Therapists in 97504

Photo of Lisa Jamison - Rogue Therapy, Licensed Professional Counselor, LPC
Rogue Therapy
Licensed Professional Counselor, LPC
Medford, OR 97504
My work centers around helping people heal from trauma, grief, and other circumstances that have caused difficulty in one's life. I help my clients explore behavior, thoughts and feelings, relationships, values, and strengths. I am certified in EMDR, DBT, and have experience in other modalities such as CBT and Psychoanalysis (currently training).
My work centers around helping people heal from trauma, grief, and other circumstances that have caused difficulty in one's life. I help my clients explore behavior, thoughts and feelings, relationships, values, and strengths. I am certified in EMDR, DBT, and have experience in other modalities such as CBT and Psychoanalysis (currently training).
(458) 220-5933 View (458) 220-5933
Photo of Silvia Stanton, Pre-Licensed Professional, MSW, CSWA, MSEd
Silvia Stanton
Pre-Licensed Professional, MSW, CSWA, MSEd
2 Endorsed
Medford, OR 97504
My goal is to help others through their "normal" and overcome any life challenges they may be facing at this point in their lives. I am straightforward and non-judgmental in my approach. I will always collaborate and use evidenced-based tools to support my clients growth, but also my own growth. I believe we all struggle in one way or another and it can range from everyday anxiety to long-term compounded trauma. This is where I come in; to help you gain the skills to navigate it with confidence.
My goal is to help others through their "normal" and overcome any life challenges they may be facing at this point in their lives. I am straightforward and non-judgmental in my approach. I will always collaborate and use evidenced-based tools to support my clients growth, but also my own growth. I believe we all struggle in one way or another and it can range from everyday anxiety to long-term compounded trauma. This is where I come in; to help you gain the skills to navigate it with confidence.
(541) 920-0614 View (541) 920-0614
Photo of Jentry Holthus, Licensed Professional Counselor, LPC, MS
Jentry Holthus
Licensed Professional Counselor, LPC, MS
1 Endorsed
Online Only
Waitlist for new clients
My clients present with a variety of concerns including mood concerns, needs for healthy coping tools, substance use issues, goals for improving relationships, and processing through trauma history. I offer individual, couples, and family counseling and use a variety of research-based methods including DBT, CBT, Person-Centered Therapy, Addictions Counseling, Trauma-Informed Counseling, and others in order to support those who wish to explore their strengths and weaknesses, explore potential for change, and put change plans into action. I also have a history of work with individuals dealing with psychosis and other disabilities.
My clients present with a variety of concerns including mood concerns, needs for healthy coping tools, substance use issues, goals for improving relationships, and processing through trauma history. I offer individual, couples, and family counseling and use a variety of research-based methods including DBT, CBT, Person-Centered Therapy, Addictions Counseling, Trauma-Informed Counseling, and others in order to support those who wish to explore their strengths and weaknesses, explore potential for change, and put change plans into action. I also have a history of work with individuals dealing with psychosis and other disabilities.
(458) 209-3082 View (458) 209-3082
Photo of Lara Lisa Anders, Marriage & Family Therapist, MS, LMFT
Lara Lisa Anders
Marriage & Family Therapist, MS, LMFT
1 Endorsed
Medford, OR 97504
As a therapist, I understand how overwhelming and challenging life can become at times. Finding a therapist that’s the right fit for you is important. My goal is to seek to understand you and your needs so that I can support you in moving towards your desired goals. I believe that each client has the gifts and strengths they need to be successful. When we hit “stuck spots” it can be challenging to recognize those gifts. I see myself as a life coach, marriage counselor, parenting coach, and personal therapist. I believe that everyone deserves to be treated with compassion so that therapy can be a safe space to heal and move forward.
As a therapist, I understand how overwhelming and challenging life can become at times. Finding a therapist that’s the right fit for you is important. My goal is to seek to understand you and your needs so that I can support you in moving towards your desired goals. I believe that each client has the gifts and strengths they need to be successful. When we hit “stuck spots” it can be challenging to recognize those gifts. I see myself as a life coach, marriage counselor, parenting coach, and personal therapist. I believe that everyone deserves to be treated with compassion so that therapy can be a safe space to heal and move forward.
(458) 218-8836 View (458) 218-8836
Photo of Adrianne Miller, Clinical Social Work/Therapist, LCSW, LISW CP, EMDR
