Therapists in West Miami, FL

Photo of Yisbel M Panayiotou - Immigration Evaluations and Psychotherapy, Counselor, LMHC
Immigration Evaluations and Psychotherapy
Counselor, LMHC
Online Only
I am a bilingual (English/Spanish) board certified Licensed Mental Health Counselor. I conduct Immigration Evaluations for: VAWA, Hardship Waiver, U Visa, T Visa, and Asylum cases. I work closely with individuals, families, and their attorneys that are seeking legal haven in the USA for a better, safer, and brighter future. I have had years of experience with individual and group counseling in culturally diverse, multi­disciplinary, fast-­paced, and often demanding environments. I am licensed in New York, New Jersey, and Florida and am able to see clients via telehealth in these states.
I am a bilingual (English/Spanish) board certified Licensed Mental Health Counselor. I conduct Immigration Evaluations for: VAWA, Hardship Waiver, U Visa, T Visa, and Asylum cases. I work closely with individuals, families, and their attorneys that are seeking legal haven in the USA for a better, safer, and brighter future. I have had years of experience with individual and group counseling in culturally diverse, multi­disciplinary, fast-­paced, and often demanding environments. I am licensed in New York, New Jersey, and Florida and am able to see clients via telehealth in these states.
(718) 866-4892 View (718) 866-4892

