Therapists in Brownsville, TX

Photo of Keely Rodriguez, Licensed Professional Counselor in Brownsville, TX
Keely Rodriguez
Licensed Professional Counselor, LPC, MEd, NCC, EMDRIA, LCDC
Verified Verified
3 Endorsed
Brownsville, TX 78520
Open for NEW clients! Feeling stressed these days is pretty common, but when it begins to impact your relationships, makes stepping out the door a challenge, or starts interfering with work or school, it's a clear signal to consider seeking support. Perhaps you're feeling stuck in the past, unable to move forward – that's a definite cue that it's time for some assistance. If you're noticing changes such as 'overthinking' everything, feeling angry, drinking or smoking more, avoiding friends & family, or experiencing physical symptoms due to anxiety, seeking help is incredibly important
Open for NEW clients! Feeling stressed these days is pretty common, but when it begins to impact your relationships, makes stepping out the door a challenge, or starts interfering with work or school, it's a clear signal to consider seeking support. Perhaps you're feeling stuck in the past, unable to move forward – that's a definite cue that it's time for some assistance. If you're noticing changes such as 'overthinking' everything, feeling angry, drinking or smoking more, avoiding friends & family, or experiencing physical symptoms due to anxiety, seeking help is incredibly important
(956) 275-3232 View (956) 275-3232
Photo of Anna D Gomez, Licensed Professional Counselor in Brownsville, TX
Anna D Gomez
Licensed Professional Counselor, LPC, RPT-S
Verified Verified
Brownsville, TX 78520
Ebony Center was born from a heartfelt dream of providing a practical, interactive, solution-focused treatment approach to provide support and practical feedback to help patients resolve current problems and long-standing patterns, with sensitivity and compassion, I help patients find solutions to a wide range of life challenges and psychological issues. Blending conventional and alternative approaches, I draw on variety of styles and techniques to incorporate what will be most helpful for each patient. I work with each patient to help them build on their strengths to identify and achieve life's goals.
Ebony Center was born from a heartfelt dream of providing a practical, interactive, solution-focused treatment approach to provide support and practical feedback to help patients resolve current problems and long-standing patterns, with sensitivity and compassion, I help patients find solutions to a wide range of life challenges and psychological issues. Blending conventional and alternative approaches, I draw on variety of styles and techniques to incorporate what will be most helpful for each patient. I work with each patient to help them build on their strengths to identify and achieve life's goals.
(956) 284-6604 View (956) 284-6604
Photo of Rosy Rea Morales, Licensed Professional Counselor in Brownsville, TX
Rosy Rea Morales
Licensed Professional Counselor, LPC, MEd
Verified Verified
Brownsville, TX 78520
If you are experiencing anxiety, depression, stress, overwhelmed feelings, trauma, difficulty adjusting to a new life experience, or if you are unable to process the loss of a love one, and you are ready to commit to therapy, and to take charge of your mental health, I will be glad to welcome you in my office to talk about your current needs and possible mental health short and long term goals.
If you are experiencing anxiety, depression, stress, overwhelmed feelings, trauma, difficulty adjusting to a new life experience, or if you are unable to process the loss of a love one, and you are ready to commit to therapy, and to take charge of your mental health, I will be glad to welcome you in my office to talk about your current needs and possible mental health short and long term goals.
(956) 300-1361 View (956) 300-1361
Photo of David Armando Tejeda, Licensed Professional Counselor in Brownsville, TX
David Armando Tejeda
Licensed Professional Counselor, MEd, LPC-S, EMDR II
Verified Verified
3 Endorsed
Brownsville, TX 78526
Waitlist for new clients
Some of you desire a rediscovery of direction and meaning. Others seek a deep healing of wounds that interfere with your quality of life. Perhaps, you may be looking to develop coping skills, improve relations, or manage stress. Whether you are seeking a tune-up or a transformation, I would be honored to be a guide and witness to the nurture of your growth, insight, and connection.
Some of you desire a rediscovery of direction and meaning. Others seek a deep healing of wounds that interfere with your quality of life. Perhaps, you may be looking to develop coping skills, improve relations, or manage stress. Whether you are seeking a tune-up or a transformation, I would be honored to be a guide and witness to the nurture of your growth, insight, and connection.
(956) 304-1426 View (956) 304-1426
Photo of Jennifer DENISE Collins, Marriage & Family Therapist in Brownsville, TX
Jennifer DENISE Collins
