Therapists in 94538

Photo of Christine C Chen, Marriage & Family Therapist, MA, LMFT
Christine C Chen
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Fremont, CA 94538
Christine strives to create a safe, warm, and supportive environment in which clients can freely express themselves, their heartaches and struggles without guilt or shame. She is passionate in assisting her clients to explore those “small steps” which can lead to positive changes and a life of hope rather than despair.
Christine strives to create a safe, warm, and supportive environment in which clients can freely express themselves, their heartaches and struggles without guilt or shame. She is passionate in assisting her clients to explore those “small steps” which can lead to positive changes and a life of hope rather than despair.
(510) 662-6396 View (510) 662-6396
Photo of Hui Chen Huang, Marriage & Family Therapist Associate, MA
Hui Chen Huang
Marriage & Family Therapist Associate, MA
5 Endorsed
Fremont, CA 94538
Accepting new clients and couples. Jenny is fluent in English and Mandarin. This skill is helpful for clients who struggle with changes in culture when moving to the United States. She is passionate and skilled in helping couples improve their communication skills, increase intimacy, respect, and affection, remove barriers and she also enjoys working with individual adult clients on issues related to parenting, work stress, depression, and anxiety. As a bicultural therapist, she is interested in multicultural issues. She would like to help individuals with acculturation and adjustment issues.
Accepting new clients and couples. Jenny is fluent in English and Mandarin. This skill is helpful for clients who struggle with changes in culture when moving to the United States. She is passionate and skilled in helping couples improve their communication skills, increase intimacy, respect, and affection, remove barriers and she also enjoys working with individual adult clients on issues related to parenting, work stress, depression, and anxiety. As a bicultural therapist, she is interested in multicultural issues. She would like to help individuals with acculturation and adjustment issues.
(408) 454-8097 View (408) 454-8097
Photo of Diler Bilgin, Marriage & Family Therapist, MA, LMFT, LPCC
Diler Bilgin
Marriage & Family Therapist, MA, LMFT, LPCC
1 Endorsed
Fremont, CA 94538
Hi, I’m Diler Bilgin, LMFT, LPCC. I work with young adults, adults, and couples who are navigating anxiety, depression, relationship challenges, identity questions, and life transitions. Many of my clients come to therapy feeling overwhelmed by expectations, disconnected from themselves, or unsure of how to move forward. My role is to offer a calm, supportive space where you can untangle those feelings and make sense of your experience. With years of experience supporting individuals who balance family, cultural expectations, and personal aspirations, I understand the complexity of living between different worlds.
Hi, I’m Diler Bilgin, LMFT, LPCC. I work with young adults, adults, and couples who are navigating anxiety, depression, relationship challenges, identity questions, and life transitions. Many of my clients come to therapy feeling overwhelmed by expectations, disconnected from themselves, or unsure of how to move forward. My role is to offer a calm, supportive space where you can untangle those feelings and make sense of your experience. With years of experience supporting individuals who balance family, cultural expectations, and personal aspirations, I understand the complexity of living between different worlds.
(510) 350-1497 View (510) 350-1497
Photo of Pan Yu - Appletree Psychological Services, Psychologist
Appletree Psychological Services is a private multi-disciplinary mental health clinic. We provide professional mental health services to clients across all ages, sex and gender, ethnic backgrounds, and culture. We value your trust in us. We work together as a team to improve our clients’ emotional and psychological well-being.
Appletree Psychological Services is a private multi-disciplinary mental health clinic. We provide professional mental health services to clients across all ages, sex and gender, ethnic backgrounds, and culture. We value your trust in us. We work together as a team to improve our clients’ emotional and psychological well-being.
(510) 491-9334 View (510) 491-9334
Photo of Ailing Wang, Marriage & Family Therapist Associate, MA, AMFT
Ailing Wang
Marriage & Family Therapist Associate, MA, AMFT
2 Endorsed
Fremont, CA 94538
I am honored to support individuals as they navigate life’s complexities. It’s common to feel overwhelmed by struggles such as relationship strains, family conflicts, cultural adjustments, or life transitions. I believe every individual has the inner strength to create positive change. My goal is to provide a safe, empathetic, non-judgmental space where we can explore these challenges together and work toward meaningful solutions.
