Therapists in Tulsa, OK

Photo of Rex Bennett, Licensed Professional Counselor in Tulsa, OK
Rex Bennett
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
3 Endorsed
Tulsa, OK 74107
Unconditional empathy and understanding can lead to uncovering your meaning and purpose. Everyone may feel stuck at times, my goal is to give you the tools to recognize personal struggles and overcome them! No one knows you better than yourself. We all need help and support to help sort through things from time to time. I am here to offer unconditional positive support through psychotherapy as you grow and change.
Unconditional empathy and understanding can lead to uncovering your meaning and purpose. Everyone may feel stuck at times, my goal is to give you the tools to recognize personal struggles and overcome them! No one knows you better than yourself. We all need help and support to help sort through things from time to time. I am here to offer unconditional positive support through psychotherapy as you grow and change.
(539) 666-4221 View (539) 666-4221
Photo of Elisabeth Akeman, Licensed Professional Counselor in Tulsa, OK
Elisabeth Akeman
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Tulsa, OK 74119  (Online Only)
Not accepting new clients
Let’s be honest - life is hard sometimes. On the outside, it might seem like you have it all together, but on the inside you feel stuck. It’s a struggle to pull yourself out of bed in the morning. You’re overwhelmed with worry about every little thing. You always put others before yourself. You (and your mind) go go go all day which leaves you no time for yourself. You've been on this roller coaster for so long that it seems like there aren't any other options. Finding a way to break out of this cycle can feel overwhelming. You don't have to do this alone.
Let’s be honest - life is hard sometimes. On the outside, it might seem like you have it all together, but on the inside you feel stuck. It’s a struggle to pull yourself out of bed in the morning. You’re overwhelmed with worry about every little thing. You always put others before yourself. You (and your mind) go go go all day which leaves you no time for yourself. You've been on this roller coaster for so long that it seems like there aren't any other options. Finding a way to break out of this cycle can feel overwhelming. You don't have to do this alone.
(918) 553-5997 View (918) 553-5997
Photo of Simonne Jones, Licensed Professional Counselor in Tulsa, OK
Simonne Jones
Licensed Professional Counselor, MS, LPC-S, RPT
Verified Verified
1 Endorsed
Tulsa, OK 74108
I work with children, adolescents, young female adults whom are in distress, confused and need help with coping skills. I assist with helping them understand what happened, who they are and where they are going. Talking with someone other than family helps. It helps to not feel judged and feel accepted. We all have a place where we belong.
I work with children, adolescents, young female adults whom are in distress, confused and need help with coping skills. I assist with helping them understand what happened, who they are and where they are going. Talking with someone other than family helps. It helps to not feel judged and feel accepted. We all have a place where we belong.
(539) 224-5456 View (539) 224-5456
Photo of Ebony Skillens, Licensed Professional Counselor in Tulsa, OK
Ebony Skillens
Licensed Professional Counselor, LPC-S
Verified Verified
Tulsa, OK 74145
At Amayesing Skillz LLC we acknowledge the tremendous pressures of life and look forward to helping you find God’s answers to the challenges you or your child my be facing. God’s Word states, “He has given us everything we need for life and godliness through our knowledge of Him...” 2 Peter 1:3-4. We recognize His Word as living and life sustaining as well as practical for instruction in dealing with attitudes, relationships, communication, conduct and behavioral concerns. 2 Timothy 3:16-17.
At Amayesing Skillz LLC we acknowledge the tremendous pressures of life and look forward to helping you find God’s answers to the challenges you or your child my be facing. God’s Word states, “He has given us everything we need for life and godliness through our knowledge of Him...” 2 Peter 1:3-4. We recognize His Word as living and life sustaining as well as practical for instruction in dealing with attitudes, relationships, communication, conduct and behavioral concerns. 2 Timothy 3:16-17.
(918) 471-4939 View (918) 471-4939
Photo of Shonn Renee' Broyles, Licensed Professional Counselor in Tulsa, OK
Shonn Renee' Broyles
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Tulsa, OK 74133
