Therapists in Poway, CA

Photo of Kathleen Stewart, Marriage & Family Therapist in Poway, CA
Kathleen Stewart
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Poway, CA 92064  (Online Only)
Things in life aren't going how you want? Are you stressed all the time? Maybe you feel sad, mad, or lost, and others don't understand. Sometimes life looks okay from the outside, but it doesn't feel that way. Has your relationship changed and you're not sure how to fix it? I'm here to help! Let's look at what you want, what you need, and how we can work together to help you move toward making your life satisfying. I enjoy helping people work toward making their lives more content, more fulfilling, and characterized by happier relationships. Feel free to reach out for a consultation to see if I seem like a good fit.
Things in life aren't going how you want? Are you stressed all the time? Maybe you feel sad, mad, or lost, and others don't understand. Sometimes life looks okay from the outside, but it doesn't feel that way. Has your relationship changed and you're not sure how to fix it? I'm here to help! Let's look at what you want, what you need, and how we can work together to help you move toward making your life satisfying. I enjoy helping people work toward making their lives more content, more fulfilling, and characterized by happier relationships. Feel free to reach out for a consultation to see if I seem like a good fit.
(858) 260-2759 View (858) 260-2759
Photo of Philip Nekai, Licensed Professional Counselor in Poway, CA
Philip Nekai
Licensed Professional Counselor, LPCC
Verified Verified
Poway, CA 92064
Hello, I am Philip Nekai, a Licensed Professional Clinical Counselor who holds a Master of Science in Multi-Cultural Counseling. My goal is to offer compassionate and evidence-based therapy to my clients, and I achieve this by building a trusting therapeutic relationship with them. I use a variety of techniques, including motivational interviewing and trauma-informed counseling, to help individuals facing different social-emotional challenges such as depression, anxiety, low self-esteem, substance use, and post-traumatic stress disorder. My primary focus is to support my clients in their journey toward personal growth and healing.
Hello, I am Philip Nekai, a Licensed Professional Clinical Counselor who holds a Master of Science in Multi-Cultural Counseling. My goal is to offer compassionate and evidence-based therapy to my clients, and I achieve this by building a trusting therapeutic relationship with them. I use a variety of techniques, including motivational interviewing and trauma-informed counseling, to help individuals facing different social-emotional challenges such as depression, anxiety, low self-esteem, substance use, and post-traumatic stress disorder. My primary focus is to support my clients in their journey toward personal growth and healing.
(858) 422-4123 View (858) 422-4123
Photo of Sarah Stromwall, Licensed Professional Clinical Counselor in Poway, CA
Sarah Stromwall
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Poway, CA 92064
My name is Sarah Stromwall and I am a Licensed Professional Clinical Counselor (LPCC) specializing in working with youth and adults who have experienced trauma and/or facing challenges in every day life. I strive to provide a compassionate, safe, and encouraging space to work alongside you to become all that you were created to be. I believe that together we will learn healthy responses, establish healthy boundaries, gain insight, untangle unhealthy thought/behavior patterns, and develop skills to assist you and/or your child cope with the challenges of life, and face these challenges with confidence.
My name is Sarah Stromwall and I am a Licensed Professional Clinical Counselor (LPCC) specializing in working with youth and adults who have experienced trauma and/or facing challenges in every day life. I strive to provide a compassionate, safe, and encouraging space to work alongside you to become all that you were created to be. I believe that together we will learn healthy responses, establish healthy boundaries, gain insight, untangle unhealthy thought/behavior patterns, and develop skills to assist you and/or your child cope with the challenges of life, and face these challenges with confidence.
(858) 533-2933 View (858) 533-2933
Photo of Susan Willett, Marriage & Family Therapist in Poway, CA
Susan Willett
Marriage & Family Therapist, LMFT
Verified Verified
Poway, CA 92064
My background was in the creative arts, and I use that often in my relationships with clients. My concentration is on neural-plasticity (which is basically the science of how the brain can change old thinking patterns with practice.) I think the combination of creativity and science makes for good therapy, while warmth and humor make for a great relationship. Initially, I work with depression and anxiety, generally taking a "family systems" approach. In other words, how your upbringing and early experiences impact your thoughts, feelings, and behaviors today.
