Therapists in Walnut Creek, CA

Photo of Maureen Daniel, Marriage & Family Therapist in Walnut Creek, CA
Maureen Daniel
Marriage & Family Therapist, MA, MFT
Verified Verified
Walnut Creek, CA 94596
I have been licensed for almost 30 years and know how much people struggle in their relationships. I work with anxious and depressed clients and people who feel hopeless about making change occur. I am very interactive and help by giving feedback and suggestions to improve your situation. I use Cognitive Behavioral therapy and psychdynamic explorative therapy.
I have been licensed for almost 30 years and know how much people struggle in their relationships. I work with anxious and depressed clients and people who feel hopeless about making change occur. I am very interactive and help by giving feedback and suggestions to improve your situation. I use Cognitive Behavioral therapy and psychdynamic explorative therapy.
(925) 400-6824 View (925) 400-6824
Photo of Jennifer Landry, Psychologist in Walnut Creek, CA
Jennifer Landry
Psychologist, PsyD
Verified Verified
5 Endorsed
Walnut Creek, CA 94598
I am a licensed clinical psychologist providing individual therapy to adults who are struggling with depression, anxiety, trauma, life transitions and grief. I am passionate about providing care to people from diverse backgrounds and collaborating with clients to attain their identified goals.
I am a licensed clinical psychologist providing individual therapy to adults who are struggling with depression, anxiety, trauma, life transitions and grief. I am passionate about providing care to people from diverse backgrounds and collaborating with clients to attain their identified goals.
(925) 378-4860 View (925) 378-4860
Photo of Dorothy A Kruse, Marriage & Family Therapist in Walnut Creek, CA
Dorothy A Kruse
Marriage & Family Therapist, MA, LMFT
Verified Verified
Walnut Creek, CA 94596
Not accepting new clients
I am currently not taking new clients. Are you feeling emotions that are difficult to handle; issues surfacing that you're ready to take a look at? Feeling stressed, anxious or depressed? Possibly your relationships are strained or unsatisfying. Maybe you're struggling with parenting a teenager, or you are a teenager wanting someone to listen? These are all areas of interest to me. I have worked with individuals, couples for over 22 years and am still amazed that while therapy is often not easy, it is truly worth the effort for most people. I have a calm, supportive, interactive style and welcome working with you.
I am currently not taking new clients. Are you feeling emotions that are difficult to handle; issues surfacing that you're ready to take a look at? Feeling stressed, anxious or depressed? Possibly your relationships are strained or unsatisfying. Maybe you're struggling with parenting a teenager, or you are a teenager wanting someone to listen? These are all areas of interest to me. I have worked with individuals, couples for over 22 years and am still amazed that while therapy is often not easy, it is truly worth the effort for most people. I have a calm, supportive, interactive style and welcome working with you.
(925) 303-4879 View (925) 303-4879
Photo of Carla Guillaume, Clinical Social Work/Therapist in Walnut Creek, CA
Carla Guillaume
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Walnut Creek, CA 94598
Life's challenges can often leave us feeling overwhelmed and disconnected. As a Licensed Clinical Social Worker with 15 years of experience, I'm here to offer you a safe and compassionate space to explore your journey towards well-being. Whether you've experienced trauma, grapple with depression, anxiety, or face other life hurdles, I'm committed to guiding you towards a brighter future. My expertise lies in helping adolescents and adults heal from the past, build resilience, and discover their inner strength. Let's embark on this transformative journey together, where you can discover healing, hope, and happiness.
Life's challenges can often leave us feeling overwhelmed and disconnected. As a Licensed Clinical Social Worker with 15 years of experience, I'm here to offer you a safe and compassionate space to explore your journey towards well-being. Whether you've experienced trauma, grapple with depression, anxiety, or face other life hurdles, I'm committed to guiding you towards a brighter future. My expertise lies in helping adolescents and adults heal from the past, build resilience, and discover their inner strength. Let's embark on this transformative journey together, where you can discover healing, hope, and happiness.
(925) 940-1147 View (925) 940-1147
Photo of Stephanie Van Houten- Alle Counseling & Consulting, Clinical Social Work/Therapist in Walnut Creek, CA
Stephanie Van Houten- Alle Counseling & Consulting
Clinical Social Work/Therapist, LCSW, CADCIII
Verified Verified
Walnut Creek, CA 94598  (Online Only)