Marriage & Family Therapist, Mrs, Collins, LMFT
Verified Verified
1 Endorsed
Brownsville, TX 78526
I have had the privilege of helping those who struggle with depression, anxiety, attachment disorders, and I specialize in helping to overcome trauma. I have two master's Degrees: one in Marriage and Family Therapy and the second in Forensic Psychology. I have worked with children, adolescents, adults, and conducted individual therapy, couples therapy, family therapy, and group therapy.
I have had the privilege of helping those who struggle with depression, anxiety, attachment disorders, and I specialize in helping to overcome trauma. I have two master's Degrees: one in Marriage and Family Therapy and the second in Forensic Psychology. I have worked with children, adolescents, adults, and conducted individual therapy, couples therapy, family therapy, and group therapy.
(956) 540-5712 View (956) 540-5712
Photo of Jaime Barbosa, Licensed Professional Counselor in Brownsville, TX
Jaime Barbosa
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Brownsville, TX 78526  (Online Only)
Sometimes, life can be challenging. You might grapple with various emotions, such as anxiety, depression, or stress, or perhaps you’re unsure of the exact source of your distress. Engaging with a professional may assist you in managing these feelings and enhancing your overall well-being. Remember, you have the right to lead a fulfilling and joyful life, and that’s precisely what I strive to help you achieve.
Sometimes, life can be challenging. You might grapple with various emotions, such as anxiety, depression, or stress, or perhaps you’re unsure of the exact source of your distress. Engaging with a professional may assist you in managing these feelings and enhancing your overall well-being. Remember, you have the right to lead a fulfilling and joyful life, and that’s precisely what I strive to help you achieve.
(956) 567-9567 View (956) 567-9567
Photo of Pragmatic Solutions Therapy LLC, Owner-Monica Pina, Licensed Professional Counselor in Brownsville, TX
Pragmatic Solutions Therapy LLC, Owner-Monica Pina
Licensed Professional Counselor, LPC, NBCC, LPHA, LMHC
Verified Verified
Brownsville, TX 78521  (Online Only)
Hello Friend! My name is Monica Pina, owner of Pragmatic Solutions Therapy PLLC, a telehealth practice in TX. I serve adults and teens (15 years and older). I specialize in helping those dealing with anxiety, grief, trauma, depression, mood disorders, adjustment issues, anxiety, life transitions and health-related challenges. I use specific modalities specific to the client such as: Solutions Focused Therapy, Cognitive Behavioral Therapy, Mindfulness-Based Cognitive, Biofeedback, Humanistic, Acceptance Commitment therapy and a modified version of EMDR. I welcome ALL who are searching for solutions to address their life issues.
Hello Friend! My name is Monica Pina, owner of Pragmatic Solutions Therapy PLLC, a telehealth practice in TX. I serve adults and teens (15 years and older). I specialize in helping those dealing with anxiety, grief, trauma, depression, mood disorders, adjustment issues, anxiety, life transitions and health-related challenges. I use specific modalities specific to the client such as: Solutions Focused Therapy, Cognitive Behavioral Therapy, Mindfulness-Based Cognitive, Biofeedback, Humanistic, Acceptance Commitment therapy and a modified version of EMDR. I welcome ALL who are searching for solutions to address their life issues.
(956) 420-6335 View (956) 420-6335
Dr. Elizabeth G Tamez
Psychologist, PsyD, LP, LPC-S
Verified Verified
Brownsville, TX 78520
Hi! I am a clinical psychologist licensed in the state of Texas. I have been working in the field of mental health for 18 years as a school counselor, a licensed professional counselor, and as a licensed psychologist. I am fluent in Spanish and am able provide services in-person and via Telehealth.
Hi! I am a clinical psychologist licensed in the state of Texas. I have been working in the field of mental health for 18 years as a school counselor, a licensed professional counselor, and as a licensed psychologist. I am fluent in Spanish and am able provide services in-person and via Telehealth.
(956) 305-0775 View (956) 305-0775
Photo of Clara O Magallanes, Licensed Professional Counselor in Brownsville, TX
Clara O Magallanes
Licensed Professional Counselor, M Ed, LPC, NCC, EMDR, CLYL
Verified Verified
1 Endorsed
Brownsville, TX 78526
Congratulations on taking the first step to feeling better. As a licensed professional counselor in Texas, I’m here to help you take that next step to begin creating a positive change in your life today. My approach is person centered & I work with children, teens, & adults. I use scientifically driven therapies to alleviate complex trauma, PTSD, anxiety, depression, stress, anger, grief, sleep, insomnia, relationship issues, self-esteem, social anxiety, school issues, ADHD, parenting, a difficult phase in your life or challenging experiences. Working together, I support & empower clients to discover & develop their full potential.
