Therapists in Tenderloin, San Francisco, CA

Photo of Roché Wadehra, Marriage & Family Therapist in Tenderloin, San Francisco, CA
Roché Wadehra
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Tenderloin, San Francisco, CA 94102  (Online Only)
"And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom" -Anaïs Nin. There are times when we feel lost, confused, even fearful. Perhaps we find ourselves at a crossroads, undergoing life changing experiences. We want to deepen our relationship to all aspects of our lives, and may feel we know where we would like to be, but cannot find a foothold, or begin the journey alone. If any of these relate to your life situation, you are probably ready to enter into the therapeutic process.
"And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom" -Anaïs Nin. There are times when we feel lost, confused, even fearful. Perhaps we find ourselves at a crossroads, undergoing life changing experiences. We want to deepen our relationship to all aspects of our lives, and may feel we know where we would like to be, but cannot find a foothold, or begin the journey alone. If any of these relate to your life situation, you are probably ready to enter into the therapeutic process.
(415) 549-0011 View (415) 549-0011
Photo of Jennifer Roy @ The Connective, Associate Marriage & Family Therapist in Tenderloin, San Francisco, CA
Jennifer Roy @ The Connective
Associate Marriage & Family Therapist, MS, AMFT
Verified Verified
5 Endorsed
Tenderloin, San Francisco, CA 94102
I work with individuals and couples who are struggling with such things as a major life transition, trauma, difficult relationship dynamics, illness, grief and loss, climate change anxiety, or isolation. Together we can reach your goals of building upon the resilience you have and adjusting any beliefs and patterns of behavior that are causing you distress in order to help you learn how to better navigate the challenges of life.
I work with individuals and couples who are struggling with such things as a major life transition, trauma, difficult relationship dynamics, illness, grief and loss, climate change anxiety, or isolation. Together we can reach your goals of building upon the resilience you have and adjusting any beliefs and patterns of behavior that are causing you distress in order to help you learn how to better navigate the challenges of life.
(628) 345-2767 View (628) 345-2767
Photo of Natalie M. Mills, Marriage & Family Therapist in Tenderloin, San Francisco, CA
Natalie M. Mills
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Tenderloin, San Francisco, CA 94102
I work with individuals and couples who want to shift relational problem patterns by healing from trauma, deepening their self-awareness, and strengthening their connections with others. I offer tools to help people gain insight into their behavior, learn how to effectively manage their thoughts, emotions, and behaviors, and ameliorate destructive cycles. Collaboratively, my clients and I improve their self-concepts. I use a relational, attachment-based framework and draw on EMDR therapy when indicated.
I work with individuals and couples who want to shift relational problem patterns by healing from trauma, deepening their self-awareness, and strengthening their connections with others. I offer tools to help people gain insight into their behavior, learn how to effectively manage their thoughts, emotions, and behaviors, and ameliorate destructive cycles. Collaboratively, my clients and I improve their self-concepts. I use a relational, attachment-based framework and draw on EMDR therapy when indicated.
(415) 301-7713 View (415) 301-7713
Photo of Tim Cordell, Marriage & Family Therapist in Tenderloin, San Francisco, CA
Tim Cordell
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Tenderloin, San Francisco, CA 94102
Chances are you feel some dissatisfaction with the things or people in your life. Maybe you feel overwhelmed and stuck, frustrated in your relationships or worried about the future. Maybe you already have some ideas about what things you'd like to be different. I will support you to make changes by helping you make the necessary contact with parts of yourself that influence the way you think, feel and act. In our sessions I will help you discover in a more full way what might be holding you back from having the life you want. We will explore your thoughts and feelings in the moment, which can lead to profound healing and change.
Chances are you feel some dissatisfaction with the things or people in your life. Maybe you feel overwhelmed and stuck, frustrated in your relationships or worried about the future. Maybe you already have some ideas about what things you'd like to be different. I will support you to make changes by helping you make the necessary contact with parts of yourself that influence the way you think, feel and act. In our sessions I will help you discover in a more full way what might be holding you back from having the life you want. We will explore your thoughts and feelings in the moment, which can lead to profound healing and change.