Do anxiety, panic, depression or relationship struggles keep you paralyzed from performing normal daily activities? Do you have constant self-defeating thoughts or worries that you find are "spiralling"out of control? Do you find it difficult to express your needs to others? Is your family struggling? If your symptoms include racing thoughts, anxiety, anger, fear, depression, relationship struggles, emptiness, trouble relaxing, low self esteem, feeling overwhelmed, mental exhaustion or just not feeling like "you" anymore, there is help. I would love to help you conquer these symptoms and gain strength, peace and hope in your life.
Do anxiety, panic, depression or relationship struggles keep you paralyzed from performing normal daily activities? Do you have constant self-defeating thoughts or worries that you find are "spiralling"out of control? Do you find it difficult to express your needs to others? Is your family struggling? If your symptoms include racing thoughts, anxiety, anger, fear, depression, relationship struggles, emptiness, trouble relaxing, low self esteem, feeling overwhelmed, mental exhaustion or just not feeling like "you" anymore, there is help. I would love to help you conquer these symptoms and gain strength, peace and hope in your life.
(918) 203-6918 View (918) 203-6918
Photo of Jamie R Blalack, Licensed Professional Counselor in Tulsa, OK
Jamie R Blalack
Licensed Professional Counselor, MS, LPC-S
Verified Verified
Tulsa, OK 74104
Openings! Live a life free from being overwhelmed by worry, fear, and stress. The side effects will be peace and confidence. Find hope, understanding, and resolution to the things that trouble you. Offering a fresh perspective to traditional therapy, I optimize three sessions to help you onto a path of radical transformation. More sessions available if needed.
Openings! Live a life free from being overwhelmed by worry, fear, and stress. The side effects will be peace and confidence. Find hope, understanding, and resolution to the things that trouble you. Offering a fresh perspective to traditional therapy, I optimize three sessions to help you onto a path of radical transformation. More sessions available if needed.
(918) 727-7550 View (918) 727-7550
Photo of Lindsey Boyls, Clinical Social Work/Therapist in Tulsa, OK
Lindsey Boyls
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Tulsa, OK 74114
Are you feeling stuck in life and don’t know why? Have you tried traditional talk therapy to no avail? I offer a holistic approach to mental health care that involves your body, mind, and soul. I specialize in helping others who experience the mental health affects of chronic illness, anxiety, depression, trauma, low self-worth, sexual identity, and working through religious and/or spiritual trauma.
Are you feeling stuck in life and don’t know why? Have you tried traditional talk therapy to no avail? I offer a holistic approach to mental health care that involves your body, mind, and soul. I specialize in helping others who experience the mental health affects of chronic illness, anxiety, depression, trauma, low self-worth, sexual identity, and working through religious and/or spiritual trauma.
(918) 300-4834 View (918) 300-4834
Photo of Jehalin Anandam, Licensed Professional Counselor in Tulsa, OK
Jehalin Anandam
Licensed Professional Counselor, MA, LPC, RPT
Verified Verified
Tulsa, OK 74133  (Online Only)
Hi my name is Jehalin, I am a Licensed Professional Counselor and Registered Play Therapist with 15 years of experience working with adults, children, adolescents, and families from various walks of life. I have experience with helping people who are experiencing various hardships in life and difficulty adjusting to life stressors, as well as people experiencing anxiety, depression, anger, low self-esteem, building healthy relationship, communication skills, and processing past trauma. I am known for being a good listener, caring, accepting, and compassionate, regardless of the challenges one might be experiencing.
Hi my name is Jehalin, I am a Licensed Professional Counselor and Registered Play Therapist with 15 years of experience working with adults, children, adolescents, and families from various walks of life. I have experience with helping people who are experiencing various hardships in life and difficulty adjusting to life stressors, as well as people experiencing anxiety, depression, anger, low self-esteem, building healthy relationship, communication skills, and processing past trauma. I am known for being a good listener, caring, accepting, and compassionate, regardless of the challenges one might be experiencing.
(918) 265-4473 View (918) 265-4473
Photo of Shelly Kennedy-Gonzalez, Licensed Professional Counselor in Tulsa, OK
Shelly Kennedy-Gonzalez
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Tulsa, OK 74133
As a therapist I am committed to helping individuals find hope in even the most hopeless situations. My goal is to help you be the best version of yourself, to feel comfortable in the uncomfortable and build healthy positive relationships. Through the power of the therapeutic relationship, I can help you identify positive changes and create new thought patterns to help you accomplish your goals and be the person you have always wanted to be. I believe that making positive changes to improve your life may be difficult, but it will be one of the most rewarding gifts an individual can offer themselves.
