Therapists in 95376

Photo of Korynn Pope - A to Z Psychotherapy, Pre-Licensed Professional, Trainee
A to Z Psychotherapy
Pre-Licensed Professional, Trainee
Tracy, CA 95376
Hello, my name is Korynn Pope & I am a trainee currently in my first year of graduate school at Notre Dame de Namur University, pursuing my degree to become a licensed Marriage and Family Therapist. As an African American woman deeply passionate about mental health, I believe that seeking therapy is one of the greatest investments you can make in yourself. It takes courage to begin this journey & I am honored to support you as you take this step toward healing and growth. The roles I have been in have shaped my understanding of the importance of connection, compassion, & creating spaces where individuals feel valued & supported.
Hello, my name is Korynn Pope & I am a trainee currently in my first year of graduate school at Notre Dame de Namur University, pursuing my degree to become a licensed Marriage and Family Therapist. As an African American woman deeply passionate about mental health, I believe that seeking therapy is one of the greatest investments you can make in yourself. It takes courage to begin this journey & I am honored to support you as you take this step toward healing and growth. The roles I have been in have shaped my understanding of the importance of connection, compassion, & creating spaces where individuals feel valued & supported.
(209) 780-0595 View (209) 780-0595
Photo of Patricia Graves, Marriage & Family Therapist Associate, MS, AMFT
Patricia Graves
Marriage & Family Therapist Associate, MS, AMFT
2 Endorsed
Tracy, CA 95376
I have been interested in working with children & adolescents for most of my life. Helping them to improve their self-esteem, self-worth, & self-love. My training has focused on working with adolescents & young adults experiencing anxiety, depression, social isolation/social anxiety, trauma, autism, ADHD, suicidality, LGBTQIA+ identity and stress/anger. My approach to therapy is relational client centered. I use CBT, DBT, narrative, art, and play therapy, Gestalt Therapy, & I actively work with my clients to select the approach that is a good fit for them. I have a relaxed-humorous yet direct approach to working with clients.
I have been interested in working with children & adolescents for most of my life. Helping them to improve their self-esteem, self-worth, & self-love. My training has focused on working with adolescents & young adults experiencing anxiety, depression, social isolation/social anxiety, trauma, autism, ADHD, suicidality, LGBTQIA+ identity and stress/anger. My approach to therapy is relational client centered. I use CBT, DBT, narrative, art, and play therapy, Gestalt Therapy, & I actively work with my clients to select the approach that is a good fit for them. I have a relaxed-humorous yet direct approach to working with clients.
(209) 666-1003 View (209) 666-1003
Photo of Yolanda Bolden, Marriage & Family Therapist Associate, AMFT
Yolanda Bolden
Marriage & Family Therapist Associate, AMFT
Tracy, CA 95376
My name is Yolanda Bolden and I am an Associate Marriage Family Therapist (AMFT). I graduated from Holy Names University where I earned my Bachelor’s and Master's Degree in Psychology. In addition to working at A to Z Psychotherapy, I am also a Mental Health Clinician Specialist with Contra Costa County. I have over 25 years of experience working with children, young women and young adults in the Christian Community as a bible study teacher, and group facilitator.
My name is Yolanda Bolden and I am an Associate Marriage Family Therapist (AMFT). I graduated from Holy Names University where I earned my Bachelor’s and Master's Degree in Psychology. In addition to working at A to Z Psychotherapy, I am also a Mental Health Clinician Specialist with Contra Costa County. I have over 25 years of experience working with children, young women and young adults in the Christian Community as a bible study teacher, and group facilitator.
(209) 886-2428 View (209) 886-2428
Photo of Marglen Enriquez, Pre-Licensed Professional, APCC
Marglen Enriquez
Pre-Licensed Professional, APCC
Tracy, CA 95376
Life can feel heavy when you’re carrying anxiety, grief, depression, or relationship struggles. I help individuals and families process trauma and emotional wounds using a compassionate and collaborative approach. My work integrates evidence-based modalities like narrative, systemic, and emotionally focused therapies. I’m bilingual (English/Spanish) and committed to creating a safe, inclusive space for healing.
Life can feel heavy when you’re carrying anxiety, grief, depression, or relationship struggles. I help individuals and families process trauma and emotional wounds using a compassionate and collaborative approach. My work integrates evidence-based modalities like narrative, systemic, and emotionally focused therapies. I’m bilingual (English/Spanish) and committed to creating a safe, inclusive space for healing.
