Therapists in Snyder, NY

Photo of Michael Schoenwetter, Clinical Social Work/Therapist in Snyder, NY
Michael Schoenwetter
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Snyder, NY 14226
Therapy is a time to reflect on, and adjust to, life issues. It's a time to explore how your thoughts and beliefs about yourself and the world color your emotional experiences today. Some people know exactly what they need, while others need to gently explore the cause and meaning of their discomfort and emotional pain. My task is to match what I do to this need and serve as a guide along the way. I have been in practice for over 25 years assisting individuals, groups, and families with all manner of behavioral health, relationship, and life problems.
Therapy is a time to reflect on, and adjust to, life issues. It's a time to explore how your thoughts and beliefs about yourself and the world color your emotional experiences today. Some people know exactly what they need, while others need to gently explore the cause and meaning of their discomfort and emotional pain. My task is to match what I do to this need and serve as a guide along the way. I have been in practice for over 25 years assisting individuals, groups, and families with all manner of behavioral health, relationship, and life problems.
(716) 608-3350 View (716) 608-3350
Photo of Deanna DeAngelis, Clinical Social Work/Therapist in Snyder, NY
Deanna DeAngelis
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Snyder, NY 14226  (Online Only)
LCSW located in Williamsville, NY and accepting new clients. I find it truly rewarding to be able to offer compassion and counsel to those in need. If you are struggling with relationship issues, anxiety, depression, parenting, or any kind of life stress, I will provide the therapeutic framework for you to find your way to your best self.
LCSW located in Williamsville, NY and accepting new clients. I find it truly rewarding to be able to offer compassion and counsel to those in need. If you are struggling with relationship issues, anxiety, depression, parenting, or any kind of life stress, I will provide the therapeutic framework for you to find your way to your best self.
(716) 989-6807 View (716) 989-6807
Photo of WNY Holistic Counseling Center, Counselor in Snyder, NY
WNY Holistic Counseling Center
Counselor, MA, LMHC
Verified Verified
Snyder, NY 14226
Life can often be challenging. You may feel you've gotten "off track" and need some direction. You may be overwhelmed with things and don't know what to do or how to make it better. It may be starting to affect your relationships, and you don't know how to stop it. You may be wondering what's wrong with you and why this keeps happening, or whether you're depressed. Perhaps you're having panic attacks that come out of nowhere. Or maybe you seem to have developed social anxiety. Perhaps you just don't feel like yourself or aren't content with your life. You want things to be different, you just don't know how to make that happen. You might be wondering whether you're always going to feel this way. You've got a lot going for you, you've accomplished quite a bit, but it still feels like there's something missing. You're not sure what else to do. Most of us feel this way at some point in our lives. Especially when trying to handle the stress of life, relationships and the impact of certain events all at once.
Life can often be challenging. You may feel you've gotten "off track" and need some direction. You may be overwhelmed with things and don't know what to do or how to make it better. It may be starting to affect your relationships, and you don't know how to stop it. You may be wondering what's wrong with you and why this keeps happening, or whether you're depressed. Perhaps you're having panic attacks that come out of nowhere. Or maybe you seem to have developed social anxiety. Perhaps you just don't feel like yourself or aren't content with your life. You want things to be different, you just don't know how to make that happen. You might be wondering whether you're always going to feel this way. You've got a lot going for you, you've accomplished quite a bit, but it still feels like there's something missing. You're not sure what else to do. Most of us feel this way at some point in our lives. Especially when trying to handle the stress of life, relationships and the impact of certain events all at once.
(716) 271-0563 View (716) 271-0563
Photo of Dr. Kathryn (Katie) Diebold, Licensed Master Social Worker in Snyder, NY
Dr. Kathryn (Katie) Diebold
Licensed Master Social Worker, DSW, LMSW
Verified Verified
Snyder, NY 14226
NOT Currently Accepting New Clients. Are you feeling stuck or unable to move on from events that happened in your past? Do you feel like you keep repeating the same cycles over and over again? I have worked with many clients from diverse backgrounds to move froward from past traumas and to find peace. I serve as a guide to help clients navigate their own unique road to healing and truth through the use of EMDR, an evidence based intervention for trauma. I am a licensed social worker with over 15 years of human service experience and I have a doctorate degree in social work. I also use humor and laughter to bring joy to our sessions.
NOT Currently Accepting New Clients. Are you feeling stuck or unable to move on from events that happened in your past? Do you feel like you keep repeating the same cycles over and over again? I have worked with many clients from diverse backgrounds to move froward from past traumas and to find peace. I serve as a guide to help clients navigate their own unique road to healing and truth through the use of EMDR, an evidence based intervention for trauma. I am a licensed social worker with over 15 years of human service experience and I have a doctorate degree in social work. I also use humor and laughter to bring joy to our sessions.