Adrianne Miller
Clinical Social Work/Therapist, LCSW, LISW CP, EMDR
Medford, OR 97504
I believe that transformation is possible for everyone. I believe that one of the bravest things you can do is to begin to explore and understand your own story. It is within your story, embodied in your body, mind, and spirit, that you will find the key to a brighter and fulfilling future. During my more than thirty years as a therapist I have helped countless individuals and couples on their journey to discovery and healing. Join me. Let's do this together. I will work with you to heal on all levels.
I believe that transformation is possible for everyone. I believe that one of the bravest things you can do is to begin to explore and understand your own story. It is within your story, embodied in your body, mind, and spirit, that you will find the key to a brighter and fulfilling future. During my more than thirty years as a therapist I have helped countless individuals and couples on their journey to discovery and healing. Join me. Let's do this together. I will work with you to heal on all levels.
(458) 218-8626 View (458) 218-8626
Photo of Daniela Hopper - Meaningful Life Counseling LLC/Psicología de Vida , Professional Counselor Associate, MS, CMHC, NCC
Meaningful Life Counseling LLC/Psicología de Vida
Professional Counselor Associate, MS, CMHC, NCC
1 Endorsed
Medford, OR 97504
As human beings we developed in stages. In a perfect world all of us would be able to develop into having autonomy, initiative, industry, intimacy, generativity and integrity. Although, not all people have the opportunity to develop those important traits and may feel stuck in feeling shame, guilt, inferiority, isolation, stagnation and despair. Those feelings may come as symptoms of depression and anxiety.
As human beings we developed in stages. In a perfect world all of us would be able to develop into having autonomy, initiative, industry, intimacy, generativity and integrity. Although, not all people have the opportunity to develop those important traits and may feel stuck in feeling shame, guilt, inferiority, isolation, stagnation and despair. Those feelings may come as symptoms of depression and anxiety.
(458) 455-8397 View (458) 455-8397
Photo of Saira Iram, Clinical Social Work Associate, LMSW, CSWA
Saira Iram
Clinical Social Work Associate, LMSW, CSWA
Online Only
Not accepting new clients
Are you being challenged by life trials? Do you feel stuck and can't figure out a way out of your situation? Dealing with depression and anxiety? Are you dealing with behavioral issues and mental health of your kiddo? Or dealing with your childhood trauma which triggers you day to day? Having mood swings and anger outbursts?
Are you being challenged by life trials? Do you feel stuck and can't figure out a way out of your situation? Dealing with depression and anxiety? Are you dealing with behavioral issues and mental health of your kiddo? Or dealing with your childhood trauma which triggers you day to day? Having mood swings and anger outbursts?
(458) 309-3102 View (458) 309-3102
Photo of Sarah Casey, Professional Counselor Associate, MS
Sarah Casey
Professional Counselor Associate, MS
1 Endorsed
Medford, OR 97504
Welcome, and congratulations on taking the first step towards your own personal growth. There is a great amount of courage in seeking a life that honors your dreams and values to living your best life. In working with clients who seek to reach their goals, I find great pleasure in providing a conduit to a greater future, a balanced state of mind, and to aid you in the freedom to dream and take new steps. Through action, emotional regulation, and your connection to your spiritual goals, I hope to aid you in developing a lifestyle that builds a bright and exciting future.
Welcome, and congratulations on taking the first step towards your own personal growth. There is a great amount of courage in seeking a life that honors your dreams and values to living your best life. In working with clients who seek to reach their goals, I find great pleasure in providing a conduit to a greater future, a balanced state of mind, and to aid you in the freedom to dream and take new steps. Through action, emotional regulation, and your connection to your spiritual goals, I hope to aid you in developing a lifestyle that builds a bright and exciting future.
(541) 696-3618 View (541) 696-3618
Photo of Elena Meyer, Licensed Professional Counselor, MS, LPC, NCC, CCM
Elena Meyer
Licensed Professional Counselor, MS, LPC, NCC, CCM
1 Endorsed
Medford, OR 97504
Are you having problems in your relationship? Are you feeling tired or are you emotional due to life stressors? What if you could feel better today? Improve your relationships with others? What if you could learn new tools for more effective communication and learn new ways to resolve conflict and interact with others? I believe that all people have the innate ability to thrive, but sometimes get stuck in limiting life patterns. I am committed to helping you realize your potential.