I am a Licensed Clinical Social Worker (LCSW), as well as a Certified Substance Abuse Counselor and serve Clients throughout California and Nevada. For over a decade I have specialized in working with individuals who are suffering from alcohol and drug addiction and the criminal justice/re-entry populations, as well as anxiety, depression, trauma and occupational/ social stressors. I am a Department of Transportation approved Substance Abuse Professional and can complete DOT SAP evaluations and Return to Duty letters in both California and Nevada as well.
I am a Licensed Clinical Social Worker (LCSW), as well as a Certified Substance Abuse Counselor and serve Clients throughout California and Nevada. For over a decade I have specialized in working with individuals who are suffering from alcohol and drug addiction and the criminal justice/re-entry populations, as well as anxiety, depression, trauma and occupational/ social stressors. I am a Department of Transportation approved Substance Abuse Professional and can complete DOT SAP evaluations and Return to Duty letters in both California and Nevada as well.
(925) 396-5038 View (925) 396-5038
Photo of Brooke Hall, MFT, Marriage & Family Therapist in Walnut Creek, CA
Brooke Hall, MFT
Marriage & Family Therapist, MFT
Verified Verified
Walnut Creek, CA 94597
These current times are absolutely challenging & I hope you are finding your way to support from a variety of places! Therapy can be a place to feel safe, connected, supported, & cared for. A place to find relief, time out, & a place to sort things out. I address issues ranging from low self-esteem to grief, transitions, depression, anxiety, work balance, overwhelm and more.. There are breakthrough psychological approaches that can help you achieve much faster & deeper results than you might have known including EMDR, EFT, heartmath, & DNMS. In many cases, these can offer dramatic & lasting changes! I hope you will reach out -
These current times are absolutely challenging & I hope you are finding your way to support from a variety of places! Therapy can be a place to feel safe, connected, supported, & cared for. A place to find relief, time out, & a place to sort things out. I address issues ranging from low self-esteem to grief, transitions, depression, anxiety, work balance, overwhelm and more.. There are breakthrough psychological approaches that can help you achieve much faster & deeper results than you might have known including EMDR, EFT, heartmath, & DNMS. In many cases, these can offer dramatic & lasting changes! I hope you will reach out -
(925) 402-1831 View (925) 402-1831
Photo of Gonzales Family Counseling, Marriage & Family Therapist in Walnut Creek, CA
Gonzales Family Counseling
Marriage & Family Therapist, LMFT
Verified Verified
Walnut Creek, CA 94596
At Gonzales Family Counseling, it is our honor to develop a client centered relationship in order to promote hope, healing, and accessing one's best self. We work with children, adolescents, young adults, adults, couples, parents, and families.
At Gonzales Family Counseling, it is our honor to develop a client centered relationship in order to promote hope, healing, and accessing one's best self. We work with children, adolescents, young adults, adults, couples, parents, and families.
(707) 267-2477 View (707) 267-2477
Photo of Kathryn Mehler-Clark, Marriage & Family Therapist in Walnut Creek, CA
Kathryn Mehler-Clark
Marriage & Family Therapist
Verified Verified
1 Endorsed
Walnut Creek, CA 94596  (Online Only)
Do you find yourself repeatedly reacting to recurring emotional triggers; trapped in repetitive negative cycles in your relationships, or unable to figure out how to move forward to a more positive, secure bond with your partner? My warmth, humor and interactive style creates trust and safety to encourage and support you. Clients express that they feel relief from symptoms of stress, such a anxiety or depression, and experience feeling more emotional flexibility and balance.
Do you find yourself repeatedly reacting to recurring emotional triggers; trapped in repetitive negative cycles in your relationships, or unable to figure out how to move forward to a more positive, secure bond with your partner? My warmth, humor and interactive style creates trust and safety to encourage and support you. Clients express that they feel relief from symptoms of stress, such a anxiety or depression, and experience feeling more emotional flexibility and balance.
(925) 308-5619 View (925) 308-5619
Photo of Mind Matters Psychotherapy Coaching & EMDR, Clinical Social Work/Therapist in Walnut Creek, CA
Mind Matters Psychotherapy Coaching & EMDR
Clinical Social Work/Therapist, LCSW
Verified Verified
Walnut Creek, CA 94596
We are a group of clinicians committed to providing skilled, supportive therapy and coaching to our clients. Our therapists use a strength-based approach to building relationships with clients that provide the trust needed to make big change. We specialize in seeing women in transitional stages of life, including but not limited to; pre-and postpartum struggles, anxiety, eating disorders, addictive behaviors, depression, role confusion, relationship stress, parenting dynamics and trauma. We love to see couples, children and individual adults ready to move past barriers and experience more joy in relationships and life.
