Therapists in The Woodlands, TX

Photo of Ashby J. Simons, Licensed Professional Counselor in The Woodlands, TX
Ashby J. Simons
Licensed Professional Counselor, MA
Verified Verified
1 Endorsed
The Woodlands, TX 77381
Mental and emotional well-being is crucial to achieving success and living a full life with purpose and meaning. As a therapist, I am an objective person to talk to who will give you my undivided attention. We will work toward healing from distressing situations and the identification and attainment of your goals. I hope to help you become your best self through non-judgmental support and encouragement.
Mental and emotional well-being is crucial to achieving success and living a full life with purpose and meaning. As a therapist, I am an objective person to talk to who will give you my undivided attention. We will work toward healing from distressing situations and the identification and attainment of your goals. I hope to help you become your best self through non-judgmental support and encouragement.
(936) 284-3877 View (936) 284-3877
Photo of Anna Leason LCSW and Associates, PLLC, Clinical Social Work/Therapist in The Woodlands, TX
Anna Leason LCSW and Associates, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
The Woodlands, TX 77380
At Anna Leason LCSW & Associates, our mission is to cultivate a space where healing thrives. With a diverse team of empathetic therapists, we offer personalized, evidence-based treatments to address your specific needs. Grounded in a client-centered approach, we create a supportive environment where you can explore challenges, develop coping strategies, and embark on a journey toward self-discovery. Whether you're navigating trauma, anxiety, depression, or life transitions, we're here to walk alongside you, empowering you to unlock your inner resilience and pursue a life of meaning and fulfillment
At Anna Leason LCSW & Associates, our mission is to cultivate a space where healing thrives. With a diverse team of empathetic therapists, we offer personalized, evidence-based treatments to address your specific needs. Grounded in a client-centered approach, we create a supportive environment where you can explore challenges, develop coping strategies, and embark on a journey toward self-discovery. Whether you're navigating trauma, anxiety, depression, or life transitions, we're here to walk alongside you, empowering you to unlock your inner resilience and pursue a life of meaning and fulfillment
(936) 274-6970 View (936) 274-6970
Photo of Tamaria Wade, Licensed Professional Counselor in The Woodlands, TX
Tamaria Wade
Licensed Professional Counselor, MEd, LPC, CSC
Verified Verified
The Woodlands, TX 77380  (Online Only)
So often life challenges us mentally, emotionally and spiritually which in turn negatively impacts us physically. My desire is to assist preteens, teens, adults, couples and families in overcoming those challenges by understanding that complete wellness is within reach.
So often life challenges us mentally, emotionally and spiritually which in turn negatively impacts us physically. My desire is to assist preteens, teens, adults, couples and families in overcoming those challenges by understanding that complete wellness is within reach.
(281) 937-3631 View (281) 937-3631
Photo of Amber Barker, LPC Intern in The Woodlands, TX
Amber Barker
LPC Intern, MA, LPC-A
Verified Verified
2 Endorsed
The Woodlands, TX 77380
Are you ready to get out of survival mode and back into a life you love? Is it hard to imagine that's possible because of trauma you’ve experienced? Life throws challenges our way and although we never asked for something traumatic to happen, it falls on us to figure out how to pick up the pieces and move forward. What you endured may have left you feeling anxious or depressed, with lower self-esteem, a negative body image, or a loss of identity. You may be ignoring these issues and look like you have it together despite feeling triggered and struggling with your thoughts and emotions. Your life doesn't have to continue this way.
Are you ready to get out of survival mode and back into a life you love? Is it hard to imagine that's possible because of trauma you’ve experienced? Life throws challenges our way and although we never asked for something traumatic to happen, it falls on us to figure out how to pick up the pieces and move forward. What you endured may have left you feeling anxious or depressed, with lower self-esteem, a negative body image, or a loss of identity. You may be ignoring these issues and look like you have it together despite feeling triggered and struggling with your thoughts and emotions. Your life doesn't have to continue this way.
(432) 741-3158 View (432) 741-3158
Photo of Jalaine Pazer, Licensed Professional Counselor in The Woodlands, TX
Jalaine Pazer
Licensed Professional Counselor, MS, LPC, NCC, CCTP-II, CATP
Verified Verified
1 Endorsed
The Woodlands, TX 77380