As a therapist I am committed to helping individuals find hope in even the most hopeless situations. My goal is to help you be the best version of yourself, to feel comfortable in the uncomfortable and build healthy positive relationships. Through the power of the therapeutic relationship, I can help you identify positive changes and create new thought patterns to help you accomplish your goals and be the person you have always wanted to be. I believe that making positive changes to improve your life may be difficult, but it will be one of the most rewarding gifts an individual can offer themselves.
(539) 224-2987 View (539) 224-2987
Photo of Dawn Martin, Licensed Professional Counselor in Tulsa, OK
Dawn Martin
Licensed Professional Counselor, MHR, LPC
Verified Verified
Tulsa, OK 74135
Whether you find yourself struggling to navigate through personal relationships, facing professional setbacks, or battling with the challenges of mental health issues, the weight of these burdens can feel overwhelming. Past traumas only perpetuate the overwhelm. It's entirely understandable to feel as though you've exhausted all avenues looking for relief, only to find yourself in what feels like a constant cycle of hardship. In the words of Brene Brown, “owning our story can be hard but not nearly as difficult as spending our lives running from it.”
Whether you find yourself struggling to navigate through personal relationships, facing professional setbacks, or battling with the challenges of mental health issues, the weight of these burdens can feel overwhelming. Past traumas only perpetuate the overwhelm. It's entirely understandable to feel as though you've exhausted all avenues looking for relief, only to find yourself in what feels like a constant cycle of hardship. In the words of Brene Brown, “owning our story can be hard but not nearly as difficult as spending our lives running from it.”
(918) 972-1123 View (918) 972-1123
Photo of Brent Musick, Licensed Professional Counselor in Tulsa, OK
Brent Musick
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Tulsa, OK 74105  (Online Only)
Despite our strengths we can feel stuck, unable to move forward with a life that aligns with our goals and values. We often continue using coping skills that were once helpful but now no longer help move us through the more challenging and unexpected issues in our lives. Together we identify these familiar yet unproductive styles of coping with compassion. I use techniques that approach difficult thoughts and feelings without fearing, fighting or running from them while being able to address them with acceptance.
Despite our strengths we can feel stuck, unable to move forward with a life that aligns with our goals and values. We often continue using coping skills that were once helpful but now no longer help move us through the more challenging and unexpected issues in our lives. Together we identify these familiar yet unproductive styles of coping with compassion. I use techniques that approach difficult thoughts and feelings without fearing, fighting or running from them while being able to address them with acceptance.
(918) 532-6065 View (918) 532-6065
Photo of Elizabeth Krantz, Licensed Professional Counselor in Tulsa, OK
Elizabeth Krantz
Licensed Professional Counselor, LPC
Verified Verified
Tulsa, OK 74119
Immediate openings! Are you trying to find a therapist who understands? When dealing with shame, anxiety, trauma, or simply existing as a person, navigating the world can feel complicated. Mental health issues are frustrating and can sometimes feel insurmountable. The feelings of having a good life — feelings of satisfaction, confidence, and fulfillment — are hard to find. The therapeutic relationship is arguably one of the most important factors that determine success in therapy. For that reason, I strive to create a space where there is mutual respect, trust, and authenticity.
Immediate openings! Are you trying to find a therapist who understands? When dealing with shame, anxiety, trauma, or simply existing as a person, navigating the world can feel complicated. Mental health issues are frustrating and can sometimes feel insurmountable. The feelings of having a good life — feelings of satisfaction, confidence, and fulfillment — are hard to find. The therapeutic relationship is arguably one of the most important factors that determine success in therapy. For that reason, I strive to create a space where there is mutual respect, trust, and authenticity.
(918) 900-1511 View (918) 900-1511
Photo of Whole Hive Counseling , Licensed Professional Counselor in Tulsa, OK
Whole Hive Counseling
Licensed Professional Counselor, LPC, CEDS
Verified Verified
3 Endorsed
Tulsa, OK 74137
