Therapists in Westlake Village, CA

Photo of Lucia Cardenas, Psychologist, PhD
Lucia Cardenas
Psychologist, PhD
1 Endorsed
Westlake Village, CA 91361
My practice reflects my belief in the power of finding one’s own agency, voice, and purpose. I aim to create a warm and safe space for clients to share their feelings and struggles, as well as to enhance their relationships with themselves, others, and the world around them. Through a non-judgmental and meaningful therapeutic relationship, my hope is that clients feel less alone with what they carry and are able to talk about their concerns and emotional experiences in order to improve their overall well-being.
My practice reflects my belief in the power of finding one’s own agency, voice, and purpose. I aim to create a warm and safe space for clients to share their feelings and struggles, as well as to enhance their relationships with themselves, others, and the world around them. Through a non-judgmental and meaningful therapeutic relationship, my hope is that clients feel less alone with what they carry and are able to talk about their concerns and emotional experiences in order to improve their overall well-being.
(805) 926-6887 View (805) 926-6887
Photo of Lauren Marshall, Marriage & Family Therapist, LMFT, MS
Lauren Marshall
Marriage & Family Therapist, LMFT, MS
1 Endorsed
Westlake Village, CA 91362
Imagination is deeply incorporated into my practice, working with individuals from a creative and empathic perspective. Connection, depth, creativity and personal evolution are the goals for all sessions, rooted in belief that the techniques we use in therapy are only as powerful as the relationships we build.
Imagination is deeply incorporated into my practice, working with individuals from a creative and empathic perspective. Connection, depth, creativity and personal evolution are the goals for all sessions, rooted in belief that the techniques we use in therapy are only as powerful as the relationships we build.
(805) 600-0485 View (805) 600-0485
Photo of Lisa White, Marriage & Family Therapist, MA, LMFT
Lisa White
Marriage & Family Therapist, MA, LMFT
Westlake Village, CA 91361
Trauma changes our brain, our reactions and how we perceive ourselves and the world around us. Many of us experience big traumas or smaller traumas that we think we should" just be able to move on" from but can't. I provide a safe place to work through these issues and am trained in EMDR, Certified in in BrainSpotting, Certified in treating Narcissistic Abuse and Certified in Complex Trauma. If the client wants a faith based approach I am available for that if requested. I have over 35 years of experience. I offer in person and telemedicine sessions.
Trauma changes our brain, our reactions and how we perceive ourselves and the world around us. Many of us experience big traumas or smaller traumas that we think we should" just be able to move on" from but can't. I provide a safe place to work through these issues and am trained in EMDR, Certified in in BrainSpotting, Certified in treating Narcissistic Abuse and Certified in Complex Trauma. If the client wants a faith based approach I am available for that if requested. I have over 35 years of experience. I offer in person and telemedicine sessions.
(805) 246-7721 View (805) 246-7721
Photo of Jennifer Michelle Hendricks Marquez - Jennifer Hendricks Marquez, Marriage & Family Therapist, LMFT
Jennifer Hendricks Marquez
Marriage & Family Therapist, LMFT
Online Only
Are you feeling stuck in cycles of anxiety, depression, or unfulfilling relationships? You deserve a safe, supportive space to explore your emotions, improve communication, and rebuild trust — with yourself and others. My goal is to help you break free from patterns that no longer serve you, take control of your thoughts and behaviors, and create the fulfilling relationships you deserve. Together, we’ll work toward healing and growth, guided by empathy, patience, and a commitment to your well-being.
Are you feeling stuck in cycles of anxiety, depression, or unfulfilling relationships? You deserve a safe, supportive space to explore your emotions, improve communication, and rebuild trust — with yourself and others. My goal is to help you break free from patterns that no longer serve you, take control of your thoughts and behaviors, and create the fulfilling relationships you deserve. Together, we’ll work toward healing and growth, guided by empathy, patience, and a commitment to your well-being.
(805) 439-8358 View (805) 439-8358
Photo of Taylor Alderete, Marriage & Family Therapist, LMFT
Taylor Alderete
Marriage & Family Therapist, LMFT
1 Endorsed
Westlake Village, CA 91361