My background was in the creative arts, and I use that often in my relationships with clients. My concentration is on neural-plasticity (which is basically the science of how the brain can change old thinking patterns with practice.) I think the combination of creativity and science makes for good therapy, while warmth and humor make for a great relationship. Initially, I work with depression and anxiety, generally taking a "family systems" approach. In other words, how your upbringing and early experiences impact your thoughts, feelings, and behaviors today.
(858) 367-9118 View (858) 367-9118
Photo of Kathy-Ann Dougan, Marriage & Family Therapist in Poway, CA
Kathy-Ann Dougan
Marriage & Family Therapist, MA, LMFT
Verified Verified
Poway, CA 92064  (Online Only)
At a young age I was always looking & listening deeper beyond the surface. I believe in the amazing potential in people & in what is distinguishable & unique in them, & even hidden. My ability for discerning, listening & analyzing were at work at an early age, unbeknownst to me. As a Licensed Marriage & Family Therapist & Life Coach my experience encompasses a holistic approach that supports health & wellness towards an improved quality of life. My therapeutic framework is collaborative creating a safe space to share, works with individuals to improve symptoms, gain insight, instill hope & find solutions.
At a young age I was always looking & listening deeper beyond the surface. I believe in the amazing potential in people & in what is distinguishable & unique in them, & even hidden. My ability for discerning, listening & analyzing were at work at an early age, unbeknownst to me. As a Licensed Marriage & Family Therapist & Life Coach my experience encompasses a holistic approach that supports health & wellness towards an improved quality of life. My therapeutic framework is collaborative creating a safe space to share, works with individuals to improve symptoms, gain insight, instill hope & find solutions.
(858) 295-7174 View (858) 295-7174
Photo of Elizabeth Murney, Clinical Social Work/Therapist in Poway, CA
Elizabeth Murney
Clinical Social Work/Therapist, LCSW
Verified Verified
Poway, CA 92064
Beth Murney is a licensed clinical social worker with over 20 years of experience providing supportive services to adults, children and families in San Diego. She was employed by San Diego County Children's Services Bureau from 1985-2007. Licensed in 1999, she has been in clinical practice with PsyCare since 2003 . She has extensive knowledge and experience in the areas of child protection, adoption, parenting education, chemical dependency, and domestic violence.
Beth Murney is a licensed clinical social worker with over 20 years of experience providing supportive services to adults, children and families in San Diego. She was employed by San Diego County Children's Services Bureau from 1985-2007. Licensed in 1999, she has been in clinical practice with PsyCare since 2003 . She has extensive knowledge and experience in the areas of child protection, adoption, parenting education, chemical dependency, and domestic violence.
(858) 758-3417 View (858) 758-3417
Photo of Jamie Young, Marriage & Family Therapist in Poway, CA
Jamie Young
Marriage & Family Therapist, LMFT
Verified Verified
Poway, CA 92064
We can work together as you build a life that has meaning for you. I will teach you techniques to change your self-talk so you can build your self-confidence and feel good about yourself and your relationships.
We can work together as you build a life that has meaning for you. I will teach you techniques to change your self-talk so you can build your self-confidence and feel good about yourself and your relationships.
(858) 330-3034 View (858) 330-3034
Photo of Helena Jayasuriya, Clinical Social Work/Therapist in Poway, CA
Helena Jayasuriya
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Poway, CA 92064
Not accepting new clients
Choosing a psychotherapist for yourself, your child, or marriage can be mind-boggling, especially when there are so many qualified professionals in the community! The search is not about finding a GOOD therapist, but rather one that best fits YOU.
Choosing a psychotherapist for yourself, your child, or marriage can be mind-boggling, especially when there are so many qualified professionals in the community! The search is not about finding a GOOD therapist, but rather one that best fits YOU.
(858) 863-7963 View (858) 863-7963
Photo of Caryn Cole, Marriage & Family Therapist in Poway, CA
Caryn Cole
Marriage & Family Therapist, LMFT
Verified Verified
Poway, CA 92064  (Online Only)
Do you feel lost, hopeless, or stuck? Do you find yourself worried and self-conscious? Are you experiencing conflict with family members, co-workers, or other important relationships in your life? Are you a parent wanting extra support? You are not alone. My style is nurturing, kind, empathetic, and patient. I am here to establish a safe environment where you will be respected, heard, and validated. Therapy sessions are tailored to your individual needs. I meet clients where they are at and work at their pace to achieve hope, empowerment, and growth.
