Therapists in Monroeville, PA

Photo of Christie Walsh, LPC, Licensed Professional Counselor
Christie Walsh
Licensed Professional Counselor, LPC
Verified Verified
Monroeville, PA 15146
Welcome!! My goal is to help support you in living a fulfilling life and build on your inherit strengths. My experience includes working with those who suffer from substance use issues, personal growth and development, and career counseling. I specialize in helping those suffering from anxiety & depression, grief, self-esteem issues, vocational concerns, and marital and relational conflict. I can help you to confront things that have remained unprocessed or new experiences which have brought forth stress or pain. Whether you are struggling from an acute crisis or recent stress, I can help you to better navigate the waters.
Welcome!! My goal is to help support you in living a fulfilling life and build on your inherit strengths. My experience includes working with those who suffer from substance use issues, personal growth and development, and career counseling. I specialize in helping those suffering from anxiety & depression, grief, self-esteem issues, vocational concerns, and marital and relational conflict. I can help you to confront things that have remained unprocessed or new experiences which have brought forth stress or pain. Whether you are struggling from an acute crisis or recent stress, I can help you to better navigate the waters.
(412) 207-3534 View (412) 207-3534
Photo of Allison J Spinneweber, LCSW, Clinical Social Work/Therapist
Allison J Spinneweber
Clinical Social Work/Therapist, LCSW
Verified Verified
7 Endorsed
Monroeville, PA 15146
My goal is to encourage a more peaceful personal, work, and home environment. When meeting with me, you will receive support that is friendly, knowledgeable, respectful, and down to earth. I utilize time efficient methods supported by research for anxiety, depression, and PTSD. I also provide support around grief in the loss of a family member, friend, or issues surrounding pregnancy loss. Treatment for each client and family is highly individualized, based around interests, learning style, and family belief systems.
My goal is to encourage a more peaceful personal, work, and home environment. When meeting with me, you will receive support that is friendly, knowledgeable, respectful, and down to earth. I utilize time efficient methods supported by research for anxiety, depression, and PTSD. I also provide support around grief in the loss of a family member, friend, or issues surrounding pregnancy loss. Treatment for each client and family is highly individualized, based around interests, learning style, and family belief systems.
(412) 515-8357 View (412) 515-8357
Photo of Renee Rossi - New Directions Mental Health - Monroeville, LPC, Licensed Professional Counselor
New Directions Mental Health - Monroeville
Licensed Professional Counselor, LPC
Verified Verified
Monroeville, PA 15146
New Directions Mental Health is an outpatient mental health care provider dedicated to serving Pennsylvania and the local Monroeville area. At our Monroeville clinic we provide a broad array of services including psychotherapy, child & adolescent therapy, group therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
New Directions Mental Health is an outpatient mental health care provider dedicated to serving Pennsylvania and the local Monroeville area. At our Monroeville clinic we provide a broad array of services including psychotherapy, child & adolescent therapy, group therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
(412) 754-4742 View (412) 754-4742
Photo of Margaret Christopher, PhD, LCSW, ACSW, Clinical Social Work/Therapist
Margaret Christopher
Clinical Social Work/Therapist, PhD, LCSW, ACSW
Verified Verified
Monroeville, PA 15146
As a licensed clinical social worker with more than 40 years experience of working with families and individuals of all ages, I find that the most effective approach is one that is strengths-based with a strong emphasis on helping clients solve the problems that bring them to me for therapy and also on helping them develop powerful resiliency characteristics that allow for future problem-solving, conflict resolution, goal-attainment, wellness, and life satisfaction. My ideal client is one who likes to learn. Trauma survivors, in particular, do well with this approach.
As a licensed clinical social worker with more than 40 years experience of working with families and individuals of all ages, I find that the most effective approach is one that is strengths-based with a strong emphasis on helping clients solve the problems that bring them to me for therapy and also on helping them develop powerful resiliency characteristics that allow for future problem-solving, conflict resolution, goal-attainment, wellness, and life satisfaction. My ideal client is one who likes to learn. Trauma survivors, in particular, do well with this approach.
