by helping you gain a sense of control over your moods and emotions, by helping you gain more satisfaction in your personal relationships and by helping you to overcome obstacles that may be interfering with your ability to achieve life goals. We will keep your concerns private and confidential.
Let Two Trails Mental Health and Wellness Center provide the support and direction you are seeking. Our clinicians are here to help you with difficult life changes and to offer you support during the healing process. We can help you to feel better about yourself by helping you gain a sense of control over your moods and emotions, by helping you gain more satisfaction in your personal relationships and by helping you to overcome obstacles that may be interfering with your ability to achieve life goals. We will keep your concerns private and confidential.
(717) 778-3250 View (717) 778-3250
Photo of Tammy L Rumbaugh - Tammy L. Rumbaugh, M.A. LPC, MA, LPC, Licensed Professional Counselor
Tammy L. Rumbaugh, M.A. LPC
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Mifflintown, PA 17059  (Online Only)
Are you seeking to create new possibilities or renewed vitality in your relationships, career, or spiritual, emotional or mental life? Are you standing at a crossroads, unsure of which path to take? Do you feel a desire to make a change, but don't know where to start? My name is Tammy. I would be honored to walk with you as you move forward in your life, at a pace that is comfortable and productive for you. Please, always remember that you are the Creator of the story that you live and adjust, each and every day.
Are you seeking to create new possibilities or renewed vitality in your relationships, career, or spiritual, emotional or mental life? Are you standing at a crossroads, unsure of which path to take? Do you feel a desire to make a change, but don't know where to start? My name is Tammy. I would be honored to walk with you as you move forward in your life, at a pace that is comfortable and productive for you. Please, always remember that you are the Creator of the story that you live and adjust, each and every day.
(717) 254-4715 View (717) 254-4715
Photo of Sherrie-An E Gerhart, LCSW, CDBT, Clinical Social Work/Therapist
Sherrie-An E Gerhart
Clinical Social Work/Therapist, LCSW, CDBT
Verified Verified
Mifflintown, PA 17059  (Online Only)
Have you ever felt overwhelmed by your emotions or you don't know what you're feeling at all? Do you feel as though people are taking advantage of you or you don't know who you are anymore? You're not alone, this is very common. I will partner with you and help you to identify not only what you're feeling, but also how to cope with those feelings so you can feel more empowered to navigate your life more effectively. I can also help you to find your voice, so you can connect with who you are and to begin to assert clear boundaries with others.
Have you ever felt overwhelmed by your emotions or you don't know what you're feeling at all? Do you feel as though people are taking advantage of you or you don't know who you are anymore? You're not alone, this is very common. I will partner with you and help you to identify not only what you're feeling, but also how to cope with those feelings so you can feel more empowered to navigate your life more effectively. I can also help you to find your voice, so you can connect with who you are and to begin to assert clear boundaries with others.
(717) 940-3853 View (717) 940-3853
Photo of Dana Hampton, MA, LPC, Licensed Professional Counselor
Dana Hampton
Licensed Professional Counselor, MA, LPC
Verified Verified
Mifflintown, PA 17059
Feeling stuck in life? Hesitant about therapy? I’m a Licensed Professional Counselor that uses a resiliency approach to therapy. I believe we all have the ability to heal and have the strength to overcome anything that life throws at us. I use behavioral, mind-body, relational, and trauma informed approaches tailored to the specific person. In addition, I am EMDR Certified through EMDRIA and have extensive training in trauma and mindfulness. I also hold certificates in Embodied Social Justice and Maternal Mental Health.
Feeling stuck in life? Hesitant about therapy? I’m a Licensed Professional Counselor that uses a resiliency approach to therapy. I believe we all have the ability to heal and have the strength to overcome anything that life throws at us. I use behavioral, mind-body, relational, and trauma informed approaches tailored to the specific person. In addition, I am EMDR Certified through EMDRIA and have extensive training in trauma and mindfulness. I also hold certificates in Embodied Social Justice and Maternal Mental Health.
(223) 218-2462 View (223) 218-2462
Photo of Fred Benner, PhD, LPC, NCC, CAADC, SAP, Licensed Professional Counselor
Fred Benner
Licensed Professional Counselor, PhD, LPC, NCC, CAADC, SAP
Verified Verified
Lewistown, PA 17044
