Photo of Alina Sala, Licensed Professional Clinical Counselor, LPCC
Alina Sala
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Online Only
Hi there, I'm Alina! My name is Alina Avila Sala and I am a Licensed Professional Clinical Counselor (LPCC) based in Sacramento, CA and working with clients statewide via telehealth. My client population & specialty focus I have found that my style and approach is a good fit for adults and young adults who may be dealing with the challenges of life transitions and social pressures. This often takes the form of anxiety, depression, stress, and eating disorders. I work to help my clients navigate these transition periods and to build skills to allow them to feel better about themselves and develop a more positive outlook on life.
Hi there, I'm Alina! My name is Alina Avila Sala and I am a Licensed Professional Clinical Counselor (LPCC) based in Sacramento, CA and working with clients statewide via telehealth. My client population & specialty focus I have found that my style and approach is a good fit for adults and young adults who may be dealing with the challenges of life transitions and social pressures. This often takes the form of anxiety, depression, stress, and eating disorders. I work to help my clients navigate these transition periods and to build skills to allow them to feel better about themselves and develop a more positive outlook on life.
(209) 354-3091 View (209) 354-3091
Photo of Arthur Streeter, Marriage & Family Therapist, LMFT
Arthur Streeter
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
I work with my clients eclectically utilizing a Client-Centered approach always. I have been actively engaged in psychotherapy since 2006. Active listening is a primary aspect of my therapeutic facilitation. I am treatment focused in my client's best interest, and I have experience working with individuals, couples, families, and early to middle adolescent males and females.
I work with my clients eclectically utilizing a Client-Centered approach always. I have been actively engaged in psychotherapy since 2006. Active listening is a primary aspect of my therapeutic facilitation. I am treatment focused in my client's best interest, and I have experience working with individuals, couples, families, and early to middle adolescent males and females.
(209) 618-2479 View (209) 618-2479
Photo of Carol Anderson, Psychologist, PsyD
Carol Anderson
Psychologist, PsyD
Verified Verified
1 Endorsed
Online Only
Are you struggling - often silently - with depression, anxiety, issues around self-worth, difficulty with life transitions, or unhealthy relationships, despite outward appearances? And despite being a modern woman who's a successful, driven go-getter in your professional life? I help otherwise successful women work through their 'stuff' to live a life with more emotional ease & well-being. My clients are ready for growth and change. They're ready to step off the emotional merry-go-round and get unstuck. They want to be successful AND happy. And they want a safe, deeply affirming space to make their positive transformations.
Are you struggling - often silently - with depression, anxiety, issues around self-worth, difficulty with life transitions, or unhealthy relationships, despite outward appearances? And despite being a modern woman who's a successful, driven go-getter in your professional life? I help otherwise successful women work through their 'stuff' to live a life with more emotional ease & well-being. My clients are ready for growth and change. They're ready to step off the emotional merry-go-round and get unstuck. They want to be successful AND happy. And they want a safe, deeply affirming space to make their positive transformations.
(209) 231-8506 View (209) 231-8506
Photo of Csilla Feher, Clinical Social Work/Therapist, LCSW
Csilla Feher
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
My name is Csilla Feher, and I am a Licensed Clinical Social Worker. I believe in treating everyone with respect, compassion, and sensitivity. I have experience working with a diverse population, ranging from severely emotionally disturbed adults, elderly adults, persons struggling with substance abuse, the homeless, psychotic persons, and persons with mood disorders. I am working with clientele suffering from depression, anxiety, substance use, and general psychosocial stressors.
My name is Csilla Feher, and I am a Licensed Clinical Social Worker. I believe in treating everyone with respect, compassion, and sensitivity. I have experience working with a diverse population, ranging from severely emotionally disturbed adults, elderly adults, persons struggling with substance abuse, the homeless, psychotic persons, and persons with mood disorders. I am working with clientele suffering from depression, anxiety, substance use, and general psychosocial stressors.
(209) 340-1156 View (209) 340-1156
Photo of Cristina Rodriguez, Marriage & Family Therapist, MA, LMFT
Cristina Rodriguez
Marriage & Family Therapist, MA, LMFT
Verified Verified
Online Only