(724) 227-0660 View (724) 227-0660
Photo of For Appointment - Integrity Psychological Services Llc, Psychologist
Integrity Psychological Services Llc
Psychologist
Verified Verified
Monroeville, PA 15146
Are you feeling overwhelmed by anxiety, work or relationship issues? We are a group psychology practice in Monroeville of 20 licensed, experienced psychologists and therapists who will help you to effectively navigate through your problem. Our specialization areas include anxiety, work-related stress, couples counseling, divorce, grief and loss, transitional and career issues, trauma, depression and post-partum depression/anxiety. We work with adults, children, adolescents and couples. We specialize in cognitive behavioral therapy, exposure therapy and EMDR - all gold standard treatments for effective outcomes.
Are you feeling overwhelmed by anxiety, work or relationship issues? We are a group psychology practice in Monroeville of 20 licensed, experienced psychologists and therapists who will help you to effectively navigate through your problem. Our specialization areas include anxiety, work-related stress, couples counseling, divorce, grief and loss, transitional and career issues, trauma, depression and post-partum depression/anxiety. We work with adults, children, adolescents and couples. We specialize in cognitive behavioral therapy, exposure therapy and EMDR - all gold standard treatments for effective outcomes.
(412) 536-7258 View (412) 536-7258
Photo of Oscar Aguilera, MS, MEd, LPC, Licensed Professional Counselor
Oscar Aguilera
Licensed Professional Counselor, MS, MEd, LPC
Verified Verified
1 Endorsed
Monroeville, PA 15146
Overcoming challenges while learning about yourself and your own resilience through therapy can be some of the most healing work. I understand the value of looking at challenges through the lens of trauma and how that affects all aspects of life. I have a passion for working with adolescents and athletes, as well as couples and parents. I am originally from Nicaragua and am able to conduct full sessions in Spanish, if needed.
Overcoming challenges while learning about yourself and your own resilience through therapy can be some of the most healing work. I understand the value of looking at challenges through the lens of trauma and how that affects all aspects of life. I have a passion for working with adolescents and athletes, as well as couples and parents. I am originally from Nicaragua and am able to conduct full sessions in Spanish, if needed.
(724) 269-2642 View (724) 269-2642
Photo of Liz Bittner, MS, NCC, Pre-Licensed Professional
Liz Bittner
Pre-Licensed Professional, MS, NCC
Verified Verified
Monroeville, PA 15146
I am a professional mental health counselor certified by the National Board of Certified Counselors. I work side-by-side with my clients to identify realistic and attainable personal goals to produce self-awareness and positive change. I provide a safe and relaxed environment to process life’s complications such as sport performance difficulties, relationship issues, phase of life struggles, anxiety and depression, substance abuse, and more.
I am a professional mental health counselor certified by the National Board of Certified Counselors. I work side-by-side with my clients to identify realistic and attainable personal goals to produce self-awareness and positive change. I provide a safe and relaxed environment to process life’s complications such as sport performance difficulties, relationship issues, phase of life struggles, anxiety and depression, substance abuse, and more.
(724) 604-5520 View (724) 604-5520
Photo of Emma Eberle, LMSW, MS, Clinical Social Work/Therapist
Emma Eberle
Clinical Social Work/Therapist, LMSW, MS
Verified Verified
2 Endorsed
Monroeville, PA 15146
Anxiety, grief, anger, love - Let’s talk about it. Many of us feel exhausted trying to manage, reason with, numb, or shame how me feel. And if we have a partner, we feel overwhelmed trying to understand ourselves AND someone else. This leads to communication flops and a loss of intimacy. Rather than seeing you as “one messed up mind,” I see you as having many different parts. For both individuals and couples, I help you find peace by getting to know all those parts. In practice this looks like a combination of practical, everyday changes an deep inner work.
