Therapists in Kingston, NY

Photo of Laurie Elizabeth Luria, Clinical Social Work/Therapist in Kingston, NY
Laurie Elizabeth Luria
Clinical Social Work/Therapist, LCSW-R
Verified Verified
2 Endorsed
Kingston, NY 12401
I use evidence based approaches for couples who wish to resolve or manage conflicts in their relationships. The therapy aims to increase feelings of friendship, affection, respect, and intimacy. I provide a safe, supportive environment where new communication skills and enhanced feelings of mutual support are experienced.
I use evidence based approaches for couples who wish to resolve or manage conflicts in their relationships. The therapy aims to increase feelings of friendship, affection, respect, and intimacy. I provide a safe, supportive environment where new communication skills and enhanced feelings of mutual support are experienced.
(845) 203-8913 View (845) 203-8913
Photo of Katie Peterson, Clinical Social Work/Therapist in Kingston, NY
Katie Peterson
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Kingston, NY 12401  (Online Only)
Life is crazy right now. And it’s still important (maybe even more important) to take care of yourself. I’m here to help you do that. Even in the most stressful and unknown of circumstances. (hello, "post" pandemic-life, looking at YOU!). Let’s figure out how to build resilience and thrive… Give no fucks (at least about the things that don’t really matter). And find a healthy, happy balance in your life. Even when everything feels like it’s falling apart...  I help stressed & overwhelmed New Yorkers find space, clarity & calm in this crazy world. Anxiety & depression can make you feel stuck, unfulfilled, and overwhelmed.
Life is crazy right now. And it’s still important (maybe even more important) to take care of yourself. I’m here to help you do that. Even in the most stressful and unknown of circumstances. (hello, "post" pandemic-life, looking at YOU!). Let’s figure out how to build resilience and thrive… Give no fucks (at least about the things that don’t really matter). And find a healthy, happy balance in your life. Even when everything feels like it’s falling apart...  I help stressed & overwhelmed New Yorkers find space, clarity & calm in this crazy world. Anxiety & depression can make you feel stuck, unfulfilled, and overwhelmed.
(347) 934-6472 View (347) 934-6472
Photo of Jessica Shaw, Clinical Social Work/Therapist in Kingston, NY
Jessica Shaw
Clinical Social Work/Therapist, LCSW, CCM
Verified Verified
1 Endorsed
Kingston, NY 12401  (Online Only)
When you're struggling, it can be really hard to reach out for help. But, I'm glad you are. Despite feeling overwhelmed by negative thoughts and constant worrying, you've decided to face your fears. You're ready to feel freer within your choices and experiences in life, no longer being held back by past trauma or current stressful events. And while you might feel tired and alone, your desire to build closer relationships motivates you to create change. You may still feel hesitation doing the work, but you won’t have to do it alone. Our time together can help you get unstuck, find peace within, and build more meaningful connections.
When you're struggling, it can be really hard to reach out for help. But, I'm glad you are. Despite feeling overwhelmed by negative thoughts and constant worrying, you've decided to face your fears. You're ready to feel freer within your choices and experiences in life, no longer being held back by past trauma or current stressful events. And while you might feel tired and alone, your desire to build closer relationships motivates you to create change. You may still feel hesitation doing the work, but you won’t have to do it alone. Our time together can help you get unstuck, find peace within, and build more meaningful connections.
(845) 237-3977 View (845) 237-3977
Photo of Krystal Haas, Counselor in Kingston, NY
Krystal Haas
Counselor, LMHC
Verified Verified
2 Endorsed
Kingston, NY 12401
Are you a parent/caregiver looking for someone to help your child, or are you a young adult looking for someone to talk to? Youths have unique challenges to face: school stressors, difficulty socializing with peers, struggles in identifying complex feelings, having a hard time focusing, and the list goes on. You may have noticed that your (or your child’s) struggles have worsened throughout COVID-19 for a variety of reasons, which is certainly not uncommon. If you feel anxious, sad, lonely, scattered, or overwhelmed, you are in the right place. You don’t have to go it alone. Whether you’re 5 or 25, my goal is to help you feel heard.
Are you a parent/caregiver looking for someone to help your child, or are you a young adult looking for someone to talk to? Youths have unique challenges to face: school stressors, difficulty socializing with peers, struggles in identifying complex feelings, having a hard time focusing, and the list goes on. You may have noticed that your (or your child’s) struggles have worsened throughout COVID-19 for a variety of reasons, which is certainly not uncommon. If you feel anxious, sad, lonely, scattered, or overwhelmed, you are in the right place. You don’t have to go it alone. Whether you’re 5 or 25, my goal is to help you feel heard.
