Photo of Yarelis Serrano, LMHC, Counselor
Yarelis Serrano
Counselor, LMHC
Verified Verified
Online Only
Do you ever feel as if the distress in your life is unmanageable/unbearable? Do you find yourself lacking the support you need to navigate these difficult times in your life? Do you struggle to identify the steps towards a more fulfilling life? Have you wondered what it would be like if you felt like you had more options to cope with the things that cloud you as you try to accomplish your goals? Do you and/or your partner find your relationship might be in need of intervention and/or an objective perspective?
Do you ever feel as if the distress in your life is unmanageable/unbearable? Do you find yourself lacking the support you need to navigate these difficult times in your life? Do you struggle to identify the steps towards a more fulfilling life? Have you wondered what it would be like if you felt like you had more options to cope with the things that cloud you as you try to accomplish your goals? Do you and/or your partner find your relationship might be in need of intervention and/or an objective perspective?
(386) 284-3356 View (386) 284-3356
Photo of Valerie Allen, EdD, NCSP, CCM
Valerie Allen
EdD, NCSP, CCM
Verified Verified
1 Endorsed
Serves Area
Dr. Valerie Allen specializes in working with children, adolescents, and their families. She works with youngsters who have learning, behavior, medical, and/or social skills issues. She offers supportive counseling, direction, understanding, and referrals for ongoing care. She focuses on life-long skills for positive socialization and independent living. She also provides case management and coordination of related services between schools, colleges, and community agencies. She published a workbook for teens, "Go to the Guidance Office and Ask the Counselor About Career Choices," available on Amazon. Amazon.com/author/valerieallen
Dr. Valerie Allen specializes in working with children, adolescents, and their families. She works with youngsters who have learning, behavior, medical, and/or social skills issues. She offers supportive counseling, direction, understanding, and referrals for ongoing care. She focuses on life-long skills for positive socialization and independent living. She also provides case management and coordination of related services between schools, colleges, and community agencies. She published a workbook for teens, "Go to the Guidance Office and Ask the Counselor About Career Choices," available on Amazon. Amazon.com/author/valerieallen
(321) 710-2195 View (321) 710-2195
Photo of Lisa Wolcott, MSW, LCSW, CDWF, CGP, Clinical Social Work/Therapist
Lisa Wolcott
Clinical Social Work/Therapist, MSW, LCSW, CDWF, CGP
Verified Verified
5 Endorsed
Serves Area
Helping clients find freedom is my speciality. I work with motivated clients who have experienced relationship trauma and adult life disappointments and setbacks. Many of my clients are the first in their families to seek therapy. And many of my clients are outwardly successful, but suffering on the inside. Together, we get curious about the pain and the obstacles, so you can meet — or regain — your sense of Self. Clarity, confidence, courage, authenticity and self compassion — these are your birthright. I love working with clients and seeing them move forward into freedom.
Helping clients find freedom is my speciality. I work with motivated clients who have experienced relationship trauma and adult life disappointments and setbacks. Many of my clients are the first in their families to seek therapy. And many of my clients are outwardly successful, but suffering on the inside. Together, we get curious about the pain and the obstacles, so you can meet — or regain — your sense of Self. Clarity, confidence, courage, authenticity and self compassion — these are your birthright. I love working with clients and seeing them move forward into freedom.
(352) 587-2995 View (352) 587-2995
Photo of Vicki Knox, LCSW, Clinical Social Work/Therapist
Vicki Knox
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
Waitlist for new clients
“There is no greater agony than bearing an untold story inside you.”- Maya Angelou. Whatever your story may be, I hope to create a safe and healing space for you to share it. I believe that being seen and heard fully is an intricate part of the healing process. Together we can tap into your strengths to work through trauma, difficult relationships, and challenges in your life.
“There is no greater agony than bearing an untold story inside you.”- Maya Angelou. Whatever your story may be, I hope to create a safe and healing space for you to share it. I believe that being seen and heard fully is an intricate part of the healing process. Together we can tap into your strengths to work through trauma, difficult relationships, and challenges in your life.
(352) 290-2038 View (352) 290-2038