I am accepting Face-2-Face AND telehealth clients. I am equipped to provide HIPAA compliant telehealth services by voice or video. This has now been approved by all insurance carriers, and is an option which extends flexibility, but our office is also open . I have broad experience in working with mood and anxiety disorders, trauma, substance use disorders, and families struggling with addiction. I also help those with problems caused by alcohol or drugs, couples trying to save a relationship. and those in child custody disputes because of divorce or separation. I also help with process addictions like gambling and pornography.
I am accepting Face-2-Face AND telehealth clients. I am equipped to provide HIPAA compliant telehealth services by voice or video. This has now been approved by all insurance carriers, and is an option which extends flexibility, but our office is also open . I have broad experience in working with mood and anxiety disorders, trauma, substance use disorders, and families struggling with addiction. I also help those with problems caused by alcohol or drugs, couples trying to save a relationship. and those in child custody disputes because of divorce or separation. I also help with process addictions like gambling and pornography.
(717) 889-7152 View (717) 889-7152
Photo of Melanie Anne Harding, MEd, NCC, BCC, Counselor
Melanie Anne Harding
Counselor, MEd, NCC, BCC
Verified Verified
Lewistown, PA 17044
Not accepting new clients
My goal is to help you reach your goals. My approach is positive and encouraging. Together we will work to get to the root of the issues, and resolve what can be resolved. Sometimes this means simply gaining a different perspective on an old problem; other times it means healing and learning to move past the deep wounds life can cause. It is my joy to help you sort out the complications that have kept you stuck, whether it's overcoming individual issues or relationship struggles.
My goal is to help you reach your goals. My approach is positive and encouraging. Together we will work to get to the root of the issues, and resolve what can be resolved. Sometimes this means simply gaining a different perspective on an old problem; other times it means healing and learning to move past the deep wounds life can cause. It is my joy to help you sort out the complications that have kept you stuck, whether it's overcoming individual issues or relationship struggles.
(814) 299-4947 View (814) 299-4947
Susan Taylor
Licensed Professional Counselor, MA, LPC
Verified Verified
Lewistown, PA 17044
I am a Licensed Professional Counselor specializing in mental health, trauma and drug and alcohol counseling with both adolescents and adults. I earned a Bachelor of Arts at Bloomsburg University with majors in Social Work and Psychology and a minor in Families, Children and Youth. Later, I earned a Master of Arts in Counseling from Wake Forest University. I have over 25 years working with adolescents in a variety of environments.
I am a Licensed Professional Counselor specializing in mental health, trauma and drug and alcohol counseling with both adolescents and adults. I earned a Bachelor of Arts at Bloomsburg University with majors in Social Work and Psychology and a minor in Families, Children and Youth. Later, I earned a Master of Arts in Counseling from Wake Forest University. I have over 25 years working with adolescents in a variety of environments.
(717) 670-6440 View (717) 670-6440
Photo of Haley Weiss - Haley Weiss Counseling, MA, NCC, Pre-Licensed Professional
Haley Weiss Counseling
Pre-Licensed Professional, MA, NCC
Verified Verified
Lewistown, PA 17044
Whether you are in a season of struggle or of thriving, I hope to create a safe, warm, supportive and non-judgmental counseling environment for you to explore your inner world and how you move through your daily interactions. You are unique and shaped by many facets of your life and your counseling experience should be no different! I want to offer you a counseling experience that fits your unique needs and personality while encouraging you to continue your process of growth along the way.
Whether you are in a season of struggle or of thriving, I hope to create a safe, warm, supportive and non-judgmental counseling environment for you to explore your inner world and how you move through your daily interactions. You are unique and shaped by many facets of your life and your counseling experience should be no different! I want to offer you a counseling experience that fits your unique needs and personality while encouraging you to continue your process of growth along the way.
(814) 328-7328 View (814) 328-7328
Photo of Julie Lynch - Firstfruits Counseling LLC, MA, LPC, NCC, Licensed Professional Counselor
Firstfruits Counseling LLC
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Lewistown, PA 17044  (Online Only)
Greetings, my name is Julie Lynch. I specialize in Christian Counseling. My desire is to help people just like you heal for the purpose of living your best life here on Earth! I have learned how important it is to rely on God for guidance, thereby diving further into the matters of the heart. Through customized activities, prayer, and numerous techniques, I will help you identify patterns that have become unhealthy, giving you the tools to help create a new vision for living your best life.