Anxiety, grief, anger, love - Let’s talk about it. Many of us feel exhausted trying to manage, reason with, numb, or shame how me feel. And if we have a partner, we feel overwhelmed trying to understand ourselves AND someone else. This leads to communication flops and a loss of intimacy. Rather than seeing you as “one messed up mind,” I see you as having many different parts. For both individuals and couples, I help you find peace by getting to know all those parts. In practice this looks like a combination of practical, everyday changes an deep inner work.
(412) 388-2061 View (412) 388-2061
Photo of Caysey J. Lofquist, LSW, RYT, Clinical Social Work/Therapist
Caysey J. Lofquist
Clinical Social Work/Therapist, LSW, RYT
Verified Verified
2 Endorsed
Monroeville, PA 15146
I help people dealing with anxiety, trauma, relationship issues, low self-esteem, or communication challenges. I work with adolescents and adults, employing components of schema therapy, relational therapy, CBT, and DBT. Leveraging my training as a yoga teacher, I gently guide clients in understanding the mind-body connection for trauma recovery.
I help people dealing with anxiety, trauma, relationship issues, low self-esteem, or communication challenges. I work with adolescents and adults, employing components of schema therapy, relational therapy, CBT, and DBT. Leveraging my training as a yoga teacher, I gently guide clients in understanding the mind-body connection for trauma recovery.
(412) 851-6866 View (412) 851-6866
Photo of Noah Lessner, LAPC, Pre-Licensed Professional
Noah Lessner
Pre-Licensed Professional, LAPC
Verified Verified
1 Endorsed
Monroeville, PA 15146
My ideal client is someone who is looking to engage in a relationship in which they are working towards personal growth. I aim to help clients where, by using different strategies and techniques, we will work together so they can make progress in all areas of their life. I appreciate when clients are motivated to change and are willing to do the hard work in sessions, and I am also passionate about working with clients that are struggling to find their path in life.
My ideal client is someone who is looking to engage in a relationship in which they are working towards personal growth. I aim to help clients where, by using different strategies and techniques, we will work together so they can make progress in all areas of their life. I appreciate when clients are motivated to change and are willing to do the hard work in sessions, and I am also passionate about working with clients that are struggling to find their path in life.
(412) 547-8879 View (412) 547-8879
Photo of Ryan B O'Donnell, LCSW, Clinical Social Work/Therapist
Ryan B O'Donnell
Clinical Social Work/Therapist, LCSW
Verified Verified
Monroeville, PA 15146
My ideal client is deeply committed to their healing journey, eager to explore their emotions and experiences in a safe, supportive space. I prioritize creating an environment where clients feel empowered to share their stories, confront fears, and develop skills to manage trauma-related symptoms. I am particularly drawn to those actively seeking help, showing courage to confront their past and move towards healing.
My ideal client is deeply committed to their healing journey, eager to explore their emotions and experiences in a safe, supportive space. I prioritize creating an environment where clients feel empowered to share their stories, confront fears, and develop skills to manage trauma-related symptoms. I am particularly drawn to those actively seeking help, showing courage to confront their past and move towards healing.
(412) 207-3650 View (412) 207-3650
Photo of Callie Marie Scott - Life's Journey Counseling Services, DEd, MS, NCC, LPC, Licensed Professional Counselor
Life's Journey Counseling Services
Licensed Professional Counselor, DEd, MS, NCC, LPC
Verified Verified
Monroeville, PA 15146
Life can be overwhelming, but it can also be very rewarding depending on some of the choices you make. Negative thoughts lead you down the road to despair. Having a positive outlook gives you Vision and Hope. ARE YOU READY TO LIVE PAIN FREE ????? LJCS wants to take this journey with you.
Life can be overwhelming, but it can also be very rewarding depending on some of the choices you make. Negative thoughts lead you down the road to despair. Having a positive outlook gives you Vision and Hope. ARE YOU READY TO LIVE PAIN FREE ????? LJCS wants to take this journey with you.
(412) 927-2923 View (412) 927-2923
Photo of Teion Xavier Ensley-Ellerbe, Pre-Licensed Professional
Teion Xavier Ensley-Ellerbe
Pre-Licensed Professional
Verified Verified
Monroeville, PA 15146