Congratulations on taking the first step to feeling better. As a licensed professional counselor in Texas, I’m here to help you take that next step to begin creating a positive change in your life today. My approach is person centered & I work with children, teens, & adults. I use scientifically driven therapies to alleviate complex trauma, PTSD, anxiety, depression, stress, anger, grief, sleep, insomnia, relationship issues, self-esteem, social anxiety, school issues, ADHD, parenting, a difficult phase in your life or challenging experiences. Working together, I support & empower clients to discover & develop their full potential.
(956) 253-1187 View (956) 253-1187
Photo of Carolina Villarreal, Art Therapist in Brownsville, TX
Carolina Villarreal
Art Therapist, LPC, ATR, MA
Verified Verified
1 Endorsed
Brownsville, TX 78520
Each person has the capacity for personal growth and change. As much as we are shaped by the world, every person contains within us the ability to mold who they are from the inside out. Through self-exploration one can uncover the forces that shaped the way you see the world, and recognize and finally push back on these externalities. Regardless of its origin, the experience of life and what we do and not do with the emotions we feel in response to it becomes an integral part of the lens through which we see the world and our place in it.
Each person has the capacity for personal growth and change. As much as we are shaped by the world, every person contains within us the ability to mold who they are from the inside out. Through self-exploration one can uncover the forces that shaped the way you see the world, and recognize and finally push back on these externalities. Regardless of its origin, the experience of life and what we do and not do with the emotions we feel in response to it becomes an integral part of the lens through which we see the world and our place in it.
(956) 983-9463 View (956) 983-9463
Photo of Colón Counseling, PLLC, Licensed Professional Counselor in Brownsville, TX
Colón Counseling, PLLC
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Brownsville, TX 78521
Whether one is suffering from a chronic mental disorder, or the "worried well", I tailor therapeutic needs for each individual client. I use multiple theoretic approaches and the most up-to-date techniques to help individuals gain insight into their issues, decrease their symptoms, and to uncover the underlying issues that cause their distress. My goal is to help individuals reach their full potential, and to improve their daily functioning in a compassionate, personalized, and private setting.
Whether one is suffering from a chronic mental disorder, or the "worried well", I tailor therapeutic needs for each individual client. I use multiple theoretic approaches and the most up-to-date techniques to help individuals gain insight into their issues, decrease their symptoms, and to uncover the underlying issues that cause their distress. My goal is to help individuals reach their full potential, and to improve their daily functioning in a compassionate, personalized, and private setting.
(956) 287-3549 View (956) 287-3549
Photo of Madison Habet, Licensed Professional Counselor in Brownsville, TX
Madison Habet
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Brownsville, TX 78520  (Online Only)
We often feel like we’re lost with no map or compass. As if we’re going down a path with no end. Let me be your guide that can help traverse and direct you through the winding, rocky, and sometimes very rough terrain we call life. Bringing healing to those struggling through a stressful or traumatic time in life is a passion and driving force behind my motivation. I believe fostering a therapeutic relationship and providing a safe and trusting environment for my clients to be paramount. I am here to walk alongside you through your wellness journey. I belong to a group practice, if you are seeking my services, just ask for me!
We often feel like we’re lost with no map or compass. As if we’re going down a path with no end. Let me be your guide that can help traverse and direct you through the winding, rocky, and sometimes very rough terrain we call life. Bringing healing to those struggling through a stressful or traumatic time in life is a passion and driving force behind my motivation. I believe fostering a therapeutic relationship and providing a safe and trusting environment for my clients to be paramount. I am here to walk alongside you through your wellness journey. I belong to a group practice, if you are seeking my services, just ask for me!
(956) 474-2948 View (956) 474-2948
Photo of Heira Hernandez, Licensed Professional Counselor in Brownsville, TX
Heira Hernandez
Licensed Professional Counselor, LPC
Verified Verified
Brownsville, TX 78520