I am honored to support individuals as they navigate life’s complexities. It’s common to feel overwhelmed by struggles such as relationship strains, family conflicts, cultural adjustments, or life transitions. I believe every individual has the inner strength to create positive change. My goal is to provide a safe, empathetic, non-judgmental space where we can explore these challenges together and work toward meaningful solutions.
(510) 983-5831 View (510) 983-5831
Photo of Harsha Vaishnav - Rekindle Healing, BSc, CCHT, Reiki
Rekindle Healing
Verified Verified
1 Endorsed
Fremont, CA 94538
Seeking solutions that bring balance and calm in your life? I offer guided mind body healing therapies such as Hypnotherapy and EFT, that empower you to find solutions for the following issues: PAIN, INSOMNIA, GRIEF, WEIGHT, ANXIETY, STRESS, TRAUMA, HABITS, CRAVINGS, RELATIONSHIPS, or PAST LIVES. Hypnotherapy can be effective in building a bridge between the conscious mind and subconscious mind in order to explore the source and solutions of emotional, mental, and physical issues. This expanded state of consciousness allows for genuine realizations and the motivation to implement lasting transformations.
Seeking solutions that bring balance and calm in your life? I offer guided mind body healing therapies such as Hypnotherapy and EFT, that empower you to find solutions for the following issues: PAIN, INSOMNIA, GRIEF, WEIGHT, ANXIETY, STRESS, TRAUMA, HABITS, CRAVINGS, RELATIONSHIPS, or PAST LIVES. Hypnotherapy can be effective in building a bridge between the conscious mind and subconscious mind in order to explore the source and solutions of emotional, mental, and physical issues. This expanded state of consciousness allows for genuine realizations and the motivation to implement lasting transformations.
(408) 444-5582 View (408) 444-5582
Photo of Kelly Priest, Clinical Social Work/Therapist, LCSW-C
Kelly Priest
Clinical Social Work/Therapist, LCSW-C
Fremont, CA 94538
I'm a Licensed Certified Clinical Social Worker. My passion lies in helping individuals navigate through life's challenges using a compassionate, trauma-informed approach. I believe that therapy is a collaborative journey where we work together to uncover your strengths and build resilience. My focus today is working with adults, providing a safe and inclusive space, ensuring that everyone feels welcomed and understood in our sessions. I am particularly dedicated to supporting LGBTQIA+ and neurodivergent clients.
I'm a Licensed Certified Clinical Social Worker. My passion lies in helping individuals navigate through life's challenges using a compassionate, trauma-informed approach. I believe that therapy is a collaborative journey where we work together to uncover your strengths and build resilience. My focus today is working with adults, providing a safe and inclusive space, ensuring that everyone feels welcomed and understood in our sessions. I am particularly dedicated to supporting LGBTQIA+ and neurodivergent clients.
(510) 694-4607 View (510) 694-4607
Photo of Alex Ly - Alex Ly - Anxiety and Trauma Therapist, Marriage & Family Therapist, LMFT
Alex Ly - Anxiety and Trauma Therapist
Marriage & Family Therapist, LMFT
1 Endorsed
Fremont, CA 94538
You’re not in crisis — you’re under constant pressure. Your mind is always on, your body stays tense, and the stress never fully turns off. You might be getting through work, relationships, and family expectations without falling apart — but inside, it feels like you’re always bracing. You push through, second‑guess yourself, and tell yourself it’s fine… even though you’re exhausted and it never really eases. If this feels familiar, you’re not alone — and you don’t need to push through it by yourself. I work with high‑functioning adults who are tired of carrying this kind of pressure all the time.
You’re not in crisis — you’re under constant pressure. Your mind is always on, your body stays tense, and the stress never fully turns off. You might be getting through work, relationships, and family expectations without falling apart — but inside, it feels like you’re always bracing. You push through, second‑guess yourself, and tell yourself it’s fine… even though you’re exhausted and it never really eases. If this feels familiar, you’re not alone — and you don’t need to push through it by yourself. I work with high‑functioning adults who are tired of carrying this kind of pressure all the time.
(510) 201-5881 View (510) 201-5881
Photo of Tu Hoang, Marriage & Family Therapist, LMFT, RPT™
Tu Hoang
Marriage & Family Therapist, LMFT, RPT™
Fremont, CA 94538
If your child is anxious, overwhelmed, having big emotional reactions, or struggling at home or school, you may feel worried, exhausted, or unsure. Call me and together we can navigate this! Therapy can help your child build emotional regulation, confidence, and resilience—while giving you clearer tools and support as a parent. I work with children experiencing anxiety, behavioral challenges, school stress, social difficulties, and life transitions. Through play therapy and experiential approaches, children can express feelings that may be difficult to put into words. As emotional awareness grows, behavior often shifts naturally.
