Therapists in Birmingham, AL

Photo of Peggy Hobbs, Licensed Professional Counselor in Birmingham, AL
Peggy Hobbs
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Birmingham, AL 35216
My passion is to help others find healing, peace and empowerment in their life. I offer a warm and welcoming presence as well as curiosity and openness. I have walked with many individuals who have worked through issues of anxiety, depression, eating disorders, trauma, relational difficulties and life transitions. I offer a safe place to unpack the story of your life, patterns in your relationships and places of difficulty that have burdened you or have kept you isolated. My hope is that in this work you will experience more authenticity, connection, and healing in your life.
My passion is to help others find healing, peace and empowerment in their life. I offer a warm and welcoming presence as well as curiosity and openness. I have walked with many individuals who have worked through issues of anxiety, depression, eating disorders, trauma, relational difficulties and life transitions. I offer a safe place to unpack the story of your life, patterns in your relationships and places of difficulty that have burdened you or have kept you isolated. My hope is that in this work you will experience more authenticity, connection, and healing in your life.
(205) 843-1112 View (205) 843-1112
Photo of Ronald E Douglas, Licensed Professional Counselor in Birmingham, AL
Ronald E Douglas
Licensed Professional Counselor, MA, LPC-S, NCC
Verified Verified
Birmingham, AL 35203
I believe anyone can change with the desire to want to change. I feel that having someone to listen to you and talk issues through is important and key to successful growth and change. We are all social beings with hurts, feelings, and issues to work through and I am a therapist that will listen and help you work through your life situations. Together there are no hurdles that can't be accomplished.
I believe anyone can change with the desire to want to change. I feel that having someone to listen to you and talk issues through is important and key to successful growth and change. We are all social beings with hurts, feelings, and issues to work through and I am a therapist that will listen and help you work through your life situations. Together there are no hurdles that can't be accomplished.
(205) 610-8140 View (205) 610-8140
Photo of Lotus Healing Counseling Services LLC, Counselor in Birmingham, AL
Lotus Healing Counseling Services LLC
Counselor, MS, CRC, LPC
Verified Verified
Birmingham, AL 35226
The lotus flower symbolizes; purity, enlightenment, self-regeneration and rebirth. Here at lotus healing that’s exactly what we will focus on during your healing journey! Lotus specializes working with teens and adults whom experience daily stressful situations including: work stress, marital concerns, anxiety, depression, parenting issues, family dynamics, school stress, bullying, post trauma, self esteem building and communication building.
The lotus flower symbolizes; purity, enlightenment, self-regeneration and rebirth. Here at lotus healing that’s exactly what we will focus on during your healing journey! Lotus specializes working with teens and adults whom experience daily stressful situations including: work stress, marital concerns, anxiety, depression, parenting issues, family dynamics, school stress, bullying, post trauma, self esteem building and communication building.
(205) 255-1606 View (205) 255-1606
Photo of Jasmine Cobb, Counselor in Birmingham, AL
Jasmine Cobb
Counselor, MS, ALC
Verified Verified
Birmingham, AL 35206
Are you feeling overwhelmed by the challenges of parenting? Raising children in today's world can be both rewarding and exhausting. Whether your child is facing behavioral issues, low self esteem, anxiety or any other concerns, I'm here to help. Like they say, it takes a village to raise a child, so let's work together to build that village.
Are you feeling overwhelmed by the challenges of parenting? Raising children in today's world can be both rewarding and exhausting. Whether your child is facing behavioral issues, low self esteem, anxiety or any other concerns, I'm here to help. Like they say, it takes a village to raise a child, so let's work together to build that village.
(205) 946-0964 View (205) 946-0964
Photo of Heidi Lynn Bullock, Clinical Social Work/Therapist in Birmingham, AL
Heidi Lynn Bullock
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Birmingham, AL 35209
Heidi Bullock LICSW. Fifteen years experience working with adults/adolescents with mood disorders, addictions, couples therapy, and personality disorders. Also trained in EMDR to address trauma. Agree with the philosophy of Marsha Linehan "You cannot fail therapy" and "You have not created all of your problems but only you hold the key to resolving them" I have enjoyed helping patients gain control over their lives by learning how to regulate their emotions. It is rewarding to hear patients say "They should teach this in school" and "I wish I would have taken this group, DBT, sooner"