Dr. Wayne Dyer – "When you change the way you look at things, the things you look at change." Life can be overwhelming, from school stress and performance anxiety to relationship struggles and the pressure to do it all. I work with kids, teens, and adults up to age 70, helping navigate life’s challenges at any stage. I specialize in supporting those in high-performance spaces like sports, academics, and the arts. My approach is warm, client-centered, and flexible. Together, we’ll create a space that feels safe, supportive, and tailored to your goals.
Dr. Wayne Dyer – "When you change the way you look at things, the things you look at change." Life can be overwhelming, from school stress and performance anxiety to relationship struggles and the pressure to do it all. I work with kids, teens, and adults up to age 70, helping navigate life’s challenges at any stage. I specialize in supporting those in high-performance spaces like sports, academics, and the arts. My approach is warm, client-centered, and flexible. Together, we’ll create a space that feels safe, supportive, and tailored to your goals.
(805) 360-5379 View (805) 360-5379
Photo of Jason Gillard, Clinical Social Work/Therapist, LCSW
Jason Gillard
Clinical Social Work/Therapist, LCSW
1 Endorsed
Westlake Village, CA 91361
I am a specialist in Dialectical Behavior Therapy. I am a DBT-LBC Certified Clinician, 2023, a rare certification awarded to those who have demonstrated the ability to perform adherent DBT. DBT focuses on defining the problem affecting the patient and working collaboratively to find more effective solutions. DBT focuses on mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance. In a nutshell, we are reducing bitterness by finding healthier and more effective behaviors worldwide.
I am a specialist in Dialectical Behavior Therapy. I am a DBT-LBC Certified Clinician, 2023, a rare certification awarded to those who have demonstrated the ability to perform adherent DBT. DBT focuses on defining the problem affecting the patient and working collaboratively to find more effective solutions. DBT focuses on mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance. In a nutshell, we are reducing bitterness by finding healthier and more effective behaviors worldwide.
(805) 865-9176 View (805) 865-9176
Photo of Dr. Casey J. Simon, Marriage & Family Therapist, PsyD, MS, LMFT
Dr. Casey J. Simon
Marriage & Family Therapist, PsyD, MS, LMFT
3 Endorsed
Westlake Village, CA 91361
I began my career behind the camera, where every frame was a confession and every cut a defense. That insight pulled me from film sets into the human mind. I earned an M.S. in Counseling Psychology at Cal Lutheran University, then a Psy.D. in Clinical Psychology at Pacifica Graduate Institute, specializing in Depth Psychology. In practice, I work psychoanalytically: slowing the film, studying the frame, listening for the lines never spoken. Transference isn’t jargon—it’s the projector casting the past onto the present. Together, we confront the shadows you’d rather cut, because only by facing them can your story move toward freedom.
I began my career behind the camera, where every frame was a confession and every cut a defense. That insight pulled me from film sets into the human mind. I earned an M.S. in Counseling Psychology at Cal Lutheran University, then a Psy.D. in Clinical Psychology at Pacifica Graduate Institute, specializing in Depth Psychology. In practice, I work psychoanalytically: slowing the film, studying the frame, listening for the lines never spoken. Transference isn’t jargon—it’s the projector casting the past onto the present. Together, we confront the shadows you’d rather cut, because only by facing them can your story move toward freedom.
(805) 716-6072 View (805) 716-6072
Photo of Tasha Deming, Marriage & Family Therapist, LMFT
Tasha Deming
Marriage & Family Therapist, LMFT
2 Endorsed
Westlake Village, CA 91361
Finding the right support for your child can be exhausting, in my practice, you can feel at ease and empowered that your child is getting the support they need. It is my priority to create a safe and nurturing environment for your child to support them in finding self-confidence, self-awareness and reconnecting them to their families. I work collaboratively with my clients and their parents to ensure that they are getting the best treatment possible. I utilize individualized, creative and evidenced-based approaches when working with children/adolescents to create a fun, and engaging environment.
Finding the right support for your child can be exhausting, in my practice, you can feel at ease and empowered that your child is getting the support they need. It is my priority to create a safe and nurturing environment for your child to support them in finding self-confidence, self-awareness and reconnecting them to their families. I work collaboratively with my clients and their parents to ensure that they are getting the best treatment possible. I utilize individualized, creative and evidenced-based approaches when working with children/adolescents to create a fun, and engaging environment.
(805) 920-8960 View (805) 920-8960