More Therapists Nearby

Photo of Elizabeth Papa, Counselor, LMHC, LPC-S, RPT
Elizabeth Papa
Counselor, LMHC, LPC-S, RPT
5 Endorsed
Online Only
For the past 12 years, Elizabeth has been helping clients heal their mental health challenges and difficult relationship patterns to construct a life they are proud of. She is a graduate of the University of Mississippi where she obtained her Master’s in Clinical Mental Health Counseling and specialist degree in Play Therapy.
For the past 12 years, Elizabeth has been helping clients heal their mental health challenges and difficult relationship patterns to construct a life they are proud of. She is a graduate of the University of Mississippi where she obtained her Master’s in Clinical Mental Health Counseling and specialist degree in Play Therapy.
(305) 704-8653 View (305) 704-8653
Photo of Lisa Michelle de Geneste, Clinical Social Work/Therapist, LCSW
Lisa Michelle de Geneste
Clinical Social Work/Therapist, LCSW
Online Only
Self-care, stability, and choices that foster success and fulfillment require ongoing commitment. As a BIPOC woman myself, I understand the distinct pressures you face—managing workplace micro-aggressions, imposter syndrome, mental wellness, overwork, and career advancement, all while nurturing relationships and honoring your own needs. When responsibilities overwhelm, joy feels unreachable and you're unsure where to begin. This emotional weight often intensifies feelings of stagnation or inadequacy. I'm here to help you navigate these complexities, lighten your burden, and reclaim the peace you deserve.
Self-care, stability, and choices that foster success and fulfillment require ongoing commitment. As a BIPOC woman myself, I understand the distinct pressures you face—managing workplace micro-aggressions, imposter syndrome, mental wellness, overwork, and career advancement, all while nurturing relationships and honoring your own needs. When responsibilities overwhelm, joy feels unreachable and you're unsure where to begin. This emotional weight often intensifies feelings of stagnation or inadequacy. I'm here to help you navigate these complexities, lighten your burden, and reclaim the peace you deserve.
(954) 787-4078 View (954) 787-4078
Photo of Casey O'Brien, Clinical Social Work/Therapist, LCSW, MSW
Casey O'Brien
Clinical Social Work/Therapist, LCSW, MSW
1 Endorsed
Plantation, FL 33317
You deserve a space where you can feel truly seen, understood, and supported just as you are. My approach is compassionate, open, and collaborative as I work alongside you to help uncover patterns, build self awareness, and create meaningful change. I am a Licensed Clinical Social Worker with experience working with clients across all ages including children, teens, and adults. I bring a holistic and integrative style that blends psychodynamic and psychoanalytic approaches with somatic and energetic practices to help clients connect mind, body, and spirit.
You deserve a space where you can feel truly seen, understood, and supported just as you are. My approach is compassionate, open, and collaborative as I work alongside you to help uncover patterns, build self awareness, and create meaningful change. I am a Licensed Clinical Social Worker with experience working with clients across all ages including children, teens, and adults. I bring a holistic and integrative style that blends psychodynamic and psychoanalytic approaches with somatic and energetic practices to help clients connect mind, body, and spirit.
(954) 513-4349 View (954) 513-4349
Photo of Doris Garcia, Counselor
Doris Garcia
Counselor
Online Only
I am a Licensed Professional Counselor in the state of Colorado. I am also a Licensed Mental Health Counselor in the state of Florida with 9 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, family conflicts, & coping with grief and loss. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!
I am a Licensed Professional Counselor in the state of Colorado. I am also a Licensed Mental Health Counselor in the state of Florida with 9 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, family conflicts, & coping with grief and loss. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!
(904) 453-7742 View (904) 453-7742
Photo of Deena Self Self, Counselor, LMHC
Deena Self Self
Counselor, LMHC
Online Only
Hi! I am a licensed therapist. I received my degree in 2000 and have been practicing for the past 25 years, with experience in substance abuse treatment for several years before that.
Hi! I am a licensed therapist. I received my degree in 2000 and have been practicing for the past 25 years, with experience in substance abuse treatment for several years before that.
(850) 909-9813 View (850) 909-9813
Photo of Julia Rose Morett-Vij, Marriage & Family Therapist, MS, PhD, LMFT
Julia Rose Morett-Vij
Marriage & Family Therapist, MS, PhD, LMFT
Online Only
Hi! I'm Dr. Julia, I am licensed in Florida and South Carolina and have 6+ years of experience, specializing in infertility, perinatal, and postpartum mental health. Whether you’re navigating the emotional toll of trying to conceive, pregnancy, or new parenthood, I offer a calm, supportive space to process and heal. My practice is 100% virtual, making it easier to access care from the comfort of home.
Hi! I'm Dr. Julia, I am licensed in Florida and South Carolina and have 6+ years of experience, specializing in infertility, perinatal, and postpartum mental health. Whether you’re navigating the emotional toll of trying to conceive, pregnancy, or new parenthood, I offer a calm, supportive space to process and heal. My practice is 100% virtual, making it easier to access care from the comfort of home.