We all have been there before: feeling stuck, frustrated, stressed - when life starts to overwhelm you. I would love to meet with you and help you through this, together. I am here to support you and help guide you to the best version of you. My education background, life and career experiences will further help me help you. I use a blend of Cognitive Behavioral, Motivational Interviewing, Solution Focused, Trauma Focused, and Psycho-Education to serve adolescents adults, couples, and families.
We all have been there before: feeling stuck, frustrated, stressed - when life starts to overwhelm you. I would love to meet with you and help you through this, together. I am here to support you and help guide you to the best version of you. My education background, life and career experiences will further help me help you. I use a blend of Cognitive Behavioral, Motivational Interviewing, Solution Focused, Trauma Focused, and Psycho-Education to serve adolescents adults, couples, and families.
(281) 916-3138 View (281) 916-3138
Photo of Dr. Avery Neal, Licensed Professional Counselor in The Woodlands, TX
Dr. Avery Neal
Licensed Professional Counselor, PhD, LPC
Verified Verified
The Woodlands, TX 77382
I specialize in depression and anxiety in women. I enjoy working with women struggling with generalized depression, anxiety, life transitions, relationship issues, abusive relationships, divorce recovery, pregnancy depression and anxiety, postpartum depression and anxiety, traumatic labor and delivery, miscarriage, and loss.
I specialize in depression and anxiety in women. I enjoy working with women struggling with generalized depression, anxiety, life transitions, relationship issues, abusive relationships, divorce recovery, pregnancy depression and anxiety, postpartum depression and anxiety, traumatic labor and delivery, miscarriage, and loss.
(866) 995-7910 x2 View (866) 995-7910 x2
Photo of Clyde Fraley, Marriage & Family Therapist in The Woodlands, TX
Clyde Fraley
Marriage & Family Therapist, MA, NCC
Verified Verified
1 Endorsed
The Woodlands, TX 77380
I know you’re frustrated with your relationship and have worked hard at your marriage. You have a lot invested and deep down you still love your partner. But there’s some anger and hurt in the way. Let me help you clear a path through the disappointment and fear so you can reexperience the love you once had. I can help you reconnect with your partner with an approach that is engaging and empathetic. I understand that marriage can be tough, but therapy doesn’t necessarily have to be. Call me today, and let’s get the process started towards the strongest, most fulfilling relationship you’ve ever had.
I know you’re frustrated with your relationship and have worked hard at your marriage. You have a lot invested and deep down you still love your partner. But there’s some anger and hurt in the way. Let me help you clear a path through the disappointment and fear so you can reexperience the love you once had. I can help you reconnect with your partner with an approach that is engaging and empathetic. I understand that marriage can be tough, but therapy doesn’t necessarily have to be. Call me today, and let’s get the process started towards the strongest, most fulfilling relationship you’ve ever had.
(936) 253-1924 View (936) 253-1924
Photo of Teresa Lynn McGrath, Licensed Professional Counselor in The Woodlands, TX
Teresa Lynn McGrath
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
The Woodlands, TX 77380
There are many transitions in life that seem to shake us to our very core! Are you feeling lonely in your marriage? Confused about your relationship with your child? Do you find yourself at a crossroad in your life without a clear sense of direction? Do you feel that you have lost yourself? I can help you to rediscover your path, and to examine your alternatives.
There are many transitions in life that seem to shake us to our very core! Are you feeling lonely in your marriage? Confused about your relationship with your child? Do you find yourself at a crossroad in your life without a clear sense of direction? Do you feel that you have lost yourself? I can help you to rediscover your path, and to examine your alternatives.
(281) 719-9270 View (281) 719-9270
Photo of Sade Beaulieu, Licensed Professional Counselor in The Woodlands, TX
Sade Beaulieu
Licensed Professional Counselor, LPC
Verified Verified
The Woodlands, TX 77380  (Online Only)
Sade Beaulieu is a Licensed Professional Counselor (LPC) with over 9 years of experience working with adolescents and adults within the mental health field. Sade has conducted individual and group therapy with individuals who may struggle with depression, anxiety, suicidal idealization, trauma, and grief.
Sade Beaulieu is a Licensed Professional Counselor (LPC) with over 9 years of experience working with adolescents and adults within the mental health field. Sade has conducted individual and group therapy with individuals who may struggle with depression, anxiety, suicidal idealization, trauma, and grief.
(936) 410-4261 View (936) 410-4261
Photo of Rebecca Burnett-Khan, Licensed Professional Counselor in The Woodlands, TX
