Therapists in Great Neck, NY

Photo of Christopher Warmann in Great Neck, NY
Christopher Warmann
MHC-LP
Verified Verified
Great Neck, NY 11021  (Online Only)
Life is full of hardships. Sometimes we get overwhelmed and feel like there's no hope for tomorrow. As your therapist, I'm here to help you overcome your struggles and find your footing again. I specialize in working with individuals experiencing depression, anxiety, mood disorders, life transitions, self-esteem issues, and stress. I offer a non-judgmental, inclusive space where we can explore your thoughts and emotions at a pace comfortable for you.
Life is full of hardships. Sometimes we get overwhelmed and feel like there's no hope for tomorrow. As your therapist, I'm here to help you overcome your struggles and find your footing again. I specialize in working with individuals experiencing depression, anxiety, mood disorders, life transitions, self-esteem issues, and stress. I offer a non-judgmental, inclusive space where we can explore your thoughts and emotions at a pace comfortable for you.
(917) 912-2925 View (917) 912-2925
Photo of Barbara Gluckin, Psychologist in Great Neck, NY
Barbara Gluckin
Psychologist, PsyD
Verified Verified
Great Neck, NY 11021
Hello worriers! Are you feeling anxious, overwhelmed and stuck in spiraling thoughts? Are you wondering how to stop overthinking? Maybe you feel uncomfortably restless or short tempered, or perhaps you are feeling frozen and indecisive, or unable to start tasks. Maybe you even have panic attacks. You might be feeling depressed or frustrated, or badly about yourself that you haven’t been able to ‘just forget it and get it together!’ It takes courage to look for a therapist and face these thoughts. It is brave of you to be here.
Hello worriers! Are you feeling anxious, overwhelmed and stuck in spiraling thoughts? Are you wondering how to stop overthinking? Maybe you feel uncomfortably restless or short tempered, or perhaps you are feeling frozen and indecisive, or unable to start tasks. Maybe you even have panic attacks. You might be feeling depressed or frustrated, or badly about yourself that you haven’t been able to ‘just forget it and get it together!’ It takes courage to look for a therapist and face these thoughts. It is brave of you to be here.
(516) 412-6919 View (516) 412-6919
Photo of Laura Silver McGuire, Psychologist in Great Neck, NY
Laura Silver McGuire
Psychologist, PsyD
Verified Verified
1 Endorsed
Great Neck, NY 11021
I believe therapy is a place for you to feel safe, supported and understood. I am empathic and directive, and my style is collaborative and interactive: we will identify your goals and work toward achieving them together. I offer concrete behavioral and cognitive techniques to help you reach your goals as well as discover insight and awareness along the way.
I believe therapy is a place for you to feel safe, supported and understood. I am empathic and directive, and my style is collaborative and interactive: we will identify your goals and work toward achieving them together. I offer concrete behavioral and cognitive techniques to help you reach your goals as well as discover insight and awareness along the way.
(917) 725-0950 View (917) 725-0950
Photo of Dr. Victoria Grinman, Clinical Social Work/Therapist in Great Neck, NY
Dr. Victoria Grinman
Clinical Social Work/Therapist, PhD, LCSW-R, LICSW, CFTP, CA
Verified Verified
4 Endorsed
Great Neck, NY 11021
I am a clinical therapist and professor who practices in New York and Massachusetts. Many times, challenges, pain, loss, and even suffering hold just as much a place in our lives as happiness, joy, peace and triumph. Utilizing best-practices and empirical knowledge, my hope is for our journey to be an intricate process of joining and receiving; discovering and growing; learning and practicing. My approach is integrative, taking into consideration all the systems within you, including race, culture and environment. I aim to hold a warm and supportive space wherein empowerment, balance and growth can be achieved.
I am a clinical therapist and professor who practices in New York and Massachusetts. Many times, challenges, pain, loss, and even suffering hold just as much a place in our lives as happiness, joy, peace and triumph. Utilizing best-practices and empirical knowledge, my hope is for our journey to be an intricate process of joining and receiving; discovering and growing; learning and practicing. My approach is integrative, taking into consideration all the systems within you, including race, culture and environment. I aim to hold a warm and supportive space wherein empowerment, balance and growth can be achieved.
(646) 791-3364 View (646) 791-3364
Photo of Shelley Hoffman, Clinical Social Work/Therapist in Great Neck, NY
Shelley Hoffman
Clinical Social Work/Therapist, LCSW
Verified Verified
Great Neck, NY 11023