(716) 321-5392 View (716) 321-5392
Photo of Lauren Alexandra Kranz, Marriage & Family Therapist in Snyder, NY
Lauren Alexandra Kranz
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Snyder, NY 14226
Hi! I’m Lauren. I’ve been practicing therapy for over 14 years and I am so grateful for the opportunity to work with so many amazing clients. Seeing the growth and awareness that happens in this process is truly remarkable and rewarding for everyone involved. My clients most often come to therapy repeating patterns that they realize are no longer working for them. Both individually and in relationships. My job is to help you identify patterns, to better understand yourself and to give you ways to adjust while staying true to who you are. There are a variety of ways to do this, and each session is geared exactly to your needs.
Hi! I’m Lauren. I’ve been practicing therapy for over 14 years and I am so grateful for the opportunity to work with so many amazing clients. Seeing the growth and awareness that happens in this process is truly remarkable and rewarding for everyone involved. My clients most often come to therapy repeating patterns that they realize are no longer working for them. Both individually and in relationships. My job is to help you identify patterns, to better understand yourself and to give you ways to adjust while staying true to who you are. There are a variety of ways to do this, and each session is geared exactly to your needs.
(716) 281-1829 View (716) 281-1829
Photo of Madeline Ryan, Counselor in Snyder, NY
Madeline Ryan
Counselor, LMHC
Verified Verified
Snyder, NY 14215
Emily Dickinson’s poem “Not in Vain”, hung on my wall growing up and I often think its essence seeped into my being. She wrote, “If I can stop one heart from breaking, I shall not live in vain: If I can ease one life the aching, Or cool one pain, Or help one fainting robin Unto his nest again, I shall not live in vain”. As therapists, we choose to work within the world of emotions and behaviors, learning healthy techniques to bring balance to our mind, body, and spirit. Counseling is a judgement free setting, with an objective listener; where everyone is welcome and can be supported.
Emily Dickinson’s poem “Not in Vain”, hung on my wall growing up and I often think its essence seeped into my being. She wrote, “If I can stop one heart from breaking, I shall not live in vain: If I can ease one life the aching, Or cool one pain, Or help one fainting robin Unto his nest again, I shall not live in vain”. As therapists, we choose to work within the world of emotions and behaviors, learning healthy techniques to bring balance to our mind, body, and spirit. Counseling is a judgement free setting, with an objective listener; where everyone is welcome and can be supported.
(716) 589-4446 View (716) 589-4446
Photo of Anthony Lobuzzetta, Counselor in Snyder, NY
Anthony Lobuzzetta
Counselor, LMHC
Verified Verified
Snyder, NY 14226
Everyone deserves someone in their life whom they can trust. You deserve to be heard, and to have someone in your life that is actually listening. My goal is to be that person for my clients. Through a therapeutic relationship grounded in empathy and genuineness, we can work together to give you the power to tackle the issues most concerning you. By using cognitive-behavioral skills and mindfulness techniques, my goal is to expose my clients to the value of self-worth, the importance of nurturing one’s self-worth, and ultimately crafting a more optimistic version of one's self and their future.
Everyone deserves someone in their life whom they can trust. You deserve to be heard, and to have someone in your life that is actually listening. My goal is to be that person for my clients. Through a therapeutic relationship grounded in empathy and genuineness, we can work together to give you the power to tackle the issues most concerning you. By using cognitive-behavioral skills and mindfulness techniques, my goal is to expose my clients to the value of self-worth, the importance of nurturing one’s self-worth, and ultimately crafting a more optimistic version of one's self and their future.
(716) 412-2064 View (716) 412-2064
Photo of Amanda R. Radley in Snyder, NY
Amanda R. Radley
LMHC, CASAC
Verified Verified
1 Endorsed
Snyder, NY 14226
Perhaps you are going through a transition or tying to cope with hard things that have happened. You have tried everything you can think of to try to feel better and it is just not working. Feeling overwhelmed? Feeling Stuck? Is your mind racing? Are you living life with intention or just going through the motions? Well, if you have experienced any of these thoughts you may be saying that "something has to change" and are looking for healthier ways to cope.
Perhaps you are going through a transition or tying to cope with hard things that have happened. You have tried everything you can think of to try to feel better and it is just not working. Feeling overwhelmed? Feeling Stuck? Is your mind racing? Are you living life with intention or just going through the motions? Well, if you have experienced any of these thoughts you may be saying that "something has to change" and are looking for healthier ways to cope.
(716) 219-3091 View (716) 219-3091
Photo of Cia Lambert-Coleman, Counselor in Snyder, NY
Cia Lambert-Coleman
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Snyder, NY 14226
When life becomes challenging, we look for the light at the end of the tunnel. The light appears far, and we don't believe we can make it. With the help of therapy, the journey becomes bearable.
When life becomes challenging, we look for the light at the end of the tunnel. The light appears far, and we don't believe we can make it. With the help of therapy, the journey becomes bearable.
(716) 869-6783 View (716) 869-6783