Are you having problems in your relationship? Are you feeling tired or are you emotional due to life stressors? What if you could feel better today? Improve your relationships with others? What if you could learn new tools for more effective communication and learn new ways to resolve conflict and interact with others? I believe that all people have the innate ability to thrive, but sometimes get stuck in limiting life patterns. I am committed to helping you realize your potential.
(541) 348-6617 View (541) 348-6617
Andrew Stuck
Licensed Professional Counselor, MS, LPC
Medford, OR 97504
Not accepting new clients
Showing up is the most important and often hardest part of this process. Once you make it to the office, we can usually find a direction for change you feel connected to. If we don't show up, change isn't likely to occur. I don't care if you are sad, angry, rageful, confused, indifferent, suicidal, or in despair, if you show up, I promise to do the same. If we can't make space for the spectrum of our humanity in the therapeutic space then where can we? I believe people are genuinely trying to do the best they can with what they have, and sometimes what we have isn't useful for the immediate situation. So, we get help.
Showing up is the most important and often hardest part of this process. Once you make it to the office, we can usually find a direction for change you feel connected to. If we don't show up, change isn't likely to occur. I don't care if you are sad, angry, rageful, confused, indifferent, suicidal, or in despair, if you show up, I promise to do the same. If we can't make space for the spectrum of our humanity in the therapeutic space then where can we? I believe people are genuinely trying to do the best they can with what they have, and sometimes what we have isn't useful for the immediate situation. So, we get help.
(458) 225-5176 View (458) 225-5176
Photo of Nikki Ryan, Marriage & Family Therapist, MA, LMFT
Nikki Ryan
Marriage & Family Therapist, MA, LMFT
2 Endorsed
Medford, OR 97504
I have 25 years experience working with children, adolescents, couples and families in both residential and outpatient settings including high risk clients and DHS involved families. I am trained in Early Childhood Trauma and Collaborative Problem Solving and believe that people do well if they can and that maladaptive behavior is the result of lagging skills in key areas. I help individuals, couples and families improve emotion regulation, communication and relationships.
I have 25 years experience working with children, adolescents, couples and families in both residential and outpatient settings including high risk clients and DHS involved families. I am trained in Early Childhood Trauma and Collaborative Problem Solving and believe that people do well if they can and that maladaptive behavior is the result of lagging skills in key areas. I help individuals, couples and families improve emotion regulation, communication and relationships.
(541) 248-6142 View (541) 248-6142
Photo of Melissa Troy - Jackson County Therapy, Clinical Social Work/Therapist, LCSW
Jackson County Therapy
Clinical Social Work/Therapist, LCSW
Medford, OR 97504
We work with individuals who are feeling overwhelmed, stuck in unhelpful patterns, or struggling to manage stress, relationships, or emotions. Many of our clients are looking to improve their daily functioning, build confidence, set healthier boundaries, and gain clarity in their personal or professional lives. They may not know exactly where to start, but they’re ready for practical support and meaningful progress.
We work with individuals who are feeling overwhelmed, stuck in unhelpful patterns, or struggling to manage stress, relationships, or emotions. Many of our clients are looking to improve their daily functioning, build confidence, set healthier boundaries, and gain clarity in their personal or professional lives. They may not know exactly where to start, but they’re ready for practical support and meaningful progress.
(541) 414-4931 View (541) 414-4931
Photo of Mimi Marlene French-Templeton - Little Light Counseling, Licensed Professional Counselor, LPC, NCC, MS, CYMHS, ASDCS
Little Light Counseling
Licensed Professional Counselor, LPC, NCC, MS, CYMHS, ASDCS
Medford, OR 97504
Little Light Counseling is dedicated to helping children and their families live better lives. We incorporate parent education with individual and family counseling in a supportive and compassionate environment. We work with ages 6 and up, and people from all backgrounds. Our goal is to make sure anyone who needs or wants counseling can obtain services, regardless of financial circumstances. Your first session is $275 and subsequent sessions are $120. Discounts and financial aid are available. We provide Faith-based counseling for children and adults.
Little Light Counseling is dedicated to helping children and their families live better lives. We incorporate parent education with individual and family counseling in a supportive and compassionate environment. We work with ages 6 and up, and people from all backgrounds. Our goal is to make sure anyone who needs or wants counseling can obtain services, regardless of financial circumstances. Your first session is $275 and subsequent sessions are $120. Discounts and financial aid are available. We provide Faith-based counseling for children and adults.
