Therapists in Glen Park, San Francisco, CA

Photo of Melissa Liptak, LMFT, Marriage & Family Therapist
Melissa Liptak
Marriage & Family Therapist, LMFT
Verified Verified
Glen Park, San Francisco, CA 94131
My goal as a therapist is to help you create positive change and live life with more ease, meaning and connection. I provide compassionate and effective psychotherapy that will help you learn new skills to move you in the direction you are seeking. I specialize in working with adolescents and adults, and have a particular interest in helping parents and those in the midst of life transitions. I have worked extensively with clients who struggle with anxiety, depression, academic stress, perfectionism, parenting challenges, relationship conflicts, life transitions, grief and loss.
My goal as a therapist is to help you create positive change and live life with more ease, meaning and connection. I provide compassionate and effective psychotherapy that will help you learn new skills to move you in the direction you are seeking. I specialize in working with adolescents and adults, and have a particular interest in helping parents and those in the midst of life transitions. I have worked extensively with clients who struggle with anxiety, depression, academic stress, perfectionism, parenting challenges, relationship conflicts, life transitions, grief and loss.
(415) 446-1253 View (415) 446-1253
Photo of Berne Fitzpatrick, PhD, CGP, Psychologist
Berne Fitzpatrick
Psychologist, PhD, CGP
Verified Verified
Glen Park, San Francisco, CA 94131
Suffering can come in many forms. It is personal and distressing and can also be overwhelming, paralyzing, and lonely. But you do not have to face it alone. Many have come to me for help with what makes them unhappy and out of balance. I take satisfaction when my clients accept their own complexity and uniqueness and have successful outcomes in their lives due to therapy.
Suffering can come in many forms. It is personal and distressing and can also be overwhelming, paralyzing, and lonely. But you do not have to face it alone. Many have come to me for help with what makes them unhappy and out of balance. I take satisfaction when my clients accept their own complexity and uniqueness and have successful outcomes in their lives due to therapy.
(415) 236-5578 View (415) 236-5578
Photo of Sean Monsarrat, MA, LMFT, Marriage & Family Therapist
Sean Monsarrat
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Online Only
It is natural to encounter challenges beyond one's understanding and one's ability to manage that induce stress, anxiety and depression. We may have reached a puzzling crossroads in life, we may be in conflict with ourselves and others, or we may want more harmony and direction in our lives. We may have been deeply wounded in childhood. Sometimes all we know is we feel anxious and depressed, or something is missing or wrong and we don't know what to do. Psychotherapy offers powerful approaches to these issues, and the transformation we seek comes naturally from a genuine relationship with a skilled and compassionate psychotherapist.
It is natural to encounter challenges beyond one's understanding and one's ability to manage that induce stress, anxiety and depression. We may have reached a puzzling crossroads in life, we may be in conflict with ourselves and others, or we may want more harmony and direction in our lives. We may have been deeply wounded in childhood. Sometimes all we know is we feel anxious and depressed, or something is missing or wrong and we don't know what to do. Psychotherapy offers powerful approaches to these issues, and the transformation we seek comes naturally from a genuine relationship with a skilled and compassionate psychotherapist.
(415) 997-2909 View (415) 997-2909
Photo of Tandra Froehlich Childress - Art Therapy and EMDR, Stress, Trauma, and Anxiety, MA, ATR, LMFT, Art Therapist
Art Therapy and EMDR, Stress, Trauma, and Anxiety
Art Therapist, MA, ATR, LMFT
Verified Verified
Glen Park, San Francisco, CA 94131
I create a safe holding space where people can deeply explore what is blocking them from enjoying their lives to the fullest. I focus on authentic connection and empathy to build trusting therapeudic relationships. I enjoy working with teens, young adults, and adults. If you are struggling to recover from DID, complex trauma, single traumas, low self-esteem, depression, anxiety, eating disorders, or bipolar disorder, I am here to help.
I create a safe holding space where people can deeply explore what is blocking them from enjoying their lives to the fullest. I focus on authentic connection and empathy to build trusting therapeudic relationships. I enjoy working with teens, young adults, and adults. If you are struggling to recover from DID, complex trauma, single traumas, low self-esteem, depression, anxiety, eating disorders, or bipolar disorder, I am here to help.
