Therapists in Kerman, CA

Photo of Katrina Blair - Alpha Behavioral Counseling Center, LMFT
Alpha Behavioral Counseling Center
Verified Verified
Serves Area
Alpha Behavioral Counseling Center offers professional and personable counseling services. We meet you where you are emotionally and offer an understanding and compassionate therapist to assess the nature of the problem, and work with you to reach your goals whatever they may be. Our mission is to provide a confidential and safe place to help you and improve stability within interpersonal relationships and help you to increase your overall well being.
Alpha Behavioral Counseling Center offers professional and personable counseling services. We meet you where you are emotionally and offer an understanding and compassionate therapist to assess the nature of the problem, and work with you to reach your goals whatever they may be. Our mission is to provide a confidential and safe place to help you and improve stability within interpersonal relationships and help you to increase your overall well being.
(559) 257-3674 View (559) 257-3674
Photo of Debra L Winegarden - MindDivers, PhD, CST, DI
MindDivers
Verified Verified
Serves Area
MindDivers is a full service psychology practice whose friendly clinicians are trained in a wide variety of modalities that fit most people's therapy needs. MindDivers is a Veteran Owned Business and is Full Service, meaning we also have Psychiatry Services for your medication management. We offer therapy services for young children, adolescents, adults and seniors. We can help with behavioral issues, family dynamics, depression, anxiety, anger and many more. We have a wide variety of therapists who we can match to people's preferences, needs and language preferences.MindDivers takes most insurance plans including commercial plans as well as Medi-Cal, Cal Viva, Anthem, Blue Shield and many more. Our friendly assistants are happy to answer your questions regarding your insurance plan. MindDivers is the fastest growing group practice in the San Joaquin Valley with locations in Fresno, Clovis, Visalia, Hanford and Porterville. We strive to meet your psychological needs, but we don't stop there. We have a nonprofit branch that helps people with social services and housing supports as well. Tell us how we can help you
MindDivers is a full service psychology practice whose friendly clinicians are trained in a wide variety of modalities that fit most people's therapy needs. MindDivers is a Veteran Owned Business and is Full Service, meaning we also have Psychiatry Services for your medication management. We offer therapy services for young children, adolescents, adults and seniors. We can help with behavioral issues, family dynamics, depression, anxiety, anger and many more. We have a wide variety of therapists who we can match to people's preferences, needs and language preferences.MindDivers takes most insurance plans including commercial plans as well as Medi-Cal, Cal Viva, Anthem, Blue Shield and many more. Our friendly assistants are happy to answer your questions regarding your insurance plan. MindDivers is the fastest growing group practice in the San Joaquin Valley with locations in Fresno, Clovis, Visalia, Hanford and Porterville. We strive to meet your psychological needs, but we don't stop there. We have a nonprofit branch that helps people with social services and housing supports as well. Tell us how we can help you
(559) 608-4175 View (559) 608-4175
Photo of DeAnn Jones, Clinical Social Work/Therapist, LCSW
DeAnn Jones
Clinical Social Work/Therapist, LCSW
Online Only
I imagine that everyone looking at this profile is seeking support from someone that they can connect with and trust. If this sounds like you, please know that I have been in your shoes. While I know that some people are seeking a specific therapeutic modality, I believe that most people are just seeking relief from their challenges. If you are seeking a therapist who values your story, honors your identity, and is dedicated to your well-being, I invite you to reach out. Let’s work together to create lasting, positive change.
I imagine that everyone looking at this profile is seeking support from someone that they can connect with and trust. If this sounds like you, please know that I have been in your shoes. While I know that some people are seeking a specific therapeutic modality, I believe that most people are just seeking relief from their challenges. If you are seeking a therapist who values your story, honors your identity, and is dedicated to your well-being, I invite you to reach out. Let’s work together to create lasting, positive change.
(424) 622-0841 View (424) 622-0841
Photo of Andrew Sorge, Clinical Social Work/Therapist, LCSW
