Therapists in Eureka, CA

Photo of April D. Alexander, Clinical Social Work/Therapist in Eureka, CA
April D. Alexander
Clinical Social Work/Therapist, MSW, LCSW, CCTP
Verified Verified
Eureka, CA 95501  (Online Only)
I help clients who are experiencing anxiety, depression, relationship distress, and trauma to cope in a more balanced and healthy way. Is anxiety a constant in your life? Are your life circumstances causing you to feel like life is closing in on you? Does the trauma of the past hold you back from experiencing life to the fullest? I'm here to help through empathetic listening and by providing you with effective tools to cope with the things that are weighing you down. I truly understand how trauma, anxiety, and depression can feel, and I'm here to help support you as you learn healthy coping strategies to take control over them.
I help clients who are experiencing anxiety, depression, relationship distress, and trauma to cope in a more balanced and healthy way. Is anxiety a constant in your life? Are your life circumstances causing you to feel like life is closing in on you? Does the trauma of the past hold you back from experiencing life to the fullest? I'm here to help through empathetic listening and by providing you with effective tools to cope with the things that are weighing you down. I truly understand how trauma, anxiety, and depression can feel, and I'm here to help support you as you learn healthy coping strategies to take control over them.
(707) 306-8089 View (707) 306-8089
Photo of Claire Ajina, Psychologist in Eureka, CA
Claire Ajina
Psychologist, MA, NCSP, LEP
Verified Verified
Eureka, CA 95501
Waitlist for new clients
As a Licensed Educational Psychologist, I serve clients in Humboldt County, California who have educationally related needs. I work with children, teens, and adults, providing psychoeducational evaluations. I hold a BA in Child Development and a MA in Psychology: School Psychology; both from Cal Poly Humboldt. I am an LEP, a Nationally Certified School Psychologist, and a credentialed School Psychologist in California.
As a Licensed Educational Psychologist, I serve clients in Humboldt County, California who have educationally related needs. I work with children, teens, and adults, providing psychoeducational evaluations. I hold a BA in Child Development and a MA in Psychology: School Psychology; both from Cal Poly Humboldt. I am an LEP, a Nationally Certified School Psychologist, and a credentialed School Psychologist in California.
(707) 683-7203 View (707) 683-7203
Photo of Francis Rose Muela, Marriage & Family Therapist in Eureka, CA
Francis Rose Muela
Marriage & Family Therapist, MA, LMFT
Verified Verified
Eureka, CA 95501
I have advanced training and experience in trauma recovery and use a relationship-oriented approach in helping individuals heal from overwhelming circumstances. I draw from a wide range of verbal and non-verbal approaches to support my clients in reaching their goals, improving wellbeing and enhancing relationships. I am trained in Eye Movement Desensitization and Reprocessing Therapy, Mindfulness Based Stress Reduction, and Trauma Focused Cognitive Behavioral Therapy. I mostly use techniques from cognitive-behavioral therapy, mindfulness practices and creative/expressive arts therapy.
I have advanced training and experience in trauma recovery and use a relationship-oriented approach in helping individuals heal from overwhelming circumstances. I draw from a wide range of verbal and non-verbal approaches to support my clients in reaching their goals, improving wellbeing and enhancing relationships. I am trained in Eye Movement Desensitization and Reprocessing Therapy, Mindfulness Based Stress Reduction, and Trauma Focused Cognitive Behavioral Therapy. I mostly use techniques from cognitive-behavioral therapy, mindfulness practices and creative/expressive arts therapy.
(707) 845-5569 View (707) 845-5569
Photo of David Zajanc, Clinical Social Work/Therapist in Eureka, CA
David Zajanc
Clinical Social Work/Therapist, LCSW
Verified Verified
Eureka, CA 95501
Not accepting new clients
Are you tired of running away from your fears and missing out on opportunities for growth? You have all the answers inside you. My role is to walk alongside you on this journey of personal growth to help you find those answers. I can hold the mirror for you to see in those blind spots that are hard for us to see on our own, to help you understand better how you want to help yourself in acceptance or taking action (whichever fits your true self where you are at), and to have the patience and love to be gentle with yourself.
Are you tired of running away from your fears and missing out on opportunities for growth? You have all the answers inside you. My role is to walk alongside you on this journey of personal growth to help you find those answers. I can hold the mirror for you to see in those blind spots that are hard for us to see on our own, to help you understand better how you want to help yourself in acceptance or taking action (whichever fits your true self where you are at), and to have the patience and love to be gentle with yourself.