(415) 562-0416 View (415) 562-0416
Photo of Autumn B. Carlin, MA, LMFT, Marriage & Family Therapist
Autumn B. Carlin
Marriage & Family Therapist, MA, LMFT
Verified Verified
Glen Park, San Francisco, CA 94131
Are you stuck and unhappy in your marriage? Do you find yourself wanting to have an affair or has there been one? Do you feel like roommates doing it for the kids? Are you in the agonizing loop of should I stay or should I leave? I have helped many individuals and couples transform their relationships- reconnecting or disconnecting in a healthy way.
Are you stuck and unhappy in your marriage? Do you find yourself wanting to have an affair or has there been one? Do you feel like roommates doing it for the kids? Are you in the agonizing loop of should I stay or should I leave? I have helped many individuals and couples transform their relationships- reconnecting or disconnecting in a healthy way.
(415) 909-4184 View (415) 909-4184
Photo of Jennifer Card, LCSW, Clinical Social Work/Therapist
Jennifer Card
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hi there, I'm Jennifer! I'm a Licensed Clinical Social Worker in the State of California. I have experience working with all ages including children, adolescents, families, and adults who have anxiety, depression, psychosis, substance abuse, a trauma history, and history of Post-Traumatic Stress Disorder (PTSD). I utilize brief solution-focused therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), client-centered therapy, and motivational interviewing to accommodate my clients' needs.
Hi there, I'm Jennifer! I'm a Licensed Clinical Social Worker in the State of California. I have experience working with all ages including children, adolescents, families, and adults who have anxiety, depression, psychosis, substance abuse, a trauma history, and history of Post-Traumatic Stress Disorder (PTSD). I utilize brief solution-focused therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), client-centered therapy, and motivational interviewing to accommodate my clients' needs.
(747) 302-6588 View (747) 302-6588
Photo of Karim G. Dajani, PsyD, MFT, Psychologist
Karim G. Dajani
Psychologist, PsyD, MFT
Verified Verified
Glen Park, San Francisco, CA 94131
My approach to helping people through psychological difficulties is based on the idea that a special form of human interaction will increase self-knowledge, develop emotional skills and activate latent potential. I aim to identify unconscious patterns of thinking, feeling and relating that reinforce negative emotion and destructive behavior. My style is directed thoughtful and collaborative. The process of being understood, of learning about the various ways your mind works and of developing a new repertoire of psychological skills will open up new avenues for growth and engagement in your life’s pursuits.
My approach to helping people through psychological difficulties is based on the idea that a special form of human interaction will increase self-knowledge, develop emotional skills and activate latent potential. I aim to identify unconscious patterns of thinking, feeling and relating that reinforce negative emotion and destructive behavior. My style is directed thoughtful and collaborative. The process of being understood, of learning about the various ways your mind works and of developing a new repertoire of psychological skills will open up new avenues for growth and engagement in your life’s pursuits.
(650) 385-8164 View (650) 385-8164
Photo of Kimberly Koljat, MA, LMFT, IMFT-S, RPT-S, RDT, Marriage & Family Therapist
Kimberly Koljat
Marriage & Family Therapist, MA, LMFT, IMFT-S, RPT-S, RDT
Verified Verified
Glen Park, San Francisco, CA 94131
For adults, I provide insight-oriented, depthful, relational and attachment-based work for those who may identify as: people pleasers, grieving individuals, Highly Sensitive People and neurodivergent individuals, folks within the LGBT+ community, creative individuals and performing artists experiencing creative block, the stresses of multi-gig life, managing performance anxiety, identity, managing demands of the industry, self-care, those seeking to deepen their understanding of their identity and the experiences they’ve had throughout their lives, seeking empowerment and personal growth.
For adults, I provide insight-oriented, depthful, relational and attachment-based work for those who may identify as: people pleasers, grieving individuals, Highly Sensitive People and neurodivergent individuals, folks within the LGBT+ community, creative individuals and performing artists experiencing creative block, the stresses of multi-gig life, managing performance anxiety, identity, managing demands of the industry, self-care, those seeking to deepen their understanding of their identity and the experiences they’ve had throughout their lives, seeking empowerment and personal growth.