Andrew Sorge
Clinical Social Work/Therapist, LCSW
Online Only
Hello everyone, my name is Andrew Sorge, and I am a Licensed Clinical Social Worker (LCSW). My focus areas of practice are to work with those My approach to therapy is to work together and attempt to get some relief or resolution from whatever may bring you into therapy. I have a wealth of experience working with individuals who have symptoms of anxiety, depression, grief and loss, chronic diseases, and serve mental health issues. Naturally, I am a very laid-back and funny person which has benefited me in my professional life.
Hello everyone, my name is Andrew Sorge, and I am a Licensed Clinical Social Worker (LCSW). My focus areas of practice are to work with those My approach to therapy is to work together and attempt to get some relief or resolution from whatever may bring you into therapy. I have a wealth of experience working with individuals who have symptoms of anxiety, depression, grief and loss, chronic diseases, and serve mental health issues. Naturally, I am a very laid-back and funny person which has benefited me in my professional life.
(209) 391-1368 View (209) 391-1368
Photo of Natasha Qualls, Marriage & Family Therapist, LMFT
Natasha Qualls
Marriage & Family Therapist, LMFT
Online Only
Greetings! My name is Natasha Qualls, a Licensed Marriage and Family Therapist in California. Relationships are a vital part of our day-to-day lives as they provide a sense of connection, security, and overall happiness. However, the relationship with self, the understanding of who you are, and your place in life is crucial. The style I take as a therapist is a client-centered and strength-based approach as I believe and learned for myself that all of the answers, lie within the individual. That's how powerful you are!
Greetings! My name is Natasha Qualls, a Licensed Marriage and Family Therapist in California. Relationships are a vital part of our day-to-day lives as they provide a sense of connection, security, and overall happiness. However, the relationship with self, the understanding of who you are, and your place in life is crucial. The style I take as a therapist is a client-centered and strength-based approach as I believe and learned for myself that all of the answers, lie within the individual. That's how powerful you are!
(424) 484-1855 View (424) 484-1855
Photo of Jayla Alvarez, Counselor, LPCC
Jayla Alvarez
Counselor, LPCC
1 Endorsed
Online Only
My name is Jayla Alvarez. I'm a Licensed Professional Clinical Counselor who currently practices in Fresno, California. I tend to work from a collaborative approach as I believe that my clients are the experts in their lives. I also believe it is imperative to create a safe space as I support my clients through processing and healing from issues that are causing impairments in their lives. My goal is to help my clients become autonomous, increase self-awareness, gain skills to cope with stressors and find purpose in their lives.
My name is Jayla Alvarez. I'm a Licensed Professional Clinical Counselor who currently practices in Fresno, California. I tend to work from a collaborative approach as I believe that my clients are the experts in their lives. I also believe it is imperative to create a safe space as I support my clients through processing and healing from issues that are causing impairments in their lives. My goal is to help my clients become autonomous, increase self-awareness, gain skills to cope with stressors and find purpose in their lives.
(916) 304-7783 View (916) 304-7783
Photo of Ana Boydstun, Marriage & Family Therapist, LMFT
Ana Boydstun
Marriage & Family Therapist, LMFT
Online Only
Ana M. Boydstun, LMFT Hello! I look forward to the opportunity to work with you and to support your healing journey. My passion is working with individuals who have been impacted by complex trauma and major life transitions. Most importantly, I want to provide a safe and comfortable space for your therapy journey. I have worked with teens and adults and have expertise in trauma and women’s issues. I utilize Dialectical Behavior Therapy (DBT), solution-focused, Cognitive behavioral therapy (CBT), and trauma-focused approaches.
Ana M. Boydstun, LMFT Hello! I look forward to the opportunity to work with you and to support your healing journey. My passion is working with individuals who have been impacted by complex trauma and major life transitions. Most importantly, I want to provide a safe and comfortable space for your therapy journey. I have worked with teens and adults and have expertise in trauma and women’s issues. I utilize Dialectical Behavior Therapy (DBT), solution-focused, Cognitive behavioral therapy (CBT), and trauma-focused approaches.
(213) 468-0483 View (213) 468-0483