I am a licensed professional counselor with +10 years of clinical experience. I've worked with adults, families, children, teenagers, and populations from 0-17 years of age. My area of specialties includes Adolescents/Teens, Anxiety, Anger Management, Women's Issues, and Depression. My theoretical approaches are Christian Counseling, Cognitive Behavioral (CBT), Trauma Focused, Client-Centered Therapy, and Coaching. I believe in providing a safe and stable environment for my clients to feel calm and at ease during each session to help them identify their inner potential, heal, and work through their traumas.
I am a licensed professional counselor with +10 years of clinical experience. I've worked with adults, families, children, teenagers, and populations from 0-17 years of age. My area of specialties includes Adolescents/Teens, Anxiety, Anger Management, Women's Issues, and Depression. My theoretical approaches are Christian Counseling, Cognitive Behavioral (CBT), Trauma Focused, Client-Centered Therapy, and Coaching. I believe in providing a safe and stable environment for my clients to feel calm and at ease during each session to help them identify their inner potential, heal, and work through their traumas.
(956) 300-3152 View (956) 300-3152
Photo of Marianela Caballero, Licensed Professional Counselor in Brownsville, TX
Marianela Caballero
Licensed Professional Counselor, MEd, LPC
Verified Verified
Brownsville, TX 78520
I am passionate about working with individuals who are interested in seeking self-improvement and personal empowerment. With the client's active participation, my role is to provide guidance and support as they address issues or obstacles keeping them from achieving their goals. When working with minors, I am an advocate for the child as they work through their struggles that prevent them from developing their fullest potential. I also provide support to the parent(s) as they learn new ways to parent their child during a challenging time.
I am passionate about working with individuals who are interested in seeking self-improvement and personal empowerment. With the client's active participation, my role is to provide guidance and support as they address issues or obstacles keeping them from achieving their goals. When working with minors, I am an advocate for the child as they work through their struggles that prevent them from developing their fullest potential. I also provide support to the parent(s) as they learn new ways to parent their child during a challenging time.
(956) 402-3758 View (956) 402-3758
Photo of Teresita D Silguero, Licensed Professional Counselor in Brownsville, TX
Teresita D Silguero
Licensed Professional Counselor, LPC
Verified Verified
Brownsville, TX 78520
Are you feeling a bit unmotivated, sad, and/or struggling to cope with everyday tasks? Perhaps you have been wanting to start therapy for years but have not found reasons enough to do so. We all have difficult moments in our lives, and I am here to help you. Together, we will figure out a way to overcome what has you feeling stuck. I will provide the tools to cope effectively with your challenges and help you learn about yourself in the process. Let this be the year you begin your healing journey and know that I am here to help. Call today to set an appointment!
Are you feeling a bit unmotivated, sad, and/or struggling to cope with everyday tasks? Perhaps you have been wanting to start therapy for years but have not found reasons enough to do so. We all have difficult moments in our lives, and I am here to help you. Together, we will figure out a way to overcome what has you feeling stuck. I will provide the tools to cope effectively with your challenges and help you learn about yourself in the process. Let this be the year you begin your healing journey and know that I am here to help. Call today to set an appointment!
(956) 628-4059 View (956) 628-4059
Photo of Red Apple Therapy , Licensed Professional Counselor in Brownsville, TX
Red Apple Therapy
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Brownsville, TX 78521
We believe that mind, body, and spirit are interconnected; we will help you take inventory of your mental health, physical health, and emotional health to find what works for you. When working towards a goal, people struggle with balance; they stop drinking, but start binge eating; end a toxic relationship, begin isolation; gain financial independence, lose family time.
We believe that mind, body, and spirit are interconnected; we will help you take inventory of your mental health, physical health, and emotional health to find what works for you. When working towards a goal, people struggle with balance; they stop drinking, but start binge eating; end a toxic relationship, begin isolation; gain financial independence, lose family time.
(210) 414-5813 View (210) 414-5813
Photo of Marima Hernandez, Licensed Professional Counselor in Brownsville, TX
Marima Hernandez
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Brownsville, TX 78521  (Online Only)