Rebecca Burnett-Khan
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
The Woodlands, TX 77380
I’m not your typical therapist. I would be best described as patient and direct. I use these strengths to help my clients because I firmly believe each person has the ability to heal and to be their own personal badass. I love nothing more than to advocate for you to be the best version of you. I will push you and support you through whatever life throws at you. I do this because eating disorders and trauma get in the way of you getting to be you- freely, authentically YOU. I am here to help you find and fully embrace this version of you because no matter what life has taught you, you deserve good things.
I’m not your typical therapist. I would be best described as patient and direct. I use these strengths to help my clients because I firmly believe each person has the ability to heal and to be their own personal badass. I love nothing more than to advocate for you to be the best version of you. I will push you and support you through whatever life throws at you. I do this because eating disorders and trauma get in the way of you getting to be you- freely, authentically YOU. I am here to help you find and fully embrace this version of you because no matter what life has taught you, you deserve good things.
(936) 245-8689 View (936) 245-8689
Photo of Brandon L King, Licensed Professional Counselor in The Woodlands, TX
Brandon L King
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
The Woodlands, TX 77380
Having to be strong, tough, and on all the time can be draining. Compound all of that with having to do it while hiding your emotions can be doubly stressful. Black men are raised to be resilient and silent, to take what life throws at you without complaining “Just Man Up!”. Being raised to be strong was the message. Weakness is not to be shown or felt. Now when you’re upset or overwhelmed you have nowhere to turn for help.
Having to be strong, tough, and on all the time can be draining. Compound all of that with having to do it while hiding your emotions can be doubly stressful. Black men are raised to be resilient and silent, to take what life throws at you without complaining “Just Man Up!”. Being raised to be strong was the message. Weakness is not to be shown or felt. Now when you’re upset or overwhelmed you have nowhere to turn for help.
(713) 574-6372 View (713) 574-6372
Photo of Dr. Geo-Anna Q. Hirshenbaum, Psychologist in The Woodlands, TX
Dr. Geo-Anna Q. Hirshenbaum
Psychologist, PhD, LP, LPC, Spanish
Verified Verified
The Woodlands, TX 77380
Dr. Geo-Anna Q. Hirshenbaum is a bilingual licensed clinical psychologist who works with Woodlands Family Institute. Her sole focus is conducting psychological evaluations for all age groups. She has been administering assessments for over ten years and has worked with children, adolescents, adults, and the geriatric population. Dr. Hirshenbaum specializes in a variety of psychological assessments such as Attention-Deficit Hyperactivity Disorder, Autism Spectrum Disorder, psychoeducational testing, and assessments that rule out emotional, personality, psychotic, trauma, and/or cognitive or neurocognitive disorders.
Dr. Geo-Anna Q. Hirshenbaum is a bilingual licensed clinical psychologist who works with Woodlands Family Institute. Her sole focus is conducting psychological evaluations for all age groups. She has been administering assessments for over ten years and has worked with children, adolescents, adults, and the geriatric population. Dr. Hirshenbaum specializes in a variety of psychological assessments such as Attention-Deficit Hyperactivity Disorder, Autism Spectrum Disorder, psychoeducational testing, and assessments that rule out emotional, personality, psychotic, trauma, and/or cognitive or neurocognitive disorders.
(832) 462-7295 View (832) 462-7295
Tanja Van Dam
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
The Woodlands, TX 77380
Everyone has moments in their lives when they do not feel equipped to handle what life has thrown at them. It is in these moments that enlisting the help of someone else, can improve your ability to cope. I have 10 years of experience working with children, adolescents, adults, and families with a diverse range of presenting problems. I am equipped to help clients cope with everyday stressors, as well as learning how to recover after a loss or trauma.
Everyone has moments in their lives when they do not feel equipped to handle what life has thrown at them. It is in these moments that enlisting the help of someone else, can improve your ability to cope. I have 10 years of experience working with children, adolescents, adults, and families with a diverse range of presenting problems. I am equipped to help clients cope with everyday stressors, as well as learning how to recover after a loss or trauma.
(281) 973-5669 View (281) 973-5669
Photo of Emily A. Morris, Marriage & Family Therapist in The Woodlands, TX
Emily A. Morris