Photo of Madison Edwards, Psychological Associate, MA
Madison Edwards
Psychological Associate, MA
Westlake Village, CA 91361
Waitlist for new clients
Life can be unpredictable and feel out of our control. The day-to-day stress, exhaustion, and relationship difficulties can be overwhelming and hold us back without us even realizing it. Our therapeutic collaboration will help you learn how to react, cope, and move forward, no matter what the circumstance! Every person is different and deserves to develop a deeper understanding of themselves, their potential, and their personal desires. My eclectic approach combines psychodynamic, CBT, and DBT skill techniques with an individualized approach for each client.
Life can be unpredictable and feel out of our control. The day-to-day stress, exhaustion, and relationship difficulties can be overwhelming and hold us back without us even realizing it. Our therapeutic collaboration will help you learn how to react, cope, and move forward, no matter what the circumstance! Every person is different and deserves to develop a deeper understanding of themselves, their potential, and their personal desires. My eclectic approach combines psychodynamic, CBT, and DBT skill techniques with an individualized approach for each client.
(805) 232-7361 View (805) 232-7361
Photo of Julia Arias, Marriage & Family Therapist Associate, MA, AMFT
Julia Arias
Marriage & Family Therapist Associate, MA, AMFT
1 Endorsed
Westlake Village, CA 91362
Hi there! I’m Julia Arias (she/her)—a Latina Marriage and Family Therapist, art therapist, and LGBTQIA+ ally dedicated to creating inclusive, healing spaces. At A Place to Turn, I support adults and communities navigating life transitions, identity exploration, self-esteem, boundary-setting, and I also hold space for the ways systemic oppression can impact our everyday lives. My approach is rooted in empathy, creativity, and a deep understanding of how our bodies carry stress, trauma, and resilience.
Hi there! I’m Julia Arias (she/her)—a Latina Marriage and Family Therapist, art therapist, and LGBTQIA+ ally dedicated to creating inclusive, healing spaces. At A Place to Turn, I support adults and communities navigating life transitions, identity exploration, self-esteem, boundary-setting, and I also hold space for the ways systemic oppression can impact our everyday lives. My approach is rooted in empathy, creativity, and a deep understanding of how our bodies carry stress, trauma, and resilience.
(818) 697-1416 View (818) 697-1416
Photo of Zander Albright, Marriage & Family Therapist, LMFT
Zander Albright
Marriage & Family Therapist, LMFT
Westlake Village, CA 91361
Zander Albright is a Licensed Marriage and Family therapist specializing in working with adolescence and young adults. Zander received his training at Beit T'Shuvah where he worked with recovering addicts and helped people develop practical skills to build lives they can sustain and be proud of.
Zander Albright is a Licensed Marriage and Family therapist specializing in working with adolescence and young adults. Zander received his training at Beit T'Shuvah where he worked with recovering addicts and helped people develop practical skills to build lives they can sustain and be proud of.
(310) 651-8695 View (310) 651-8695
Photo of Genevieve Lundberg, Marriage & Family Therapist, LMFT, ATR, PPS
Genevieve Lundberg
Marriage & Family Therapist, LMFT, ATR, PPS
Online Only
I specialize in working with children, adolescents, individuals, couples and families. As a Marriage and Family Therapist and Art Therapist I utilize a variety of techniques to provide coping strategies to help with the challenges you are facing and help you reach your goals.
I specialize in working with children, adolescents, individuals, couples and families. As a Marriage and Family Therapist and Art Therapist I utilize a variety of techniques to provide coping strategies to help with the challenges you are facing and help you reach your goals.
(818) 423-5536 View (818) 423-5536
Photo of Kathryn Sica, Marriage & Family Therapist, MS, LMFT, CEDS
Kathryn Sica
Marriage & Family Therapist, MS, LMFT, CEDS
Westlake Village, CA 91361
Kathy brings extensive experience & a solution focused, trauma informed, approach to her work, addressing a broad spectrum of concerns while specializing in anxiety, life transitions, relationship challenges, young adult issues, & those seeking to heal their relationship with food, body, & movement. Having recovered herself, Kathy has been leveraging her lived experience & comprehensive training to help individuals struggling with eating disorders since 1993. As a Certified Eating Disorder Specialist through the esteemed International Association of Eating Disorder Professionals, she also offers consultation, supervision & coaching.