If your child is anxious, overwhelmed, having big emotional reactions, or struggling at home or school, you may feel worried, exhausted, or unsure. Call me and together we can navigate this! Therapy can help your child build emotional regulation, confidence, and resilience—while giving you clearer tools and support as a parent. I work with children experiencing anxiety, behavioral challenges, school stress, social difficulties, and life transitions. Through play therapy and experiential approaches, children can express feelings that may be difficult to put into words. As emotional awareness grows, behavior often shifts naturally.
(510) 983-7584 View (510) 983-7584
Photo of Beth Day, Marriage & Family Therapist Associate, MS, AMFT
Beth Day
Marriage & Family Therapist Associate, MS, AMFT
2 Endorsed
Fremont, CA 94538
Hi, I’m Beth! I'm passionate about supporting & helping others who may have been scarred by trauma, struggle with depression, anxiety, or PTSD, or may have paradoxical stories – of love with: heartbreak, loss, dysfunction, or brokenness in their lives. To that end, I support individuals, couples, parents, & teens who may be navigating recent or past traumas, PTSD, C-PTSD, depression, grief/traumatic loss, relational struggles, codependency, addiction, self-harm, life transitions, burnout, family/relational challenges, anxiety, or simply needing a safe space to process life hurdles & be supported. (Ctd. bio & website below.)
Hi, I’m Beth! I'm passionate about supporting & helping others who may have been scarred by trauma, struggle with depression, anxiety, or PTSD, or may have paradoxical stories – of love with: heartbreak, loss, dysfunction, or brokenness in their lives. To that end, I support individuals, couples, parents, & teens who may be navigating recent or past traumas, PTSD, C-PTSD, depression, grief/traumatic loss, relational struggles, codependency, addiction, self-harm, life transitions, burnout, family/relational challenges, anxiety, or simply needing a safe space to process life hurdles & be supported. (Ctd. bio & website below.)
(510) 674-1675 View (510) 674-1675
Photo of Dorothy Woon, Clinical Social Work/Therapist, LCSW
Dorothy Woon
Clinical Social Work/Therapist, LCSW
2 Endorsed
Fremont, CA 94538
Life experiences can harden you, and make you feel alone in your pain. Therapy can help connect you back to life again. I specialize in providing therapy to adult children of immigrant families and adults who have been parentified as children. I am attuned to how intergenerational trauma is passed down, and how these ancestral legacies can leave an imprint on how you relate to yourself, your family, and your community. I acknowledge how systems of power and cultural dynamics have a real impact on your psyche.
Life experiences can harden you, and make you feel alone in your pain. Therapy can help connect you back to life again. I specialize in providing therapy to adult children of immigrant families and adults who have been parentified as children. I am attuned to how intergenerational trauma is passed down, and how these ancestral legacies can leave an imprint on how you relate to yourself, your family, and your community. I acknowledge how systems of power and cultural dynamics have a real impact on your psyche.
(510) 984-9158 View (510) 984-9158
Photo of Karen K. Yeh, Psychologist, EdM, PsyD
Karen K. Yeh
Psychologist, EdM, PsyD
2 Endorsed
Fremont, CA 94538
I'd like to help you feel better, and what I can do involves more than listening and giving advice. Psychotherapy isn't entered into lightly, and it's important to consider whether change is what you want. It isn't for everybody, and sometimes, change depends on the season of your life. However, if you are experiencing a need to change something that has become a problem, such as sadness, anxiety, or relationship distress, or a habit such as procrastination or an addictive behavior, you might be ready to explore psychotherapy to find a solution.
I'd like to help you feel better, and what I can do involves more than listening and giving advice. Psychotherapy isn't entered into lightly, and it's important to consider whether change is what you want. It isn't for everybody, and sometimes, change depends on the season of your life. However, if you are experiencing a need to change something that has become a problem, such as sadness, anxiety, or relationship distress, or a habit such as procrastination or an addictive behavior, you might be ready to explore psychotherapy to find a solution.
(510) 858-2560 View (510) 858-2560
Photo of Maitrayee Baksi-Banerjee, Clinical Social Work/Therapist, MSW, LCSW
Maitrayee Baksi-Banerjee
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Fremont, CA 94538