Heidi Bullock LICSW. Fifteen years experience working with adults/adolescents with mood disorders, addictions, couples therapy, and personality disorders. Also trained in EMDR to address trauma. Agree with the philosophy of Marsha Linehan "You cannot fail therapy" and "You have not created all of your problems but only you hold the key to resolving them" I have enjoyed helping patients gain control over their lives by learning how to regulate their emotions. It is rewarding to hear patients say "They should teach this in school" and "I wish I would have taken this group, DBT, sooner"
(205) 417-4941 View (205) 417-4941
Photo of Katy Bridges, Licensed Professional Counselor in Birmingham, AL
Katy Bridges
Licensed Professional Counselor, MS, EdS, NCC, LPC
Verified Verified
Birmingham, AL 35226
I'm Katy Bridges and I am a Licensed Professional Counselor (LPC). It is my passion to work with children, adolescents, and young adults. Emotional turmoil negatively impacts our daily lives. Often, young people struggle to perform, feel down on themselves, have behavior problems, or can't manage big emotions like fear and sadness. Anxiety, grief, conflict at home, social problems, and extracurricular commitments are other stressors children have to manage. This can lead to poor quality of life, behavior problems, distractions at school, etc. Growing up is HARD work! Young people are strong and can thrive with the right tools!
I'm Katy Bridges and I am a Licensed Professional Counselor (LPC). It is my passion to work with children, adolescents, and young adults. Emotional turmoil negatively impacts our daily lives. Often, young people struggle to perform, feel down on themselves, have behavior problems, or can't manage big emotions like fear and sadness. Anxiety, grief, conflict at home, social problems, and extracurricular commitments are other stressors children have to manage. This can lead to poor quality of life, behavior problems, distractions at school, etc. Growing up is HARD work! Young people are strong and can thrive with the right tools!
(205) 772-9429 View (205) 772-9429
Photo of Larkin Lowry, Marriage & Family Therapist in Birmingham, AL
Larkin Lowry
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Birmingham, AL 35243
Hey, I'm Larkin and I'm genuinely glad you're here! The idea that we or our loved ones are struggling and need help can stir up a number of uncomfortable emotions that we often try to ignore. If there is one thing I believe holds true, it is that having feelings makes us human. Feelings help us understand the world, they guide our thoughts and behaviors, they impact our relationships, and when we learn to listen to what they are trying to tell us, they can help us grow. When our lives have been impacted by trauma or adverse experiences, tuning back in to our mind and body can feel daunting and that is where I come in!
Hey, I'm Larkin and I'm genuinely glad you're here! The idea that we or our loved ones are struggling and need help can stir up a number of uncomfortable emotions that we often try to ignore. If there is one thing I believe holds true, it is that having feelings makes us human. Feelings help us understand the world, they guide our thoughts and behaviors, they impact our relationships, and when we learn to listen to what they are trying to tell us, they can help us grow. When our lives have been impacted by trauma or adverse experiences, tuning back in to our mind and body can feel daunting and that is where I come in!
(205) 383-6650 View (205) 383-6650
Photo of Jarvis T Cleveland, Clinical Social Work/Therapist in Birmingham, AL
Jarvis T Cleveland
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Birmingham, AL 35233
I have spent the last three years working with various individuals who presented with primarily substance abuse issues. However, issues of depression, anxiety, sexuality, communication, and family dynamics were underneath the presenting problem as well. My clients all sought one thing: a different story than the one they had been currently starring in. Together we laid the groundwork to start changing that story. And together you and I can do the same.
I have spent the last three years working with various individuals who presented with primarily substance abuse issues. However, issues of depression, anxiety, sexuality, communication, and family dynamics were underneath the presenting problem as well. My clients all sought one thing: a different story than the one they had been currently starring in. Together we laid the groundwork to start changing that story. And together you and I can do the same.
(205) 649-3183 View (205) 649-3183
Photo of Ashley Gilbert, Licensed Professional Counselor in Birmingham, AL