Greetings, my name is Julie Lynch. I specialize in Christian Counseling. My desire is to help people just like you heal for the purpose of living your best life here on Earth! I have learned how important it is to rely on God for guidance, thereby diving further into the matters of the heart. Through customized activities, prayer, and numerous techniques, I will help you identify patterns that have become unhealthy, giving you the tools to help create a new vision for living your best life.
(717) 613-6449 View (717) 613-6449
Photo of Beverly Kline-Lash, LCAT, CAADC, LPC, CCTS, Licensed Professional Counselor
Beverly Kline-Lash
Licensed Professional Counselor, LCAT, CAADC, LPC, CCTS
Verified Verified
McClure, PA 17841
I'm a seasoned therapist with an extensive background in mental health. I own a private practice located in a very rural PA community. Because of the nature of my location in PA, I have experience working with all populations and multiple specialties. My mission is to provide the assurance of quality behavioral health care. Treatment is built on the values of dignity, integrity, accountability, respect, spirituality, creativity, flexibility and growth. Common tools in which services are provided are empathy, compassion, cultural sensitivity, humor, and professional competence to ensure individual needs and treatment goals.
I'm a seasoned therapist with an extensive background in mental health. I own a private practice located in a very rural PA community. Because of the nature of my location in PA, I have experience working with all populations and multiple specialties. My mission is to provide the assurance of quality behavioral health care. Treatment is built on the values of dignity, integrity, accountability, respect, spirituality, creativity, flexibility and growth. Common tools in which services are provided are empathy, compassion, cultural sensitivity, humor, and professional competence to ensure individual needs and treatment goals.
(570) 559-8502 View (570) 559-8502
Photo of Heather Dick - Mana Life Counseling LLC, LCSW, CAADC, Clinical Social Work/Therapist
Mana Life Counseling LLC
Clinical Social Work/Therapist, LCSW, CAADC
Verified Verified
1 Endorsed
Lewistown, PA 17044
Having a compassionate counselor on your side during stressful times can be a great comfort. Whether you’re facing general stress, anxiety or depression Mana Life Counseling is here for you. Together, you’ll break down obstacles in your life and build a personal toolbox of coping strategies. Compassion and understanding are both key strategies in our approach, and through them, you’ll learn how to forge your way forward.
Having a compassionate counselor on your side during stressful times can be a great comfort. Whether you’re facing general stress, anxiety or depression Mana Life Counseling is here for you. Together, you’ll break down obstacles in your life and build a personal toolbox of coping strategies. Compassion and understanding are both key strategies in our approach, and through them, you’ll learn how to forge your way forward.
(814) 325-9284 View (814) 325-9284
Photo of Veronica L Clapp - Verus Ridge Counseling PC, MS, LPC, NCC, Licensed Professional Counselor
Verus Ridge Counseling PC
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Burnham, PA 17009
Waitlist for new clients
If you are motivated to come and get curious about your thought processes, feelings, and behaviors, this is the place for you! At Verus Ridge, we use a collaborative approach to address goals.
If you are motivated to come and get curious about your thought processes, feelings, and behaviors, this is the place for you! At Verus Ridge, we use a collaborative approach to address goals.
(717) 628-6923 View (717) 628-6923
Photo of Daryle Marie Gracey-Yohn, MS, LPC, NCC, Licensed Professional Counselor
Daryle Marie Gracey-Yohn
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Lewistown, PA 17044
Not accepting new clients
I work with individuals struggling with anxiety, stress, and depression resulting from experiencing trauma from personal or professional exposure. Trauma is complex and can negatively impact your quality of life and relationships. Some effects could include anxiety, inability to focus, shame and guilt, feeling disconnected and detached from loved ones, nightmares, painful memories of an experience that doesn’t fade away with time, numbness, or emptiness that lingers despite your best effort. I want to help you gain insight and learn necessary skills to reclaim control of your life and succeed in moving forward in your healing.
I work with individuals struggling with anxiety, stress, and depression resulting from experiencing trauma from personal or professional exposure. Trauma is complex and can negatively impact your quality of life and relationships. Some effects could include anxiety, inability to focus, shame and guilt, feeling disconnected and detached from loved ones, nightmares, painful memories of an experience that doesn’t fade away with time, numbness, or emptiness that lingers despite your best effort. I want to help you gain insight and learn necessary skills to reclaim control of your life and succeed in moving forward in your healing.
(814) 546-5912 View (814) 546-5912