Marriage & Family Therapist, MA, LMFT
Verified Verified
The Woodlands, TX 77381
We all struggle with the ups and downs of life. My passion is working with children (ages 3 and older) and families to promote healthy and happy individuals and relationships. I hope to help my clients enhance their own individual strengths, better their relationships with others, and enjoy the most out of everyday interactions and experiences. Solution Focused and Attachment-Based therapy are the primary approaches I utilize in treating clients. As human beings, I believe we are wired to connect with others and that individual change and healing influences relational change and healing.
We all struggle with the ups and downs of life. My passion is working with children (ages 3 and older) and families to promote healthy and happy individuals and relationships. I hope to help my clients enhance their own individual strengths, better their relationships with others, and enjoy the most out of everyday interactions and experiences. Solution Focused and Attachment-Based therapy are the primary approaches I utilize in treating clients. As human beings, I believe we are wired to connect with others and that individual change and healing influences relational change and healing.
(936) 209-7024 View (936) 209-7024
Photo of Ashley Ramirez, LPC-Associate in The Woodlands, TX
Ashley Ramirez
LPC-Associate, MA, LPC-A, NCC
Verified Verified
1 Endorsed
The Woodlands, TX 77380
Change is scary, but so is staying the same. Pursuing therapy can be intimidating, but it is courageous work, so I am glad that you are here! I provide individual therapy to young adults and adults. I have experience in working with concerns related to anxiety, grief and loss, trauma, depression, racial identity and cultural concerns, LGBTQIA+, body image and self-esteem, eating concerns, life transitions and career concerns. My focus as a therapist is to provide you with unconditional support, validate your experiences and feelings, and challenge you to grow to achieve the desired change you seek.
Change is scary, but so is staying the same. Pursuing therapy can be intimidating, but it is courageous work, so I am glad that you are here! I provide individual therapy to young adults and adults. I have experience in working with concerns related to anxiety, grief and loss, trauma, depression, racial identity and cultural concerns, LGBTQIA+, body image and self-esteem, eating concerns, life transitions and career concerns. My focus as a therapist is to provide you with unconditional support, validate your experiences and feelings, and challenge you to grow to achieve the desired change you seek.
(281) 823-8880 View (281) 823-8880
Photo of Alison Childers, Licensed Professional Counselor in The Woodlands, TX
Alison Childers
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
The Woodlands, TX 77380
I enjoy collaborating with clients to help them in their journey toward healing, growing ... and thriving! Therapy is both a partnership and process which can empower clients to experience such changes as healing of past hurts/abuse/trauma, increased self-management of emotions and stressors, healthier relationships, behavior and thought process changes, and individual growth.
I enjoy collaborating with clients to help them in their journey toward healing, growing ... and thriving! Therapy is both a partnership and process which can empower clients to experience such changes as healing of past hurts/abuse/trauma, increased self-management of emotions and stressors, healthier relationships, behavior and thought process changes, and individual growth.
(281) 816-4673 View (281) 816-4673
Photo of Barbara Hall, Psychologist in The Woodlands, TX
Barbara Hall
Psychologist, PhD
Verified Verified
The Woodlands, TX 77380
"We all have times when we feel uncertain and alone. What we are looking for is a place to be ourselves and to talk to someone who will listen and understand us, a counselor who can help us see our situation in a new way and empower us to make changes in our lives." Dr. Hall's counseling is caring and straight-forward. She believes that healing comes from gaining understanding of ourselves and remembering our strengths.
"We all have times when we feel uncertain and alone. What we are looking for is a place to be ourselves and to talk to someone who will listen and understand us, a counselor who can help us see our situation in a new way and empower us to make changes in our lives." Dr. Hall's counseling is caring and straight-forward. She believes that healing comes from gaining understanding of ourselves and remembering our strengths.
(281) 671-7992 View (281) 671-7992
Photo of Shauna Miller, Licensed Professional Counselor Associate in The Woodlands, TX
Shauna Miller
Licensed Professional Counselor Associate, MA
Verified Verified
2 Endorsed
The Woodlands, TX 77380