I am a Licensed Professional Counselor for the residents of Texas. I am dedicated to helping individuals who have experienced trauma to manage their mental and emotional health. I provide my clients with a safe and non-judgmental environment when they are ready to make life changes or need to unload pain.
I am a Licensed Professional Counselor for the residents of Texas. I am dedicated to helping individuals who have experienced trauma to manage their mental and emotional health. I provide my clients with a safe and non-judgmental environment when they are ready to make life changes or need to unload pain.
(956) 253-0696 View (956) 253-0696
Photo of Rio Sana Counseling, Licensed Professional Counselor in Brownsville, TX
Rio Sana Counseling
Licensed Professional Counselor, LPC
Verified Verified
Brownsville, TX 78520
Accepting new clients! There's a reason they say "It takes a village to raise a child." Let's be honest, raising little humans is one of life's biggest challenges. I proudly serve children (3-17 yrs old) who may be struggling with big emotions & behaviors, developmental transitions, or child/adult mental health issues. Using a playful, client-centered & attachment-based approach, I can begin to understand & communicate with your child. I can actively support & guide them as s/he/they make sense of their feelings and behaviors.
Accepting new clients! There's a reason they say "It takes a village to raise a child." Let's be honest, raising little humans is one of life's biggest challenges. I proudly serve children (3-17 yrs old) who may be struggling with big emotions & behaviors, developmental transitions, or child/adult mental health issues. Using a playful, client-centered & attachment-based approach, I can begin to understand & communicate with your child. I can actively support & guide them as s/he/they make sense of their feelings and behaviors.
(956) 476-2905 View (956) 476-2905
Photo of Jennifer Collins, Marriage & Family Therapist in Brownsville, TX
Jennifer Collins
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Brownsville, TX 78526
Waitlist for new clients
Have the events in your life started to impact your day to day decisions? Have your relationships started to feel off or are they disappearing all together? When we have experienced trauma, be them major trauma or smaller events, it can impact us in many ways. If you have experienced a trauma and have not been able to process the event (s) I am here for you. I work with clients who have had various types of trauma to reprocess and make sense these events so that they can regain control.
Have the events in your life started to impact your day to day decisions? Have your relationships started to feel off or are they disappearing all together? When we have experienced trauma, be them major trauma or smaller events, it can impact us in many ways. If you have experienced a trauma and have not been able to process the event (s) I am here for you. I work with clients who have had various types of trauma to reprocess and make sense these events so that they can regain control.
(956) 948-7302 View (956) 948-7302
Photo of Dr. James F. Whittenberg, Licensed Professional Counselor in Brownsville, TX
Dr. James F. Whittenberg
Licensed Professional Counselor, PhD, LPC-S, LCDC, NCC, ACS
Verified Verified
4 Endorsed
Brownsville, TX 78526  (Online Only)
Some people fear therapy as intimidating. You can be assured that it is just a conversation, and I want to hear your story. You have the strength and resources to achieve any goals that you set in life, with just a little guidance. You can enjoy the process of therapy and learn to love yourself at a deeper level. Calling a therapist can create a little bit of anxiety, but few therapists are as down-to-earth as me. Just take a slow, deep breath and give me a call at (956) 271-8487 or visit our website at inmindout.com
Some people fear therapy as intimidating. You can be assured that it is just a conversation, and I want to hear your story. You have the strength and resources to achieve any goals that you set in life, with just a little guidance. You can enjoy the process of therapy and learn to love yourself at a deeper level. Calling a therapist can create a little bit of anxiety, but few therapists are as down-to-earth as me. Just take a slow, deep breath and give me a call at (956) 271-8487 or visit our website at inmindout.com
(956) 271-8487 View (956) 271-8487

How does your Therapist compare?

Number of Therapists in Brownsville, TX

70+

Average cost per session

$120

Therapists in Brownsville, TX who prioritize treating:

86% Anxiety
85% Depression
73% Self Esteem
72% Trauma and PTSD
70% Coping Skills
66% Grief
66% Stress

Average years in practice

9 Years

Top 3 insurances accepted

89% UnitedHealthcare UHC | UBH
79% BlueCross and BlueShield
77% Aetna

How Therapists in Brownsville, TX see their clients

67% In Person and Online
33% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Brownsville?

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.