I work with individuals and couples who are dealing with personal issues, marital difficulties, communication with their partner, life transitions, family conflict, career obstacles, anxiety. In a safe, confidential, supportive space I help clients to better understand themselves and their situations. I am an interactive therapist who listens well and asks questions to make you think and see your issues in a different way. We explore patterns, reactions and experiences. We understand how the past informs the present and how present challenges can be a moment for change.
I work with individuals and couples who are dealing with personal issues, marital difficulties, communication with their partner, life transitions, family conflict, career obstacles, anxiety. In a safe, confidential, supportive space I help clients to better understand themselves and their situations. I am an interactive therapist who listens well and asks questions to make you think and see your issues in a different way. We explore patterns, reactions and experiences. We understand how the past informs the present and how present challenges can be a moment for change.
(516) 252-0694 View (516) 252-0694
Photo of Kenneth J. Baracaldo in Great Neck, NY
Kenneth J. Baracaldo
LCAT, MT-BC, MS
Verified Verified
2 Endorsed
Great Neck, NY 11021  (Online Only)
Do you struggle to find happiness in your daily life? Have the activities you once considered fun and fulfilling lost their meaning? Do you struggle with depression, anxiety, low self-esteem, anger, or find it difficult to focus on daily tasks? Do you struggle to create or maintain healthy and long-lasting relationships? Do you want more peace and clarity in your life? Do you want to be more present and have the confidence to express your feelings and emotions without fear of shame or abandonment? Do you need help breaking through the mental barriers that keep you from accomplishing your life goals?
Do you struggle to find happiness in your daily life? Have the activities you once considered fun and fulfilling lost their meaning? Do you struggle with depression, anxiety, low self-esteem, anger, or find it difficult to focus on daily tasks? Do you struggle to create or maintain healthy and long-lasting relationships? Do you want more peace and clarity in your life? Do you want to be more present and have the confidence to express your feelings and emotions without fear of shame or abandonment? Do you need help breaking through the mental barriers that keep you from accomplishing your life goals?
(929) 297-8404 View (929) 297-8404
Photo of Gary Bruschi, Psychologist in Great Neck, NY
Gary Bruschi
Psychologist, PhD
Verified Verified
Great Neck, NY 11021
I have found that the most important factor in any successful therapy is the chemistry between therapist and the people he/she works with. I use the therapeutic relationship to understand what problems an individual faces outside the office, what blocks them from accomplishing what they want for themselves. A therapeutic relationship is often one of the most intimate and private relationships one can have. I try to help people develop their own sense of agency to gain control over their lives. I believe people want to be seen and heard. I enjoy being able to provide that for them.
I have found that the most important factor in any successful therapy is the chemistry between therapist and the people he/she works with. I use the therapeutic relationship to understand what problems an individual faces outside the office, what blocks them from accomplishing what they want for themselves. A therapeutic relationship is often one of the most intimate and private relationships one can have. I try to help people develop their own sense of agency to gain control over their lives. I believe people want to be seen and heard. I enjoy being able to provide that for them.
(516) 346-5369 View (516) 346-5369
Photo of Estee Acobas, Psychologist in Great Neck, NY
Estee Acobas
Psychologist, PsyD
Verified Verified
2 Endorsed
Great Neck, NY 11021
Life is amazing and can also be incredibly challenging; we ALL struggle at times. Fortunately, therapy can help. I work hard to establish a trusted relationship, and my approach is action-oriented and collaborative. I bring genuine compassion, acceptance, encouragement, insight, gentle humor and creativity into the therapy space.
Life is amazing and can also be incredibly challenging; we ALL struggle at times. Fortunately, therapy can help. I work hard to establish a trusted relationship, and my approach is action-oriented and collaborative. I bring genuine compassion, acceptance, encouragement, insight, gentle humor and creativity into the therapy space.
(516) 218-5272 View (516) 218-5272
Photo of Dustin Kahoud, Psychologist in Great Neck, NY
Dustin Kahoud
Psychologist, PsyD
Verified Verified
Great Neck, NY 11021  (Online Only)
If you are reading this, it is likely that you are searching for change. Something new to impact your life. You might be searching for a way to feel and live your life differently. You might be seeking more satisfying relationships. Many are looking for relief from painful feelings and experiences. Maybe you are desiring more meaningful perspectives on stressful situations and relationship conflicts. In striving to achieve any of these ends, you cannot underestimate the impact of processing your feelings and communicating your experiences through a discussion like you have never had prior to coming in.