More Therapists Nearby

Photo of Kelli Dobmeier, Clinical Social Work/Therapist in Snyder, NY
Kelli Dobmeier
Clinical Social Work/Therapist, LCSW
Verified Verified
Buffalo, NY 14225
I have a lot of experience working with trauma/adjustment and sexual/gender identity. I like working with children, families, teens, and young adults. If you're trying to figure out who you are or if you've been through something difficult - I'm here for you.
I have a lot of experience working with trauma/adjustment and sexual/gender identity. I like working with children, families, teens, and young adults. If you're trying to figure out who you are or if you've been through something difficult - I'm here for you.
(716) 638-2751 View (716) 638-2751
Photo of Katie Mullaney, Art Therapist in Snyder, NY
Katie Mullaney
Art Therapist, LCAT, ATR
Verified Verified
Buffalo, NY 14214
Emotions are currents of energy in the body. Energy such as (but not limited to) anxiety, depression, anger and trauma, contract and trigger the "fight or flight" response. This leaves the body in a high alert state. If not expressed, this energy lingers in the body causing imbalance, even illness in the body and mind. Learn to tune into the bodily experience of your emotions, release toxic energy and activate the "rest and digest" response to regain balance. By practicing awareness, expression and intention my clients feel more empowered and in control of their emotions, allowing them to live a more expanded and fulfilled life.
Emotions are currents of energy in the body. Energy such as (but not limited to) anxiety, depression, anger and trauma, contract and trigger the "fight or flight" response. This leaves the body in a high alert state. If not expressed, this energy lingers in the body causing imbalance, even illness in the body and mind. Learn to tune into the bodily experience of your emotions, release toxic energy and activate the "rest and digest" response to regain balance. By practicing awareness, expression and intention my clients feel more empowered and in control of their emotions, allowing them to live a more expanded and fulfilled life.
(716) 301-2865 View (716) 301-2865
Photo of Mark Steinberg, Counselor in Snyder, NY
Mark Steinberg
Counselor, LMHC
Verified Verified
Buffalo, NY 14226  (Online Only)
Are you experiencing a lot of stress in your life and having trouble staying focused? Do you sometimes feel overwhelmed with anxiety over all the responsibilities you have? Maybe you have a lot of pressure from school, work, or your family. Reaching out for help can be challenging because you think you should be able to handle it yourself but sometimes we all need a little extra support to keep ourselves healthy. Talking to someone can help us organize our thoughts and feelings and come up with ways to better manage our stress and feel better about ourselves.
Are you experiencing a lot of stress in your life and having trouble staying focused? Do you sometimes feel overwhelmed with anxiety over all the responsibilities you have? Maybe you have a lot of pressure from school, work, or your family. Reaching out for help can be challenging because you think you should be able to handle it yourself but sometimes we all need a little extra support to keep ourselves healthy. Talking to someone can help us organize our thoughts and feelings and come up with ways to better manage our stress and feel better about ourselves.
(716) 325-4830 View (716) 325-4830
Photo of Dr. Jessica Bonczar, Pre-Licensed Professional in Snyder, NY
Dr. Jessica Bonczar
Pre-Licensed Professional, PsyD, LMHC
Verified Verified
1 Endorsed
Buffalo, NY 14214
My mission is to support and empower individuals and families through difficult times. My experience and focus for the last 6 years has been with parents, children, and adolescents addressing a variety of issues including behavioral difficulties at home, school or in the community; academic difficulties; relationship difficulties with peers, siblings or other family members; grief and loss, and marital & inter-parental difficulties.
My mission is to support and empower individuals and families through difficult times. My experience and focus for the last 6 years has been with parents, children, and adolescents addressing a variety of issues including behavioral difficulties at home, school or in the community; academic difficulties; relationship difficulties with peers, siblings or other family members; grief and loss, and marital & inter-parental difficulties.
(716) 708-4716 View (716) 708-4716