Teion Ensley-Ellerbe, MS is a Clinical Mental Health Counseling Professional that provides services at Calm Pittsburgh. I enjoy working with adults and adolescents to help find, or rediscover, the best version of themselves that they may have lost trying to navigate life and its challenges. I have experience in counseling clients through grief, anxiety, depression, addiction, ageing-related issues and hardships, and overall life transitions and conflict. In practice, my clinical approaches with clients are Person-Centered and Cognitive Behavioral. I am to meet the client where they are in sessions
Teion Ensley-Ellerbe, MS is a Clinical Mental Health Counseling Professional that provides services at Calm Pittsburgh. I enjoy working with adults and adolescents to help find, or rediscover, the best version of themselves that they may have lost trying to navigate life and its challenges. I have experience in counseling clients through grief, anxiety, depression, addiction, ageing-related issues and hardships, and overall life transitions and conflict. In practice, my clinical approaches with clients are Person-Centered and Cognitive Behavioral. I am to meet the client where they are in sessions
(412) 385-4934 View (412) 385-4934
Photo of Lauren Sandulli - Lifebulb Counseling & Therapy, LPC, Licensed Professional Counselor
Lifebulb Counseling & Therapy
Licensed Professional Counselor, LPC
Verified Verified
Monroeville, PA 15146
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
(412) 424-6740 x1 View (412) 424-6740 x1
Photo of Kiva Fisher-Green - Sanant Counseling & Wellness, LLC, LCSW, LPC, Clinical Social Work/Therapist
Sanant Counseling & Wellness, LLC
Clinical Social Work/Therapist, LCSW, LPC
Verified Verified
1 Endorsed
Monroeville, PA 15146
Sanant Counseling & Wellness, LLC is a Black owned, women-led private mental health practice. The owners have 36 years combined community mental health and support services experience. Sanant Counseling & Wellness LLC is a premier culturally humble, client-focused, evidenced-informed, and data-driven private practice that provides affordable counseling, holistic care and supportive services to remove barriers to accessing health and wellness care.
Sanant Counseling & Wellness, LLC is a Black owned, women-led private mental health practice. The owners have 36 years combined community mental health and support services experience. Sanant Counseling & Wellness LLC is a premier culturally humble, client-focused, evidenced-informed, and data-driven private practice that provides affordable counseling, holistic care and supportive services to remove barriers to accessing health and wellness care.
(412) 214-7120 View (412) 214-7120
Photo of Dr. Lauren Manning, PsyD, Psychologist
Dr. Lauren Manning
Psychologist, PsyD
Verified Verified
3 Endorsed
Monroeville, PA 15146  (Online Only)
Has your life become so overwhelming that your mind no longer feels like a comfortable, safe place? Maybe you recognize yourself struggling to work through painful memories or feel trapped by past hurt? Imagine what it would feel like to be able to more fully engage with those you love. As a licensed psychologist, I help people overcome difficult barriers in a warm, supportive, and non-judgmental way. I listen closely to understand your unique context so that we can collaboratively identify a plan to help you feel better as quickly as possible.
Has your life become so overwhelming that your mind no longer feels like a comfortable, safe place? Maybe you recognize yourself struggling to work through painful memories or feel trapped by past hurt? Imagine what it would feel like to be able to more fully engage with those you love. As a licensed psychologist, I help people overcome difficult barriers in a warm, supportive, and non-judgmental way. I listen closely to understand your unique context so that we can collaboratively identify a plan to help you feel better as quickly as possible.
(412) 376-4865 View (412) 376-4865
Photo of Heidi McKenzie, PsyD, LMFT, CHT, Psychologist
Heidi McKenzie
Psychologist, PsyD, LMFT, CHT
Verified Verified
Monroeville, PA 15146
I'm an experienced, licensed psychologist who helps people get "unstuck" from unhelpful behavior patterns. Whether you're facing a temporary, difficult life situation or struggling with more long-standing problems like depression or anxiety, I can help. My style is direct and active - I don't simply nod my head while you talk. I'll listen closely, we'll work together on the problem and I'll offer you supportive, non-judgmental and practical feedback that will help you to navigate through the issue as quickly and effectively as possible.
I'm an experienced, licensed psychologist who helps people get "unstuck" from unhelpful behavior patterns. Whether you're facing a temporary, difficult life situation or struggling with more long-standing problems like depression or anxiety, I can help. My style is direct and active - I don't simply nod my head while you talk. I'll listen closely, we'll work together on the problem and I'll offer you supportive, non-judgmental and practical feedback that will help you to navigate through the issue as quickly and effectively as possible.