If you are reading this, it is likely that you are searching for change. Something new to impact your life. You might be searching for a way to feel and live your life differently. You might be seeking more satisfying relationships. Many are looking for relief from painful feelings and experiences. Maybe you are desiring more meaningful perspectives on stressful situations and relationship conflicts. In striving to achieve any of these ends, you cannot underestimate the impact of processing your feelings and communicating your experiences through a discussion like you have never had prior to coming in.
(516) 342-7683 View (516) 342-7683
Photo of Yvette Mazloumi, Counselor in Great Neck, NY
Yvette Mazloumi
Counselor, LMHC, NCC
Verified Verified
1 Endorsed
Great Neck, NY 11021  (Online Only)
I am a culturally sensitive, board certified mental health counselor, passionate about bringing healing to people and helping them overcome their personal and relational struggles in order to live more meaningful, empowered, and peaceful lives.
I am a culturally sensitive, board certified mental health counselor, passionate about bringing healing to people and helping them overcome their personal and relational struggles in order to live more meaningful, empowered, and peaceful lives.
(347) 705-0337 View (347) 705-0337
Photo of Mindy Gorman-Plutzer in Great Neck, NY
Mindy Gorman-Plutzer
FNLP, CEPC, CHC, AADP
Verified Verified
Great Neck, NY 11021  (Online Only)
Wouldn't you love to know WHAT to eat, HOW to eat and WHY your past efforts haven't brought you lasting results? Wouldn't you love to know that you can transform your relationship with food from one that is mired in fear and confusion to one that is joyous, loving and free? The Freedom Promise program teaches powerful strategies related to letting go of behaviors and limiting beliefs that keep you pouring the best of your energy into food, weight and the size of your thighs.You'll examine what you eat and who you are as an eater, while uncovering root causes of the pesky symptoms that are related to or a result of such behaviors.
Wouldn't you love to know WHAT to eat, HOW to eat and WHY your past efforts haven't brought you lasting results? Wouldn't you love to know that you can transform your relationship with food from one that is mired in fear and confusion to one that is joyous, loving and free? The Freedom Promise program teaches powerful strategies related to letting go of behaviors and limiting beliefs that keep you pouring the best of your energy into food, weight and the size of your thighs.You'll examine what you eat and who you are as an eater, while uncovering root causes of the pesky symptoms that are related to or a result of such behaviors.
(646) 832-2558 View (646) 832-2558
Photo of Gary M Goldman, Psychologist in Great Neck, NY
Gary M Goldman
Psychologist, PsyD
Verified Verified
Great Neck, NY 11021
I am a licensed psychologist with over 30 years of experience treating children, adolescents, young adults and adults. I provide a warm and safe atmosphere for you and or your family members to express their thoughts and feelings. As a result of my broad training and experience, I have successfully treated clients facing challenging life events, such as failing relationships, anxieties and parent child management concerns. I incorporate the therapeutic process with a collaborative team effort. Our work together will allow you to increase self awareness, insight and coping skills. All in an effort to approach life with more success and happiness.
I am a licensed psychologist with over 30 years of experience treating children, adolescents, young adults and adults. I provide a warm and safe atmosphere for you and or your family members to express their thoughts and feelings. As a result of my broad training and experience, I have successfully treated clients facing challenging life events, such as failing relationships, anxieties and parent child management concerns. I incorporate the therapeutic process with a collaborative team effort. Our work together will allow you to increase self awareness, insight and coping skills. All in an effort to approach life with more success and happiness.
(516) 308-9871 View (516) 308-9871
Photo of Lisa Stein, Clinical Social Work/Therapist in Great Neck, NY
Lisa Stein
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Great Neck, NY 11021
Maybe you've decided to step out of your comfort zone and have begun to look for a professional therapist. I want to commend you for taking that leap into the unknown, I know it's not easy. You may feel that you want to talk to someone other than a family member or friend. Someone impartial and skilled that could help you sort out your feelings or meet new goals. When you come meet with me we will work together to prioritize what is important to you. There will be no labels given to you in my office. Just genuine warmth and compassion. Call today and take the first step in healing.