(954) 738-5199 View (954) 738-5199
Photo of Neal Bauer, Psychologist, Psy D
Neal Bauer
Psychologist, Psy D
I believe in everyone’s capacity to grow. Each person has the unique ability to shed their destructive behaviors and adopt new skills to improve themselves. I strive to help clients identify goals and make the changes to achieve them. With a Master’s degree from Columbia University and a Doctorate of Psychology from LIU - Post, I am currently a licensed psychologist with over a decade of clinical experience.
I believe in everyone’s capacity to grow. Each person has the unique ability to shed their destructive behaviors and adopt new skills to improve themselves. I strive to help clients identify goals and make the changes to achieve them. With a Master’s degree from Columbia University and a Doctorate of Psychology from LIU - Post, I am currently a licensed psychologist with over a decade of clinical experience.
(929) 395-1440 View (929) 395-1440
Photo of Dr. Carolina Vega Suarez, Psychologist, PsyD
Dr. Carolina Vega Suarez
Psychologist, PsyD
3 Endorsed
South Miami, FL 33143
You might be feeling overwhelmed, stuck, or unsure of how to move forward in your life. Whether you’re struggling with anxiety, depression, past trauma, or challenges in your relationships, it’s normal to feel like you need support in navigating these difficulties. Dr. Vega Suárez is here to help. As a bilingual, compassionate psychologist, I will work closely with you to create a safe and non-judgmental space where you can explore your feelings, identify patterns, and create meaningful change.
You might be feeling overwhelmed, stuck, or unsure of how to move forward in your life. Whether you’re struggling with anxiety, depression, past trauma, or challenges in your relationships, it’s normal to feel like you need support in navigating these difficulties. Dr. Vega Suárez is here to help. As a bilingual, compassionate psychologist, I will work closely with you to create a safe and non-judgmental space where you can explore your feelings, identify patterns, and create meaningful change.
(786) 738-6123 View (786) 738-6123
Photo of Dr. Ellie Seoane, PsyD
Dr. Ellie Seoane
Verified Verified
1 Endorsed
Davie, FL 33328
I know how important it is to feel safe and understood when you’re opening up about life’s challenges. In therapy with me, you’ll find a calm, nonjudgmental space where you can slow down, share openly, and be met with genuine care and curiosity. My style is collaborative and supportive; I’m not here to tell you who to be but to help you better understand yourself, clarify what you truly want, and feel more confident navigating your relationships and decisions. Whether you’re feeling stuck, overwhelmed, or unsure of your next step, we’ll work together to uncover what’s getting in the way and build authentic, lasting changes.
I know how important it is to feel safe and understood when you’re opening up about life’s challenges. In therapy with me, you’ll find a calm, nonjudgmental space where you can slow down, share openly, and be met with genuine care and curiosity. My style is collaborative and supportive; I’m not here to tell you who to be but to help you better understand yourself, clarify what you truly want, and feel more confident navigating your relationships and decisions. Whether you’re feeling stuck, overwhelmed, or unsure of your next step, we’ll work together to uncover what’s getting in the way and build authentic, lasting changes.
(954) 399-2392 View (954) 399-2392
Photo of Darleen Claire Wodzenski, Counselor, MS MA , PhD LPC, NCC ACS
Darleen Claire Wodzenski
Counselor, MS MA , PhD LPC, NCC ACS
Online Only
We respectfully support you in your dreams, goals & inspirations. When you need guidance, we provide knowledge & insight about self-care & therapeutic strategies, approaching healing & recovery from a holistic perspective. Seamlessly integrate emotions, behaviors, lifestyle, relationships, education, leisure activities, self-care & career. Serving clients of all ages with such issues as Anxiety, Attachment Issues, Autism, Behavior Challenges, Borderline Personality Disorder, Depression, Developmental Disabilities, Dissociation, DID, OCD, ODD, Panic, PTSD, Trauma, Violence. Trauma; BIPOC; LGBTQIA+ and Polyamory respectful & informed.
We respectfully support you in your dreams, goals & inspirations. When you need guidance, we provide knowledge & insight about self-care & therapeutic strategies, approaching healing & recovery from a holistic perspective. Seamlessly integrate emotions, behaviors, lifestyle, relationships, education, leisure activities, self-care & career. Serving clients of all ages with such issues as Anxiety, Attachment Issues, Autism, Behavior Challenges, Borderline Personality Disorder, Depression, Developmental Disabilities, Dissociation, DID, OCD, ODD, Panic, PTSD, Trauma, Violence. Trauma; BIPOC; LGBTQIA+ and Polyamory respectful & informed.
(386) 223-1815 View (386) 223-1815
Photo of Judi Pasos, Counselor, MS, LMHC
Judi Pasos
Counselor, MS, LMHC
1 Endorsed
Coral Gables, FL 33134
EMDR (IFS-informed), hypnotherapy, reiki, yoga, & IMAGO. A holistic approach. Everyone has the ability to heal themselves with unconditional positive guidance. I am a licensed mental health counselor and yoga instructor. I believe that psychotherapy in conjunction with accessing the mind-body connection within individuals and relationships is the key to improving any situation. I use a holistic spiritually-focused therapy process grounded in neuroscience, sub-conscious energy healing, traditional psychology and yoga. I specializes in depression, anxiety, trauma, and achieving divine self-worth through finding the authentic self.