(415) 570-8590 View (415) 570-8590
Photo of Amy Hyun Swart, Marriage & Family Therapist in Tenderloin, San Francisco, CA
Amy Hyun Swart
Marriage & Family Therapist, MA, MFT, RYT
Verified Verified
4 Endorsed
Tenderloin, San Francisco, CA 94102  (Online Only)
We are living in challenging times. When a heartbreaking loss knocks us down to the ground, or a trauma from the past gets activated from a recent event, it can feel unbearable to cope with all that is already happening in the world. In our work together, we will bring the healing power of awareness to the discomfort in a safe and supportive setting to help you increase your capacity to be with the pain, and move through it. So often we are unaware of the patterns we hold in our bodies and minds that keep us stuck. Together we can shed light on what is happening so you can choose how you want to respond and show up in your life.
We are living in challenging times. When a heartbreaking loss knocks us down to the ground, or a trauma from the past gets activated from a recent event, it can feel unbearable to cope with all that is already happening in the world. In our work together, we will bring the healing power of awareness to the discomfort in a safe and supportive setting to help you increase your capacity to be with the pain, and move through it. So often we are unaware of the patterns we hold in our bodies and minds that keep us stuck. Together we can shed light on what is happening so you can choose how you want to respond and show up in your life.
(650) 295-0420 View (650) 295-0420
Photo of Peter Sherlock, Psychologist in Tenderloin, San Francisco, CA
Peter Sherlock
Psychologist, PsyD
Verified Verified
Tenderloin, San Francisco, CA 94102
In an effort to make sense of the difficulties that come with being human, some turn to psychotherapy for clarity. If you believe psychotherapy might be able to remedy the issues putting a strain on your wellbeing, then you might be looking in the right place. Beginning psychotherapy can be complicated; it requires a certain level of communication between you and the therapist in order for things to go smoothly
In an effort to make sense of the difficulties that come with being human, some turn to psychotherapy for clarity. If you believe psychotherapy might be able to remedy the issues putting a strain on your wellbeing, then you might be looking in the right place. Beginning psychotherapy can be complicated; it requires a certain level of communication between you and the therapist in order for things to go smoothly
(415) 429-3953 View (415) 429-3953
Photo of Farzaneh Eleen, Psychologist in Tenderloin, San Francisco, CA
Farzaneh Eleen
Psychologist, PhD
Verified Verified
Tenderloin, San Francisco, CA 94102
I aim to help my clients achieve their goals by dissolving obstacles, discovering patterns, and gaining insights while developing new skills to cope with life challenges. This journey may take a few sessions or several, and it requires motivation, commitment, and consistency. I work best with clients who are willing to be accountable and responsible for the changes they wish to make in their lives.
I aim to help my clients achieve their goals by dissolving obstacles, discovering patterns, and gaining insights while developing new skills to cope with life challenges. This journey may take a few sessions or several, and it requires motivation, commitment, and consistency. I work best with clients who are willing to be accountable and responsible for the changes they wish to make in their lives.
(650) 539-2648 View (650) 539-2648
Photo of Yuko Ninomiya, Psychologist in Tenderloin, San Francisco, CA
Yuko Ninomiya
Psychologist, PsyD
Verified Verified
1 Endorsed
Tenderloin, San Francisco, CA 94102
We will take a deep look at troublesome symptoms like depression, anxiety, trauma, interpersonal conflicts, and chronic health issues. In order to make real changes to your life, we will define habitual coping patterns that are built into your mind and body, namely your unique defensive structure, and slowly uncover difficult past events and feelings that you buried to survive. These character aspects are now blocking your healthy self-expressions and authentic self. Eventually your growing self-awareness and the release of long-held emotions will take you to a new life phase.
We will take a deep look at troublesome symptoms like depression, anxiety, trauma, interpersonal conflicts, and chronic health issues. In order to make real changes to your life, we will define habitual coping patterns that are built into your mind and body, namely your unique defensive structure, and slowly uncover difficult past events and feelings that you buried to survive. These character aspects are now blocking your healthy self-expressions and authentic self. Eventually your growing self-awareness and the release of long-held emotions will take you to a new life phase.
(415) 403-2730 View (415) 403-2730
Photo of Brianda DeCastro, Marriage & Family Therapist in Tenderloin, San Francisco, CA