Having sexual concerns can be difficult to talk about and I want to create a safe place for you to discuss these challenges so that you feel empowered. If you're a victim of trauma it is not your fault, and I can help you take control of your sexual well-being. There can be a lot of shame around these topics, but addressing sexual discomfort can reduce stress and improve communication as you grow more comfortable in your sexuality. If you're a parent, I also want to help you normalize and understand what your teen is going through as sex and sexuality can be a topic we want to avoid.
Having sexual concerns can be difficult to talk about and I want to create a safe place for you to discuss these challenges so that you feel empowered. If you're a victim of trauma it is not your fault, and I can help you take control of your sexual well-being. There can be a lot of shame around these topics, but addressing sexual discomfort can reduce stress and improve communication as you grow more comfortable in your sexuality. If you're a parent, I also want to help you normalize and understand what your teen is going through as sex and sexuality can be a topic we want to avoid.
(832) 583-1844 View (832) 583-1844
Photo of New Beginning Mind Spa & Therapy, Inc., Licensed Professional Counselor in The Woodlands, TX
New Beginning Mind Spa & Therapy, Inc.
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
The Woodlands, TX 77382  (Online Only)
My name is Iesha Anderson. I was born and raised in Houston, TX and graduated from Prairie View A&M University. I also attended Texas Southern University with a Bachelors in Psychology. Academics were a very important part of my life. I realized at an early age that education was vital to my future success in life and the life of others. I have always had a passion for counseling and helping since the first day I sat in my psychology course during my journey in undergraduate school. My experience in Real Estate, taxes, customer service, and mental health has equipped me with the ability to relate and understand where others are coming from. I have always had a passion for special populations and was blessed to find a career that combined my love for both, families and individuals.
My name is Iesha Anderson. I was born and raised in Houston, TX and graduated from Prairie View A&M University. I also attended Texas Southern University with a Bachelors in Psychology. Academics were a very important part of my life. I realized at an early age that education was vital to my future success in life and the life of others. I have always had a passion for counseling and helping since the first day I sat in my psychology course during my journey in undergraduate school. My experience in Real Estate, taxes, customer service, and mental health has equipped me with the ability to relate and understand where others are coming from. I have always had a passion for special populations and was blessed to find a career that combined my love for both, families and individuals.
(832) 905-1366 View (832) 905-1366
Photo of Pitagoras A Miranda, Marriage & Family Therapist in The Woodlands, TX
Pitagoras A Miranda
Marriage & Family Therapist, LMFT, LCDCI
Verified Verified
The Woodlands, TX 77386
I have a profound commitment to helping individuals, couples, and families navigate the complexities of relationships and personal growth. I can help you find the healing amidst the challenging circumstances you or your loved one is currently living through. As a Licensed Marriage and Family Therapist and Marine Corps Veteran, I bring a unique blend of discipline, empathy, and cultural sensitivity to my practice. My academic background in Pastoral Ministries, Sociology, and Family Therapy, combined with personal experiences as a husband and father, enrich my holistic approach. I offer a complimentary consultation, feel free to call.
I have a profound commitment to helping individuals, couples, and families navigate the complexities of relationships and personal growth. I can help you find the healing amidst the challenging circumstances you or your loved one is currently living through. As a Licensed Marriage and Family Therapist and Marine Corps Veteran, I bring a unique blend of discipline, empathy, and cultural sensitivity to my practice. My academic background in Pastoral Ministries, Sociology, and Family Therapy, combined with personal experiences as a husband and father, enrich my holistic approach. I offer a complimentary consultation, feel free to call.
(936) 978-2347 View (936) 978-2347

See more therapy options for The Woodlands

How does your Therapist compare?

Number of Therapists in The Woodlands, TX

500+

Average cost per session

$150

Therapists in The Woodlands, TX who prioritize treating:

94% Anxiety
89% Depression
76% Relationship Issues
75% Self Esteem
72% Stress
71% Coping Skills
70% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

84% Aetna
78% UnitedHealthcare UHC | UBH
74% BlueCross and BlueShield

How Therapists in The Woodlands, TX see their clients

78% In Person and Online
22% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in The Woodlands?

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.