EMDR (IFS-informed), hypnotherapy, reiki, yoga, & IMAGO. A holistic approach. Everyone has the ability to heal themselves with unconditional positive guidance. I am a licensed mental health counselor and yoga instructor. I believe that psychotherapy in conjunction with accessing the mind-body connection within individuals and relationships is the key to improving any situation. I use a holistic spiritually-focused therapy process grounded in neuroscience, sub-conscious energy healing, traditional psychology and yoga. I specializes in depression, anxiety, trauma, and achieving divine self-worth through finding the authentic self.
(305) 482-1177 View (305) 482-1177
Photo of Shelly Cymbal Orlowsky, Psychologist, PsyD
Shelly Cymbal Orlowsky
Psychologist, PsyD
Miami Beach, FL 33140
The reality of becoming a mom is almost always different than how you envision it. Maybe you are struggling to conceive, coping with the loss of a pregnancy, or ending a pregnancy. Maybe you don’t actually like being pregnant or experience anxiety about your pregnancy or childbirth.
The reality of becoming a mom is almost always different than how you envision it. Maybe you are struggling to conceive, coping with the loss of a pregnancy, or ending a pregnancy. Maybe you don’t actually like being pregnant or experience anxiety about your pregnancy or childbirth.
(305) 376-7898 View (305) 376-7898
Photo of Monika Kreinberg, Counselor, PhD, LMHC , LMFT, CCTP, CST
Monika Kreinberg
Counselor, PhD, LMHC , LMFT, CCTP, CST
Miami, FL 33134
The hardest part about therapy is finding a therapist. My goal is to make this process as easy as possible. As the only multi-licensed counselor in the state of Florida that speaks five languages fluently including English.Spanish, French, Italian and German, I understand that everyone is different, yet goes through similar issues. I have experience working with adults, couples, adolescents with problems including depression, anxiety, mood disorders, trauma,intimacy issues, LGBT related issues, behavioral issues, post-traumatic stress disorder and couple therapy including sexual issues. I am a Board Certified Sex Therapist, Certified Trauma Professional and EMDR specialist.
The hardest part about therapy is finding a therapist. My goal is to make this process as easy as possible. As the only multi-licensed counselor in the state of Florida that speaks five languages fluently including English.Spanish, French, Italian and German, I understand that everyone is different, yet goes through similar issues. I have experience working with adults, couples, adolescents with problems including depression, anxiety, mood disorders, trauma,intimacy issues, LGBT related issues, behavioral issues, post-traumatic stress disorder and couple therapy including sexual issues. I am a Board Certified Sex Therapist, Certified Trauma Professional and EMDR specialist.
(786) 581-7793 View (786) 581-7793
Photo of Meghan Calfee Regueira, Counselor, MS, LMHC
Meghan Calfee Regueira
Counselor, MS, LMHC
2 Endorsed
Online Only
Not accepting new clients
Counseling is a journey of self-discovery where the client and therapist work together to explore and examine your world for the purpose of improving your life. My goal is to help you discover the answers that you hold, but are having trouble accessing. My role is to guide you in determining the direction and depth of change that you would like to accomplish through your therapeutic process.
Counseling is a journey of self-discovery where the client and therapist work together to explore and examine your world for the purpose of improving your life. My goal is to help you discover the answers that you hold, but are having trouble accessing. My role is to guide you in determining the direction and depth of change that you would like to accomplish through your therapeutic process.
(786) 751-6106 View (786) 751-6106
Photo of Shannon Haynes - Reclaiming Joy Counseling and Consulting, Clinical Social Work/Therapist, LISW-CP, LCSW
Reclaiming Joy Counseling and Consulting
Clinical Social Work/Therapist, LISW-CP, LCSW
Serves Area
Have you ever felt like life was moving so fast, and when you finally stopped to look at where you are, you wondered “How did I get here?”, or “Who have I become, I don’t even recognize myself anymore?” You might have these and various other feelings about yourself and your relationship. All of these thoughts and feelings are common. I want to assist you and give you the tools to get back to the life you want, as well as the relationship you desire. Get the joy you deserve!
Have you ever felt like life was moving so fast, and when you finally stopped to look at where you are, you wondered “How did I get here?”, or “Who have I become, I don’t even recognize myself anymore?” You might have these and various other feelings about yourself and your relationship. All of these thoughts and feelings are common. I want to assist you and give you the tools to get back to the life you want, as well as the relationship you desire. Get the joy you deserve!
(803) 618-4900 View (803) 618-4900
Photo of Jeffrey Harris, Counselor, PhD, LMHC
Jeffrey Harris
Counselor, PhD, LMHC
1 Endorsed
Fort Lauderdale, FL 33319