Ashley Gilbert
Licensed Professional Counselor, MEd, MFT, LPC
Verified Verified
1 Endorsed
Birmingham, AL 35209
Telling your story takes tremendous courage. In my work I am constantly humbled and honored to receive those stories. As a therapist I work from the premise that people are deeply complex and multilayered beings. Our past, our present, and expectations of our future dictate how we navigate life's inevitable challenges. Because our lives are a constant state of transition, we have the opportunity to learn from the past and navigate our present through awareness and understanding of ourselves, and others. I feel it a great honor to support people in their transitions, and foster their awareness and growth.
Telling your story takes tremendous courage. In my work I am constantly humbled and honored to receive those stories. As a therapist I work from the premise that people are deeply complex and multilayered beings. Our past, our present, and expectations of our future dictate how we navigate life's inevitable challenges. Because our lives are a constant state of transition, we have the opportunity to learn from the past and navigate our present through awareness and understanding of ourselves, and others. I feel it a great honor to support people in their transitions, and foster their awareness and growth.
(205) 419-0039 View (205) 419-0039
Photo of T Celeste Agan, Clinical Social Work/Therapist in Birmingham, AL
T Celeste Agan
Clinical Social Work/Therapist, LCSW, PhD
Verified Verified
Birmingham, AL 35233
Working with clients is a privilege, not just an occupation. The work we do as therapists can change the trajectory of a person's life. I do not skirt around the tough issues when someone asks me for help. My role is not to get paid for chit chat. We determine what your goals are and envision success- problem solving the most effective ways to get you where you want to be, breaking down the barriers along the way as much as possible. Often we create our own barriers and prevent our own progress. I only use what works- after 20 years as a counselor I have weeded out the BS and have found what works.
Working with clients is a privilege, not just an occupation. The work we do as therapists can change the trajectory of a person's life. I do not skirt around the tough issues when someone asks me for help. My role is not to get paid for chit chat. We determine what your goals are and envision success- problem solving the most effective ways to get you where you want to be, breaking down the barriers along the way as much as possible. Often we create our own barriers and prevent our own progress. I only use what works- after 20 years as a counselor I have weeded out the BS and have found what works.
(205) 883-5063 View (205) 883-5063
Photo of Jennifer W George, Licensed Professional Counselor in Birmingham, AL
Jennifer W George
Licensed Professional Counselor, NCC, LPC, MEd
Verified Verified
1 Endorsed
Birmingham, AL 35244
Waitlist for new clients
Does life sometimes feel overwhelming and stressful? Have you noticed when just one thing in life is out of balance it can spill over into other areas too? This imbalance affects our moods and behaviors, our relationships and interactions with others personally and professionally. This does not just affect adults, it's affecting our youth and our children. The good thing is there is hope and resolution you already have access to, but perhaps haven't been able to tap into.. just yet.
Does life sometimes feel overwhelming and stressful? Have you noticed when just one thing in life is out of balance it can spill over into other areas too? This imbalance affects our moods and behaviors, our relationships and interactions with others personally and professionally. This does not just affect adults, it's affecting our youth and our children. The good thing is there is hope and resolution you already have access to, but perhaps haven't been able to tap into.. just yet.
(205) 843-6482 View (205) 843-6482
Photo of Catherine Smith, Licensed Professional Counselor in Birmingham, AL
Catherine Smith
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Birmingham, AL 35205  (Online Only)
Waitlist for new clients
I have worked with adult individuals and with couples for 25+ years. I love what I do. As a part of my practice I utilize various psychological theories while interlacing skill-building techniques related to depression, anxiety/panic, and anger management, communication skills, healthy boundaries, personal growth self-awareness, and trauma/abuse histories. I strive to help people live more fully and functionally in their present-day lives by better understanding how the experiences and relationships from their past inform current experiences, emotions and behavior choices.