(209) 806-4936 View (209) 806-4936
Photo of Carmen C Silva, Marriage & Family Therapist Associate, AMFT
Carmen C Silva
Marriage & Family Therapist Associate, AMFT
Tracy, CA 95376
As a bilingual Associate Marriage and Family Therapist with a background in education and behavior analysis, I bring a deep understanding of how early life experiences and learned behaviors shape not only who we are, but how we perceive and engage with the world around us. I’ve had the privilege of working with youth from diverse backgrounds for several years — as an educator, behavior technician, and school-based counselor — and I remain deeply passionate about supporting young people. I’m also committed to helping adult clients navigate their own unique paths toward healing and growth.
As a bilingual Associate Marriage and Family Therapist with a background in education and behavior analysis, I bring a deep understanding of how early life experiences and learned behaviors shape not only who we are, but how we perceive and engage with the world around us. I’ve had the privilege of working with youth from diverse backgrounds for several years — as an educator, behavior technician, and school-based counselor — and I remain deeply passionate about supporting young people. I’m also committed to helping adult clients navigate their own unique paths toward healing and growth.
(209) 332-8899 View (209) 332-8899
Photo of Christine Rachel Martinez - A to Z Psychotherapy, Pre-Licensed Professional, Trainee
A to Z Psychotherapy
Pre-Licensed Professional, Trainee
Tracy, CA 95376
Hello! My name is Christine Martinez, and I am a counselor-in-training student at Grand Canyon University, pursuing my degree to become a Licensed Professional Clinical Counselor. I am passionate about helping individuals overwhelmed by life’s challenges, find clarity and purpose. I provide support to clients in navigating emotional and mental health struggles, offering compassionate guidance and practical strategies. My goal is to help clients in finding peace, rebuild confidence, and create a more fulfilling and balanced life, driven by their desire to improve their overall well-being.
Hello! My name is Christine Martinez, and I am a counselor-in-training student at Grand Canyon University, pursuing my degree to become a Licensed Professional Clinical Counselor. I am passionate about helping individuals overwhelmed by life’s challenges, find clarity and purpose. I provide support to clients in navigating emotional and mental health struggles, offering compassionate guidance and practical strategies. My goal is to help clients in finding peace, rebuild confidence, and create a more fulfilling and balanced life, driven by their desire to improve their overall well-being.
(209) 752-6312 View (209) 752-6312
Photo of Marcelina Khurana, Marriage & Family Therapist Associate, AMFT
Marcelina Khurana
Marriage & Family Therapist Associate, AMFT
Tracy, CA 95376
I am an Associate Marriage and Family Therapist. I am also a wife in an intercultural and interreligious marriage, a daughter, a sister, and an immigrant, navigating the richness of four cultures and languages daily. I strive to nurture my faith, personal growth, and awareness, finding meaning not only in life's beauty but also in its challenges and complexities. I am passionate about celebrating the unique individuality each person brings. I also cherish a good cup of coffee, quality time with my loved ones, and creative pursuits such as dancing, solving puzzles, and journaling.
I am an Associate Marriage and Family Therapist. I am also a wife in an intercultural and interreligious marriage, a daughter, a sister, and an immigrant, navigating the richness of four cultures and languages daily. I strive to nurture my faith, personal growth, and awareness, finding meaning not only in life's beauty but also in its challenges and complexities. I am passionate about celebrating the unique individuality each person brings. I also cherish a good cup of coffee, quality time with my loved ones, and creative pursuits such as dancing, solving puzzles, and journaling.
(209) 806-4652 View (209) 806-4652
Photo of Razan Tuttle - Razan's Therapeutic Services, Marriage & Family Therapist, MA, LMFT, PPS
Razan's Therapeutic Services
Marriage & Family Therapist, MA, LMFT, PPS
7 Endorsed
Tracy, CA 95376
In addition to being a licensed therapist , I am also a clinical supervisor in the states of California and Texas. I provide clients with real life tools and aid them in developing effective strategies to cope with life issues. I view therapy as a collaborative effort to understand problems and conflicts, identify realistic goals and take advantage of strengths and strategies that promote change. While the focus is often on current issues, understanding the influence of past experiences and relationships is an important part of the process. I motivate, encourage and support my clients to make choices that improve their lives.