Brianda DeCastro
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Tenderloin, San Francisco, CA 94102  (Online Only)
No matter who we are or what our background in life, much of our behavior is influenced by our unconscious mind, and I have learned that facing these unconscious motives in a relational therapy setting can lead to psychological healing, especially when combined with the physical body and somatic experiences. I enjoy engaging with clients in exploration, analysis, and reflective interpretation, and through this, developing a path of healing and growth.
No matter who we are or what our background in life, much of our behavior is influenced by our unconscious mind, and I have learned that facing these unconscious motives in a relational therapy setting can lead to psychological healing, especially when combined with the physical body and somatic experiences. I enjoy engaging with clients in exploration, analysis, and reflective interpretation, and through this, developing a path of healing and growth.
(628) 277-5615 View (628) 277-5615
Photo of Kim Strong @ The Connective, Clinical Social Work/Therapist in Tenderloin, San Francisco, CA
Kim Strong @ The Connective
Clinical Social Work/Therapist, LCSW
Verified Verified
Tenderloin, San Francisco, CA 94102
Hi, I’m Kim, and I am honored to be a catalyst to healing and change in your life. Everyone’s story is unique and challenging in it’s own way. I believe life is a journey of learning how to be your best self, and this is not always easy. You must be brave. Sometimes we need support in learning how to learn about ourselves. I believe therapy can be an effective tool for gaining insight into who you are now, who you want to become, and how to get there.
Hi, I’m Kim, and I am honored to be a catalyst to healing and change in your life. Everyone’s story is unique and challenging in it’s own way. I believe life is a journey of learning how to be your best self, and this is not always easy. You must be brave. Sometimes we need support in learning how to learn about ourselves. I believe therapy can be an effective tool for gaining insight into who you are now, who you want to become, and how to get there.
(415) 914-1191 View (415) 914-1191
Photo of Emily Means @ The Connective, Marriage & Family Therapist in Tenderloin, San Francisco, CA
Emily Means @ The Connective
Marriage & Family Therapist, MFT, LPCC
Verified Verified
1 Endorsed
Tenderloin, San Francisco, CA 94102
I’m thrilled to work with anyone feeling called towards expanding what’s already working, identifying and addressing what’s not, and increasing their capacity for compassion with self and others along the way. I'm a particularly good match for clients who bring a willingness to think and act creatively, are process oriented, and have a sense of humor and a desire to play.
I’m thrilled to work with anyone feeling called towards expanding what’s already working, identifying and addressing what’s not, and increasing their capacity for compassion with self and others along the way. I'm a particularly good match for clients who bring a willingness to think and act creatively, are process oriented, and have a sense of humor and a desire to play.
(628) 257-7722 View (628) 257-7722
Photo of Lynsie Seely @ The Connective, Marriage & Family Therapist in Tenderloin, San Francisco, CA
Lynsie Seely @ The Connective
Marriage & Family Therapist, PhDc, LMFT
Verified Verified
9 Endorsed
Tenderloin, San Francisco, CA 94102
It is my hope for you that you are thriving in your life--free of anxiety, depression, and other ailments, leaving you open to fully enjoy your life. If this isn't the case and you happen to be feeling stuck, worn-down, stressed, anxious, or depressed, if you're in a challenging transition, struggling with a relationship, or wanting to embody your life more fully--Welcome! I am dedicated to helping guide and support you in achieving your goals. I work using a collaborative, body-centered, approach and will empathically support you on your journey toward greater well-being.
It is my hope for you that you are thriving in your life--free of anxiety, depression, and other ailments, leaving you open to fully enjoy your life. If this isn't the case and you happen to be feeling stuck, worn-down, stressed, anxious, or depressed, if you're in a challenging transition, struggling with a relationship, or wanting to embody your life more fully--Welcome! I am dedicated to helping guide and support you in achieving your goals. I work using a collaborative, body-centered, approach and will empathically support you on your journey toward greater well-being.
(415) 534-6049 View (415) 534-6049
Photo of Arielle Dualan, Marriage & Family Therapist Associate in Tenderloin, San Francisco, CA
Arielle Dualan
Marriage & Family Therapist Associate, MS, PPSC
Verified Verified
1 Endorsed
Tenderloin, San Francisco, CA 94102