I have worked with adult individuals and with couples for 25+ years. I love what I do. As a part of my practice I utilize various psychological theories while interlacing skill-building techniques related to depression, anxiety/panic, and anger management, communication skills, healthy boundaries, personal growth self-awareness, and trauma/abuse histories. I strive to help people live more fully and functionally in their present-day lives by better understanding how the experiences and relationships from their past inform current experiences, emotions and behavior choices.
(205) 312-9995 View (205) 312-9995
Photo of Mary Tate Wade, Counselor in Birmingham, AL
Mary Tate Wade
Counselor, MA, ALC
Verified Verified
3 Endorsed
Birmingham, AL 35223
Life can be hard and overwhelming. It is easy to feel alone during difficult times, but I am here to walk alongside you with encouragement and support. I take a person-centered approach to counseling by exhibiting empathy and providing a non-judgmental environment. I also integrate Cognitive Behavioral Therapy and Solution Focused Therapy. With these approaches, we can work together through anxiety, depression, OCD, relationship concerns, grief, stress, life transitions, and more. When treating OCD and anxiety disorders, I also integrate Exposure and Response Prevention (ERP) into my approach.
Life can be hard and overwhelming. It is easy to feel alone during difficult times, but I am here to walk alongside you with encouragement and support. I take a person-centered approach to counseling by exhibiting empathy and providing a non-judgmental environment. I also integrate Cognitive Behavioral Therapy and Solution Focused Therapy. With these approaches, we can work together through anxiety, depression, OCD, relationship concerns, grief, stress, life transitions, and more. When treating OCD and anxiety disorders, I also integrate Exposure and Response Prevention (ERP) into my approach.
(205) 947-4166 View (205) 947-4166
Photo of Jack Kilpatrick, Clinical Social Work/Therapist in Birmingham, AL
Jack Kilpatrick
Clinical Social Work/Therapist, LICSW
Verified Verified
Birmingham, AL 35223  (Online Only)
The opening of Dante's Inferno reads "Midway upon the journey of our life, I found myself within a forest dark, for the straightforward pathway had been lost." This story of a person's journey through hell became a classic because all of us have found, at one time or another, that the straight path in our lives has been lost, and that we are alone in a dark forest. Do you feel lost? When we look a little closer, we begin to understand that most of the darkness around us is self-created. That forest was cultivated with the seeds of our past experience.
The opening of Dante's Inferno reads "Midway upon the journey of our life, I found myself within a forest dark, for the straightforward pathway had been lost." This story of a person's journey through hell became a classic because all of us have found, at one time or another, that the straight path in our lives has been lost, and that we are alone in a dark forest. Do you feel lost? When we look a little closer, we begin to understand that most of the darkness around us is self-created. That forest was cultivated with the seeds of our past experience.
(205) 809-6561 View (205) 809-6561
Photo of Lakedra Rodgers, Pre-Licensed Professional in Birmingham, AL
Lakedra Rodgers
Pre-Licensed Professional, ALC
Verified Verified
1 Endorsed
Birmingham, AL 35222  (Online Only)
Not accepting new clients
I strive to support and motivate individuals to be the best possible versions of themselves. I specialize in trauma, grief, anxiety, depression, and mindfulness. I believe in individualized care for every client and work to provide a safe space for clients to explore, express, and escape.
I strive to support and motivate individuals to be the best possible versions of themselves. I specialize in trauma, grief, anxiety, depression, and mindfulness. I believe in individualized care for every client and work to provide a safe space for clients to explore, express, and escape.
(205) 851-9937 View (205) 851-9937
Photo of Jennifer Maddox, Licensed Professional Counselor in Birmingham, AL
Jennifer Maddox
Licensed Professional Counselor, LPC
Verified Verified
Birmingham, AL 35209  (Online Only)
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
(205) 898-5269 View (205) 898-5269
Photo of Teal Dick - Still Waters Counseling Center, Licensed Professional Counselor in Birmingham, AL
Teal Dick - Still Waters Counseling Center
Licensed Professional Counselor, MDiv, LPC-S
Verified Verified
Birmingham, AL 35223  (Online Only)
Hi, I’m Teal, I am a Licensed Professional Counselor Supervisor in Alabama with twenty-seven years of experience treating issues including stress and anxiety, depression, addictions, relationship issues, and family conflicts. Whatever you're dealing with, I believe there is hope for healing.  I will listen intently to understand you and will give you a safe space to share things that are difficult to talk about. Good therapy works.  Time and again, I have witnessed minds restored, hearts mended, and relationships healed.  Lets get to work helping you.