Welcome! I provide a safe and relaxing place to heal and grow. I use my 28 years of experience to help people struggling to make sense of their lives and relationships. I help provide a therapeutic environment where you can unleash yourself in discussing your journey for help as you curve through difficulties, while dealing with Silicon Valley's brutal, impossible professional demands, growing as an individual, creating and recreating relationships, and many life-changing events. I provide therapy to deal with many issues, including conflicts, desires to make changes, self-explorations, training, and consultancy.
Welcome! I provide a safe and relaxing place to heal and grow. I use my 28 years of experience to help people struggling to make sense of their lives and relationships. I help provide a therapeutic environment where you can unleash yourself in discussing your journey for help as you curve through difficulties, while dealing with Silicon Valley's brutal, impossible professional demands, growing as an individual, creating and recreating relationships, and many life-changing events. I provide therapy to deal with many issues, including conflicts, desires to make changes, self-explorations, training, and consultancy.
(408) 816-1221 View (408) 816-1221
Photo of Pooja Gupta, Marriage & Family Therapist Associate, MA, AMFT
Pooja Gupta
Marriage & Family Therapist Associate, MA, AMFT
2 Endorsed
Fremont, CA 94538
Soren Kierkegaard, A Danish Philosopher, once said, “Life can only be understood backwards; but it must be lived forwards.” Therapy is a journey of self-discovery. Therapy allows us the time and space to look inwards and explore our feelings, thoughts and behaviors to find some answers for ourselves. It is our time to tell our story so that we can make connections and find meaning in what we are feeling. We all grow and develop in the context of our experiences and relationships, and only when we understand the impact those experiences have had on our being, can we find the inner strength to move forwards with our lives.
Soren Kierkegaard, A Danish Philosopher, once said, “Life can only be understood backwards; but it must be lived forwards.” Therapy is a journey of self-discovery. Therapy allows us the time and space to look inwards and explore our feelings, thoughts and behaviors to find some answers for ourselves. It is our time to tell our story so that we can make connections and find meaning in what we are feeling. We all grow and develop in the context of our experiences and relationships, and only when we understand the impact those experiences have had on our being, can we find the inner strength to move forwards with our lives.
(650) 648-4380 View (650) 648-4380
Photo of Surinder (Suri) Harish, Marriage & Family Therapist, MA, LMFT
Surinder (Suri) Harish
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Fremont, CA 94538
I view therapy as a process to cultivate seeds of hope in your family and in your life so you could achieve success, happiness and peace that you deserve. It is accomplished by identifying and leveraging your strengths, skills, values and interests.
I view therapy as a process to cultivate seeds of hope in your family and in your life so you could achieve success, happiness and peace that you deserve. It is accomplished by identifying and leveraging your strengths, skills, values and interests.
(408) 956-6598 View (408) 956-6598
Photo of Maria M Mosqueda, Marriage & Family Therapist, MA, LMFT
Maria M Mosqueda
Marriage & Family Therapist, MA, LMFT
2 Endorsed
Fremont, CA 94538
Bienvenidos! Welcome to Alianza Counseling Group. I have provided mental health services to diverse populations since 2009 in a variety of settings from school-based to residential. I support individuals struggling with the impact of trauma and immigration. Often traumatic and stressful experiences can leave a person feeling ‘different’, anxious, fearful, and hopeless. I am here to support those individuals heal and overcome the impact of traumatic experiences. I also support individuals struggling with self-esteem issues, depression, anxiety, stress, and mild to moderate eating and weight disorders.
Bienvenidos! Welcome to Alianza Counseling Group. I have provided mental health services to diverse populations since 2009 in a variety of settings from school-based to residential. I support individuals struggling with the impact of trauma and immigration. Often traumatic and stressful experiences can leave a person feeling ‘different’, anxious, fearful, and hopeless. I am here to support those individuals heal and overcome the impact of traumatic experiences. I also support individuals struggling with self-esteem issues, depression, anxiety, stress, and mild to moderate eating and weight disorders.
(510) 296-6504 View (510) 296-6504
Theodore Solomon
Clinical Social Work/Therapist
Fremont, CA 94538