Like bees, people are social creatures. Women especially need love, support, respect, and care as they navigate the immense pressures of daily living. The women of Whole Hive Counseling have experienced firsthand the life-changing power of being tended and supported during times of need. As professionals, they created a space where they could live and work in their values; a space for healing and emotional nourishment – a hive – for both themselves and their clients. The women of The Whole Hive have deeply rooted respect and love for one another, and an innate calling for providing authentic, expert therapy for women..
Like bees, people are social creatures. Women especially need love, support, respect, and care as they navigate the immense pressures of daily living. The women of Whole Hive Counseling have experienced firsthand the life-changing power of being tended and supported during times of need. As professionals, they created a space where they could live and work in their values; a space for healing and emotional nourishment – a hive – for both themselves and their clients. The women of The Whole Hive have deeply rooted respect and love for one another, and an innate calling for providing authentic, expert therapy for women..
(918) 890-1650 View (918) 890-1650
Photo of Germaine Mikhail, Marriage & Family Therapist in Tulsa, OK
Germaine Mikhail
Marriage & Family Therapist, EdD, MA, MDiv, LMFT
Verified Verified
1 Endorsed
Tulsa, OK 74133
We all need a place to put our guard down, feel safe, and process life's challenges. I believe in the therapeutic process and compassionately challenging my clients to face difficulties while having my support. My joy is to help you identify or rediscover your purpose, reprocess past traumas, enjoy singleness, overcome depression, break-ups, and other obstacles. I hope to help you form healthy relationships via pre-engagement and pre-marital, marital, family, and peer relationships counseling. I have a "soft spot" for seeing international, and grad students succeed while maintaining a healthy balance and staying culturally relevant.
We all need a place to put our guard down, feel safe, and process life's challenges. I believe in the therapeutic process and compassionately challenging my clients to face difficulties while having my support. My joy is to help you identify or rediscover your purpose, reprocess past traumas, enjoy singleness, overcome depression, break-ups, and other obstacles. I hope to help you form healthy relationships via pre-engagement and pre-marital, marital, family, and peer relationships counseling. I have a "soft spot" for seeing international, and grad students succeed while maintaining a healthy balance and staying culturally relevant.
(539) 233-4233 View (539) 233-4233
Photo of Mary Arena, Pre-Licensed Professional in Tulsa, OK
Mary Arena
Pre-Licensed Professional, MS, LPC-C
Verified Verified
2 Endorsed
Tulsa, OK 74119
Looking for help can be the most excruciating part of recovery. If you’re here, you have already made the brave step of deciding you want to get better. Whether you’re battling anxiety, depression, stress, or issues in relationships, I am here to guide you through life’s complex emotions.
Looking for help can be the most excruciating part of recovery. If you’re here, you have already made the brave step of deciding you want to get better. Whether you’re battling anxiety, depression, stress, or issues in relationships, I am here to guide you through life’s complex emotions.
(918) 601-5071 View (918) 601-5071
Photo of Gabrielle Emory, Licensed Professional Counselor in Tulsa, OK
Gabrielle Emory
Licensed Professional Counselor, MS, LPC-S, CEDS-S
Verified Verified
3 Endorsed
Tulsa, OK 74104
If you are an adolescent and/or young adult woman who struggles with eating disorders/disordered eating, poor body image, or a poor relationship with your body and/or food, you have found the right place to receive supportive healing. As you may know, it is never about our food or our body, but something much bigger. It takes a safe and compassionate space for you to be vulnerable and share about your past experiences that have lead to your current situation, which is my goal as a therapist, to provide you that space. I view the therapeutic and client relationship as a partnership where we can work together to accomplish your goals.
If you are an adolescent and/or young adult woman who struggles with eating disorders/disordered eating, poor body image, or a poor relationship with your body and/or food, you have found the right place to receive supportive healing. As you may know, it is never about our food or our body, but something much bigger. It takes a safe and compassionate space for you to be vulnerable and share about your past experiences that have lead to your current situation, which is my goal as a therapist, to provide you that space. I view the therapeutic and client relationship as a partnership where we can work together to accomplish your goals.
(539) 589-1510 View (539) 589-1510