Hi, I’m Teal, I am a Licensed Professional Counselor Supervisor in Alabama with twenty-seven years of experience treating issues including stress and anxiety, depression, addictions, relationship issues, and family conflicts. Whatever you're dealing with, I believe there is hope for healing.  I will listen intently to understand you and will give you a safe space to share things that are difficult to talk about. Good therapy works.  Time and again, I have witnessed minds restored, hearts mended, and relationships healed.  Lets get to work helping you.
(205) 793-4348 View (205) 793-4348
Photo of Debra M. Hoosier, LICSW, Clinical Social Work/Therapist in Birmingham, AL
Debra M. Hoosier, LICSW
Clinical Social Work/Therapist, LICSW, PIP, BC-TMH, CCTP
Verified Verified
1 Endorsed
Birmingham, AL 35242  (Online Only)
Life is HARD! Many times we get "stuck in the hard." I don't want you to be stuck anywhere! I believe we can journey through the struggle together, empowering you to a stronger, healthier life. I am passionate about empowering clients and assisting them in creating the life that they desire.
Life is HARD! Many times we get "stuck in the hard." I don't want you to be stuck anywhere! I believe we can journey through the struggle together, empowering you to a stronger, healthier life. I am passionate about empowering clients and assisting them in creating the life that they desire.
(205) 850-5473 View (205) 850-5473
Photo of Adrienne S Cooper, Licensed Professional Counselor in Birmingham, AL
Adrienne S Cooper
Licensed Professional Counselor, LPC-S
Verified Verified
Birmingham, AL 35243
Not accepting new clients
Lotus Counseling Services started with a vision and a passion to help girls develop into strong, confident, fearless, healthy women. The lotus flower grows from deep mud, through murky water, to produce a beautiful blossom; the more adversity the more beautiful a transformation. My role as a counselor is to provide support and guidance along that journey. Everyone is an individual and therefore there is no one approach that works for everyone. I pride myself on being genuine with my clients and utilizing counseling methods that are most effective for her as an individual.
Lotus Counseling Services started with a vision and a passion to help girls develop into strong, confident, fearless, healthy women. The lotus flower grows from deep mud, through murky water, to produce a beautiful blossom; the more adversity the more beautiful a transformation. My role as a counselor is to provide support and guidance along that journey. Everyone is an individual and therefore there is no one approach that works for everyone. I pride myself on being genuine with my clients and utilizing counseling methods that are most effective for her as an individual.
(205) 236-7298 View (205) 236-7298
Photo of Sara Margaret Mayers, Marriage & Family Therapist Associate in Birmingham, AL
Sara Margaret Mayers
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
7 Endorsed
Birmingham, AL 35205
Welcome, I am so happy that you are here! Sometimes, life can go in a direction we were not expecting causing us to feel lost or overwhelmed. You may feel you are alone, but I promise you are not. In therapy, we can learn how to understand and live with difficult emotions and moments in life. Everyone is unique, making my approach to therapy different for everyone. My goal is to provide a therapeutic environment that allows families, children, and individuals to grow into their better selves through play and talk therapy.
Welcome, I am so happy that you are here! Sometimes, life can go in a direction we were not expecting causing us to feel lost or overwhelmed. You may feel you are alone, but I promise you are not. In therapy, we can learn how to understand and live with difficult emotions and moments in life. Everyone is unique, making my approach to therapy different for everyone. My goal is to provide a therapeutic environment that allows families, children, and individuals to grow into their better selves through play and talk therapy.
(205) 953-4863 View (205) 953-4863

How does your Therapist compare?

Number of Therapists in Birmingham, AL

600+

Average cost per session

$136

Therapists in Birmingham, AL who prioritize treating:

92% Anxiety
88% Depression
78% Self Esteem
76% Coping Skills
75% Relationship Issues
71% Stress
67% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
49% New Directions | Lucet
46% Cigna and Evernorth

How Therapists in Birmingham, AL see their clients

75% In Person and Online
25% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Birmingham?

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.