(707) 506-0189 View (707) 506-0189
Photo of Kristyn Fresz, Marriage & Family Therapist in Eureka, CA
Kristyn Fresz
Marriage & Family Therapist, MA, LMFT
Verified Verified
Eureka, CA 95501
Entering therapy takes courage and commitment so it will be my first priority for you is to create feelings of safety and trust. I believe that you have the innate capacity to heal, develop, and grow. You and I can work together to identify inner conflicts, clarify beliefs, and release limiting patterns to support you in living a more authentic and fulfilling life. I work with individuals and adolescents.
Entering therapy takes courage and commitment so it will be my first priority for you is to create feelings of safety and trust. I believe that you have the innate capacity to heal, develop, and grow. You and I can work together to identify inner conflicts, clarify beliefs, and release limiting patterns to support you in living a more authentic and fulfilling life. I work with individuals and adolescents.
(707) 706-6954 View (707) 706-6954
Photo of Pablo Bayo, Marriage & Family Therapist in Eureka, CA
Pablo Bayo
Marriage & Family Therapist, MA, LMFT
Verified Verified
Eureka, CA 95501
I came to Humboldt County in 2001, after completing my psychology degree in Europe and my master's degree in psychotherapy in Syracuse, New York. I have practiced psychotherapy for the last 30 years, and I am familiar with a wide range of issues, situations and diagnosis. Although, I enjoy specific theoretical and practical approaches and models of therapy like CBT, SFBT for treating anxiety, trauma impact and depression symptoms, I clinically focus on what I believe suits best the individual and the situation. I view life as a journey towards betterment of the person and reach for happiness.
I came to Humboldt County in 2001, after completing my psychology degree in Europe and my master's degree in psychotherapy in Syracuse, New York. I have practiced psychotherapy for the last 30 years, and I am familiar with a wide range of issues, situations and diagnosis. Although, I enjoy specific theoretical and practical approaches and models of therapy like CBT, SFBT for treating anxiety, trauma impact and depression symptoms, I clinically focus on what I believe suits best the individual and the situation. I view life as a journey towards betterment of the person and reach for happiness.
(707) 681-7295 View (707) 681-7295
Photo of Kendra Hamilton, Clinical Social Work/Therapist in Eureka, CA
Kendra Hamilton
Clinical Social Work/Therapist, LCSW
Verified Verified
Eureka, CA 95501
I have been in the mental health field for 5 years. I graduated from California State University, Northridge with a Master’s of Social work degree. I am trained in EMDR (Eye Movement Desensitization and Reprocessing) which is a psychotherapy that enables people to heal from the symptoms and emotional distress. I have most experience treating complex traumas, anxiety, depression, self harm, suicidal ideation, anger issues, relationship issues, family conflict and stress.
I have been in the mental health field for 5 years. I graduated from California State University, Northridge with a Master’s of Social work degree. I am trained in EMDR (Eye Movement Desensitization and Reprocessing) which is a psychotherapy that enables people to heal from the symptoms and emotional distress. I have most experience treating complex traumas, anxiety, depression, self harm, suicidal ideation, anger issues, relationship issues, family conflict and stress.
(707) 475-5226 View (707) 475-5226
Photo of Kris Coffman, Marriage & Family Therapist in Eureka, CA
Kris Coffman
Marriage & Family Therapist, MA, LMFT
Verified Verified
Eureka, CA 95501
Are you hurting? Do you need support in untangling your challenges? Welcome kindred Souls of the Mystical and Unconventional! I am the unique guide you seek on your quest of self-discovery. If you find solace in the complex weavings of this world, dancing with the moon, and embracing nuance, you have found a fellow traveler in me. In this world of chaos and conformity, I specialize in supporting magical Souls and Empaths who tread the unorthodox paths. Together, we shall unravel the threads of the struggles that may keep you stuck, transforming them into the known, and metabolized.
Are you hurting? Do you need support in untangling your challenges? Welcome kindred Souls of the Mystical and Unconventional! I am the unique guide you seek on your quest of self-discovery. If you find solace in the complex weavings of this world, dancing with the moon, and embracing nuance, you have found a fellow traveler in me. In this world of chaos and conformity, I specialize in supporting magical Souls and Empaths who tread the unorthodox paths. Together, we shall unravel the threads of the struggles that may keep you stuck, transforming them into the known, and metabolized.
(707) 350-8688 View (707) 350-8688
Photo of New Growth Psychology, Psychologist in Eureka, CA