We are a group of clinicians committed to providing skilled, supportive therapy and coaching to our clients. Our therapists use a strength-based approach to building relationships with clients that provide the trust needed to make big change. We specialize in seeing women in transitional stages of life, including but not limited to; pre-and postpartum struggles, anxiety, eating disorders, addictive behaviors, depression, role confusion, relationship stress, parenting dynamics and trauma. We love to see couples, children and individual adults ready to move past barriers and experience more joy in relationships and life.
(925) 378-4684 View (925) 378-4684
Photo of Nicole Michelle Farber, Marriage & Family Therapist Associate in Walnut Creek, CA
Nicole Michelle Farber
Marriage & Family Therapist Associate, AMFT
Verified Verified
Walnut Creek, CA 94596  (Online Only)
We all come with different stories, identities, backgrounds, cultures, and representations of our experiences which make up who we are and how we relate to the people and world around us. Therapy is an opportunity to examine, understand, and process these parts in order to find our place in the world, establish healthy relationships, and feel a sense of joy and satisfaction in life. Whether you're contending with the echoes of childhood trauma, navigating the many realms and layers of identity, or grappling with the weight of anxiety and depression, my therapeutic space is crafted to honor your individuality.
We all come with different stories, identities, backgrounds, cultures, and representations of our experiences which make up who we are and how we relate to the people and world around us. Therapy is an opportunity to examine, understand, and process these parts in order to find our place in the world, establish healthy relationships, and feel a sense of joy and satisfaction in life. Whether you're contending with the echoes of childhood trauma, navigating the many realms and layers of identity, or grappling with the weight of anxiety and depression, my therapeutic space is crafted to honor your individuality.
(925) 492-7042 View (925) 492-7042
Photo of Cristina Freeman, Marriage & Family Therapist in Walnut Creek, CA
Cristina Freeman
Marriage & Family Therapist, MA, LMFT
Verified Verified
Walnut Creek, CA 94596
Not accepting new clients
I offer affordable counseling and consultation for individuals, adolescents, and couples. I am bilingual in Tagalog. My main areas of focus are grief counseling, dating and relationships, adolescents, and late adulthood. In working with clients, I lean towards a humanistic school of thought where a positive therapist-client relationship is emphasized. I also use a supportive, compassionate, accepting, dialogical, increased kindness, challenging, and empathic style of therapy. And, depending on the needs of my clients, I interject appropriate techniques from other counseling theories such as the psychoanalytic and cognitive behavior therapies.
I offer affordable counseling and consultation for individuals, adolescents, and couples. I am bilingual in Tagalog. My main areas of focus are grief counseling, dating and relationships, adolescents, and late adulthood. In working with clients, I lean towards a humanistic school of thought where a positive therapist-client relationship is emphasized. I also use a supportive, compassionate, accepting, dialogical, increased kindness, challenging, and empathic style of therapy. And, depending on the needs of my clients, I interject appropriate techniques from other counseling theories such as the psychoanalytic and cognitive behavior therapies.
(415) 423-2409 View (415) 423-2409
Photo of Behavioral Fitness in Walnut Creek, CA
Behavioral Fitness
DBH
Verified Verified
Walnut Creek, CA 94598
Behavioral Fitness is practiced in the form of recreation, exploration, connection, reflection, behavioral health education, coaching, and more. Most of all, it's fun, invigorating, action- oriented, and grounded in science. Be prepared for a shift. Behavioral Fitness has been found to transform your life, resulting in new foundations of insight that lead to personal growth. This is not like traditional talk therapy. This is a revolutionary and ground breaking approach to mental health in action.
Behavioral Fitness is practiced in the form of recreation, exploration, connection, reflection, behavioral health education, coaching, and more. Most of all, it's fun, invigorating, action- oriented, and grounded in science. Be prepared for a shift. Behavioral Fitness has been found to transform your life, resulting in new foundations of insight that lead to personal growth. This is not like traditional talk therapy. This is a revolutionary and ground breaking approach to mental health in action.
(925) 369-7779 View (925) 369-7779
Photo of Howard L Sattler, Marriage & Family Therapist in Walnut Creek, CA