Are you a people pleaser who feels overwhelmed with helping others? Do you do everything for your family and leave no time at the end of the day for yourself? You feel overwhelmed, disconnected from who you were before children, family and the demands of your career and life. You would like to break the chains of self-doubt and overthinking. Many times throughout the day you feel you aren't doing enough, need a minute to rest but feel you can't take one. You look in the mirror and wonder who is looking back at you. You would love time off but can't justify taking it. You know it is enough and you need support.
Are you a people pleaser who feels overwhelmed with helping others? Do you do everything for your family and leave no time at the end of the day for yourself? You feel overwhelmed, disconnected from who you were before children, family and the demands of your career and life. You would like to break the chains of self-doubt and overthinking. Many times throughout the day you feel you aren't doing enough, need a minute to rest but feel you can't take one. You look in the mirror and wonder who is looking back at you. You would love time off but can't justify taking it. You know it is enough and you need support.
(209) 340-3144 View (209) 340-3144
Photo of Michelle Ikeda, Marriage & Family Therapist, LMFT
Michelle Ikeda
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
I am a licensed Marriage and Family Therapist in California with diverse experience in social services and healthcare fields. My expertise is in helping individuals/couples cope with depression, anxieties, differences in priorities, improve communication, and facilitate better understanding of each other. I have a variety of experiences working with children and families with issues related to child welfare system, court or non-court custody related issues, legal guardianship related issues and parenting issues.
I am a licensed Marriage and Family Therapist in California with diverse experience in social services and healthcare fields. My expertise is in helping individuals/couples cope with depression, anxieties, differences in priorities, improve communication, and facilitate better understanding of each other. I have a variety of experiences working with children and families with issues related to child welfare system, court or non-court custody related issues, legal guardianship related issues and parenting issues.
(209) 370-2646 View (209) 370-2646
Photo of Kathleen Wilson-Parish, Marriage & Family Therapist, MA, LMFT
Kathleen Wilson-Parish
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Manteca, CA 95337
For the past 22 years I have been an available and willing partner on heart health wellness journeys. My work in non-profit settings, private practice and behavioral health agencies has been a welcoming encouragement to "give back" to my community. It is my honor to partner with you in exploring options to define and achieve a "preferred future" for your heart health wellness. I offer you a confidential, nonjudgmental setting for your comfort and healing. It is my hope you will receive the care, kindness and healing you deserve. I offer you day, evening and Saturday appointments; in person or video. You matter!
For the past 22 years I have been an available and willing partner on heart health wellness journeys. My work in non-profit settings, private practice and behavioral health agencies has been a welcoming encouragement to "give back" to my community. It is my honor to partner with you in exploring options to define and achieve a "preferred future" for your heart health wellness. I offer you a confidential, nonjudgmental setting for your comfort and healing. It is my hope you will receive the care, kindness and healing you deserve. I offer you day, evening and Saturday appointments; in person or video. You matter!
(209) 231-4983 View (209) 231-4983
Photo of Karen Collette Murray, Marriage & Family Therapist, LMFT
Karen Collette Murray
Marriage & Family Therapist, LMFT
Verified Verified
Manteca, CA 95337
ACCEPTING NEW CLIENTS. Self Pay Only at this time. Evening and Weekend Sessions. The client in search of a safe place to process their feelings, gain support to develop current strengths and reach personally identified goals. I work closely with my clients to assure they gain insight of behaviors, habits and thoughts that hinder success in all areas of life. Providing an environment that promotes wellness, happiness, peace and tranquility.
ACCEPTING NEW CLIENTS. Self Pay Only at this time. Evening and Weekend Sessions. The client in search of a safe place to process their feelings, gain support to develop current strengths and reach personally identified goals. I work closely with my clients to assure they gain insight of behaviors, habits and thoughts that hinder success in all areas of life. Providing an environment that promotes wellness, happiness, peace and tranquility.
(678) 735-3409 View (678) 735-3409
Photo of Carol Michaelis - J & M Empowerment Life Coaching, LLC, Licensed Professional Counselor, BA, MS, LPCC
J & M Empowerment Life Coaching, LLC