In addition to being a licensed therapist , I am also a clinical supervisor in the states of California and Texas. I provide clients with real life tools and aid them in developing effective strategies to cope with life issues. I view therapy as a collaborative effort to understand problems and conflicts, identify realistic goals and take advantage of strengths and strategies that promote change. While the focus is often on current issues, understanding the influence of past experiences and relationships is an important part of the process. I motivate, encourage and support my clients to make choices that improve their lives.
(209) 651-2041 View (209) 651-2041
Photo of Sheena M Turner-August - Panacea Therapy Clinics, Marriage & Family Therapist, PhD, LMFT
Panacea Therapy Clinics
Marriage & Family Therapist, PhD, LMFT
Tracy, CA 95376
Group therapy is an opportunity to bring individuals with shared experiences together in a supportive environment. The therapist(s) works to provide a safe place for each group member to work towards increasing one’s ability to cope with personal and life stressors. Group therapy is unique because it allows for its members to observe and learn from their peer’s experiences. Our program has a strong emphasis on working with teens and their primary caregivers as well as schools to create consistency across environments in order to reduce the impact of one’s mental health symptoms.
Group therapy is an opportunity to bring individuals with shared experiences together in a supportive environment. The therapist(s) works to provide a safe place for each group member to work towards increasing one’s ability to cope with personal and life stressors. Group therapy is unique because it allows for its members to observe and learn from their peer’s experiences. Our program has a strong emphasis on working with teens and their primary caregivers as well as schools to create consistency across environments in order to reduce the impact of one’s mental health symptoms.
(209) 653-8636 View (209) 653-8636
Photo of Sheena M Turner-August, Marriage & Family Therapist, PhD, LMFT
Sheena M Turner-August
Marriage & Family Therapist, PhD, LMFT
1 Endorsed
Tracy, CA 95376
I specialize in working with teens and my areas of expertise include working with adolescents and their families and crisis stabilization. I also have expertise in working with individuals struggling with a mood disorder, have a history of trauma or have recently suffered a loss. I work with young adults in phase of life transitions and all individuals struggling with anxiety. I have over eight years of experience working in community mental health settings with adolescents and their families. I also work with couples and young adults struggling with a variety of life changes and challenges.
I specialize in working with teens and my areas of expertise include working with adolescents and their families and crisis stabilization. I also have expertise in working with individuals struggling with a mood disorder, have a history of trauma or have recently suffered a loss. I work with young adults in phase of life transitions and all individuals struggling with anxiety. I have over eight years of experience working in community mental health settings with adolescents and their families. I also work with couples and young adults struggling with a variety of life changes and challenges.
(209) 231-7166 View (209) 231-7166
Photo of Mark Myers, CMHP
Mark Myers
Verified Verified
1 Endorsed
Tracy, CA 95376
My mission is to create a counseling practice where your faith meets your mental health care, allowing clients to explore their challenges in alignment with their Christian beliefs, biblical truth, and God's will. I value the transformative power of love, respect, and dignity in every interaction, always striving to reflect these values in my work with you. By integrating truth and Scripture with counseling, I am committed to offering guidance that honors your Christian faith while addressing personal and relational issues effectively using sound mental health practices and techniques.
My mission is to create a counseling practice where your faith meets your mental health care, allowing clients to explore their challenges in alignment with their Christian beliefs, biblical truth, and God's will. I value the transformative power of love, respect, and dignity in every interaction, always striving to reflect these values in my work with you. By integrating truth and Scripture with counseling, I am committed to offering guidance that honors your Christian faith while addressing personal and relational issues effectively using sound mental health practices and techniques.