(216) 238-6815 View (216) 238-6815
Photo of Liana Filia Wenger, MA, LMFT, Marriage & Family Therapist
Liana Filia Wenger
Marriage & Family Therapist, MA, LMFT
Verified Verified
Online Only
In individual therapy we enter into a non-judgmental and unconditional relationship in which we can be our true selves. Through weekly meetings together, we explore your belief systems, patterns and what makes you, you. With deep insight we formulate the tools for your personal growth. The process of therapy and its' unique container can ignite tremendous transformation in all facets of your life. I invite you to contact me and begin the healing process.
In individual therapy we enter into a non-judgmental and unconditional relationship in which we can be our true selves. Through weekly meetings together, we explore your belief systems, patterns and what makes you, you. With deep insight we formulate the tools for your personal growth. The process of therapy and its' unique container can ignite tremendous transformation in all facets of your life. I invite you to contact me and begin the healing process.
(415) 360-2318 View (415) 360-2318
Photo of Yasmin K Decuire, MFT, MA, Marriage & Family Therapist
Yasmin K Decuire
Marriage & Family Therapist, MFT, MA
Verified Verified
Glen Park, San Francisco, CA 94131
It takes courage to admit that you can no longer face life's challenges alone. It is also the most important step towards change. My style is warm, interactive and intuitive. I integrate various therapeutic methodologies, which enables me to creatively meet your distinctive, personal needs. In addition to talk therapy I offer Expressive Arts and Guided Imagery to help us connect with and process negative, painful, and fearful emotions.
It takes courage to admit that you can no longer face life's challenges alone. It is also the most important step towards change. My style is warm, interactive and intuitive. I integrate various therapeutic methodologies, which enables me to creatively meet your distinctive, personal needs. In addition to talk therapy I offer Expressive Arts and Guided Imagery to help us connect with and process negative, painful, and fearful emotions.
(415) 423-3935 View (415) 423-3935
Photo of Kirsten Maier, PhD, Psychologist
Kirsten Maier
Psychologist, PhD
Verified Verified
Glen Park, San Francisco, CA 94131
I offer professional and experienced support to make enduring changes. You may be in a time of struggle or you may be looking for ways to thrive in your life. I use a Jungian Psychoanalytic orientation to help. Psychotherapy is based on solid research and the world’s wisdom traditions. It is an experience between us that is unique to you. I believe it is the most important journey you can take to move towards healing and living a rich, meaningful life.
I offer professional and experienced support to make enduring changes. You may be in a time of struggle or you may be looking for ways to thrive in your life. I use a Jungian Psychoanalytic orientation to help. Psychotherapy is based on solid research and the world’s wisdom traditions. It is an experience between us that is unique to you. I believe it is the most important journey you can take to move towards healing and living a rich, meaningful life.
(510) 592-6835 View (510) 592-6835
Photo of Yafah Franco, MA, LMFT, Marriage & Family Therapist
Yafah Franco
Marriage & Family Therapist, MA, LMFT
Verified Verified
Glen Park, San Francisco, CA 94116
Unresolved conflicts, sadness, worries, relationship dissatisfaction, divorce, destructive behaviors, loss, trauma, or other adverse life experiences. These moments can torment the best of us. You are not alone. What you are going through now is a chapter in your book, but certainly not the whole story. You are looking for assistance in understanding yourself more deeply, ways to better cope with change and find the happiness, balance and calm you need.
Unresolved conflicts, sadness, worries, relationship dissatisfaction, divorce, destructive behaviors, loss, trauma, or other adverse life experiences. These moments can torment the best of us. You are not alone. What you are going through now is a chapter in your book, but certainly not the whole story. You are looking for assistance in understanding yourself more deeply, ways to better cope with change and find the happiness, balance and calm you need.
(628) 228-6516 View (628) 228-6516
Photo of Palak Kothari, PhD, Psychologist
Palak Kothari
Psychologist, PhD
Verified Verified
Online Only