New Growth Psychology
Psychologist, PsyD
Verified Verified
1 Endorsed
Eureka, CA 95501
New Growth Psychology is dedicated to providing psychodynamic therapy to teens and adults. Psychodynamic therapy is not a one-size-fits-all approach, but an evidence-based treatment that acknowledges the vastness of each individuals experience while holding pervasive themes that exist across human experience. This type of therapy can be a good fit for individuals who are struggling with anxiety, depression, relationship difficulties, existential crisis, or identity exploration. Some possible benefits of psychodynamic therapy include increased awareness of emotions, increased self-esteem and deepening in interpersonal relationships.
New Growth Psychology is dedicated to providing psychodynamic therapy to teens and adults. Psychodynamic therapy is not a one-size-fits-all approach, but an evidence-based treatment that acknowledges the vastness of each individuals experience while holding pervasive themes that exist across human experience. This type of therapy can be a good fit for individuals who are struggling with anxiety, depression, relationship difficulties, existential crisis, or identity exploration. Some possible benefits of psychodynamic therapy include increased awareness of emotions, increased self-esteem and deepening in interpersonal relationships.
(707) 683-7601 View (707) 683-7601
Photo of Etta Bergstresser, Clinical Social Work/Therapist in Eureka, CA
Etta Bergstresser
Clinical Social Work/Therapist, LCSW
Verified Verified
Eureka, CA 95501
Waitlist for new clients
There is no one approach that will work for everyone, and sometimes the process can be frustrating. We will work together to find ways to meet your needs and work toward your goals, and build from there. Our plan will evolve as we move forward in a collaborative way. This is for you, and my job is to support you.
There is no one approach that will work for everyone, and sometimes the process can be frustrating. We will work together to find ways to meet your needs and work toward your goals, and build from there. Our plan will evolve as we move forward in a collaborative way. This is for you, and my job is to support you.
(707) 683-7692 View (707) 683-7692
Photo of Victoria Shuts, Marriage & Family Therapist in Eureka, CA
Victoria Shuts
Marriage & Family Therapist, LMFT
Verified Verified
Eureka, CA 95503
I offer you a safe, nurturing space that is supportive of positive change so you can live life more fully, and have a deeper relationship with yourself and those you love. I will collaborate with you to find a meaningful path to relief and healing. Since 2008, I have worked with children, teens, adults and families with relational issues, learning and mood disorders, ADHD, substance abuse, PTSD, depression and anxiety. Please call me for a confidential telephone meeting to see if we are a good fit to collaborate on your path to healing.
I offer you a safe, nurturing space that is supportive of positive change so you can live life more fully, and have a deeper relationship with yourself and those you love. I will collaborate with you to find a meaningful path to relief and healing. Since 2008, I have worked with children, teens, adults and families with relational issues, learning and mood disorders, ADHD, substance abuse, PTSD, depression and anxiety. Please call me for a confidential telephone meeting to see if we are a good fit to collaborate on your path to healing.
(707) 267-2955 View (707) 267-2955
Photo of Deb Gee, Marriage & Family Therapist in Eureka, CA
Deb Gee
Marriage & Family Therapist, MA, LMFT
Verified Verified
Eureka, CA 95501  (Online Only)
Everything about our lives is centered in relationship; knowing how to effectively initiate and maintain supportive, enjoyable and mutually satisfying relationships will serve us throughout our lives. But this doesn't happen without many ups and downs, some of which benefit from including a supportive, objective and helpful therapist. If you are wishing to improve your thinking, your skill in dealing with stress, anxiety, depression or trauma, living in past experiences or fearing the future, I would be honored to help.
Everything about our lives is centered in relationship; knowing how to effectively initiate and maintain supportive, enjoyable and mutually satisfying relationships will serve us throughout our lives. But this doesn't happen without many ups and downs, some of which benefit from including a supportive, objective and helpful therapist. If you are wishing to improve your thinking, your skill in dealing with stress, anxiety, depression or trauma, living in past experiences or fearing the future, I would be honored to help.
(707) 683-8921 View (707) 683-8921
Photo of Roberta J Nolan, Marriage & Family Therapist in Eureka, CA
Roberta J Nolan
Marriage & Family Therapist, LMFT, PhD, MA
Verified Verified
Eureka, CA 95503
Waitlist for new clients