Licensed Professional Counselor, BA, MS, LPCC
Verified Verified
Manteca, CA 95337
At J & M Empowerment Life Coaching, we focus on assisting individuals, couples, and groups. In today's world, there are stressful events and many may be feeling overwhelmed. Our coaches can help with improving relationships, reducing the severity of anxiety, and help clients become proficient in coping skills. Life coaches focus on your specific needs. We also provide services to companies, which includes improving attendance, resolving conflict, and managing stress in the workplace. We help to promote a positive work environment, addressing underlying issues, and helping employees to work toward personal and professional goals.
At J & M Empowerment Life Coaching, we focus on assisting individuals, couples, and groups. In today's world, there are stressful events and many may be feeling overwhelmed. Our coaches can help with improving relationships, reducing the severity of anxiety, and help clients become proficient in coping skills. Life coaches focus on your specific needs. We also provide services to companies, which includes improving attendance, resolving conflict, and managing stress in the workplace. We help to promote a positive work environment, addressing underlying issues, and helping employees to work toward personal and professional goals.
(209) 316-3461 View (209) 316-3461
Photo of Clarice Stout, Marriage & Family Therapist, LMFT
Clarice Stout
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Not accepting new clients
Hello! I am Clarice Stout, a Licensed Marriage and Family Therapist. I have experience in helping clients of all ages and specialize in treating stress management, depression, anxiety, grief, anger management, trauma, adjustments, life transitions, OCD, addictive behaviors, & more. I use multiple therapeutic styles in order to best fit clients' needs! Some of those therapeutic styles are CBT, Motivational, Solution Focused, Grief work, & Psychodynamic, and more. Sometimes the stress & anxieties of life can be overwhelming. My aim is for all clients to feel comfortable and supported during their time of healing and growth in therapy.
Hello! I am Clarice Stout, a Licensed Marriage and Family Therapist. I have experience in helping clients of all ages and specialize in treating stress management, depression, anxiety, grief, anger management, trauma, adjustments, life transitions, OCD, addictive behaviors, & more. I use multiple therapeutic styles in order to best fit clients' needs! Some of those therapeutic styles are CBT, Motivational, Solution Focused, Grief work, & Psychodynamic, and more. Sometimes the stress & anxieties of life can be overwhelming. My aim is for all clients to feel comfortable and supported during their time of healing and growth in therapy.
(805) 900-4294 View (805) 900-4294
Photo of Lisa Wolfe, Clinical Social Work/Therapist, LCSW
Lisa Wolfe
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I have found that my style and experience are a good fit for teens and young adults who may be facing pressures and challenges in various areas of their lives. These challenges may present as stress, anxiety, or depression. I look forward to supporting you in creating positive change in your life.
I have found that my style and experience are a good fit for teens and young adults who may be facing pressures and challenges in various areas of their lives. These challenges may present as stress, anxiety, or depression. I look forward to supporting you in creating positive change in your life.
(831) 228-8942 View (831) 228-8942
Photo of Andrew Cuevas, Clinical Social Work/Therapist, LCSW
Andrew Cuevas
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hello! Feeling stressed out? Dealing with conflicts in your relationships? Struggling to cope with trauma? Often times i see people who are struggling with something and you would never know it. They hold down stressful jobs, take care of the kids, or even ill family members. You would never know looking at them that they struggle with not feeling good enough, daily anxiety, consistent feelings of sadness and even they don’t know where these feelings are coming from. If this describes you then I invite you to reach out I offer an empathetic ear, and a safe space as we process and work through lives challenges!
Hello! Feeling stressed out? Dealing with conflicts in your relationships? Struggling to cope with trauma? Often times i see people who are struggling with something and you would never know it. They hold down stressful jobs, take care of the kids, or even ill family members. You would never know looking at them that they struggle with not feeling good enough, daily anxiety, consistent feelings of sadness and even they don’t know where these feelings are coming from. If this describes you then I invite you to reach out I offer an empathetic ear, and a safe space as we process and work through lives challenges!
(209) 862-6705 View (209) 862-6705
Photo of Karen Anderson, Clinical Social Work/Therapist, LCSW
Karen Anderson