(914) 415-5434 View (914) 415-5434
Photo of Janet Weissman, Clinical Social Work/Therapist in Kingston, NY
Janet Weissman
Clinical Social Work/Therapist, LCSW_R
Verified Verified
Kingston, NY 12401
I am client centered, with 29 years of experience working with people who who are having difficulty negotiating their lives. At this time, many people have been impacted by the external world which colors their internal world. Additionally, we tend to carry our past with us as we try to manage the dynamics we face daily.
I am client centered, with 29 years of experience working with people who who are having difficulty negotiating their lives. At this time, many people have been impacted by the external world which colors their internal world. Additionally, we tend to carry our past with us as we try to manage the dynamics we face daily.
(845) 303-2211 View (845) 303-2211
Photo of Valerie Smith, Clinical Social Work/Therapist in Kingston, NY
Valerie Smith
Clinical Social Work/Therapist, LCSW, CFTG, EMDR, TF-CBT
Verified Verified
1 Endorsed
Kingston, NY 12401  (Online Only)
Hi there. If you are seeking support for grief/bereavement, depression, or anxiety, or trauma, are suffering from relationship difficulties, are adjusting to motherhood or other significant changes, or if you simply feel like you need somewhere to unpack your burdens you have carried - let's chat. I accept you openly, all the shadows of yourself you try to hide away. Therapy is beautiful because it allows those parts of ourselves an opportunity to be seen but without judgment. And this in turn helps you to feel recharged again, while working toward healing and planning for the next steps.
Hi there. If you are seeking support for grief/bereavement, depression, or anxiety, or trauma, are suffering from relationship difficulties, are adjusting to motherhood or other significant changes, or if you simply feel like you need somewhere to unpack your burdens you have carried - let's chat. I accept you openly, all the shadows of yourself you try to hide away. Therapy is beautiful because it allows those parts of ourselves an opportunity to be seen but without judgment. And this in turn helps you to feel recharged again, while working toward healing and planning for the next steps.
(631) 430-6351 View (631) 430-6351
Photo of Claire Bourgeois in Kingston, NY
Claire Bourgeois
MHC-LP
Verified Verified
Kingston, NY 12401
With warmth and unconditional acceptance, I offer my client's a safe space to explore the patterns in their lives and relationships that are no longer supporting their well being and vision for the future. My intention is provide clients with a space where they can be seen and celebrated for who they are, while developing new inner and outer resources for navigating life's obstacles. Whether you are dealing with anxiety, depression, relationship challenges or a life transition, we will work collaboratively to explore what is troubling you and chart a new and fulfilling path forward.
With warmth and unconditional acceptance, I offer my client's a safe space to explore the patterns in their lives and relationships that are no longer supporting their well being and vision for the future. My intention is provide clients with a space where they can be seen and celebrated for who they are, while developing new inner and outer resources for navigating life's obstacles. Whether you are dealing with anxiety, depression, relationship challenges or a life transition, we will work collaboratively to explore what is troubling you and chart a new and fulfilling path forward.
(914) 745-6825 x707 View (914) 745-6825 x707
Photo of Dorothy H Winrow, Marriage & Family Therapist in Kingston, NY
Dorothy H Winrow
Marriage & Family Therapist, MRE, LMFT, LP
Verified Verified
Kingston, NY 12401
Waitlist for new clients
COUPLES, SINGLES, FAMILY MEMBERS AND PARENTS: You can have more real joy in your life and more caring and understanding in your relationships. I am a highly trained therapist, a Clinical Fellow Member of The AAMFT, who works with relational, emotional and family problems. I use psychodynamic and family systems principles to encourage growth and transformation. I understand human emotions and can offer help to address them. My clients often express gratitude for their work with me which has increased satisfaction in their lives. I practiced in Manhattan for many years and now conduct my practice in Kingston, New York.
COUPLES, SINGLES, FAMILY MEMBERS AND PARENTS: You can have more real joy in your life and more caring and understanding in your relationships. I am a highly trained therapist, a Clinical Fellow Member of The AAMFT, who works with relational, emotional and family problems. I use psychodynamic and family systems principles to encourage growth and transformation. I understand human emotions and can offer help to address them. My clients often express gratitude for their work with me which has increased satisfaction in their lives. I practiced in Manhattan for many years and now conduct my practice in Kingston, New York.