Maybe you've decided to step out of your comfort zone and have begun to look for a professional therapist. I want to commend you for taking that leap into the unknown, I know it's not easy. You may feel that you want to talk to someone other than a family member or friend. Someone impartial and skilled that could help you sort out your feelings or meet new goals. When you come meet with me we will work together to prioritize what is important to you. There will be no labels given to you in my office. Just genuine warmth and compassion. Call today and take the first step in healing.
(516) 701-3264 View (516) 701-3264
Photo of Dr. Teresa Taylor Williams in Great Neck, NY
Dr. Teresa Taylor Williams
Verified Verified
1 Endorsed
Great Neck, NY 11021  (Online Only)
My ideal client is an adolescent who is experiencing social-emotional challenges, peer pressures, parental conflict or someone needing someone to talk to which would lead to the need to service and counsel parents who are struggling with communication issues and conflicts in the home which would lead to working with the family to regain understanding, learn how to treat and speak with each other and engage me to bring a sense of normalcy into the total relationship. I also am honored to work with women struggling with the aftermath of a broken relationship, dealing with the stresses of work and family.
My ideal client is an adolescent who is experiencing social-emotional challenges, peer pressures, parental conflict or someone needing someone to talk to which would lead to the need to service and counsel parents who are struggling with communication issues and conflicts in the home which would lead to working with the family to regain understanding, learn how to treat and speak with each other and engage me to bring a sense of normalcy into the total relationship. I also am honored to work with women struggling with the aftermath of a broken relationship, dealing with the stresses of work and family.
(646) 437-8459 View (646) 437-8459
Photo of Teri A Messina, Clinical Social Work/Therapist in Great Neck, NY
Teri A Messina
Clinical Social Work/Therapist, LCSWR
Verified Verified
Great Neck, NY 11021
There is nothing more exciting then working with the resiliency of the human spirit, whether it is individual, child, co-joint, marital or family therapy. I have advanced training in psychotherapy, cognitive behavioral therapy, DBT and interpersonal treatment modalities. My hope is to create a safeplace so you can explore and grow while managing the ups and downs of this journey we call life.
There is nothing more exciting then working with the resiliency of the human spirit, whether it is individual, child, co-joint, marital or family therapy. I have advanced training in psychotherapy, cognitive behavioral therapy, DBT and interpersonal treatment modalities. My hope is to create a safeplace so you can explore and grow while managing the ups and downs of this journey we call life.
(516) 730-9150 View (516) 730-9150
Photo of Denise Kornrich, Clinical Social Work/Therapist in Great Neck, NY
Denise Kornrich
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Great Neck, NY 11021
I have been a licensed psychotherapist for children, adolescents, young adults and parents for more than thirty years. My clinical expertise includes working with clients who are depressed or anxious, feel dissatisfied in their relationships, get stuck in negative thinking, are stressed by life transitions, or are overwhelmed with academic challenges. For parents, I can provide effective strategies to improve your understanding, communication, and connection with your child. My warmth, enthusiasm and compassion allow me to easily establish and maintain a strong rapport with individuals of all ages.
I have been a licensed psychotherapist for children, adolescents, young adults and parents for more than thirty years. My clinical expertise includes working with clients who are depressed or anxious, feel dissatisfied in their relationships, get stuck in negative thinking, are stressed by life transitions, or are overwhelmed with academic challenges. For parents, I can provide effective strategies to improve your understanding, communication, and connection with your child. My warmth, enthusiasm and compassion allow me to easily establish and maintain a strong rapport with individuals of all ages.
(516) 774-4264 View (516) 774-4264
Photo of Zina Rutkin, Psychologist in Great Neck, NY
Zina Rutkin
Psychologist, PhD
Verified Verified
Great Neck, NY 11021
Change is always possible. I work from a strengths-based perspective, and I believe that the work of psychotherapy is to help people access untapped resources toward health and vitality. Someone suffering from depression is just that-a person with depression, not a "depressed person"--depression needn't define you. When you walk into my office, we will explore the roadblocks in your life that keep you from moving forward, and make a plan for getting past them.