More Therapists Nearby

Photo of Dan Ceske, MS, LPC, NCC, Counselor
Dan Ceske
Counselor, MS, LPC, NCC
Verified Verified
Online Only
Does your inner-critic scream when you make a mistake? Do people seem to like you more than you like yourself? Maybe you just feel lost, wanting things to be different even though you don't know exactly what that means. That’s okay. Life can be challenging, but challenging is not impossible. Sometimes, we just need some support. I would like to offer you my support in a space where you can feel free to be who you are, free from the pressure of who you're supposed to be, and free to discover what's important to you. Let's work together to identify the changes you want to make in life so you can work on making them.
Does your inner-critic scream when you make a mistake? Do people seem to like you more than you like yourself? Maybe you just feel lost, wanting things to be different even though you don't know exactly what that means. That’s okay. Life can be challenging, but challenging is not impossible. Sometimes, we just need some support. I would like to offer you my support in a space where you can feel free to be who you are, free from the pressure of who you're supposed to be, and free to discover what's important to you. Let's work together to identify the changes you want to make in life so you can work on making them.
(727) 947-1927 View (727) 947-1927
Photo of Trinidy T Thomas, MS, LMHC, Counselor
Trinidy T Thomas
Counselor, MS, LMHC
Verified Verified
Online Only
The secret of change is to focus all of your energy not on fighting the old, but on building the new -Socrates. I prefer to guide therapy from a solution focused approach so you can spend less time and money on therapy and more time enjoying your life. Life will constantly challenge you in ways that are hard to predict and impossible to manage alone. I have over 10 years of experience helping adults, teens, and couples make changes that lead to better relationships, improved moods, less anxiety, and improved self- image.
The secret of change is to focus all of your energy not on fighting the old, but on building the new -Socrates. I prefer to guide therapy from a solution focused approach so you can spend less time and money on therapy and more time enjoying your life. Life will constantly challenge you in ways that are hard to predict and impossible to manage alone. I have over 10 years of experience helping adults, teens, and couples make changes that lead to better relationships, improved moods, less anxiety, and improved self- image.
(813) 797-3717 View (813) 797-3717
Photo of Dr. Jennifer Martin, PhD, CGP, Psychologist
Dr. Jennifer Martin
Psychologist, PhD, CGP
Verified Verified
8 Endorsed
Gainesville, FL 32605
Lets begin your journey towards increased wellness, balance, passion, and purpose. You may have found yourself feeling stuck, lost touch with your true self, or not living in alignment with your goals and values. You have tried to make changes on your own, but it hasn’t resulted in lasting improvements. If you are ready to experience tangible progress, therapy can be your catalyst for change in creating a full, authentic life. We will identify the ways you are holding yourself back, and weave in skills and language to create a life you love! You have the wisdom and strength inside of you, and my role is to help you access that.
Lets begin your journey towards increased wellness, balance, passion, and purpose. You may have found yourself feeling stuck, lost touch with your true self, or not living in alignment with your goals and values. You have tried to make changes on your own, but it hasn’t resulted in lasting improvements. If you are ready to experience tangible progress, therapy can be your catalyst for change in creating a full, authentic life. We will identify the ways you are holding yourself back, and weave in skills and language to create a life you love! You have the wisdom and strength inside of you, and my role is to help you access that.
(352) 540-7195 View (352) 540-7195
Photo of Julie Anna Stout, MS, CTP, RMHCI
Julie Anna Stout
Registered Mental Health Counselor Intern, MS, CTP, RMHCI
Verified Verified
Gainesville, FL 32601
I felt called into the counseling field while working for a nonprofit as an advocate for human trafficking survivors. I have experience working with complex trauma survivors (sexual assault, domestic abuse, human trafficking, etc) helping them to become "unstuck" in their bodies and brains in order to heal naturally and resolve traumatic memories. I am passionate about helping trauma survivors heal through psychotherapy, and helping to educate the community about trauma informed care.
I felt called into the counseling field while working for a nonprofit as an advocate for human trafficking survivors. I have experience working with complex trauma survivors (sexual assault, domestic abuse, human trafficking, etc) helping them to become "unstuck" in their bodies and brains in order to heal naturally and resolve traumatic memories. I am passionate about helping trauma survivors heal through psychotherapy, and helping to educate the community about trauma informed care.