(209) 884-4673 View (209) 884-4673
Photo of Alicia M. Warn, Marriage & Family Therapist Associate, MA, AMFT, APCC
Alicia M. Warn
Marriage & Family Therapist Associate, MA, AMFT, APCC
Tracy, CA 95376
I am an AMFT/APCC who is passionate about helping individuals learn lifelong skills to better their mental health. I have worked with children, adolescents, and adults who struggle with trauma, depression, and anxiety. My areas of interest include trauma recovery, chronic depression and anxiety, relational issues, and women's issues including birth related trauma and postpartum depression. I recognize that all individuals are unique, and their struggles and strengths encompass various aspects of their lives.
I am an AMFT/APCC who is passionate about helping individuals learn lifelong skills to better their mental health. I have worked with children, adolescents, and adults who struggle with trauma, depression, and anxiety. My areas of interest include trauma recovery, chronic depression and anxiety, relational issues, and women's issues including birth related trauma and postpartum depression. I recognize that all individuals are unique, and their struggles and strengths encompass various aspects of their lives.
(209) 882-9167 View (209) 882-9167
Photo of Natasha Kennard, Associate Professional Clinical Counselor, AMFT, APCC
Natasha Kennard
Associate Professional Clinical Counselor, AMFT, APCC
Tracy, CA 95376
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 Stephanie Mohtashemi, Marriage & Family Therapist Associate, AMFT
Stephanie Mohtashemi
Marriage & Family Therapist Associate, AMFT
Tracy, CA 95376
Hi, I’m Stephanie. You deserve a space to feel heard, understood, and supported—especially when life feels overwhelming. My experience as a school-based therapist helps me connect with children and teens navigating academic stress, identity, and peer relationships. Therapy can help you build resilience, gain clarity, and move forward in a way that feels right. It doesn’t have to be heavy—our work can be meaningful, supportive, and even include humor. I understand Spanish and work with Spanish-speaking children and families, though my spoken Spanish is at a basic level.
Hi, I’m Stephanie. You deserve a space to feel heard, understood, and supported—especially when life feels overwhelming. My experience as a school-based therapist helps me connect with children and teens navigating academic stress, identity, and peer relationships. Therapy can help you build resilience, gain clarity, and move forward in a way that feels right. It doesn’t have to be heavy—our work can be meaningful, supportive, and even include humor. I understand Spanish and work with Spanish-speaking children and families, though my spoken Spanish is at a basic level.
(209) 438-5897 View (209) 438-5897
Photo of Denise Padilla, Clinical Social Work/Therapist, LCSW
Denise Padilla
Clinical Social Work/Therapist, LCSW
2 Endorsed
Tracy, CA 95376
I am a bicultural, bilingual Latina with over ten years experience working with diverse populations. I believe that everyone has a story and courage to be the best version of themselves. I chose to become a licensed clinical social worker to help people learn and cope. I work with adults that have experienced trauma, anxiety, depression, and life issues because I know there is treatment. In addition, I offer my services to First Responders because I know there is a need for this population. I am currently certified in Brainspotting and a Certified Narcissistic Abuse Treatment Clinician.
I am a bicultural, bilingual Latina with over ten years experience working with diverse populations. I believe that everyone has a story and courage to be the best version of themselves. I chose to become a licensed clinical social worker to help people learn and cope. I work with adults that have experienced trauma, anxiety, depression, and life issues because I know there is treatment. In addition, I offer my services to First Responders because I know there is a need for this population. I am currently certified in Brainspotting and a Certified Narcissistic Abuse Treatment Clinician.
(209) 528-0930 View (209) 528-0930
Photo of Guadalupe (Lupe) Solorio, Pre-Licensed Professional, MA, AMFT
Guadalupe (Lupe) Solorio
Pre-Licensed Professional, MA, AMFT
Tracy, CA 95376
If you're longing for deeper joy, intentionality, purpose, and wholeness in your life, today is a good day to begin. It can be difficult to prioritize yourself while trying to survive life stressor’s on the day to day basis but disregarding them could have longer lasting consequences for you and those that love you the most.
If you're longing for deeper joy, intentionality, purpose, and wholeness in your life, today is a good day to begin. It can be difficult to prioritize yourself while trying to survive life stressor’s on the day to day basis but disregarding them could have longer lasting consequences for you and those that love you the most.