Photo of Katielynn Marie Klaiber, Clinical Social Work/Therapist in Snyder, NY
Katielynn Marie Klaiber
Clinical Social Work/Therapist, LCSW-R
Verified Verified
2 Endorsed
Amherst, NY 14226
Not accepting new clients
Katie Klaiber is a Licensed Clinical Social worker and graduate from the University at Buffalo with her MSW. She has been providing services to children, teens, adults and families for over 10 years. She was born and raised in Western New York and provided case management for four years, which has increased her knowledge in services for both children and adults in the area. Katie works with a variety of populations, including individuals who struggle with anxiety, depression, anger, emotion dysregulation, gender identity concerns, the LGBTQ community, Borderline Personality Disorder and marital conflict.
Katie Klaiber is a Licensed Clinical Social worker and graduate from the University at Buffalo with her MSW. She has been providing services to children, teens, adults and families for over 10 years. She was born and raised in Western New York and provided case management for four years, which has increased her knowledge in services for both children and adults in the area. Katie works with a variety of populations, including individuals who struggle with anxiety, depression, anger, emotion dysregulation, gender identity concerns, the LGBTQ community, Borderline Personality Disorder and marital conflict.
(716) 257-4380 View (716) 257-4380
Photo of Carol Meer, Counselor in Snyder, NY
Carol Meer
Counselor, LMHC
Verified Verified
1 Endorsed
Amherst, NY 14226
Taking the first step towards positive change can be overwhelming and intimidating. It is easy to second guess yourself when feeling alone and disconnected. Having support along the way makes all the difference. I provide a warm, compassionate and judgment-free space for you to start your journey. As you work in session towards self-acceptance, balancing emotions and life stressors, you will create the foundation and tools you need to overcome life’s challenges. You will be given opportunities to recognize your strengths, build empowerment and learn tools to navigate through difficult times.
Taking the first step towards positive change can be overwhelming and intimidating. It is easy to second guess yourself when feeling alone and disconnected. Having support along the way makes all the difference. I provide a warm, compassionate and judgment-free space for you to start your journey. As you work in session towards self-acceptance, balancing emotions and life stressors, you will create the foundation and tools you need to overcome life’s challenges. You will be given opportunities to recognize your strengths, build empowerment and learn tools to navigate through difficult times.
(716) 707-9159 View (716) 707-9159
Photo of Lynnette Marie Bruce, Counselor in Snyder, NY
Lynnette Marie Bruce
Counselor, LMHC
Verified Verified
Buffalo, NY 14223
The catalyst for seeking therapy is a personal one - you may be striving to make change, desire a better understanding of yourself and the world around you, or are looking to make yourself and your needs more of a priority. In our work together, we will explore what brings you to therapy and develop the tools and skills to support your goals.
The catalyst for seeking therapy is a personal one - you may be striving to make change, desire a better understanding of yourself and the world around you, or are looking to make yourself and your needs more of a priority. In our work together, we will explore what brings you to therapy and develop the tools and skills to support your goals.
(716) 451-3996 View (716) 451-3996
Photo of Maryann Bavisotto, Clinical Social Work/Therapist in Snyder, NY
Maryann Bavisotto
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Buffalo, NY 14226
Many of us feel like we don't belong, carry burdens from past traumas, and struggle to balance caring for ourselves with having a fulfilling life. My approach will help you respond to intense emotions and memories with more curiosity and speak to the parts of you that feel self-critical, alienated, and alone in a more compassionate and nurturing voice. We will explore your unmet needs and help you express yourself with more vulnerability, confidence, and authenticity. You will discover that the person most equipped to help with your own healing is you, and you are never truly alone.