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
My name is Karen Anderson, and I am a Licensed Clinical Social Worker (LCSW). My practice is built around a strong belief in human resilience and the intrinsic capacity in each of us to overcome the challenges life brings. I have a passion for women’s reproductive and mental health issues and have over 35 years of experience in this area. I use Cognitive Behavioral and Strength-Based techniques in my work and provide a warm, compassionate, and empathic environment to individuals as an important way to make discussing difficult issues safe and build trust.
My name is Karen Anderson, and I am a Licensed Clinical Social Worker (LCSW). My practice is built around a strong belief in human resilience and the intrinsic capacity in each of us to overcome the challenges life brings. I have a passion for women’s reproductive and mental health issues and have over 35 years of experience in this area. I use Cognitive Behavioral and Strength-Based techniques in my work and provide a warm, compassionate, and empathic environment to individuals as an important way to make discussing difficult issues safe and build trust.
(951) 612-7018 View (951) 612-7018
Photo of Debbie Grace P Lugtu, Marriage & Family Therapist, LMFT, MA
Debbie Grace P Lugtu
Marriage & Family Therapist, LMFT, MA
Verified Verified
Online Only
Are you looking to get to the root of the issue? Maybe you’re starting to recognize patterns and identified triggers that may have stemmed from childhood and/or relationship trauma. My ideal client is curious about themselves and reflective as I use an insight-oriented approach to help recognize patterns and process where they have stemmed from. I use a narrative theoretical orientation, believing that after we’ve understood ourselves using compassionate lens, we have the power to unlearn our patterns that no longer serve us, and ultimately, re-author our narrative.
Are you looking to get to the root of the issue? Maybe you’re starting to recognize patterns and identified triggers that may have stemmed from childhood and/or relationship trauma. My ideal client is curious about themselves and reflective as I use an insight-oriented approach to help recognize patterns and process where they have stemmed from. I use a narrative theoretical orientation, believing that after we’ve understood ourselves using compassionate lens, we have the power to unlearn our patterns that no longer serve us, and ultimately, re-author our narrative.
(650) 297-0727 View (650) 297-0727
Photo of A Brooks Larsen, Clinical Social Work/Therapist, LCSW
A Brooks Larsen
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
A client stressed to the maximum in any relationship or unsure why they are feeling down, neglected, and rejected, are ready for therapy. Couples who feel they have lost the rudder in their relationships, the spark in their friendships or with family members, and are needing to discuss this in private, are welcome to call me for an evaluation together. I can help you experience the reduction to self-rejection and can build a postitive outlook on who you are what you can do. I see all clients on a HIPPA Compliant Zoom Platform, thus you never drive to an office or sit in a crowded waiting room. We "Zoom It"!
A client stressed to the maximum in any relationship or unsure why they are feeling down, neglected, and rejected, are ready for therapy. Couples who feel they have lost the rudder in their relationships, the spark in their friendships or with family members, and are needing to discuss this in private, are welcome to call me for an evaluation together. I can help you experience the reduction to self-rejection and can build a postitive outlook on who you are what you can do. I see all clients on a HIPPA Compliant Zoom Platform, thus you never drive to an office or sit in a crowded waiting room. We "Zoom It"!
(435) 557-4284 View (435) 557-4284
Photo of Elaine Quattro, Marriage & Family Therapist, LMFT
Elaine Quattro
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Hello... I am Elaine Quattro, Licensed Marriage and Family Therapist I see myself as a change agent helping clients by empowering them to explore their strengths and attain the personal growth they are committed to accomplishing.
Hello... I am Elaine Quattro, Licensed Marriage and Family Therapist I see myself as a change agent helping clients by empowering them to explore their strengths and attain the personal growth they are committed to accomplishing.
(951) 338-5989 View (951) 338-5989
Photo of Angela Zhang, Counselor, LPCC
Angela Zhang
Counselor, LPCC
Verified Verified
Online Only
Angela Zhang, LPCC, specializes in supporting individuals through the challenges of depression, anxiety, stress management, and life transitions. She strives to create a safe, non-judgmental space where clients feel heard, understood, and empowered to make positive changes in their lives. Angela emphasizes the power of the therapeutic relationship to motivate clients on their journey of healing and growth, ultimately leading to a more fulfilling and meaningful life.