Kathy brings extensive experience & a solution focused, trauma informed, approach to her work, addressing a broad spectrum of concerns while specializing in anxiety, life transitions, relationship challenges, young adult issues, & those seeking to heal their relationship with food, body, & movement. Having recovered herself, Kathy has been leveraging her lived experience & comprehensive training to help individuals struggling with eating disorders since 1993. As a Certified Eating Disorder Specialist through the esteemed International Association of Eating Disorder Professionals, she also offers consultation, supervision & coaching.
(424) 799-2046 View (424) 799-2046
Photo of Kylee Garfield, Marriage & Family Therapist Associate, MA, AMFT
Kylee Garfield
Marriage & Family Therapist Associate, MA, AMFT
Westlake Village, CA 91361
If your body feels out of sync with your emotions — whether due to chronic pain, PCOS, endometriosis, fertility stress, or ongoing anxiety — you may feel exhausted, unheard, or stuck in familiar emotional patterns. I work with women and gender-diverse adults who want to better understand the deeper roots of their distress while also learning practical ways to feel more regulated and grounded day-to-day. Many of the people I work with notice that their symptoms intensify during periods of relational stress, life transitions, or when old emotional wounds are reactivated.
If your body feels out of sync with your emotions — whether due to chronic pain, PCOS, endometriosis, fertility stress, or ongoing anxiety — you may feel exhausted, unheard, or stuck in familiar emotional patterns. I work with women and gender-diverse adults who want to better understand the deeper roots of their distress while also learning practical ways to feel more regulated and grounded day-to-day. Many of the people I work with notice that their symptoms intensify during periods of relational stress, life transitions, or when old emotional wounds are reactivated.
(820) 500-7365 View (820) 500-7365
Photo of Kelley Stevens, Marriage & Family Therapist, LMFT
Kelley Stevens
Marriage & Family Therapist, LMFT
6 Endorsed
Westlake Village, CA 91361
If you’re a parent lying awake at night wondering whether your daughter is actually okay, this might be for you. Many of the parents who reach out to me say some version of the same thing, “She’s doing well in school, but she’s exhausted. She holds it together all day and then falls apart at home. She’s anxious, irritable, or shut down, and I don’t know whether to push her or back off.” Your daughter might be putting intense pressure on herself. You may see tears over homework, panic before tests, friendship stress that feels all-consuming, or big reactions to small setbacks.
If you’re a parent lying awake at night wondering whether your daughter is actually okay, this might be for you. Many of the parents who reach out to me say some version of the same thing, “She’s doing well in school, but she’s exhausted. She holds it together all day and then falls apart at home. She’s anxious, irritable, or shut down, and I don’t know whether to push her or back off.” Your daughter might be putting intense pressure on herself. You may see tears over homework, panic before tests, friendship stress that feels all-consuming, or big reactions to small setbacks.
(820) 346-6173 View (820) 346-6173
Photo of Misak Khachatryan, Psychologist, PsyD
Misak Khachatryan
Psychologist, PsyD
3 Endorsed
Westlake Village, CA 91362
Starting therapy is a brave step toward understanding yourself and finding your strengths. In therapy, we’ll work together to help you feel more balanced, confident, and clear about your path forward. I offer a warm, supportive, and nonjudgmental space where you can feel safe to share your experiences, reconnect with what matters most to you, and build practical tools for meaningful, lasting change.
Starting therapy is a brave step toward understanding yourself and finding your strengths. In therapy, we’ll work together to help you feel more balanced, confident, and clear about your path forward. I offer a warm, supportive, and nonjudgmental space where you can feel safe to share your experiences, reconnect with what matters most to you, and build practical tools for meaningful, lasting change.
(818) 805-0304 View (818) 805-0304
Photo of Julie Smith - Julie Tunick, MFT Incorporated, Marriage & Family Therapist, MS, LMFT
Julie Tunick, MFT Incorporated
Marriage & Family Therapist, MS, LMFT
Westlake Village, CA 91361
Living here in the Conejo Valley for 40 + years, it is very special to be working with individuals, youth and families who are looking for help to better improve their lives. I specialize in working with children/teens, individuals and families looking for help with life transitions such as divorce, depression, anxiety and overall adjustment to the ups and downs of life. My expertise is in working with young children who struggle with behaviors both at home + school, social skills development, OCD, ADHD and anxiety disorders.