Many of us feel like we don't belong, carry burdens from past traumas, and struggle to balance caring for ourselves with having a fulfilling life. My approach will help you respond to intense emotions and memories with more curiosity and speak to the parts of you that feel self-critical, alienated, and alone in a more compassionate and nurturing voice. We will explore your unmet needs and help you express yourself with more vulnerability, confidence, and authenticity. You will discover that the person most equipped to help with your own healing is you, and you are never truly alone.
(716) 296-6430 View (716) 296-6430
Photo of John Catalino, Clinical Social Work/Therapist in Snyder, NY
John Catalino
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Amherst, NY 14226
Feeling overwhelmed and feel your thoughts and moods run your life? And do you feel this prevents you from living life to its fullest? I am a Licensed Clinical Social Worker (R), and have been a therapist since 2008. I can begin therapy within 1 week of your initial call! Often through sharing our thoughts and struggles with a skilled, empathetic professional, hope can be restored. Also, by learning a few key thinking strategies and other simple mental techniques, together we can reduce and eliminate the feelings of being powerless over how our minds automatically can work against us. NOTE: Couples sessions are cash only - $150.
Feeling overwhelmed and feel your thoughts and moods run your life? And do you feel this prevents you from living life to its fullest? I am a Licensed Clinical Social Worker (R), and have been a therapist since 2008. I can begin therapy within 1 week of your initial call! Often through sharing our thoughts and struggles with a skilled, empathetic professional, hope can be restored. Also, by learning a few key thinking strategies and other simple mental techniques, together we can reduce and eliminate the feelings of being powerless over how our minds automatically can work against us. NOTE: Couples sessions are cash only - $150.
(716) 221-8728 View (716) 221-8728
Photo of Rue Robinson, Counselor in Snyder, NY
Rue Robinson
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Cheektowaga, NY 14225
“A bird sitting in a branch is not afraid of the branch breaking - for its trust is not in the tree - but in the strength of its own wings.” It is human to stumble and sometimes we need a gentle reminder of our strengths. We are all human. We have all had moments confronting a loss, having our heart broken, or feeling like we don't belong. You are not alone, and you can get through this. As your therapist, I support and guide you as a gentle presence to remind you of the strength in your wings to grow.
“A bird sitting in a branch is not afraid of the branch breaking - for its trust is not in the tree - but in the strength of its own wings.” It is human to stumble and sometimes we need a gentle reminder of our strengths. We are all human. We have all had moments confronting a loss, having our heart broken, or feeling like we don't belong. You are not alone, and you can get through this. As your therapist, I support and guide you as a gentle presence to remind you of the strength in your wings to grow.
(716) 906-3770 View (716) 906-3770
Photo of Christine Howell, Counselor in Snyder, NY
Christine Howell
Counselor, LMHC
Verified Verified
Buffalo, NY 14226  (Online Only)
Christine Howell is a Licensed Mental Health Counselor (LMHC) with over 10 years of experience in the mental health field. She works with families, young adults, adolescents, couples, and adults in multiple settings. Christine specializes in grief, major life transitions, anxiety, depression, relationship issues, and cultural and faith-based counseling.
Christine Howell is a Licensed Mental Health Counselor (LMHC) with over 10 years of experience in the mental health field. She works with families, young adults, adolescents, couples, and adults in multiple settings. Christine specializes in grief, major life transitions, anxiety, depression, relationship issues, and cultural and faith-based counseling.
(716) 265-4460 View (716) 265-4460

How does your Therapist compare?

Number of Therapists in Snyder, NY

< 10

Therapists in Snyder, NY who prioritize treating:

100% Depression
100% Anxiety
78% Trauma and PTSD
78% Self Esteem
67% Peer Relationships
67% Coping Skills
67% Stress

Average years in practice

12 Years

Top 3 insurances accepted

100% Independent Health
80% UnitedHealthcare UHC | UBH
80% Univera

How Therapists in Snyder, NY see their clients

89% In Person and Online
11% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Snyder?

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.