(209) 340-9631 View (209) 340-9631
Photo of Terren Hinojosa, Pre-Licensed Professional, ACSW
Terren Hinojosa
Pre-Licensed Professional, ACSW
Tracy, CA 95376
“Mental health…is not a destination, but a process. It's about how you drive, not where you're going" Noam Shpancer. I am honored that you chose me to be part of your journey. Make your mental health your priority.
“Mental health…is not a destination, but a process. It's about how you drive, not where you're going" Noam Shpancer. I am honored that you chose me to be part of your journey. Make your mental health your priority.
(209) 330-5152 View (209) 330-5152
Photo of Karen J McCrary, Marriage & Family Therapist, MS, LMFT
Karen J McCrary
Marriage & Family Therapist, MS, LMFT
1 Endorsed
Tracy, CA 95376
I am a Licensed Marriage & Family Therapist, LMFT 123208. I worked as a teacher and decided to go back to school and continue my education, to enable me to work with families, couples and individuals in a therapeutic setting. My focus is family, marriage and couples counseling. I have experience working with families that have unconventional lifestyles. In addition, I have experience working with couples, teens, groups and children. I have worked with the school district as a mental health counselor, as well as conducted group therapy in all settings. I am trained in Gottman Method for Couples and Bariatric Assessment certified.
I am a Licensed Marriage & Family Therapist, LMFT 123208. I worked as a teacher and decided to go back to school and continue my education, to enable me to work with families, couples and individuals in a therapeutic setting. My focus is family, marriage and couples counseling. I have experience working with families that have unconventional lifestyles. In addition, I have experience working with couples, teens, groups and children. I have worked with the school district as a mental health counselor, as well as conducted group therapy in all settings. I am trained in Gottman Method for Couples and Bariatric Assessment certified.
(925) 326-6748 View (925) 326-6748
Photo of Jessica Quiambao, Marriage & Family Therapist, MA, LMFT
Jessica Quiambao
Marriage & Family Therapist, MA, LMFT
Tracy, CA 95376
I work with patients experiencing anxiety, depression, trauma, and family and couples issues. I help patients work through their family system and identify areas of change through open communication. I help patients identify goals they have for therapy, and ensure they have a safe place to be authentic, free of judgement.
I work with patients experiencing anxiety, depression, trauma, and family and couples issues. I help patients work through their family system and identify areas of change through open communication. I help patients identify goals they have for therapy, and ensure they have a safe place to be authentic, free of judgement.
(209) 714-5063 View (209) 714-5063
Photo of Nicole Dhamnaskar - Nicole Dhamnaskar (Teen Specialists), Clinical Social Work/Therapist, LCSW
Nicole Dhamnaskar (Teen Specialists)
Clinical Social Work/Therapist, LCSW
Tracy, CA 95376
Is your child or teen feeling sad, worried, or distant? Maybe they seem quiet, stressed, or overwhelmed by things like school or social media. As a parent, it can be hard to know how to help. I understand what it feels like — both as a parent and from my own experience growing up. You don’t have to figure it out alone. I help kids, teens, and families work through challenges like anxiety, depression, trauma, ADHD, and behavior changes. Together, we can create a safe space to talk, heal, and feel better.
Is your child or teen feeling sad, worried, or distant? Maybe they seem quiet, stressed, or overwhelmed by things like school or social media. As a parent, it can be hard to know how to help. I understand what it feels like — both as a parent and from my own experience growing up. You don’t have to figure it out alone. I help kids, teens, and families work through challenges like anxiety, depression, trauma, ADHD, and behavior changes. Together, we can create a safe space to talk, heal, and feel better.
(650) 800-5711 View (650) 800-5711

See more therapy options for 95376

How does your Therapist compare?

Number of Therapists in 95376

60+

Average cost per session

$140

Therapists in 95376 who prioritize treating:

90% Depression
88% Anxiety
78% Relationship Issues
74% Self Esteem
71% Coping Skills
68% Stress
67% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

75% Other
73% Aetna
65% Cigna and Evernorth

How Therapists in 95376 see their clients

54% In Person and Online
46% Online Only

Gender breakdown

92% Female
6% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 95376?

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.