Do you feel lost, hopeless, or stuck? Do you find yourself worried and self-conscious? Are you experiencing conflict with family members, co-workers, or other important relationships in your life? Are you a parent wanting extra support? You are not alone. My style is nurturing, kind, empathetic, and patient. I am here to establish a safe environment where you will be respected, heard, and validated. Therapy sessions are tailored to your individual needs. I meet clients where they are at and work at their pace to achieve hope, empowerment, and growth.
(858) 244-9443 View (858) 244-9443
Photo of Nela Cavelis, Clinical Social Work/Therapist in Poway, CA
Nela Cavelis
Clinical Social Work/Therapist, LCSW
Verified Verified
Poway, CA 92064
Have you been feeling anxiety, stress, feeling out of balance? Do you desire to discuss your situation with a professional, to get more clarity and understanding? Maybe you are going through a difficult life transition, or - you are in a good place right now - however feel that your history may be holding you back from experiencing your full potential. Perhaps you simply want to learn some strategies that will help you manage and thrive in your mental health and overall well being.
Have you been feeling anxiety, stress, feeling out of balance? Do you desire to discuss your situation with a professional, to get more clarity and understanding? Maybe you are going through a difficult life transition, or - you are in a good place right now - however feel that your history may be holding you back from experiencing your full potential. Perhaps you simply want to learn some strategies that will help you manage and thrive in your mental health and overall well being.
(858) 358-5401 View (858) 358-5401
Photo of Candice Clayton, Clinical Social Work/Therapist in Poway, CA
Candice Clayton
Clinical Social Work/Therapist, LCSW
Verified Verified
Poway, CA 92064
Hello! My name is Candice Clayton, and I am a Licensed Clinical Social Worker with over 12 years of experience in mental health. I use a strength-based and solution-focused approach to support your personal growth and mental health journey. I have a wide experience in the mental health field from children to adults to couples. I mainly treat adults and couples at this time who are going through various phases and changes in life. I treat trauma, anxiety, depression, infidelity, relationship issues, and imposter syndrome.
Hello! My name is Candice Clayton, and I am a Licensed Clinical Social Worker with over 12 years of experience in mental health. I use a strength-based and solution-focused approach to support your personal growth and mental health journey. I have a wide experience in the mental health field from children to adults to couples. I mainly treat adults and couples at this time who are going through various phases and changes in life. I treat trauma, anxiety, depression, infidelity, relationship issues, and imposter syndrome.
(858) 358-7607 View (858) 358-7607
Photo of Bharati Patwardhan, Marriage & Family Therapist in Poway, CA
Bharati Patwardhan
Marriage & Family Therapist, LMFT
Verified Verified
Poway, CA 92074  (Online Only)
Are you feeling rejected, abandoned, humiliated, hurt, and lonely in relationships with your spouse, parents, siblings, children, and in social relationships? Do you think people have taken advantage of you & nobody cares about you? Left untreated, this rejection, emotional wounds, and trauma affect the rest of our life. It manifests in the form of sadness, low self-esteem, unstable relationships, occupational stress, and even health issues. Don't wait to seek help for emotional pain/ injury as you wouldn't for physical injury. Yes, it is not easy to be vulnerable but growth begins with vulnerability!
Are you feeling rejected, abandoned, humiliated, hurt, and lonely in relationships with your spouse, parents, siblings, children, and in social relationships? Do you think people have taken advantage of you & nobody cares about you? Left untreated, this rejection, emotional wounds, and trauma affect the rest of our life. It manifests in the form of sadness, low self-esteem, unstable relationships, occupational stress, and even health issues. Don't wait to seek help for emotional pain/ injury as you wouldn't for physical injury. Yes, it is not easy to be vulnerable but growth begins with vulnerability!
(858) 295-3680 View (858) 295-3680
Photo of Miriam Chor Freitas, LCSW., Clinical Social Work/Therapist in Poway, CA
Miriam Chor Freitas, LCSW.
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Poway, CA 92064
Are you struggling with difficulties that are robbing you of your ability to be present and experience physical and emotional health and peace of mind in your life today? Are you ready to transform your life? So let's do this! I'm a therapist who has worked with very diverse clients on trauma and a variety of other mental health issues and challenging life circumstances for over 15 years. It's is not our difficulties that define us but our willingness to recognize the problem and start the journey towards health and healing.