Angela Zhang, LPCC, specializes in supporting individuals through the challenges of depression, anxiety, stress management, and life transitions. She strives to create a safe, non-judgmental space where clients feel heard, understood, and empowered to make positive changes in their lives. Angela emphasizes the power of the therapeutic relationship to motivate clients on their journey of healing and growth, ultimately leading to a more fulfilling and meaningful life.
(626) 648-5208 View (626) 648-5208
Photo of Kelly Marie Miltenberger, Licensed Professional Counselor, LCPC
Kelly Marie Miltenberger
Licensed Professional Counselor, LCPC
Verified Verified
Online Only
Hi! I'm Kelly Miltenberger, a Licensed Professional Clinical Counselor. I work towards recognizing your existing skills and strengths and helping you to expand those into stronger, more adaptable ones to help you achieve your goals. For over 10 years I have been working with children and adults from diverse populations and cultural backgrounds. I have a vast range of clinical experience in forensic settings, In-Patient facilities, virtual settings, and schools.
Hi! I'm Kelly Miltenberger, a Licensed Professional Clinical Counselor. I work towards recognizing your existing skills and strengths and helping you to expand those into stronger, more adaptable ones to help you achieve your goals. For over 10 years I have been working with children and adults from diverse populations and cultural backgrounds. I have a vast range of clinical experience in forensic settings, In-Patient facilities, virtual settings, and schools.
(831) 318-7148 View (831) 318-7148
Photo of Natasha Kennard, Associate Professional Clinical Counselor, AMFT, APCC
Natasha Kennard
Associate Professional Clinical Counselor, AMFT, APCC
Verified Verified
Serves Area
My name is Natasha Kennard and I am an Associate Marriage & Family Therapist (AMFT) and an Associate Professional Clinical Counselor (APCC). With a master's degree in clinical psychology, I am dedicated to providing comprehensive and compassionate mental health support. I believe in a client centered approach, tailoring techniques to help you achieve your unique needs & goals through self-discovery & personal growth. I work with individuals, students, professionals, couples, & families at all ages and stages. My areas of expertise include anxiety, depression, stress management, & relationship counseling.
My name is Natasha Kennard and I am an Associate Marriage & Family Therapist (AMFT) and an Associate Professional Clinical Counselor (APCC). With a master's degree in clinical psychology, I am dedicated to providing comprehensive and compassionate mental health support. I believe in a client centered approach, tailoring techniques to help you achieve your unique needs & goals through self-discovery & personal growth. I work with individuals, students, professionals, couples, & families at all ages and stages. My areas of expertise include anxiety, depression, stress management, & relationship counseling.
(209) 886-4386 View (209) 886-4386
Photo of Brittany Woodward, Marriage & Family Therapist, LMFT
Brittany Woodward
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Brittany Woodward, LMFT, specializes in working with adolescents, young adults, and adults, providing individual and family therapy. Brittany firmly believes in the power of science and human connection to bring about transformation and change. In her practice, she brings warmth, a genuine desire to fully understand her clients, and the occasional crack at humor. Recognizing that therapy is not a one-size-fits-all approach, Brittany is dedicated to fostering a therapeutic environment that allows individuals to see and recognize their potential and bring about a sense of empowerment within their lives.
Brittany Woodward, LMFT, specializes in working with adolescents, young adults, and adults, providing individual and family therapy. Brittany firmly believes in the power of science and human connection to bring about transformation and change. In her practice, she brings warmth, a genuine desire to fully understand her clients, and the occasional crack at humor. Recognizing that therapy is not a one-size-fits-all approach, Brittany is dedicated to fostering a therapeutic environment that allows individuals to see and recognize their potential and bring about a sense of empowerment within their lives.
(310) 928-9835 View (310) 928-9835
1

See more therapy options for 95337

How does your Therapist compare?

Number of Therapists in 95337

40+

Average cost per session

$120

Therapists in 95337 who prioritize treating:

95% Anxiety
93% Depression
73% Coping Skills
63% Family Conflict
61% Self Esteem
61% Stress
56% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

86% Aetna
80% Cigna and Evernorth
80% UnitedHealthcare UHC | UBH

How Therapists in 95337 see their clients

78% Online Only
22% In Person and Online

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 95337?

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.