Hi, I'm Arielle! I work with individuals and couples who are seeking to process developmental trauma (e.g., abuse, neglect, immigration) and traumas of oppression (e.g., racism, sexism, transphobia) and improve how they show up for themselves and the people they love. My ideal client is someone who is ready to break cycles of dysfunction in their family system because they have a desire to heal themselves and their family from generations of pain. Together we will challenge disempowering narratives we've adopted, and choose to courageously heal from feelings distress and anxiety.
Hi, I'm Arielle! I work with individuals and couples who are seeking to process developmental trauma (e.g., abuse, neglect, immigration) and traumas of oppression (e.g., racism, sexism, transphobia) and improve how they show up for themselves and the people they love. My ideal client is someone who is ready to break cycles of dysfunction in their family system because they have a desire to heal themselves and their family from generations of pain. Together we will challenge disempowering narratives we've adopted, and choose to courageously heal from feelings distress and anxiety.
(628) 313-3378 View (628) 313-3378
Photo of Phyllis Klein, Clinical Social Work/Therapist in Tenderloin, San Francisco, CA
Phyllis Klein
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Tenderloin, San Francisco, CA 94102
Not accepting new clients
A large part of my life's purpose is to help women, men, and couples cope with and heal from life's traumas. I believe in therapy as a way to heal, starting with a caring relationship. Accidents, health issues, disease, child abuse (sexual, physical, emotional, or neglect), family problems, grief and loss, etc. can be traumatic. Problems add up and cause complex layers of stress and challenge over time. People say that I am warm and caring, I listen carefully, am patient, sensitive, and don't give up. I pay special attention to making the space safe for you.
A large part of my life's purpose is to help women, men, and couples cope with and heal from life's traumas. I believe in therapy as a way to heal, starting with a caring relationship. Accidents, health issues, disease, child abuse (sexual, physical, emotional, or neglect), family problems, grief and loss, etc. can be traumatic. Problems add up and cause complex layers of stress and challenge over time. People say that I am warm and caring, I listen carefully, am patient, sensitive, and don't give up. I pay special attention to making the space safe for you.
(415) 630-2326 View (415) 630-2326
Photo of Core Therapy, Clinical Social Work/Therapist in Tenderloin, San Francisco, CA
Core Therapy
Clinical Social Work/Therapist, LCSW, PhD
Verified Verified
Tenderloin, San Francisco, CA 94102  (Online Only)
At Core Therapy, we are a dedicated team of mental health therapists committed to guiding you on your journey toward emotional well-being and personal growth. Our mission is to provide a compassionate and confidential space where you can explore and navigate the complexities of your inner world.
At Core Therapy, we are a dedicated team of mental health therapists committed to guiding you on your journey toward emotional well-being and personal growth. Our mission is to provide a compassionate and confidential space where you can explore and navigate the complexities of your inner world.
(626) 669-3715 View (626) 669-3715
Photo of Bella Yousif, Marriage & Family Therapist Associate in Tenderloin, San Francisco, CA
Bella Yousif
Marriage & Family Therapist Associate, AMFT
Verified Verified
Tenderloin, San Francisco, CA 94102
We cannot get through life without experiencing difficult times. None of us can. Whether it's dissatisfaction in a relationship, family conflict, career predicament, trauma, or personal distress, we all experience suffering at some point. And yet, how we respond can make all the difference in our future and the future of those we love. Therapy can often be one of the first steps on a path toward a life that is fulfilling and allows you to be your authentic self. The best place to start is right where you are; the time to start is now.
We cannot get through life without experiencing difficult times. None of us can. Whether it's dissatisfaction in a relationship, family conflict, career predicament, trauma, or personal distress, we all experience suffering at some point. And yet, how we respond can make all the difference in our future and the future of those we love. Therapy can often be one of the first steps on a path toward a life that is fulfilling and allows you to be your authentic self. The best place to start is right where you are; the time to start is now.
(628) 345-2619 View (628) 345-2619
Photo of Psychological Services Center @ CIIS, Psychologist in Tenderloin, San Francisco, CA
Psychological Services Center @ CIIS
Psychologist, PsyD
Verified Verified
Tenderloin, San Francisco, CA 94102
Are you experiencing a life transition, job change, or relationship break up? Perhaps you are feeling lonely or disconnected from the world around you. Having a professional to talk to during such times can be a great relief. PSC is a community mental health clinic providing psychotherapy to the San Francisco Bay Area community since 1997. We train California Institute of Integral Studies (CIIS) Clinical Psychology (PsyD) doctoral students. Our aim is to provide competent, compassionate, and affordable therapy to clients facing a diverse range of issues.