(352) 704-0632 View (352) 704-0632
Photo of Peter L. Rudnytsky, PhD, LCSW, Clinical Social Work/Therapist
Peter L. Rudnytsky
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Gainesville, FL 32601
As a relationally oriented psychoanalyst with a Ph.D. in English from Yale, I offer in-depth, compassionate therapy that seeks to promote growth and change through understanding the root causes of your current problems. I am especially interested in working with patients who are open to committing to a long-term process and may have already tried other approaches without finding what they are looking for. If this could be you, please call me for a free consultation to see whether we might be a good fit.
As a relationally oriented psychoanalyst with a Ph.D. in English from Yale, I offer in-depth, compassionate therapy that seeks to promote growth and change through understanding the root causes of your current problems. I am especially interested in working with patients who are open to committing to a long-term process and may have already tried other approaches without finding what they are looking for. If this could be you, please call me for a free consultation to see whether we might be a good fit.
(352) 533-5062 View (352) 533-5062
Photo of Meghan Hamblet-Moore, MA, LMHC, Counselor
Meghan Hamblet-Moore
Counselor, MA, LMHC
Verified Verified
Gainesville, FL 32601
Waitlist for new clients
Life can feel so overwhelming, with endless things to do, deadlines and decisions to make. It's hard to know what to do with all the emotions swirling around in our brains. With everything going on in our lives, and the world right now, it's even more important to develop coping skills and have an appropriate outlet to process experiences and "empty out" our heads, sort through the jumble of thoughts, and make sense of it all. We tend to view our troubling thoughts as embarrassing and scary, and talking through them makes them much more manageable.
Life can feel so overwhelming, with endless things to do, deadlines and decisions to make. It's hard to know what to do with all the emotions swirling around in our brains. With everything going on in our lives, and the world right now, it's even more important to develop coping skills and have an appropriate outlet to process experiences and "empty out" our heads, sort through the jumble of thoughts, and make sense of it all. We tend to view our troubling thoughts as embarrassing and scary, and talking through them makes them much more manageable.
(352) 558-3510 View (352) 558-3510
Photo of Amanda Sholty, MSW, LCSW, Clinical Social Work/Therapist
Amanda Sholty
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Online Only
I'm so happy you find yourself here in this moment. It takes a lot of courage to act on that little whisper inside saying maybe it's time to talk to someone. I want to applaud you for taking that step and I'm hoping I can be part of your next chapter. I enjoy connecting with my clients through empathy and even shared laughter when appropriate as I feel many of life's toughest times can be made the tiniest bit easier with a a sense of humor. My ideal client is someone who feels things are able to change and they are ready to take that step.
I'm so happy you find yourself here in this moment. It takes a lot of courage to act on that little whisper inside saying maybe it's time to talk to someone. I want to applaud you for taking that step and I'm hoping I can be part of your next chapter. I enjoy connecting with my clients through empathy and even shared laughter when appropriate as I feel many of life's toughest times can be made the tiniest bit easier with a a sense of humor. My ideal client is someone who feels things are able to change and they are ready to take that step.
(352) 558-3569 View (352) 558-3569
Photo of Lovely Aristilde, MEd, EdS
Lovely Aristilde
Registered Mental Health Counselor Intern, MEd, EdS
Verified Verified
3 Endorsed
Gainesville, FL 32601
Waitlist for new clients
Are you struggling with low self-esteem or navigating challenges as someone who is a part of a traditionally disempowered or marginalized community? Whether you're grappling with personal identity, societal pressures, feeling anxious, wanting to learn to set boundaries, or start healing from generational trauma, I am here to support you in embracing your fullest potential and reclaiming your voice to become a main character in your life story. Change is often unavoidable but happens best in places of safety and community. In the spaces you can bring in all the different parts of their identity and show up as your most authentic self
Are you struggling with low self-esteem or navigating challenges as someone who is a part of a traditionally disempowered or marginalized community? Whether you're grappling with personal identity, societal pressures, feeling anxious, wanting to learn to set boundaries, or start healing from generational trauma, I am here to support you in embracing your fullest potential and reclaiming your voice to become a main character in your life story. Change is often unavoidable but happens best in places of safety and community. In the spaces you can bring in all the different parts of their identity and show up as your most authentic self