Online Therapists

Photo of Blair Souder - Gracefield Counseling, MS, LPC, NCC, Licensed Professional Counselor
Gracefield Counseling
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Oxford, PA 19363
I am committed to helping adult individuals and couples overcome challenges to find their own unique paths to the experience of more peace, joy, and fulfillment in all aspects of their lives. Gracefield Counseling combines a compassionate, personalized approach with a beautiful natural setting ideal for creating a safe space for reflection and healing. We also offer remote video counseling using a secure system for those that are unable to be on premise.
I am committed to helping adult individuals and couples overcome challenges to find their own unique paths to the experience of more peace, joy, and fulfillment in all aspects of their lives. Gracefield Counseling combines a compassionate, personalized approach with a beautiful natural setting ideal for creating a safe space for reflection and healing. We also offer remote video counseling using a secure system for those that are unable to be on premise.
(267) 214-8566 View (267) 214-8566
Photo of Dr. Dawnielle D. Simmons, PhD, Licensed Professional Counselor
Dr. Dawnielle D. Simmons
Licensed Professional Counselor, PhD
Verified Verified
Lancaster, PA 17603  (Online Only)
The human experience is complex and layered. It is often taken for granted and underestimated. In our profession, it is a privilege to have access to such complexities; a privilege to witness the moment when despair transforms into hope and futility no longer exists. Humans are vast and exploration is limitless. As a psychologist, I would be remiss by engaging my work without intentionality, humility, and culturally appropriate care. As someone with marginalized identities, I find value in reflecting in the moment with clients. I use a multicultural counseling model to address the unique needs of clients of color and LGBTQ+ folks.
The human experience is complex and layered. It is often taken for granted and underestimated. In our profession, it is a privilege to have access to such complexities; a privilege to witness the moment when despair transforms into hope and futility no longer exists. Humans are vast and exploration is limitless. As a psychologist, I would be remiss by engaging my work without intentionality, humility, and culturally appropriate care. As someone with marginalized identities, I find value in reflecting in the moment with clients. I use a multicultural counseling model to address the unique needs of clients of color and LGBTQ+ folks.
(717) 229-0124 View (717) 229-0124
Photo of John Post, LPC, CAADC, CCS, CIP, MBA, Licensed Professional Counselor
John Post
Licensed Professional Counselor, LPC, CAADC, CCS, CIP, MBA
Verified Verified
Wyomissing, PA 19610
I am a Licensed Professional Counselor that has experience working with people that suffer from substance use disorders. My ideal client is someone who wants to identify behavior change as it relates to substance use disorders either in themselves or in a family member. I am a credentialed interventionist in long term recovery. I service clients in the Philadelphia, New Jersey, Pittsburgh, and Delaware areas. I have built a successful private practice that introduces people in recovery to the game of golf. I really believe that if you are not having fun in recovery, you're doing something wrong!
I am a Licensed Professional Counselor that has experience working with people that suffer from substance use disorders. My ideal client is someone who wants to identify behavior change as it relates to substance use disorders either in themselves or in a family member. I am a credentialed interventionist in long term recovery. I service clients in the Philadelphia, New Jersey, Pittsburgh, and Delaware areas. I have built a successful private practice that introduces people in recovery to the game of golf. I really believe that if you are not having fun in recovery, you're doing something wrong!
(610) 947-5177 View (610) 947-5177
Photo of Lauren Knepp, LCSW, Clinical Social Work/Therapist
Lauren Knepp
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Orwigsburg, PA 17961
Hello, my name is Lauren Knepp, I am an LCSW and have been working with children and adolescents for over a decade. I have an easy-going and sensitive personality that will allow me to easily understand you and your child's concerns. I am a parent of two children, and I understand the stress and challenges that we must face daily, to be good caregivers. I look forward to meeting you and your child!
Hello, my name is Lauren Knepp, I am an LCSW and have been working with children and adolescents for over a decade. I have an easy-going and sensitive personality that will allow me to easily understand you and your child's concerns. I am a parent of two children, and I understand the stress and challenges that we must face daily, to be good caregivers. I look forward to meeting you and your child!
(272) 777-1838 View (272) 777-1838
Photo of Kerri Marsh, LCPC, Licensed Professional Counselor
Kerri Marsh
Licensed Professional Counselor, LCPC
Verified Verified
Wyomissing, PA 19610  (Online Only)
Kerri Marsh is a Licensed Clinical Professional Counselor (LCPC) who has over 20 years of experience working with adolescents, adults and couples seeking help with depression, anxiety, life transitions, improved communication, parenting concerns, substance use and relationship issues.
Kerri Marsh is a Licensed Clinical Professional Counselor (LCPC) who has over 20 years of experience working with adolescents, adults and couples seeking help with depression, anxiety, life transitions, improved communication, parenting concerns, substance use and relationship issues.
(484) 759-9428 View (484) 759-9428

How does your Therapist compare?

Number of Therapists in Mifflin, PA

< 10

Therapists in Mifflin, PA who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Addiction
100% Child
100% ADHD
100% Chronic Pain

Average years in practice

41 Years

Top 3 insurances accepted

100% Aetna
100% AmeriHealth
100% BlueCross and BlueShield

How Therapists in Mifflin, PA see their clients

100% Online Only

Gender breakdown

100% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Mifflin?

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.