(845) 379-0520 View (845) 379-0520
Photo of Sarahrose Hogan, Clinical Social Work/Therapist in Kingston, NY
Sarahrose Hogan
Clinical Social Work/Therapist, LCSW-R
Verified Verified
3 Endorsed
Kingston, NY 12401
I became a therapist following a dream to help people navigate life. I specialize in work with children and adolescents, and young adults. I've received extensive post graduate training in treatments I believe in and have seen be effective. Research shows that therapy success of treatment is built on fostering a supportive relationship between client and therapist. I am specifically passionate about helping those that have experience trauma, are in the neurodiverse community, and those in the LGBTQIA+ community.
I became a therapist following a dream to help people navigate life. I specialize in work with children and adolescents, and young adults. I've received extensive post graduate training in treatments I believe in and have seen be effective. Research shows that therapy success of treatment is built on fostering a supportive relationship between client and therapist. I am specifically passionate about helping those that have experience trauma, are in the neurodiverse community, and those in the LGBTQIA+ community.
(845) 250-5857 View (845) 250-5857
Photo of Gerri DiBenedetto, Clinical Social Work/Therapist in Kingston, NY
Gerri DiBenedetto
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Kingston, NY 12401
Are you silently suffering by not using your voice? My therapeutic approach is to focus on helping you find the strength to use this voice and understand how anxiety might be getting in the way from you having the life that you want. Honoring your truth is the path to healing and creating healthy relationships. I will work with you to help reduce negative "self-talk" and better understand how anger, shame and guilt can actually help guide you to your authentic, more fulfilled self. Additionally, I have many years of experience in working with clients around the US and the globe via Tele-therapy.
Are you silently suffering by not using your voice? My therapeutic approach is to focus on helping you find the strength to use this voice and understand how anxiety might be getting in the way from you having the life that you want. Honoring your truth is the path to healing and creating healthy relationships. I will work with you to help reduce negative "self-talk" and better understand how anger, shame and guilt can actually help guide you to your authentic, more fulfilled self. Additionally, I have many years of experience in working with clients around the US and the globe via Tele-therapy.
(917) 994-8583 View (917) 994-8583
Photo of Tamara Telberg, Clinical Social Work/Therapist in Kingston, NY
Tamara Telberg
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Kingston, NY 12401
Not accepting new clients
I have expertise in working with children through adults who struggle with issues such as anxiety, identity, divorce, grief, trauma, depression, eating disorders, learning and academic problems, as well as with young adults transitioning to college or struggling to find direction. I work with people individually, and with families to help negotiate solutions to these and other life struggles. My goal is to provide a place where deep healing can occur so that people can access their strengths, are able to create more joy and live a balanced and meaningful life.
I have expertise in working with children through adults who struggle with issues such as anxiety, identity, divorce, grief, trauma, depression, eating disorders, learning and academic problems, as well as with young adults transitioning to college or struggling to find direction. I work with people individually, and with families to help negotiate solutions to these and other life struggles. My goal is to provide a place where deep healing can occur so that people can access their strengths, are able to create more joy and live a balanced and meaningful life.
(914) 752-2259 View (914) 752-2259
Photo of Christine Flandreau, Clinical Social Work/Therapist in Kingston, NY
Christine Flandreau
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Kingston, NY 12401
Therapy provides the support to make changes and an enviornment where alternative ways of thinking, reacting and feeling can occur. I am a New York State Licensed Clinical Social Worker who works with adults struggling with depression, OCD, anxiety/panic, PTSD and relationship issues.
Therapy provides the support to make changes and an enviornment where alternative ways of thinking, reacting and feeling can occur. I am a New York State Licensed Clinical Social Worker who works with adults struggling with depression, OCD, anxiety/panic, PTSD and relationship issues.
(845) 443-4832 View (845) 443-4832
Photo of Emma Nevel, Clinical Social Work/Therapist in Kingston, NY