My primary goal with clients is to foster an environment of increased self-esteem and self-confidence so that clients feel empowered to choose their own path with their own choices. I especially enjoy working with adolescents, young adults (20's and 30's) and couples. I also have a strong background of working with clients with substance abuse problems and with EAP programs.
My primary goal with clients is to foster an environment of increased self-esteem and self-confidence so that clients feel empowered to choose their own path with their own choices. I especially enjoy working with adolescents, young adults (20's and 30's) and couples. I also have a strong background of working with clients with substance abuse problems and with EAP programs.
(510) 470-7201 View (510) 470-7201
Photo of Dr. Yolanda Chavez, Psychologist, PhD
Dr. Yolanda Chavez
Psychologist, PhD
Fremont, CA 94538
Taking the first step toward getting help is a courageous act — and choosing the right support for your child or teen can feel overwhelming. I’m here to make that process easier. With just a phone call, I can offer a safe, supportive space where we’ll work together to help your child thrive. Whether you're navigating a recent crisis or facing long-standing challenges, I’m here to provide compassionate, evidence-based care tailored to your child’s unique needs — and to support you as a parent or caregiver every step of the way.
Taking the first step toward getting help is a courageous act — and choosing the right support for your child or teen can feel overwhelming. I’m here to make that process easier. With just a phone call, I can offer a safe, supportive space where we’ll work together to help your child thrive. Whether you're navigating a recent crisis or facing long-standing challenges, I’m here to provide compassionate, evidence-based care tailored to your child’s unique needs — and to support you as a parent or caregiver every step of the way.
(510) 617-1955 View (510) 617-1955
Photo of Shalini Dayal, Marriage & Family Therapist, MFT, #43574
Shalini Dayal
Marriage & Family Therapist, MFT, #43574
Fremont, CA 94538
Very often we find ourselves having the same arguments all the time in our personal relationships. Sometimes we get hurt like we have never been before and we can’t understand why it hurts so much. Old patterns and unresolved issues can keep us stuck in the same place at times. Never having learned healthy ways of communicating, we do not know how to get the results we want. So many of us go through these challenges at various stages of our lives, with work, personal and professional relationships and raising children. Some of these challenges can seem overwhelming and can drag us down.
Very often we find ourselves having the same arguments all the time in our personal relationships. Sometimes we get hurt like we have never been before and we can’t understand why it hurts so much. Old patterns and unresolved issues can keep us stuck in the same place at times. Never having learned healthy ways of communicating, we do not know how to get the results we want. So many of us go through these challenges at various stages of our lives, with work, personal and professional relationships and raising children. Some of these challenges can seem overwhelming and can drag us down.
(510) 612-6471 View (510) 612-6471
Photo of Katina Laib, Marriage & Family Therapist, LMFT
Katina Laib
Marriage & Family Therapist, LMFT
1 Endorsed
Fremont, CA 94538
Do you struggle with overwhelming emotions? Maybe you are frozen by anxiety or overrun by worries you can't control. Or you feel so numb, empty and hopeless that you can't concentrate or work. These emotions cause you to snap at others or retreat so that your relationships are not what you want them to be. In our sessions, you will learn what keeps you stuck and identify new ways thinking and behaving so you can move forward. You will also learn what to do when you are feeling intense emotions and be able to stop avoiding life.
Do you struggle with overwhelming emotions? Maybe you are frozen by anxiety or overrun by worries you can't control. Or you feel so numb, empty and hopeless that you can't concentrate or work. These emotions cause you to snap at others or retreat so that your relationships are not what you want them to be. In our sessions, you will learn what keeps you stuck and identify new ways thinking and behaving so you can move forward. You will also learn what to do when you are feeling intense emotions and be able to stop avoiding life.
(657) 315-6055 View (657) 315-6055

See more therapy options for 94538

How does your Therapist compare?

Number of Therapists in 94538

100+

Average cost per session

$185

Therapists in 94538 who prioritize treating:

94% Anxiety
86% Depression
72% Self Esteem
70% Stress
68% Relationship Issues
66% Grief
59% Trauma and PTSD

Average years in practice

14 Years

Top 3 insurances accepted

82% Aetna
81% Cigna and Evernorth
67% Optum

How Therapists in 94538 see their clients

50% In Person and Online
50% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 94538?

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.