You may be emotionally, physically, or spiritually in a space in your life that you might describe as challenging, confusing, and/or uncontrollable. There might be different struggles, that somehow reflect a similar underlying process. Perhaps, one that involves fear, avoidance, escaping, 'trying so hard', and eventually feeling helpless. Though our struggles may differ on the exterior, the underlying process is what often reflects our perspectives and emotional health. Addressing vs resisting our challenges can deepen our confidence in our ability to work through them. Thus, creating the space for a calm and grounded experience.
You may be emotionally, physically, or spiritually in a space in your life that you might describe as challenging, confusing, and/or uncontrollable. There might be different struggles, that somehow reflect a similar underlying process. Perhaps, one that involves fear, avoidance, escaping, 'trying so hard', and eventually feeling helpless. Though our struggles may differ on the exterior, the underlying process is what often reflects our perspectives and emotional health. Addressing vs resisting our challenges can deepen our confidence in our ability to work through them. Thus, creating the space for a calm and grounded experience.
(650) 694-9873 View (650) 694-9873
Photo of Alissa DiFranco, MFT, CFRC, Marriage & Family Therapist
Alissa DiFranco
Marriage & Family Therapist, MFT, CFRC
Verified Verified
Online Only
My style of working is thoughtful and direct. I am committed to helping people discover and enhance their emotional capacity in order to create more satisfying lives. Through the transformative experience of being deeply understood by another in an authentic, safe and honest relationship, people can transform destructive patterns into more satisfying expressions of self.
My style of working is thoughtful and direct. I am committed to helping people discover and enhance their emotional capacity in order to create more satisfying lives. Through the transformative experience of being deeply understood by another in an authentic, safe and honest relationship, people can transform destructive patterns into more satisfying expressions of self.
(415) 237-4360 View (415) 237-4360
Photo of Tonya Dowding, PsyD, MA, Psychologist
Tonya Dowding
Psychologist, PsyD, MA
Verified Verified
2 Endorsed
Glen Park, San Francisco, CA 94131
I find it effective to combine behavioral solutions with depth work. Since the unconscious ripples into all aspects of life, I have found that relational therapy addressing unconscious motives can help with most psychological difficulties. In addition to working with individuals, couples & families, I am adjunct faculty at the California Institute of Integral Studies where I teach in the Masters in Counseling Psychology Department and Psychological Services Clinic.
I find it effective to combine behavioral solutions with depth work. Since the unconscious ripples into all aspects of life, I have found that relational therapy addressing unconscious motives can help with most psychological difficulties. In addition to working with individuals, couples & families, I am adjunct faculty at the California Institute of Integral Studies where I teach in the Masters in Counseling Psychology Department and Psychological Services Clinic.
(628) 333-6616 View (628) 333-6616
Photo of Anna O Levin, PhD, Psychologist
Anna O Levin
Psychologist, PhD
Verified Verified
Glen Park, San Francisco, CA 94131
Waitlist for new clients
You can reclaim your life from anxiety, stress, and medical concerns. You can live a more vibrant and healthy life, and I can walk with you every step of the way through your major struggles and everyday experiences. I will support you in taking action to improve what you can control and navigate what you can’t with deep compassion. You do not have to face these problems alone. Together we will explore the approaches and tools to help you define and move towards a life filled with what matters most to you. My additional subspecialties include: cancer, insomnia, and working with caregivers of those facing medical illness.
You can reclaim your life from anxiety, stress, and medical concerns. You can live a more vibrant and healthy life, and I can walk with you every step of the way through your major struggles and everyday experiences. I will support you in taking action to improve what you can control and navigate what you can’t with deep compassion. You do not have to face these problems alone. Together we will explore the approaches and tools to help you define and move towards a life filled with what matters most to you. My additional subspecialties include: cancer, insomnia, and working with caregivers of those facing medical illness.
(508) 625-0137 View (508) 625-0137