Howard L Sattler
Marriage & Family Therapist, MS, MA, MFT, NCC, DCC
Verified Verified
Walnut Creek, CA 94596
I have over 30 years' experience as a clinician, published researcher and educator. I hold a Masters Degree in Clinical Psychology and a Masters in Health Psychology. I have developed programs including Stress Management, Insomnia control and Meditation for programs such as Kaiser Permanente. This diversity of experience, allows me to help people understand their thinking processes, identify patterns of behavior and make sustainable changes. I strive to empower people to change both their behaviors and beliefs to allow them to achieve overall well-being and happiness. My philosophy stresses personal insight and responsibility, - integrating the physical, intellectual and spiritual.
I have over 30 years' experience as a clinician, published researcher and educator. I hold a Masters Degree in Clinical Psychology and a Masters in Health Psychology. I have developed programs including Stress Management, Insomnia control and Meditation for programs such as Kaiser Permanente. This diversity of experience, allows me to help people understand their thinking processes, identify patterns of behavior and make sustainable changes. I strive to empower people to change both their behaviors and beliefs to allow them to achieve overall well-being and happiness. My philosophy stresses personal insight and responsibility, - integrating the physical, intellectual and spiritual.
(925) 308-5355 View (925) 308-5355
Photo of Karen Drazen, Marriage & Family Therapist in Walnut Creek, CA
Karen Drazen
Marriage & Family Therapist, LMFT
Verified Verified
Walnut Creek, CA 94596  (Online Only)
Waitlist for new clients
My practice focuses on helping adults and children who face challenges that may be hindering their development and compromising their own wellbeing and relationships with others. Within a safe, genuine partnership, we will explore these issues, find new approaches to replace patterns that aren't working, and collaborate in the process of healing and growth.
My practice focuses on helping adults and children who face challenges that may be hindering their development and compromising their own wellbeing and relationships with others. Within a safe, genuine partnership, we will explore these issues, find new approaches to replace patterns that aren't working, and collaborate in the process of healing and growth.
(925) 271-9059 View (925) 271-9059
Photo of Anita Whelan, Marriage & Family Therapist in Walnut Creek, CA
Anita Whelan
Marriage & Family Therapist, MA, MFT
Verified Verified
Walnut Creek, CA 94595  (Online Only)
I work in an interactive style offering supportive and pragmatic feedback with everyday issues that are disrupting your life. I seek out the strengths in people in order to build on those core qualities so you can get more of what you want out of life. I use a bio/psycho/social approach to look at how physical factors, behaviors, thoughts, the environment and interactions with others are impeding or assisting you in living the life you want.
I work in an interactive style offering supportive and pragmatic feedback with everyday issues that are disrupting your life. I seek out the strengths in people in order to build on those core qualities so you can get more of what you want out of life. I use a bio/psycho/social approach to look at how physical factors, behaviors, thoughts, the environment and interactions with others are impeding or assisting you in living the life you want.
(925) 489-1222 View (925) 489-1222
Photo of Daryn Stier, Clinical Social Work/Therapist in Walnut Creek, CA
Daryn Stier
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Walnut Creek, CA 94596
When life gets overwhelming and stressful, do you have a supportive way to work things through? My clients tell me that they feel deeply listened to and understood in the work we do together. Whether as a therapist or a coach, my style is warm and highly interactive. I will guide you with a gentle approach so that you discover more of your wholeness and create solutions that are fully your own. Imagine yourself feeling comfortable in your own skin and sustained in making your life fit you. I am here to provide you with the support you deserve so that you can make positive changes you so deeply desire.
When life gets overwhelming and stressful, do you have a supportive way to work things through? My clients tell me that they feel deeply listened to and understood in the work we do together. Whether as a therapist or a coach, my style is warm and highly interactive. I will guide you with a gentle approach so that you discover more of your wholeness and create solutions that are fully your own. Imagine yourself feeling comfortable in your own skin and sustained in making your life fit you. I am here to provide you with the support you deserve so that you can make positive changes you so deeply desire.
(415) 965-4817 View (415) 965-4817