(412) 567-8902 View (412) 567-8902
Photo of Marisa Blashford, NCC, Licensed Professional Counselor
Marisa Blashford
Licensed Professional Counselor, NCC
Verified Verified
Monroeville, PA 15146
As a pre-licensed professional I am up-to-date on therapeutic approaches and work collaboratively to support you! My ideal client is working with individuals who are looking to address concerns of anxiety, stress management, or life style changes. Looking to make changes to behaviors to improve their overall quality of life. Looking for a space to process life challenges and address them in a non-judgmental, safe environment.
As a pre-licensed professional I am up-to-date on therapeutic approaches and work collaboratively to support you! My ideal client is working with individuals who are looking to address concerns of anxiety, stress management, or life style changes. Looking to make changes to behaviors to improve their overall quality of life. Looking for a space to process life challenges and address them in a non-judgmental, safe environment.
(412) 561-9883 View (412) 561-9883
Photo of Mara Kyzer, MHC, Pre-Licensed Professional
Mara Kyzer
Pre-Licensed Professional, MHC
Verified Verified
Monroeville, PA 15146
As someone dedicated to fostering a safe and supportive therapeutic space, I want my potential clients to know that beyond my professional qualifications and expertise, I bring a deep sense of empathy, understanding, and genuine care to every interaction. I understand that reaching out for help can sometimes feel daunting or intimidating, but I want to assure potential clients that they are not alone on their journey. Together, we can work collaboratively to explore their concerns, uncover strengths, and develop practical skills and strategies to navigate life's challenges more effectively.
As someone dedicated to fostering a safe and supportive therapeutic space, I want my potential clients to know that beyond my professional qualifications and expertise, I bring a deep sense of empathy, understanding, and genuine care to every interaction. I understand that reaching out for help can sometimes feel daunting or intimidating, but I want to assure potential clients that they are not alone on their journey. Together, we can work collaboratively to explore their concerns, uncover strengths, and develop practical skills and strategies to navigate life's challenges more effectively.
(412) 284-6788 View (412) 284-6788
Photo of Walter Sposkoski Jr, LCSW, Clinical Social Work/Therapist
Walter Sposkoski Jr
Clinical Social Work/Therapist, LCSW
Verified Verified
Monroeville, PA 15146
I am accepting new clients! I accept Medicare, Medicaid and commercial insurance. I am available for in-person and telehealth. I provide individual, marriage and family counseling. I counsel children, teens, and adults from 5 years old thru retirement. I provide counseling for depression and anxiety; anger and stress management; grief and mourning; interpersonal, family, marriage and relationship difficulties; work and school related stressors and life adjustment challenges such as marriage, parenting and retirement. My goal is for you to improve functioning and feel better.
I am accepting new clients! I accept Medicare, Medicaid and commercial insurance. I am available for in-person and telehealth. I provide individual, marriage and family counseling. I counsel children, teens, and adults from 5 years old thru retirement. I provide counseling for depression and anxiety; anger and stress management; grief and mourning; interpersonal, family, marriage and relationship difficulties; work and school related stressors and life adjustment challenges such as marriage, parenting and retirement. My goal is for you to improve functioning and feel better.
(412) 376-4589 View (412) 376-4589
1

How does your Therapist compare?

Number of Therapists in Monroeville, PA

100+

Average cost per session

$125

Therapists in Monroeville, PA who prioritize treating:

96% Anxiety
90% Depression
82% Relationship Issues
78% Coping Skills
73% Self Esteem
72% Stress
71% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

90% Highmark
83% University of Pittsburgh Medical Center (UPMC) Hea
76% Aetna

How Therapists in Monroeville, PA see their clients

85% In Person and Online
15% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Monroeville?

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.

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