Living here in the Conejo Valley for 40 + years, it is very special to be working with individuals, youth and families who are looking for help to better improve their lives. I specialize in working with children/teens, individuals and families looking for help with life transitions such as divorce, depression, anxiety and overall adjustment to the ups and downs of life. My expertise is in working with young children who struggle with behaviors both at home + school, social skills development, OCD, ADHD and anxiety disorders.
(805) 521-4147 View (805) 521-4147
Photo of Mindy Johnson, Marriage & Family Therapist, LMFT, CADC II
Mindy Johnson
Marriage & Family Therapist, LMFT, CADC II
2 Endorsed
Westlake Village, CA 91362
Do you feel stuck, overwhelmed, or burdened by anxiety, depression, trauma, or addiction? Life can feel heavy when we carry unresolved emotions, patterns, or experiences. As a certified EMDR therapist I specialize in trauma therapy, PTSD counseling, anxiety treatment and addiction recovery. I am here to help you find clarity, healing, and resilience. I work extensively with individuals in Westlake Village facing addiction challenges, helping them uncover and address the underlying issues that fuel substance use and unhealthy coping mechanisms.
Do you feel stuck, overwhelmed, or burdened by anxiety, depression, trauma, or addiction? Life can feel heavy when we carry unresolved emotions, patterns, or experiences. As a certified EMDR therapist I specialize in trauma therapy, PTSD counseling, anxiety treatment and addiction recovery. I am here to help you find clarity, healing, and resilience. I work extensively with individuals in Westlake Village facing addiction challenges, helping them uncover and address the underlying issues that fuel substance use and unhealthy coping mechanisms.
(747) 319-5025 View (747) 319-5025
Photo of Honey Golian, Marriage & Family Therapist, MA, LMFT
Honey Golian
Marriage & Family Therapist, MA, LMFT
3 Endorsed
Westlake Village, CA 91361
Most people don’t reach out when life is calm they reach out when anxiety is loud, relationships feel heavy, or a new season of life has them feeling overwhelmed. I focus on two areas: Teens & young adults (17–26) dealing with pre-adulting stress identity, school/career pressure, family boundaries, and relationship anxiety. Couples who want to break unhealthy patterns, communicate better, and feel close again. I’m Honey, a Licensed Marriage and Family Therapist. I help you feel grounded, clear, and supported without therapy feeling cold or intimidating.
Most people don’t reach out when life is calm they reach out when anxiety is loud, relationships feel heavy, or a new season of life has them feeling overwhelmed. I focus on two areas: Teens & young adults (17–26) dealing with pre-adulting stress identity, school/career pressure, family boundaries, and relationship anxiety. Couples who want to break unhealthy patterns, communicate better, and feel close again. I’m Honey, a Licensed Marriage and Family Therapist. I help you feel grounded, clear, and supported without therapy feeling cold or intimidating.
(805) 394-3908 View (805) 394-3908
Photo of Wilson B Johnson, Marriage & Family Therapist Associate, AMFT
Wilson B Johnson
Marriage & Family Therapist Associate, AMFT
1 Endorsed
Westlake Village, CA 91361
If you’re feeling stuck in anxiety, overwhelmed by your emotions, or caught in patterns you don’t fully understand, you’re not alone. You may wear a mask that looks capable and put-together on the outside, while internally feeling exhausted, disconnected, or unsure why certain struggles keep resurfacing. For some people, these experiences are also connected to differences in attention, processing, or executive functioning that have shaped how they move through the world.
If you’re feeling stuck in anxiety, overwhelmed by your emotions, or caught in patterns you don’t fully understand, you’re not alone. You may wear a mask that looks capable and put-together on the outside, while internally feeling exhausted, disconnected, or unsure why certain struggles keep resurfacing. For some people, these experiences are also connected to differences in attention, processing, or executive functioning that have shaped how they move through the world.
(805) 793-0764 View (805) 793-0764

See more therapy options for Westlake Village

How does your Therapist compare?

Number of Therapists in Westlake Village, CA

600+

Average cost per session

$200

Therapists in Westlake Village, CA who prioritize treating:

93% Anxiety
91% Depression
84% Relationship Issues
76% Self Esteem
65% Trauma and PTSD
65% Stress
64% Marriage Counseling

Average years in practice

14 Years

Top 3 insurances accepted

72% Aetna
57% Optum
56% Cigna and Evernorth

How Therapists in Westlake Village, CA see their clients

77% In Person and Online
23% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Westlake Village?

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.