More Therapists Nearby

Photo of Mandy Castanon, Counselor, LMHC, LPCC
Mandy Castanon
Counselor, LMHC, LPCC
3 Endorsed
Fresno, CA 93711
You’re probably here looking for a therapist because there are parts of your life you wish could be better. Are you tired of feeling stressed, depressed, and anything but blessed? Do you need support during a transition time in your life? Is your child having difficulties in school, at home, or with friends? Do you feel sad and wish you knew why? I’m here to help! As a licensed mental health counselor. I offer individual and family therapy to help you and your family reach their goals!
You’re probably here looking for a therapist because there are parts of your life you wish could be better. Are you tired of feeling stressed, depressed, and anything but blessed? Do you need support during a transition time in your life? Is your child having difficulties in school, at home, or with friends? Do you feel sad and wish you knew why? I’m here to help! As a licensed mental health counselor. I offer individual and family therapy to help you and your family reach their goals!
(559) 242-9164 View (559) 242-9164
Photo of Tamai P Gilbert, Pre-Licensed Professional
Tamai P Gilbert
Pre-Licensed Professional
4 Endorsed
Serves Area
My ideal client is someone who feels stuck, overwhelmed, or disconnected, and is ready to explore their thoughts and emotions in a safe space. Many of the people I work with are navigating relationship challenges, family transitions such as divorce or co-parenting stress, or carrying the impact of past trauma or neglect. Others are dealing with systemic pressures or life stressors that make it difficult to feel stable and supported.
My ideal client is someone who feels stuck, overwhelmed, or disconnected, and is ready to explore their thoughts and emotions in a safe space. Many of the people I work with are navigating relationship challenges, family transitions such as divorce or co-parenting stress, or carrying the impact of past trauma or neglect. Others are dealing with systemic pressures or life stressors that make it difficult to feel stable and supported.
(949) 518-1499 View (949) 518-1499
Photo of Tasha Loudon, Marriage & Family Therapist, LMFT
Tasha Loudon
Marriage & Family Therapist, LMFT
1 Endorsed
Online Only
I believe the most important element in the therapeutic relationship is the connection between therapist and client, person to person. What I bring to the relationship is warmth, caring, and a gentle and compassionate presence. I have a deep faith in your ability to transform your life, empowering you to discover what works and change what doesn’t, helping you find your own truth and path.
I believe the most important element in the therapeutic relationship is the connection between therapist and client, person to person. What I bring to the relationship is warmth, caring, and a gentle and compassionate presence. I have a deep faith in your ability to transform your life, empowering you to discover what works and change what doesn’t, helping you find your own truth and path.
(341) 247-0168 View (341) 247-0168
Photo of Monica Villar, Marriage & Family Therapist, LMFT
Monica Villar
Marriage & Family Therapist, LMFT
Online Only
I’m an integrative therapist working from a neuro-affirming and trauma-informed perspective that honors the connection between mind, body, and lived experience. I offer a transparent and collaborative approach, supporting clients in developing self-awareness, understanding their nervous system patterns, and reconnecting with a sense of balance and wholeness. My work blends somatic practices, relational and attachment-based insights, and evidence-informed methods to promote mind–body healing, resilience, and integrated well-being.
I’m an integrative therapist working from a neuro-affirming and trauma-informed perspective that honors the connection between mind, body, and lived experience. I offer a transparent and collaborative approach, supporting clients in developing self-awareness, understanding their nervous system patterns, and reconnecting with a sense of balance and wholeness. My work blends somatic practices, relational and attachment-based insights, and evidence-informed methods to promote mind–body healing, resilience, and integrated well-being.
(415) 390-3369 View (415) 390-3369
Photo of Dyan Pelosi Johnson, Licensed Professional Clinical Counselor, MS, CRC, CCM, LPCC, LPC
Dyan Pelosi Johnson
Licensed Professional Clinical Counselor, MS, CRC, CCM, LPCC, LPC
Serves Area
Are you feeling overwhelmed, anxious, stressed, or stuck—and not totally sure why? Maybe you’re juggling school, work, relationships, or a big life transition and feel emotionally exhausted or disconnected from yourself. You want relief, clarity, balance, and support navigating what’s next. I am a Licensed Professional Clinical Counselor with over 20 years of experience working with teens and young adults in high schools, wilderness therapy programs, and hospital settings. Common concerns I support include anxiety, depression, overwhelm, anger, life transitions, and relationship challenges.