I believe it’s a privilege working in the field of psychology and with humans of all ages from infancy to geriatrics. Some of my psychological expertise include human development, traumas, mood disorders, forensics as well as various ranges of other mental, emotional, and behavioral issues. I believe that humans are experts in their lived experiences. It is my privilege to learn from humans and imagine/interpret their situations, challenges, or concerns and offer psychoeducation in support of reducing disruptive/negative lifor issues and lessons
I believe it’s a privilege working in the field of psychology and with humans of all ages from infancy to geriatrics. Some of my psychological expertise include human development, traumas, mood disorders, forensics as well as various ranges of other mental, emotional, and behavioral issues. I believe that humans are experts in their lived experiences. It is my privilege to learn from humans and imagine/interpret their situations, challenges, or concerns and offer psychoeducation in support of reducing disruptive/negative lifor issues and lessons
(530) 773-5226 View (530) 773-5226
Photo of David Johnston, Marriage & Family Therapist in Eureka, CA
David Johnston
Marriage & Family Therapist, LMFT, MA
Verified Verified
Eureka, CA 95501
It takes courage to ask for help. I honor you in your pursuit of healing and wholeness. Experience and data show that a strong therapeutic relationship is the key to success in therapy. I endeavor to provide a safe container into which each individual human being who comes for therapy is welcomed. Being met with empathy, respect, acceptance, kindness, understanding, genuineness and non-judgement opens a space where each person can explore their issues without feeling the need to censor or conform. Having another person inalienably aligned with your own deepest Self empowers your unique route to healing and so transformation.
It takes courage to ask for help. I honor you in your pursuit of healing and wholeness. Experience and data show that a strong therapeutic relationship is the key to success in therapy. I endeavor to provide a safe container into which each individual human being who comes for therapy is welcomed. Being met with empathy, respect, acceptance, kindness, understanding, genuineness and non-judgement opens a space where each person can explore their issues without feeling the need to censor or conform. Having another person inalienably aligned with your own deepest Self empowers your unique route to healing and so transformation.
(707) 847-5363 View (707) 847-5363
Photo of Stacey Wilwerding, Marriage & Family Therapist in Eureka, CA
Stacey Wilwerding
Marriage & Family Therapist, LMFT
Verified Verified
Eureka, CA 95503  (Online Only)
Hello, I love working with couples, adults, and young adults. I am here to help a wide range of individuals who may simply need someone to talk to without judgment, processing trauma, to learning new coping skills for anxiety and depression. I believe that people are multifaceted, complex, and simply trying to do the best they can with what they have.
Hello, I love working with couples, adults, and young adults. I am here to help a wide range of individuals who may simply need someone to talk to without judgment, processing trauma, to learning new coping skills for anxiety and depression. I believe that people are multifaceted, complex, and simply trying to do the best they can with what they have.
(707) 329-4271 View (707) 329-4271
Photo of Abigail Hudson-Crim, Clinical Social Work/Therapist in Eureka, CA
Abigail Hudson-Crim
Clinical Social Work/Therapist, LCSW
Verified Verified
Eureka, CA 95501
Not accepting new clients
As a therapist from a social justice background, I deeply value the experiences each person brings with them into a session. I find that it is important to look at how values and brain-functioning shape the way we see the world. Empowerment through education and use of Harm Reduction Philosophy can help people to make healthy choices and improve their functioning in their relationships and self-care. I support my clients through building resources, problem-solving, and learning to use coping tools and self-awareness. Your wellbeing is the goal; the process to get there is the work in, and outside of, a therapy session.
As a therapist from a social justice background, I deeply value the experiences each person brings with them into a session. I find that it is important to look at how values and brain-functioning shape the way we see the world. Empowerment through education and use of Harm Reduction Philosophy can help people to make healthy choices and improve their functioning in their relationships and self-care. I support my clients through building resources, problem-solving, and learning to use coping tools and self-awareness. Your wellbeing is the goal; the process to get there is the work in, and outside of, a therapy session.
(707) 622-8335 View (707) 622-8335
Photo of Ashley Bila Bar-Zion, Associate Clinical Social Worker in Eureka, CA
Ashley Bila Bar-Zion
Associate Clinical Social Worker, ASW
Verified Verified
1 Endorsed
Eureka, CA 95503