Photo of Lorie Dorholt Tandy, Licensed Professional Counselor in Tulsa, OK
Lorie Dorholt Tandy
Licensed Professional Counselor, MS, LPC, LLC
Verified Verified
Tulsa, OK 74105
I have been in the mental healthcare profession for 30+ years and began counseling in 1997 at Laureate Psychiatric Clinic & Hospital. I specialize in eating disorders and grief recovery, but also have years of experience treating depression, anxiety, trauma, relationship issues, and anger management. I treat males and females between the ages of 16 and 75 in individual, couples, and family therapy.
I have been in the mental healthcare profession for 30+ years and began counseling in 1997 at Laureate Psychiatric Clinic & Hospital. I specialize in eating disorders and grief recovery, but also have years of experience treating depression, anxiety, trauma, relationship issues, and anger management. I treat males and females between the ages of 16 and 75 in individual, couples, and family therapy.
(918) 926-6909 View (918) 926-6909
Photo of Cedar Tree Counseling of Oklahoma , Licensed Professional Counselor in Tulsa, OK
Cedar Tree Counseling of Oklahoma
Licensed Professional Counselor
Verified Verified
1 Endorsed
Tulsa, OK 74137
Cedar Tree Counseling of Oklahoma offers individual, family, and marriage counseling. We treat the following areas; anxiety, depression, trauma, grief, LGBTQIA, ADD, self- esteem, parent- child estrangment, neurodivergent, and stress management. We see ages 9 and up.
Cedar Tree Counseling of Oklahoma offers individual, family, and marriage counseling. We treat the following areas; anxiety, depression, trauma, grief, LGBTQIA, ADD, self- esteem, parent- child estrangment, neurodivergent, and stress management. We see ages 9 and up.
(918) 400-9144 View (918) 400-9144
Photo of Savannah Cook, Licensed Professional Counselor in Tulsa, OK
Savannah Cook
Licensed Professional Counselor, LPC
Verified Verified
Tulsa, OK 74136
We all get stuck in life, but that does not mean you have to remain stuck. My practice is focused on providing a secure environment where adult individuals can reprocess overwhelming experiences, address underlying negative beliefs about self, and focus on living their desired life with a future they can embrace. Having over 5 years of counseling experience in the Tulsa area, and being an EMDR Basic Trained therapist, I utilize various approaches in counseling such as Client Centered Therapy, EMDR Therapy, Solution Focused Therapy, and Narrative Therapy that help to meet you where you are.
We all get stuck in life, but that does not mean you have to remain stuck. My practice is focused on providing a secure environment where adult individuals can reprocess overwhelming experiences, address underlying negative beliefs about self, and focus on living their desired life with a future they can embrace. Having over 5 years of counseling experience in the Tulsa area, and being an EMDR Basic Trained therapist, I utilize various approaches in counseling such as Client Centered Therapy, EMDR Therapy, Solution Focused Therapy, and Narrative Therapy that help to meet you where you are.
(539) 210-3847 View (539) 210-3847
Photo of Holley M Elam, Licensed Professional Counselor in Tulsa, OK
Holley M Elam
Licensed Professional Counselor, LPC
Verified Verified
Tulsa, OK 74136
Holley M. Elam is a Licensed Professional Counselor in Oklahoma who has been practicing since 2015. She has a Masters of Arts in Clinical Psychology. Holley has experience working with individuals, families, couples, adolescents, and children. She has worked in psychiatric hospitals, substance abuse recovery centers, military facilities, and private practice. Her personal life experiences are what led her into this profession. Holley knows firsthand what it is like to sit in the opposite chair.
Holley M. Elam is a Licensed Professional Counselor in Oklahoma who has been practicing since 2015. She has a Masters of Arts in Clinical Psychology. Holley has experience working with individuals, families, couples, adolescents, and children. She has worked in psychiatric hospitals, substance abuse recovery centers, military facilities, and private practice. Her personal life experiences are what led her into this profession. Holley knows firsthand what it is like to sit in the opposite chair.
(918) 265-3438 View (918) 265-3438

How does your Therapist compare?

Number of Therapists in Tulsa, OK

600+

Average cost per session

$130

Therapists in Tulsa, OK who prioritize treating:

91% Anxiety
87% Depression
78% Trauma and PTSD
74% Relationship Issues
74% Self Esteem
70% Coping Skills
68% Stress

Average years in practice

11 Years

Top 3 insurances accepted

79% BlueCross and BlueShield
68% Health Choice
67% UnitedHealthcare UHC | UBH

How Therapists in Tulsa, OK see their clients

80% In Person and Online
20% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Tulsa?

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.