Are you feeling overwhelmed, anxious, stressed, or stuck—and not totally sure why? Maybe you’re juggling school, work, relationships, or a big life transition and feel emotionally exhausted or disconnected from yourself. You want relief, clarity, balance, and support navigating what’s next. I am a Licensed Professional Clinical Counselor with over 20 years of experience working with teens and young adults in high schools, wilderness therapy programs, and hospital settings. Common concerns I support include anxiety, depression, overwhelm, anger, life transitions, and relationship challenges.
(530) 420-1166 View (530) 420-1166
Photo of Kierra Gordon-Smith, Marriage & Family Therapist, AMFT
Kierra Gordon-Smith
Marriage & Family Therapist, AMFT
Fresno, CA 93711
My greatest reward as a therapist is helping others on their journey of becoming their best self, helping heal unhealed wounds, & validate other’s experiences with undeniable acceptance & warmth. As a therapist, I am passionate about helping you gain more insight into your problems or past & learn the necessary skills to overcome & achieve more peace in life. I consider it a privilege to walk alongside you at your pace & support you in navigating your way through life & toward a greater since of healing & wellness.
My greatest reward as a therapist is helping others on their journey of becoming their best self, helping heal unhealed wounds, & validate other’s experiences with undeniable acceptance & warmth. As a therapist, I am passionate about helping you gain more insight into your problems or past & learn the necessary skills to overcome & achieve more peace in life. I consider it a privilege to walk alongside you at your pace & support you in navigating your way through life & toward a greater since of healing & wellness.
(559) 527-0372 View (559) 527-0372
Photo of Shelby B Tucker, Licensed Educational Psychologist, LEP
Shelby B Tucker
Licensed Educational Psychologist, LEP
1 Endorsed
Fresno, CA 93711
If you're feeling frustrated with the special education system and unsure how to help your child, you're not alone. I provide private assessments for learning disabilities, ADHD, autism, emotional challenges, and more. I also offer counseling, school-based consultation, parent training, and Independent Educational Evaluations (IEEs). My goal is to help families understand their child's needs and advocate effectively. Together, we can create a path forward that supports your child’s growth and success.
If you're feeling frustrated with the special education system and unsure how to help your child, you're not alone. I provide private assessments for learning disabilities, ADHD, autism, emotional challenges, and more. I also offer counseling, school-based consultation, parent training, and Independent Educational Evaluations (IEEs). My goal is to help families understand their child's needs and advocate effectively. Together, we can create a path forward that supports your child’s growth and success.
(559) 785-0411 View (559) 785-0411
Photo of Jessica Duran, Marriage & Family Therapist, LMFT
Jessica Duran
Marriage & Family Therapist, LMFT
Online Only
Not accepting new clients
My name is Jessica, or may you call me Jess - all my favorite people do! I am Licensed Marriage and Family Therapist in Los Angeles, CA. “How are you feeling today? Let Us Talk About It, ALL!” I have 10 years of clinical experience, specifically focusing on young adults, adults and family therapy. In my practice, I have worked with clients managing PTSD, anxious and depressive symptoms and behaviors. I focus my approach on the relationship built between you and me, ensuring you with unconditional support, a listening ear and strengthening the skills you already have, to continue to succeed. I will guide you to finding more of your s
My name is Jessica, or may you call me Jess - all my favorite people do! I am Licensed Marriage and Family Therapist in Los Angeles, CA. “How are you feeling today? Let Us Talk About It, ALL!” I have 10 years of clinical experience, specifically focusing on young adults, adults and family therapy. In my practice, I have worked with clients managing PTSD, anxious and depressive symptoms and behaviors. I focus my approach on the relationship built between you and me, ensuring you with unconditional support, a listening ear and strengthening the skills you already have, to continue to succeed. I will guide you to finding more of your s
(562) 568-5355 View (562) 568-5355
Photo of Deborah Bauman, Clinical Social Work/Therapist, LCSW
Deborah Bauman
Clinical Social Work/Therapist, LCSW
Online Only
I'm a Licensed Clinical Social Worker based in California. In today’s complex world, it is not hard to feel thrown off course by the overwhelming challenges one can encounter. Maybe you are tackling a troubled relationship, going through a difficult life transition, wrestling with losses, illness, addictions, or feel stuck because of past trauma? Perhaps you are a creative professional whose struggles get in the way of your self-expression and ability to succeed? It can be hard to reach out for help when you are in pain and feel alone, but I believe that I can provide a guiding hand to enable you to feel seen, heard and supported.