Emma Nevel
Clinical Social Work/Therapist, LCSW, SEP
Verified Verified
3 Endorsed
Kingston, NY 12401  (Online Only)
I work with adults and teens seeking support in navigating depression, anxiety, complex trauma, experiences of interpersonal and/or systemic violence, grief, relational difficulties, chronic illness/disability, neurodivergence, and identity exploration. I am particularly passionate about working with queer and trans folks, sexual trauma survivors, activists, organizers, artists, writers, educators, healers, and anyone who struggles to feel safe or at home in their bodies.
I work with adults and teens seeking support in navigating depression, anxiety, complex trauma, experiences of interpersonal and/or systemic violence, grief, relational difficulties, chronic illness/disability, neurodivergence, and identity exploration. I am particularly passionate about working with queer and trans folks, sexual trauma survivors, activists, organizers, artists, writers, educators, healers, and anyone who struggles to feel safe or at home in their bodies.
(845) 443-7050 View (845) 443-7050
Photo of Melissa Zola, Counselor in Kingston, NY
Melissa Zola
Counselor, LMHC
Verified Verified
1 Endorsed
Kingston, NY 12401  (Online Only)
Waitlist for new clients
I am a licensed mental health counselor who uses mindfulness, trauma informed therapy, CBT, and other modalities to provide each client with the treatment that best fits their needs. I work with clients from diverse backgrounds, specializing in clients who identify as members of the LGBTQ+ community. With a goal to improve overall well-being, I partner with clients to develop healthy boundaries, improve communication, and adopt effective grounding techniques. I approach each client with an openness to learn what values and beliefs hold the most importance for them, and strive to approach each session with respect and compassion.
I am a licensed mental health counselor who uses mindfulness, trauma informed therapy, CBT, and other modalities to provide each client with the treatment that best fits their needs. I work with clients from diverse backgrounds, specializing in clients who identify as members of the LGBTQ+ community. With a goal to improve overall well-being, I partner with clients to develop healthy boundaries, improve communication, and adopt effective grounding techniques. I approach each client with an openness to learn what values and beliefs hold the most importance for them, and strive to approach each session with respect and compassion.
(929) 205-6248 View (929) 205-6248
Photo of Stephanie S. Olear, Counselor in Kingston, NY
Stephanie S. Olear
Counselor, MS, LMHC
Verified Verified
3 Endorsed
Kingston, NY 12401
Not accepting new clients
Now more than ever, people are looking to improve their ability to cope and to deepen their relationships. But you need to find the right person to work with! My clients tell me that they feel really comfortable with me and find me easy to talk with and open up to. I treat anxiety, depression, mood disorders, substance abuse, postpartum depression, teens/young adults and LGBTQIA issues. I’ve worked in many different clinical settings for the past 10 years. I am also a writer and musician. My experience has helped me develop a unique understanding of the complexity of human emotions and interpersonal relationships.
Now more than ever, people are looking to improve their ability to cope and to deepen their relationships. But you need to find the right person to work with! My clients tell me that they feel really comfortable with me and find me easy to talk with and open up to. I treat anxiety, depression, mood disorders, substance abuse, postpartum depression, teens/young adults and LGBTQIA issues. I’ve worked in many different clinical settings for the past 10 years. I am also a writer and musician. My experience has helped me develop a unique understanding of the complexity of human emotions and interpersonal relationships.
(845) 443-7088 View (845) 443-7088
Photo of Sarah Rabenou, Creative Arts Therapist in Kingston, NY
Sarah Rabenou
Creative Arts Therapist, LCAT, MPS
Verified Verified
Kingston, NY 12401  (Online Only)
I am passionate about helping you create real change from within so you can experience life, sex, intimacy, and relationships as your heart desires. If you want to feel secure, confident, and satisfied in how you relate to intimacy and your relationships, I help you navigate your traumas, fears, wounds, and conditioning around attachment, love & relationships. I help you take your personal power back, remind you of your own inherent wisdom and truth, and teach you how to release the never-ending "broken" "fix it" cycle of self-improvement and repetitive painful experiences.
I am passionate about helping you create real change from within so you can experience life, sex, intimacy, and relationships as your heart desires. If you want to feel secure, confident, and satisfied in how you relate to intimacy and your relationships, I help you navigate your traumas, fears, wounds, and conditioning around attachment, love & relationships. I help you take your personal power back, remind you of your own inherent wisdom and truth, and teach you how to release the never-ending "broken" "fix it" cycle of self-improvement and repetitive painful experiences.