My name is Ashley Bila Bar-Zion, but my preferred name is Bila (ASW 118055) I received my Bachelor’s and Master’s degree Social Work with a focus in Integrated Health and Political Science. I have worked in a variety of settings with children within the foster care system, homelessness engagement services, at a social justice organization, and provided therapy and case management in Southern California.
My name is Ashley Bila Bar-Zion, but my preferred name is Bila (ASW 118055) I received my Bachelor’s and Master’s degree Social Work with a focus in Integrated Health and Political Science. I have worked in a variety of settings with children within the foster care system, homelessness engagement services, at a social justice organization, and provided therapy and case management in Southern California.
(707) 229-0409 View (707) 229-0409
Photo of Kristina Daniel, Clinical Social Work/Therapist in Eureka, CA
Kristina Daniel
Clinical Social Work/Therapist, MSW, ASW
Verified Verified
Eureka, CA 95501  (Online Only)
Hello! I am excited to be able to meet you and get to know you and your story. I enjoy working with both children and adults in a variety of different situations. I have knowledge in a variety of topics including people experiencing anxiety, PTSD, agoraphobia, bipolar disorder, borderline personality disorder, depression, schizoaffective disorder, and more.
Hello! I am excited to be able to meet you and get to know you and your story. I enjoy working with both children and adults in a variety of different situations. I have knowledge in a variety of topics including people experiencing anxiety, PTSD, agoraphobia, bipolar disorder, borderline personality disorder, depression, schizoaffective disorder, and more.
(707) 940-8962 View (707) 940-8962
Photo of Shane Calhoun, Psychologist in Eureka, CA
Shane Calhoun
Psychologist, PsyD
Verified Verified
Eureka, CA 95503
I have been a good fit for individuals looking for a supportive space to address anxiety and depression, needing movement in developing new coping strategies, seeking a deeper level of wellness and balance, or identity development. I have often found that I work well with those who have found therapy unhelpful in the past and are looking to give it another try. I also recognize that counseling is a different experience for those who identify as ADHD or ASD. The neuro-diverse culture is an area that I have experience in and that I find meaningful to work with.
I have been a good fit for individuals looking for a supportive space to address anxiety and depression, needing movement in developing new coping strategies, seeking a deeper level of wellness and balance, or identity development. I have often found that I work well with those who have found therapy unhelpful in the past and are looking to give it another try. I also recognize that counseling is a different experience for those who identify as ADHD or ASD. The neuro-diverse culture is an area that I have experience in and that I find meaningful to work with.
(707) 216-0953 View (707) 216-0953
Photo of Crysta Durrett, Clinical Social Work/Therapist in Eureka, CA
Crysta Durrett
Clinical Social Work/Therapist, LCSW
Verified Verified
Eureka, CA 95501
You can’t take it anymore. You feel yourself both falling apart inside, freaking out, and then shutting down. You try to live your daily life, but the issues of everyday life trigger memories, leaving you feeling emotionally flooded and agitated. You don’t want to continue the pain of the past into your future, but you find yourself having reactions out of proportion to what is happening. It feels unbearable. You want to be sure the people you love are protected and nurtured unlike how you felt growing up. You worry all the time and you feel paralyzed, as though nothing you do or try matters or makes a difference.
You can’t take it anymore. You feel yourself both falling apart inside, freaking out, and then shutting down. You try to live your daily life, but the issues of everyday life trigger memories, leaving you feeling emotionally flooded and agitated. You don’t want to continue the pain of the past into your future, but you find yourself having reactions out of proportion to what is happening. It feels unbearable. You want to be sure the people you love are protected and nurtured unlike how you felt growing up. You worry all the time and you feel paralyzed, as though nothing you do or try matters or makes a difference.
(707) 244-7865 View (707) 244-7865

How does your Therapist compare?

Number of Therapists in Eureka, CA

100+

Average cost per session

$132

Therapists in Eureka, CA who prioritize treating:

90% Anxiety
88% Depression
78% Relationship Issues
78% Trauma and PTSD
70% Self Esteem
68% Grief
67% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

63% Beacon Health Options | Carelon
41% Other
39% Aetna

How Therapists in Eureka, CA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

79% Female
18% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Eureka?

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.