(352) 707-8246 View (352) 707-8246
Photo of Tamara Bass, LMHC, Counselor
Tamara Bass
Counselor, LMHC
Verified Verified
Online Only
Welcome! I am a licensed Mental Health Counselor in Florida and have been working in the mental health field throughout the majority of my adult life. If you're here, then you've taken the first step of considering counseling. You deserve to have the bravery of that first step recognized - because it is indeed BRAVE. Starting counseling can feel scary and overcoming that can be a challenge. So congratulations! Now let's get started.
Welcome! I am a licensed Mental Health Counselor in Florida and have been working in the mental health field throughout the majority of my adult life. If you're here, then you've taken the first step of considering counseling. You deserve to have the bravery of that first step recognized - because it is indeed BRAVE. Starting counseling can feel scary and overcoming that can be a challenge. So congratulations! Now let's get started.
(352) 922-3944 View (352) 922-3944
Photo of Tracy Rose, LCSW, Clinical Social Work/Therapist
Tracy Rose
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
Though I relish working with a diverse set of issues, I specialize in helping clients in the midst of a transition. Graduating from college, entering adulthood, starting or leveling up in a career, maintaining long-term relationships, aging, or parenting are all examples of some of the transitions that many of my clients are navigating. These transitions often require a self-reevaluation to take stock of where you are today and what’s preventing you from becoming a reimagined version of yourself.
Though I relish working with a diverse set of issues, I specialize in helping clients in the midst of a transition. Graduating from college, entering adulthood, starting or leveling up in a career, maintaining long-term relationships, aging, or parenting are all examples of some of the transitions that many of my clients are navigating. These transitions often require a self-reevaluation to take stock of where you are today and what’s preventing you from becoming a reimagined version of yourself.
(941) 676-8836 View (941) 676-8836
Photo of Stace A Mendez, LMHC, Counselor
Stace A Mendez
Counselor, LMHC
Verified Verified
Serves Area
Are you feeling stuck, overwhelmed, or disconnected? Life can often feel heavy, especially when navigating relationships, challenges, or finding a sense of purpose. I specialize in helping high-achieving individuals and couples who want to live authentically & deeply connect with themselves and others. Together, we’ll explore your challenges, unearth the root causes, and create actionable strategies to transform your life into one of fulfillment, balance, and joy. I combine my Gottman training, research-based techniques, and a supportive approach to provide a therapy experience that’s effective and tailored to your unique needs.
Are you feeling stuck, overwhelmed, or disconnected? Life can often feel heavy, especially when navigating relationships, challenges, or finding a sense of purpose. I specialize in helping high-achieving individuals and couples who want to live authentically & deeply connect with themselves and others. Together, we’ll explore your challenges, unearth the root causes, and create actionable strategies to transform your life into one of fulfillment, balance, and joy. I combine my Gottman training, research-based techniques, and a supportive approach to provide a therapy experience that’s effective and tailored to your unique needs.
(786) 828-5743 View (786) 828-5743
Photo of Drake H Gunning - Anew Life Counseling and Consulting Group, LCSW, Clinical Social Work/Therapist
Anew Life Counseling and Consulting Group
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
At ‘Anew Life' we understand that life is challenging and full of unexpected events for any and everyone. These events can leave deep emotional scars, painful memories, and setbacks if not appropriately addressed. The emotions can cause a person to act, live, and think in ways they usually wouldn’t. Anew Life wants to help that individual, couple, or family set a fresh course for their life. To achieve this goal, we continuously make it our priority to provide a therapeutic environment that is centered around growth, clarity, and a new beginning. After all, we all have needed a fresh start in our lives at one time or another!
At ‘Anew Life' we understand that life is challenging and full of unexpected events for any and everyone. These events can leave deep emotional scars, painful memories, and setbacks if not appropriately addressed. The emotions can cause a person to act, live, and think in ways they usually wouldn’t. Anew Life wants to help that individual, couple, or family set a fresh course for their life. To achieve this goal, we continuously make it our priority to provide a therapeutic environment that is centered around growth, clarity, and a new beginning. After all, we all have needed a fresh start in our lives at one time or another!
(850) 907-7180 View (850) 907-7180