Are you struggling with difficulties that are robbing you of your ability to be present and experience physical and emotional health and peace of mind in your life today? Are you ready to transform your life? So let's do this! I'm a therapist who has worked with very diverse clients on trauma and a variety of other mental health issues and challenging life circumstances for over 15 years. It's is not our difficulties that define us but our willingness to recognize the problem and start the journey towards health and healing.
(858) 256-7984 View (858) 256-7984
Photo of Lindsay Coyle, Psychologist in Poway, CA
Lindsay Coyle
Psychologist, PhD
Verified Verified
Poway, CA 92064
Whatever you are struggling with or whatever goals you have for self-growth, I am here to help. I have over 15 years experience with a wide range of populations and clients from all walks of life. To give you a brief summary, I spent much of my career working in forensic state hospitals and prisons. I also taught and maintained a private practice. I provide a collaborative and safe environment to make you feel comfortable during your therapeutic journey (whatever that may be). My approach is integrative which means I tailor treatment to your needs and goals.
Whatever you are struggling with or whatever goals you have for self-growth, I am here to help. I have over 15 years experience with a wide range of populations and clients from all walks of life. To give you a brief summary, I spent much of my career working in forensic state hospitals and prisons. I also taught and maintained a private practice. I provide a collaborative and safe environment to make you feel comfortable during your therapeutic journey (whatever that may be). My approach is integrative which means I tailor treatment to your needs and goals.
(858) 321-8696 View (858) 321-8696
Photo of Alma Phillips, Clinical Social Work/Therapist in Poway, CA
Alma Phillips
Clinical Social Work/Therapist, LCSW
Verified Verified
Poway, CA 92064
Alma Phillips is a Licensed Clinical Social Worker with over twenty years of experience in the mental health field. She received her masters in Social Work from California State University, Long Beach, with an emphasis in children, youth, and families and a B.A. in Psychology from University of California, San Diego. Alma works with children, adolescents, adults, and families. Her specialized certificate in Play Therapy has given her a wealth of experience and training in working with children's issues. She specializes in cognitive behavioral therapy and also offers EMDR (Eye Movement Desensitization and Reprocessing).
Alma Phillips is a Licensed Clinical Social Worker with over twenty years of experience in the mental health field. She received her masters in Social Work from California State University, Long Beach, with an emphasis in children, youth, and families and a B.A. in Psychology from University of California, San Diego. Alma works with children, adolescents, adults, and families. Her specialized certificate in Play Therapy has given her a wealth of experience and training in working with children's issues. She specializes in cognitive behavioral therapy and also offers EMDR (Eye Movement Desensitization and Reprocessing).
(858) 758-7534 View (858) 758-7534
Photo of Sarah Jacobs-Paul, Psychologist in Poway, CA
Sarah Jacobs-Paul
Psychologist, PsyD
Verified Verified
Poway, CA 92064
Dr. Sarah Jacobs-Paul is a licensed clinical psychologist. She earned her Doctorate in Clinical Psychology from the American School of Professional Psychology at Argosy University, San Francisco Bay Area in 2015. Dr. Sarah completed her doctoral internship and post-doctoral fellowship at California State University, San Marcos in the university counseling center. Dr. Sarah has worked in schools, universities, hospitals, community clinics, and private practice settings.
Dr. Sarah Jacobs-Paul is a licensed clinical psychologist. She earned her Doctorate in Clinical Psychology from the American School of Professional Psychology at Argosy University, San Francisco Bay Area in 2015. Dr. Sarah completed her doctoral internship and post-doctoral fellowship at California State University, San Marcos in the university counseling center. Dr. Sarah has worked in schools, universities, hospitals, community clinics, and private practice settings.
(858) 786-0939 View (858) 786-0939
Photo of Dr. Christy Walter in Poway, CA
Dr. Christy Walter
DO, MA
Verified Verified
Poway, CA 92064
Are you struggling to get by, barely making it from one day to the next? Have you tried everything? Do you want to go from merely surviving to thriving? If so, you are in the right place. I have developed a comprehensive, high-yield, 12-week program that will help you gain the skills needed to regulate emotions, transform trauma, build meaningful relationships, and enjoy life again. You will discover your authentic self, gain clarity on your values, and start to imagine a future filled with Hope, Healing, and Happiness.