(541) 329-7081 View (541) 329-7081
Photo of Marcy Wilcox, LPC
Marcy Wilcox
Verified Verified
Medford, OR 97504
Waitlist for new clients
For fastest response, please contact me via EMAIL only. I entered the counseling field because I believe that everyone has the capacity to grow, heal, and live healthy, meaningful lives. I utilize a person-centered, strengths-based, and integrative style of therapy, drawing heavily from cognitive behavioral therapy, acceptance and commitment therapy, and trauma-informed practices. I also welcome faith as a key element of the therapy process and I draw on principles of Christianity, whenever appropriate.
For fastest response, please contact me via EMAIL only. I entered the counseling field because I believe that everyone has the capacity to grow, heal, and live healthy, meaningful lives. I utilize a person-centered, strengths-based, and integrative style of therapy, drawing heavily from cognitive behavioral therapy, acceptance and commitment therapy, and trauma-informed practices. I also welcome faith as a key element of the therapy process and I draw on principles of Christianity, whenever appropriate.
(541) 204-3523 View (541) 204-3523
Photo of Marisa Stackpoole, Pre-Licensed Professional, LPC-A
Marisa Stackpoole
Pre-Licensed Professional, LPC-A
1 Endorsed
Medford, OR 97504
Life can be incredibly challenging, and in our busy individualistic society it’s easy to feel disconnected from ourselves. We can be negatively influenced by "the rat race," social media, chronic stress, and maladaptive coping mechanisms which may lead to symptoms of anxiety and depression. Did you know these symptoms can be understood as signals from the body indicating a need for attention and care? Sometimes, all we need to do is slow down... breathe... and turn our focus inward.
Life can be incredibly challenging, and in our busy individualistic society it’s easy to feel disconnected from ourselves. We can be negatively influenced by "the rat race," social media, chronic stress, and maladaptive coping mechanisms which may lead to symptoms of anxiety and depression. Did you know these symptoms can be understood as signals from the body indicating a need for attention and care? Sometimes, all we need to do is slow down... breathe... and turn our focus inward.
(541) 651-8738 View (541) 651-8738
Photo of Julia V Raymond - Julia Raymond - Mindful Counseling Services, LLC, Professional Counselor Associate, CADC, NCC, LPC, ID
Julia Raymond - Mindful Counseling Services, LLC
Professional Counselor Associate, CADC, NCC, LPC, ID
Medford, OR 97504
Waitlist for new clients
I work with individuals & couples in Southern Oregon, looking for support with concerns such as anxiety, depression, relationship distress, workplace stress, grief, trauma, feeling disconnected from loved ones, life transition, career, fear of judgment, anger, adult ADHD and more. Therapy can build a path from pain to resilience and it can help to work with a professional where the total focus is on you, what you want for your life and what will help you achieve it; someone who listens to the best in you and celebrates your successes and helps with setbacks along the way.
I work with individuals & couples in Southern Oregon, looking for support with concerns such as anxiety, depression, relationship distress, workplace stress, grief, trauma, feeling disconnected from loved ones, life transition, career, fear of judgment, anger, adult ADHD and more. Therapy can build a path from pain to resilience and it can help to work with a professional where the total focus is on you, what you want for your life and what will help you achieve it; someone who listens to the best in you and celebrates your successes and helps with setbacks along the way.
(541) 656-2351 View (541) 656-2351
Photo of Dacarie Robertson - Inner Flow Counseling LLC, Dacarie Robertson, Clinical Social Work/Therapist, LCSW
Inner Flow Counseling LLC, Dacarie Robertson
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Accepting New Clients! -Do you feel stuck? Burnt out? Ready to take back your power & elevate your potential? My ideal clients are student athletes and women looking to manage stress, build self-compassion, & enhance wellbeing. I specialize in developmental trauma & stress. Our work together will focus whole health, addressing automatic stress responses & subconscious barriers holding you back. I work from the perspective that mental, emotional, and physical health are all connected—deep gains come through training the whole self. Accepting Moda, JCC, Aetna, Regence & self-pay! (Updated 6/11/25).