Change is always possible. I work from a strengths-based perspective, and I believe that the work of psychotherapy is to help people access untapped resources toward health and vitality. Someone suffering from depression is just that-a person with depression, not a "depressed person"--depression needn't define you. When you walk into my office, we will explore the roadblocks in your life that keep you from moving forward, and make a plan for getting past them.
(516) 279-2372 View (516) 279-2372
Photo of Lynda Savyon, Clinical Social Work/Therapist in Great Neck, NY
Lynda Savyon
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Great Neck, NY 11021  (Online Only)
You try your best to get along with everyone. But lately, it’s been difficult. You're upset about all the disagreements with your husband/wife/ significant other. You don’t feel heard. You find yourself lashing out at your kids. Bickering with your long-term partner. Thinking about divorce. Angry at your parents. Strained relations with your adult child. Disappointed by friends. You feel misunderstood. Hurt. Confused. You may feel stuck in depression or anxiety. Low energy. Stressed out. Every day is so overwhelming and exhausting. How can you dig yourself out of this rut? Therapy can help…
You try your best to get along with everyone. But lately, it’s been difficult. You're upset about all the disagreements with your husband/wife/ significant other. You don’t feel heard. You find yourself lashing out at your kids. Bickering with your long-term partner. Thinking about divorce. Angry at your parents. Strained relations with your adult child. Disappointed by friends. You feel misunderstood. Hurt. Confused. You may feel stuck in depression or anxiety. Low energy. Stressed out. Every day is so overwhelming and exhausting. How can you dig yourself out of this rut? Therapy can help…
(516) 586-0232 View (516) 586-0232
Photo of Anger Management Nick Serrano Great Neck, New York in Great Neck, NY
Anger Management Nick Serrano Great Neck, New York
MA, NYU, Ed
Verified Verified
Great Neck, NY 11021
Anger Management: Acceptance of Anger to manage negative and expressive behavior; Relationship Coach to reduce and eliminate hostility in the partnership; Emotion Coach to understand thoughts and feelings, to maintain positive emotions; Life Coach to successfully navigate careers, situations, environment; and Personal well-being for emotional stability, resiliency. The application is to reduce maladaptive, disruptive, and excessive aggressive arousal and expression; and manage expectations, communicate needs and wants so that all involved have a clear understanding of what to expect and when to expect it. Great Neck New York.
Anger Management: Acceptance of Anger to manage negative and expressive behavior; Relationship Coach to reduce and eliminate hostility in the partnership; Emotion Coach to understand thoughts and feelings, to maintain positive emotions; Life Coach to successfully navigate careers, situations, environment; and Personal well-being for emotional stability, resiliency. The application is to reduce maladaptive, disruptive, and excessive aggressive arousal and expression; and manage expectations, communicate needs and wants so that all involved have a clear understanding of what to expect and when to expect it. Great Neck New York.
(516) 260-5860 View (516) 260-5860
Photo of Flavia Badillo, Psychologist in Great Neck, NY
Flavia Badillo
Psychologist, PsyD
Verified Verified
Great Neck, NY 11021
I work with adults who are seeking relief and understanding of what underlies their anxieties, depression and any feelings of powerlessness, in a empathetic and judgement free manner. For the last seven years, I have worked exclusively with adults. My work involves, but is not limited to, empowering my patients and helping them identify/understand life patterns, such as, repeatedly in unhappy relationships/situations, difficulty achieving a goal, or feeling unhappy/dissatisfied in all stages of life.
I work with adults who are seeking relief and understanding of what underlies their anxieties, depression and any feelings of powerlessness, in a empathetic and judgement free manner. For the last seven years, I have worked exclusively with adults. My work involves, but is not limited to, empowering my patients and helping them identify/understand life patterns, such as, repeatedly in unhappy relationships/situations, difficulty achieving a goal, or feeling unhappy/dissatisfied in all stages of life.
(929) 265-5161 View (929) 265-5161

How does your Therapist compare?

Number of Therapists in Great Neck, NY

200+

Average cost per session

$200

Therapists in Great Neck, NY who prioritize treating:

94% Anxiety
88% Depression
85% Relationship Issues
76% Self Esteem
68% Coping Skills
65% Family Conflict
64% Grief

Average years in practice

18 Years

Top 3 insurances accepted

75% Aetna
65% UnitedHealthcare UHC | UBH
63% Cigna and Evernorth

How Therapists in Great Neck, NY see their clients

65% In Person and Online
35% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Great Neck?

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.