Are you struggling to get by, barely making it from one day to the next? Have you tried everything? Do you want to go from merely surviving to thriving? If so, you are in the right place. I have developed a comprehensive, high-yield, 12-week program that will help you gain the skills needed to regulate emotions, transform trauma, build meaningful relationships, and enjoy life again. You will discover your authentic self, gain clarity on your values, and start to imagine a future filled with Hope, Healing, and Happiness.
(858) 465-4641 View (858) 465-4641
Photo of Tracy Aronlee, Clinical Social Work/Therapist in Poway, CA
Tracy Aronlee
Clinical Social Work/Therapist, LCSW
Verified Verified
Poway, CA 92064
I am here to help! I am a Licensed Clinical Social Worker specializing in working with trauma and how it impacts relationships in children, teens, adults and families. When faced with a challenge, have you ever felt like one part of you wants to shut down or hide, and another part wants to yell and scream? These are different parts of you that need our individual attention and compassion to heal. With my expertise and compassionate approach, I am dedicated to helping you learn more about these parts of you and build meaningful connections to cultivate healthy relationships and more peace in your life
I am here to help! I am a Licensed Clinical Social Worker specializing in working with trauma and how it impacts relationships in children, teens, adults and families. When faced with a challenge, have you ever felt like one part of you wants to shut down or hide, and another part wants to yell and scream? These are different parts of you that need our individual attention and compassion to heal. With my expertise and compassionate approach, I am dedicated to helping you learn more about these parts of you and build meaningful connections to cultivate healthy relationships and more peace in your life
(858) 304-7045 View (858) 304-7045
Photo of Anne Watson, Psychologist in Poway, CA
Anne Watson
Psychologist, PhD
Verified Verified
Poway, CA 92064
Christine Watson is a clinical psychologist who has been practicing psychotherapy since 1982. She graduated from The Fielding Institute with a doctorate in clinical psychology and from Texas Woman's University with a masters in marriage and family therapy. Christine's background in family systems, as well as evidence based perspectives, inform her approach to individual therapy. Her main areas of focus include adult depression and anxiety. In her spare time, Christine enjoys gardening and hiking.
Christine Watson is a clinical psychologist who has been practicing psychotherapy since 1982. She graduated from The Fielding Institute with a doctorate in clinical psychology and from Texas Woman's University with a masters in marriage and family therapy. Christine's background in family systems, as well as evidence based perspectives, inform her approach to individual therapy. Her main areas of focus include adult depression and anxiety. In her spare time, Christine enjoys gardening and hiking.
(858) 321-8470 View (858) 321-8470
Photo of Caron Collins, Marriage & Family Therapist in Poway, CA
Caron Collins
Marriage & Family Therapist, LMFT
Verified Verified
Poway, CA 92064
Hey there! My name is Caron and I am a Licensed Marriage and Family Therapist with over 22 years of experience. I specialize in helping individuals navigate issues including aging, coping skills, depression, family conflict, and stress. The client's I currently work with seem to like the Solution Focused, Narrative Therapy approach I use, because the therapy work is client focused and is usually brief (3-6 months sometimes). This approach works best with people who are truly motivated to explore the root causes of their discomfort, and begin working on resolving them.
Hey there! My name is Caron and I am a Licensed Marriage and Family Therapist with over 22 years of experience. I specialize in helping individuals navigate issues including aging, coping skills, depression, family conflict, and stress. The client's I currently work with seem to like the Solution Focused, Narrative Therapy approach I use, because the therapy work is client focused and is usually brief (3-6 months sometimes). This approach works best with people who are truly motivated to explore the root causes of their discomfort, and begin working on resolving them.
(858) 901-8382 View (858) 901-8382

How does your Therapist compare?

Number of Therapists in Poway, CA

100+

Average cost per session

$165

Therapists in Poway, CA who prioritize treating:

95% Anxiety
89% Depression
74% Relationship Issues
69% Self Esteem
66% Trauma and PTSD
64% Coping Skills
63% Stress

Average years in practice

14 Years

Top 3 insurances accepted

74% Aetna
73% UnitedHealthcare UHC | UBH
71% Cigna and Evernorth

How Therapists in Poway, CA see their clients

80% In Person and Online
20% Online Only

Gender breakdown

82% Female
18% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Poway?

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.