Accepting New Clients! -Do you feel stuck? Burnt out? Ready to take back your power & elevate your potential? My ideal clients are student athletes and women looking to manage stress, build self-compassion, & enhance wellbeing. I specialize in developmental trauma & stress. Our work together will focus whole health, addressing automatic stress responses & subconscious barriers holding you back. I work from the perspective that mental, emotional, and physical health are all connected—deep gains come through training the whole self. Accepting Moda, JCC, Aetna, Regence & self-pay! (Updated 6/11/25).
(541) 725-5778 View (541) 725-5778
Photo of Sarah May Eilertson - Rising Phoenix Counseling Services, LLC, Licensed Professional Counselor, LPC, NCC, CETP
Rising Phoenix Counseling Services, LLC
Licensed Professional Counselor, LPC, NCC, CETP
3 Endorsed
Medford, OR 97504
We believe that healing from trauma is a deeply personal journey. Our approach to care centers on creating a safe, supportive, and empowering environment where you can explore your experiences at your own pace. We specialize in helping individuals overcome challenges related to trauma, anxiety, depression, life transitions, and more. Through evidence-based practices, person centered therapy, and a variety of trauma-informed modalities, we help you develop the skills and resilience needed to reclaim your life. Your well-being is our priority, and we're committed to walking alongside you every step of the
We believe that healing from trauma is a deeply personal journey. Our approach to care centers on creating a safe, supportive, and empowering environment where you can explore your experiences at your own pace. We specialize in helping individuals overcome challenges related to trauma, anxiety, depression, life transitions, and more. Through evidence-based practices, person centered therapy, and a variety of trauma-informed modalities, we help you develop the skills and resilience needed to reclaim your life. Your well-being is our priority, and we're committed to walking alongside you every step of the
(541) 226-3654 View (541) 226-3654
Photo of Bryce Brooks - Portland DBT Institute of Southern Oregon
Dialectical Behavior Therapy (DBT) is an evidence-based treatment used to treat complex, multi-diagnostic individuals with a wide range of behavioral health concerns such as suicidality, self-harm, and difficulties in emotion regulation. We offer three levels of treatment, all run by highly trained clinicians who take part in a weekly treatment consultation team and are part our board certified adherent program. Standard Outpatient DBT: Weekly DBT skills groups, weekly individual therapy, and access to 24/7 phone coaching.
Dialectical Behavior Therapy (DBT) is an evidence-based treatment used to treat complex, multi-diagnostic individuals with a wide range of behavioral health concerns such as suicidality, self-harm, and difficulties in emotion regulation. We offer three levels of treatment, all run by highly trained clinicians who take part in a weekly treatment consultation team and are part our board certified adherent program. Standard Outpatient DBT: Weekly DBT skills groups, weekly individual therapy, and access to 24/7 phone coaching.
(541) 807-0603 View (541) 807-0603
Photo of Bayley Putman - Bayley Putman Counseling LLC, Clinical Social Work/Therapist, LCSW
Bayley Putman Counseling LLC
Clinical Social Work/Therapist, LCSW
Medford, OR 97504
Are you looking for a counselor who actually hears what you're saying? Someone who is genuinely interested in listening to what you are feeling and experiencing? A person who can help not only make sense of what you are going through, but can offer real-life solutions for managing all that is being thrown at you? I am that counselor. I pride myself on being a down-to-earth provider who meets my clients where they are at. We are all human before we're anything else, and it is with this lens that I approach my work. I hope to be a partner on your path to peace and better wellbeing.
Are you looking for a counselor who actually hears what you're saying? Someone who is genuinely interested in listening to what you are feeling and experiencing? A person who can help not only make sense of what you are going through, but can offer real-life solutions for managing all that is being thrown at you? I am that counselor. I pride myself on being a down-to-earth provider who meets my clients where they are at. We are all human before we're anything else, and it is with this lens that I approach my work. I hope to be a partner on your path to peace and better wellbeing.
(541) 802-7414 View (541) 802-7414

See more therapy options for 97504

How does your Therapist compare?

Number of Therapists in 97504

100+

Average cost per session

$160

Therapists in 97504 who prioritize treating:

93% Anxiety
88% Depression
78% Relationship Issues
77% Coping Skills
77% Self Esteem
74% Trauma and PTSD
74% Stress

Average years in practice

12 Years

Top 3 insurances accepted

73% Oregon Health Plan (OHP)
60% Moda Health
60% Other

How Therapists in 97504 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

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

How can I find a therapist in 97504?

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.