I'm a Licensed Clinical Social Worker based in California. In today’s complex world, it is not hard to feel thrown off course by the overwhelming challenges one can encounter. Maybe you are tackling a troubled relationship, going through a difficult life transition, wrestling with losses, illness, addictions, or feel stuck because of past trauma? Perhaps you are a creative professional whose struggles get in the way of your self-expression and ability to succeed? It can be hard to reach out for help when you are in pain and feel alone, but I believe that I can provide a guiding hand to enable you to feel seen, heard and supported.
(424) 372-8465 View (424) 372-8465
Photo of Jose Manuel Valencia, Clinical Social Work/Therapist, LCSW
Jose Manuel Valencia
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
I am a bilingual, Spanish-speaking Licensed Clinical Social Worker dedicated to supporting individuals through life’s challenges with empathy, respect, and collaboration. With a strong background in crisis intervention, depression, anxiety, and grief and loss, I strive to create a safe, inclusive space where you feel heard and empowered.
I am a bilingual, Spanish-speaking Licensed Clinical Social Worker dedicated to supporting individuals through life’s challenges with empathy, respect, and collaboration. With a strong background in crisis intervention, depression, anxiety, and grief and loss, I strive to create a safe, inclusive space where you feel heard and empowered.
(818) 514-1196 View (818) 514-1196
Photo of Jennifer K. De La Cruz, Marriage & Family Therapist, LMFT
Jennifer K. De La Cruz
Marriage & Family Therapist, LMFT
1 Endorsed
Fresno, CA 93720
I am passionate about working with individuals who are seeking transformative healing from a variety of traumas, anxiety, depression, and other mental health impairments. I practice from a trauma-focused approach in order to work collaboratively with clients toward restorative and lasting change. My goal is to help clients pursue and maintain a life of wholeness and balance within each area of their daily lives.
I am passionate about working with individuals who are seeking transformative healing from a variety of traumas, anxiety, depression, and other mental health impairments. I practice from a trauma-focused approach in order to work collaboratively with clients toward restorative and lasting change. My goal is to help clients pursue and maintain a life of wholeness and balance within each area of their daily lives.
(559) 922-2602 View (559) 922-2602
Photo of Serena Moua, Marriage & Family Therapist, LMFT
Serena Moua
Marriage & Family Therapist, LMFT
Online Only
Taking the first step toward therapy takes courage, and I want to acknowledge the strength it took you to get here. I approach therapy with authenticity and compassion while challenging you towards reaching your therapeutic goals. I believe in a collaborative process—one where you are the expert on your experience. My role is to empower you to build confidence in your decision-making and feel in control of your healing journey
Taking the first step toward therapy takes courage, and I want to acknowledge the strength it took you to get here. I approach therapy with authenticity and compassion while challenging you towards reaching your therapeutic goals. I believe in a collaborative process—one where you are the expert on your experience. My role is to empower you to build confidence in your decision-making and feel in control of your healing journey
(424) 476-0779 View (424) 476-0779
Photo of Jeanne M Munsell, Marriage & Family Therapist, DD, MA, LMFT
Jeanne M Munsell
Marriage & Family Therapist, DD, MA, LMFT
Fresno, CA 93711
Are you in need of a court-ordered mental health and addictions evaluation? Are you hoping your court case will be resolved with Court ordered Diversion with Mental Health treatment? Have you been abused? Neglected as a child? Has someone told you you have serious Mental Health Issues? I help. I help persons learn coping skills, sobriety skills, resolve the emotional attachment to abuses. I understand the angst of being a teen or young adult. I enjoy working with those who have stresses, strains from work, family, school, depression, and anxiety. I believe that all persons regardless of all factors deserves the best life ever
Are you in need of a court-ordered mental health and addictions evaluation? Are you hoping your court case will be resolved with Court ordered Diversion with Mental Health treatment? Have you been abused? Neglected as a child? Has someone told you you have serious Mental Health Issues? I help. I help persons learn coping skills, sobriety skills, resolve the emotional attachment to abuses. I understand the angst of being a teen or young adult. I enjoy working with those who have stresses, strains from work, family, school, depression, and anxiety. I believe that all persons regardless of all factors deserves the best life ever
(559) 345-9372 View (559) 345-9372

See more therapy options for Kerman

How does your Therapist compare?

Number of Therapists in Kerman, CA

< 10

Therapists in Kerman, CA who prioritize treating:

100% Depression
100% Anxiety
86% Stress
71% Relationship Issues
71% Anger Management
71% Behavioral Issues
71% Self Esteem

Average years in practice

15 Years

Top 3 insurances accepted

100% Health Net
100% Managed Health Network (MHN)
100% Anthem

How Therapists in Kerman, CA see their clients

71% Online Only
29% In Person and Online

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Kerman?

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.