Photo of Peggy Rios, PhD, Psychologist
Peggy Rios
Psychologist, PhD
Verified Verified
Gainesville, FL 32608
Peggy Rios is a bilingual Licensed Psychologist with her Doctorate in Counseling Psychology. Peggy has 22 years of experience working with diverse populations and specializes in working with adults and adolescents in individual, couple and family therapy, as well as teaching mindfulness and meditation. Depression, anxiety, self esteem, mindfulness, life altering medical conditions, and other psychological difficulties hold a special interest. Telemedicine services are available.
Peggy Rios is a bilingual Licensed Psychologist with her Doctorate in Counseling Psychology. Peggy has 22 years of experience working with diverse populations and specializes in working with adults and adolescents in individual, couple and family therapy, as well as teaching mindfulness and meditation. Depression, anxiety, self esteem, mindfulness, life altering medical conditions, and other psychological difficulties hold a special interest. Telemedicine services are available.
(786) 481-1806 View (786) 481-1806
Photo of Shayce Johnston, LMHC, EdS, MEd, Counselor
Shayce Johnston
Counselor, LMHC, EdS, MEd
Verified Verified
2 Endorsed
Gainesville, FL 32606
Do any of the following resonate with you? You constantly worry or think of the worst-case scenario. Your mind is working overtime, leaving you exhausted. You don’t feel seen, heard, or valued by people in your life. You’re coping through unhealthy ways that you know aren't good for you or your relationships. You become angry, overwhelmed, or shut down when tough stuff arises with your partner, children, or work. Your past changed the way you feel about yourself and it’s hard to move forward. You experienced a loss and feel numb or in pain.
Do any of the following resonate with you? You constantly worry or think of the worst-case scenario. Your mind is working overtime, leaving you exhausted. You don’t feel seen, heard, or valued by people in your life. You’re coping through unhealthy ways that you know aren't good for you or your relationships. You become angry, overwhelmed, or shut down when tough stuff arises with your partner, children, or work. Your past changed the way you feel about yourself and it’s hard to move forward. You experienced a loss and feel numb or in pain.
(352) 612-3879 View (352) 612-3879
Photo of Melanie Varney, PhD, LMHC, LPC, Counselor
Melanie Varney
Counselor, PhD, LMHC, LPC
Verified Verified
Online Only
It can be an intimidating process to begin or reengage in counseling, so I am glad you are visiting my profile for the chance to learn more about me. If you are feeling stuck in your life and looking for some insight, this is a very relatable experience. I often see clients who are tired of feeling stressed, confused, lost, anxious, unmotivated, etc. These feelings can arise from painful or traumatic life experiences, oppressive messages and expectations, major life changes, grief and loss, etc.
It can be an intimidating process to begin or reengage in counseling, so I am glad you are visiting my profile for the chance to learn more about me. If you are feeling stuck in your life and looking for some insight, this is a very relatable experience. I often see clients who are tired of feeling stressed, confused, lost, anxious, unmotivated, etc. These feelings can arise from painful or traumatic life experiences, oppressive messages and expectations, major life changes, grief and loss, etc.
(352) 713-0169 View (352) 713-0169
Photo of Daniellys Diaz, LMHC, Counselor
Daniellys Diaz
Counselor, LMHC
Verified Verified
Online Only
I graduated from Webster University with a Master's Degree in Counseling in 2018 before continuing on as a Family Behavioral Therapist at a nonprofit organization. My goal as your therapist is to make you feel comfortable, hopeful, and validated when addressing lifestyle stressors through therapeutic interventions, discussions, and activities. I provide a safe space to explore challenges such as anxiety and depression, addictions, grief, trauma, relationship issues, anger management, and more.
I graduated from Webster University with a Master's Degree in Counseling in 2018 before continuing on as a Family Behavioral Therapist at a nonprofit organization. My goal as your therapist is to make you feel comfortable, hopeful, and validated when addressing lifestyle stressors through therapeutic interventions, discussions, and activities. I provide a safe space to explore challenges such as anxiety and depression, addictions, grief, trauma, relationship issues, anger management, and more.
(352) 646-2553 View (352) 646-2553

See more therapy options for 32616

How does your Therapist compare?

Number of Therapists in 32616

< 10

Therapists in 32616 who prioritize treating:

100% Depression
100% Anxiety
100% Women's Issues
100% Stress
75% Grief
75% Parenting
75% Emotional Disturbance

Average years in practice

19 Years

Top 3 insurances accepted

100% UnitedHealthcare UHC | UBH
75% Aetna
75% Carelon Behavioral Health

How Therapists in 32616 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 32616?

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.