Photo of Amy Ratkovich, Marriage & Family Therapist in Walnut Creek, CA
Amy Ratkovich
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Walnut Creek, CA 94596  (Online Only)
I try to meet people with an open mind and heart so that a foundational felt sense of safety can be established while we explore your struggle and symptoms. I hope to help you understand yourself better and to learn to cope with life's stressors with self compassion and awareness. The process of healing can take time, at times be painful, yet with commitment to exploring your inner workings, you start living your best life as you come to self acceptance in this work.
I try to meet people with an open mind and heart so that a foundational felt sense of safety can be established while we explore your struggle and symptoms. I hope to help you understand yourself better and to learn to cope with life's stressors with self compassion and awareness. The process of healing can take time, at times be painful, yet with commitment to exploring your inner workings, you start living your best life as you come to self acceptance in this work.
(510) 694-1245 View (510) 694-1245
Photo of Danielle Freitas, Marriage & Family Therapist in Walnut Creek, CA
Danielle Freitas
Marriage & Family Therapist, MA, MFT
Verified Verified
1 Endorsed
Walnut Creek, CA 94597  (Online Only)
I am a licensed Marriage Family Therapist specializing in adolescents and adults. I offer a warm and genuine approach in a safe and nonjudgmental environment. I have been in practice for over 20 years and I find great joy in helping clients reach greater self awareness and insight while providing them with tools and skills to help them navigate through life’s difficult and challenging times.
I am a licensed Marriage Family Therapist specializing in adolescents and adults. I offer a warm and genuine approach in a safe and nonjudgmental environment. I have been in practice for over 20 years and I find great joy in helping clients reach greater self awareness and insight while providing them with tools and skills to help them navigate through life’s difficult and challenging times.
(925) 326-6924 View (925) 326-6924
Photo of Emily Serkin, Psychologist in Walnut Creek, CA
Emily Serkin
Psychologist, PhD
Verified Verified
Walnut Creek, CA 94596
Many people come to me wondering why they're unhappy, anxious, or unable to find fulfillment. The problem may seem obvious but a solution impossible. The same painful experiences repeat themselves, but why? And how to change them? If we meet, I will work together to discover how you can come to grips with whatever is troubling you. In doing so, you may discover, as sometimes happens, that there are ways to experience yourself and others that are genuinely different from what you've known thus far.
Many people come to me wondering why they're unhappy, anxious, or unable to find fulfillment. The problem may seem obvious but a solution impossible. The same painful experiences repeat themselves, but why? And how to change them? If we meet, I will work together to discover how you can come to grips with whatever is troubling you. In doing so, you may discover, as sometimes happens, that there are ways to experience yourself and others that are genuinely different from what you've known thus far.
(510) 878-3639 View (510) 878-3639
Photo of Kody A Meginnes, Marriage & Family Therapist in Walnut Creek, CA
Kody A Meginnes
Marriage & Family Therapist, LMFT, MA, PPSC
Verified Verified
1 Endorsed
Walnut Creek, CA 94596  (Online Only)
Not accepting new clients
I am a WPATH Certified gender therapist, serving the transgender & gender fluid community exclusively. All of my current work is focused on supporting and serving the Trans community. I have been involved with and supporting the LGBTIQQA community for almost 3 decades now. I am an advocate and ally and believe people are more than just a label. I can support you through the SRS process or any transition you desire to make in your life.
I am a WPATH Certified gender therapist, serving the transgender & gender fluid community exclusively. All of my current work is focused on supporting and serving the Trans community. I have been involved with and supporting the LGBTIQQA community for almost 3 decades now. I am an advocate and ally and believe people are more than just a label. I can support you through the SRS process or any transition you desire to make in your life.
(925) 961-3440 View (925) 961-3440

See more therapy options for Walnut Creek

How does your Therapist compare?

Number of Therapists in Walnut Creek, CA

800+

Average cost per session

$180

Therapists in Walnut Creek, CA who prioritize treating:

93% Anxiety
88% Depression
79% Relationship Issues
70% Self Esteem
68% Trauma and PTSD
66% Stress
65% Grief

Average years in practice

14 Years

Top 3 insurances accepted

61% Aetna
49% Cigna and Evernorth
38% Anthem | Elevance

How Therapists in Walnut Creek, CA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Walnut Creek?

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.