Are you facing anxiety, depression, trauma, or relationship struggles? You’re not alone—I will walk with you through it. I’m a Licensed Counselor and Certified Clinical Trauma Professional with a passion for helping individuals and couples heal and grow. Clients describe me as compassionate, easy to talk to, and deeply supportive. I truly believe everyone has the strength to heal, even when it feels impossible. I’m here to meet you where you are, and together, I’ll help you find clarity, peace, and lasting change on your journey forward.
Are you facing anxiety, depression, trauma, or relationship struggles? You’re not alone—I will walk with you through it. I’m a Licensed Counselor and Certified Clinical Trauma Professional with a passion for helping individuals and couples heal and grow. Clients describe me as compassionate, easy to talk to, and deeply supportive. I truly believe everyone has the strength to heal, even when it feels impossible. I’m here to meet you where you are, and together, I’ll help you find clarity, peace, and lasting change on your journey forward.
(954) 866-7814 View (954) 866-7814
Photo of Amy Kersten, Clinical Social Work/Therapist, LCSW
Amy Kersten
Clinical Social Work/Therapist, LCSW
Online Only
Do you ever find yourself lying awake at night, replaying the day and already worrying about tomorrow? Your mind just won’t slow down—It can feel exhausting to be caught in patterns of overthinking, people-pleasing, or perfectionism, even when you’re giving so much of yourself. Maybe work feels like too much lately, your relationships feel harder to navigate, or you’re adjusting to the changes that come with pregnancy or postpartum life—trying to find your footing in a season that feels both beautiful and overwhelming. Therapy can be a space to slow down, make sense of what feels heavy, and reconnect with yourself.
Do you ever find yourself lying awake at night, replaying the day and already worrying about tomorrow? Your mind just won’t slow down—It can feel exhausting to be caught in patterns of overthinking, people-pleasing, or perfectionism, even when you’re giving so much of yourself. Maybe work feels like too much lately, your relationships feel harder to navigate, or you’re adjusting to the changes that come with pregnancy or postpartum life—trying to find your footing in a season that feels both beautiful and overwhelming. Therapy can be a space to slow down, make sense of what feels heavy, and reconnect with yourself.
(727) 591-7725 View (727) 591-7725
Photo of Susannah Halsey, Licensed Professional Counselor, LPC
Susannah Halsey
Licensed Professional Counselor, LPC
1 Endorsed
Online Only
I work with children and adolescents struggling with anxiety, depression, trauma, or grief. They may have trouble managing emotions, building confidence, or forming healthy relationships. As a parent, you want to see your child heal and grow. I provide a safe, supportive space where they can develop coping skills, strengthen self-esteem, and build resilience for a healthier future. I am part of Handspring. We are a modern mental health clinic that provides personalized, evidence-based behavioral care for children, adolescents, and young adults.
I work with children and adolescents struggling with anxiety, depression, trauma, or grief. They may have trouble managing emotions, building confidence, or forming healthy relationships. As a parent, you want to see your child heal and grow. I provide a safe, supportive space where they can develop coping skills, strengthen self-esteem, and build resilience for a healthier future. I am part of Handspring. We are a modern mental health clinic that provides personalized, evidence-based behavioral care for children, adolescents, and young adults.
(267) 214-9754 View (267) 214-9754
Photo of Marilyn Thompson, Marriage & Family Therapist, MS, LMFT
Marilyn Thompson
Marriage & Family Therapist, MS, LMFT
1 Endorsed
Online Only
I am a licensed psychotherapist based in White Plains, NY, specializing in the treatment of individuals, couples, and families. In addition to my work as a bilingual school-based clinician with Greater Mental Health of New York, serving the North Rockland school district, I maintain a private practice at Bridge To Bliss Therapy, where I focus on providing tailored, evidence-based care. I hold advanced certifications from esteemed institutions, including the Center for Practice Innovations at Columbia Psychiatry and NYU Grossman School of Medicine, reflecting my commitment to continuous professional development.
I am a licensed psychotherapist based in White Plains, NY, specializing in the treatment of individuals, couples, and families. In addition to my work as a bilingual school-based clinician with Greater Mental Health of New York, serving the North Rockland school district, I maintain a private practice at Bridge To Bliss Therapy, where I focus on providing tailored, evidence-based care. I hold advanced certifications from esteemed institutions, including the Center for Practice Innovations at Columbia Psychiatry and NYU Grossman School of Medicine, reflecting my commitment to continuous professional development.
(914) 940-5739 View (914) 940-5739

See more therapy options for West Miami

How does your Therapist compare?

Number of Therapists in West Miami, FL

< 10

Therapists in West Miami, FL who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Child
100% Domestic Abuse
100% Grief
100% Parenting

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Oxford

How Therapists in West Miami, FL see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in West Miami?

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.