(845) 403-1525 View (845) 403-1525
Photo of Michael A Camargo, Counselor in Kingston, NY
Michael A Camargo
Counselor, LMHC, LBA
Verified Verified
Kingston, NY 12401  (Online Only)
Not accepting new clients
***I am currently not accepting new clients to my counseling practice, however, I am currently offering parenting training only at PEPTalks360.com*** I provide person-centered, non-judgmental parent counseling and training with the goal of improving your family's quality of life and your relationship with your child by reducing conflict, improving your effectiveness as a parent, and increasing your child's independence.
***I am currently not accepting new clients to my counseling practice, however, I am currently offering parenting training only at PEPTalks360.com*** I provide person-centered, non-judgmental parent counseling and training with the goal of improving your family's quality of life and your relationship with your child by reducing conflict, improving your effectiveness as a parent, and increasing your child's independence.
(845) 535-4397 x885 View (845) 535-4397 x885
Photo of Sydney Huppert, Pre-Licensed Professional in Kingston, NY
Sydney Huppert
Pre-Licensed Professional, MS, MHC-LP
Verified Verified
Kingston, NY 12401  (Online Only)
If you are feeling stuck, taking the steps to gain more control over your life can feel overwhelming. My goal is to help clients break free from these patterns and live in alignment with their core values. Through the use of CBT-informed techniques, my approach is rooted in collaboration, compassion, curiosity, and a deep understanding of the multifaceted nature of each person’s experience.
If you are feeling stuck, taking the steps to gain more control over your life can feel overwhelming. My goal is to help clients break free from these patterns and live in alignment with their core values. Through the use of CBT-informed techniques, my approach is rooted in collaboration, compassion, curiosity, and a deep understanding of the multifaceted nature of each person’s experience.
(718) 400-7069 View (718) 400-7069
Photo of Claire Odom, Clinical Social Work/Therapist in Kingston, NY
Claire Odom
Clinical Social Work/Therapist, LMSW
Verified Verified
Kingston, NY 12401
I support children, adolescents, adults, and families in their lifelong efforts towards a good life. I treat a variety of issues but I specialize in OCD, anxiety, trauma resolution, and parent-child relationship building. My practice is affirming of neurodiversity and rooted in principles of cultural humility and social justice.
I support children, adolescents, adults, and families in their lifelong efforts towards a good life. I treat a variety of issues but I specialize in OCD, anxiety, trauma resolution, and parent-child relationship building. My practice is affirming of neurodiversity and rooted in principles of cultural humility and social justice.
(914) 449-4501 View (914) 449-4501
Photo of Mark Marshall, Clinical Social Work/Therapist in Kingston, NY
Mark Marshall
Clinical Social Work/Therapist, LCSW
Verified Verified
Kingston, NY 12401
"Get busy living, or get busy dying." If you haven't seen Shawshank Redemption, maybe you should. Maybe it's just me, but reading all the profiles here seems a bit tedious since we are all essentially saying the same things. As an Army Veteran and a solution-focused pragmatist, I like to cut to the chase. The bottom line is that we've ALL survived something in our lives and fall into one of two basic categories; either those who just don't die or those who come back to living. So which category are you in?
"Get busy living, or get busy dying." If you haven't seen Shawshank Redemption, maybe you should. Maybe it's just me, but reading all the profiles here seems a bit tedious since we are all essentially saying the same things. As an Army Veteran and a solution-focused pragmatist, I like to cut to the chase. The bottom line is that we've ALL survived something in our lives and fall into one of two basic categories; either those who just don't die or those who come back to living. So which category are you in?
(251) 313-9329 View (251) 313-9329

How does your Therapist compare?

Number of Therapists in Kingston, NY

200+

Average cost per session

$150

Therapists in Kingston, NY who prioritize treating:

92% Anxiety
86% Depression
78% Relationship Issues
73% Trauma and PTSD
71% Self Esteem
69% Coping Skills
66% Stress

Average years in practice

15 Years

Top 3 insurances accepted

62% Aetna
49% UnitedHealthcare UHC | UBH
48% Cigna and Evernorth

How Therapists in Kingston, NY see their clients

63% In Person and Online
37% Online Only

Gender breakdown

77% Female
19% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Kingston?

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.