Are you experiencing a life transition, job change, or relationship break up? Perhaps you are feeling lonely or disconnected from the world around you. Having a professional to talk to during such times can be a great relief. PSC is a community mental health clinic providing psychotherapy to the San Francisco Bay Area community since 1997. We train California Institute of Integral Studies (CIIS) Clinical Psychology (PsyD) doctoral students. Our aim is to provide competent, compassionate, and affordable therapy to clients facing a diverse range of issues.
(415) 237-2520 View (415) 237-2520
Photo of Lauren Smith, Marriage & Family Therapist in Tenderloin, San Francisco, CA
Lauren Smith
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Tenderloin, San Francisco, CA 94102  (Online Only)
In my practice, I help you to live the life that you want. We will uncover the things that are keeping you from being as happy and fulfilled as you would like to be. With an integration of many different treatment orientations, I implement the techniques that are the most effective for your particular needs. My mission is to empower and educate you so that eventually, you can be your own therapist.
In my practice, I help you to live the life that you want. We will uncover the things that are keeping you from being as happy and fulfilled as you would like to be. With an integration of many different treatment orientations, I implement the techniques that are the most effective for your particular needs. My mission is to empower and educate you so that eventually, you can be your own therapist.
(628) 600-1689 View (628) 600-1689
Photo of Lara Morales Daitter @ The Connective, Marriage & Family Therapist Associate in Tenderloin, San Francisco, CA
Lara Morales Daitter @ The Connective
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Tenderloin, San Francisco, CA 94102
As a therapist, my work revolves around helping individuals and families understand and navigate their relational dynamics. My clients are often curious about exploring the complexities of their personality and how it manifests in their relationships. I believe that a willingness to be open-minded and introspective is key to making progress in therapy. In addition to working with individuals, I also have experience working with families who are struggling to build healthier relationships with one another. Whether it's communication issues or other challenges, I'm dedicated to helping families find solutions that work for them.
As a therapist, my work revolves around helping individuals and families understand and navigate their relational dynamics. My clients are often curious about exploring the complexities of their personality and how it manifests in their relationships. I believe that a willingness to be open-minded and introspective is key to making progress in therapy. In addition to working with individuals, I also have experience working with families who are struggling to build healthier relationships with one another. Whether it's communication issues or other challenges, I'm dedicated to helping families find solutions that work for them.
(628) 313-4275 x712 View (628) 313-4275 x712
Photo of Nandini Sodera, Marriage & Family Therapist in Tenderloin, San Francisco, CA
Nandini Sodera
Marriage & Family Therapist, MA, LMFT
Verified Verified
Tenderloin, San Francisco, CA 94102  (Online Only)
My approach is empathetic, compassionate, analytical and straightforward. I have a decade of experience in working with various specialties but the principal of my work has been to go deep and connect the conscious to the unconscious. With kindness, warmth and humor I provide a safe and supportive environment in therapy.
My approach is empathetic, compassionate, analytical and straightforward. I have a decade of experience in working with various specialties but the principal of my work has been to go deep and connect the conscious to the unconscious. With kindness, warmth and humor I provide a safe and supportive environment in therapy.
(415) 360-3353 View (415) 360-3353

See more therapy options for Tenderloin, San Francisco

How does your Therapist compare?

Number of Therapists in Tenderloin, San Francisco, CA

100+

Average cost per session

$200

Therapists in Tenderloin, San Francisco, CA who prioritize treating:

98% Anxiety
91% Relationship Issues
91% Depression
80% Self Esteem
73% Trauma and PTSD
68% Grief
65% Stress

Average years in practice

14 Years

Top 3 insurances accepted

50% Other
42% Aetna
26% Cigna and Evernorth

How Therapists in Tenderloin, San Francisco, CA see their clients

65% In Person and Online
35% Online Only

Gender breakdown

67% Female
32% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Tenderloin, 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.