Online Therapists

Photo of Dr. Richard Trammel, EdD, MS, L3S-CT
Dr. Richard Trammel
EdD, MS, L3S-CT
Verified Verified
As a Verified Sports Psychologist, I have a unique practice in that I specialize in working with athletes who have the desire to take their game to the next level. Being a competitive athlete helps me relate to other competitive people in sports or business. My primary focus is on confidence building and the elimination of performance anxiety. I use a 3 tiered approach to training: Perspective Training, Mental Skills Training, and Applied Settings (if applicable at a sporting location). Hours 7 AM to 9 PM M-F For Scheduling.
As a Verified Sports Psychologist, I have a unique practice in that I specialize in working with athletes who have the desire to take their game to the next level. Being a competitive athlete helps me relate to other competitive people in sports or business. My primary focus is on confidence building and the elimination of performance anxiety. I use a 3 tiered approach to training: Perspective Training, Mental Skills Training, and Applied Settings (if applicable at a sporting location). Hours 7 AM to 9 PM M-F For Scheduling.
(213) 212-7591 View (213) 212-7591
Photo of Erika Shershun, MA, LMFT, EMDR, Marriage & Family Therapist
Erika Shershun
Marriage & Family Therapist, MA, LMFT, EMDR
Verified Verified
5 Endorsed
Online Only
Is your inner critic working overtime, are you feeling overwhelmed, depressed, or struggling with a relationship? It has been said that our essence, our soul, is ever present like the sun, yet like the sun, it can become obscured by clouds. These clouds represent the wounds and trauma you've experienced throughout your life, along with the defenses that have helped you survive, yet these defenses (people pleasing, dissociation, rage...) may no longer serve you. Together we can bring awareness and begin to relax these defenses allowing more of your gifts, your ever-present essence to shine through.
Is your inner critic working overtime, are you feeling overwhelmed, depressed, or struggling with a relationship? It has been said that our essence, our soul, is ever present like the sun, yet like the sun, it can become obscured by clouds. These clouds represent the wounds and trauma you've experienced throughout your life, along with the defenses that have helped you survive, yet these defenses (people pleasing, dissociation, rage...) may no longer serve you. Together we can bring awareness and begin to relax these defenses allowing more of your gifts, your ever-present essence to shine through.
(415) 801-0456 x415608 View (415) 801-0456 x415608
Photo of Devon Hill, MA, AMFT, Marriage & Family Therapist Associate
Devon Hill
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
Online Only
As an associate therapist, I strive to help my clients rewrite their personal narratives and work to create a relationship built on understanding, compassion and trust. It’s my goal to help you better understand yourself, navigate your experiences and learn self-compassion. Join me and let’s rewrite your story together. My interests within the field of mental health include assisting those with anxiety and depression, eating disorders, grief and loss, and substance misuse. In particular, I specialize in helping clients with traumatic experiences, with a focus on helping survivors of narcissistic abuse.
As an associate therapist, I strive to help my clients rewrite their personal narratives and work to create a relationship built on understanding, compassion and trust. It’s my goal to help you better understand yourself, navigate your experiences and learn self-compassion. Join me and let’s rewrite your story together. My interests within the field of mental health include assisting those with anxiety and depression, eating disorders, grief and loss, and substance misuse. In particular, I specialize in helping clients with traumatic experiences, with a focus on helping survivors of narcissistic abuse.
(628) 444-4530 View (628) 444-4530
Photo of Meg Fransee, LCSW , Clinical Social Work/Therapist
Meg Fransee
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
I prioritize making the therapeutic environment active and flexible, creating space for all the overlapping spheres of the human experience. Between relationships, career, family, and the rest of the world, our lives and struggles are intertwined, making it sometimes hard to understand where one challenge starts or ends. By exploring the history and interconnectedness of our challenges and strengths, we can develop new understanding and identify strategies that feel nuanced, meaningful, and empowering. I maintain a client-centered approach allowing the client to work in a framework and pace that feels best for them.
I prioritize making the therapeutic environment active and flexible, creating space for all the overlapping spheres of the human experience. Between relationships, career, family, and the rest of the world, our lives and struggles are intertwined, making it sometimes hard to understand where one challenge starts or ends. By exploring the history and interconnectedness of our challenges and strengths, we can develop new understanding and identify strategies that feel nuanced, meaningful, and empowering. I maintain a client-centered approach allowing the client to work in a framework and pace that feels best for them.
(510) 272-7364 View (510) 272-7364

See more therapy options for Glen Park, San Francisco

How does your Therapist compare?

Number of Therapists in Glen Park, San Francisco, CA

10+

Average cost per session

$222

Therapists in Glen Park, San Francisco, CA who prioritize treating:

94% Depression
94% Anxiety
88% Relationship Issues
81% Grief
69% Coping Skills
69% Self Esteem
69% Life Transitions

Average years in practice

15 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Anthem
100% Blue Shield

How Therapists in Glen Park, San Francisco, CA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Glen Park, San Francisco?

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.