Therapists in Westlake, FL

Photo of Dr. Christine Donalds-Rose, PhD, LMFT, Marriage & Family Therapist
Dr. Christine Donalds-Rose
Marriage & Family Therapist, PhD, LMFT
Verified Verified
4 Endorsed
Online Only
You’ve been feeling out of sorts lately, and something is telling you, “Today is the day to talk with someone.” Feelings of anxiety, wearisomeness, confusion, and not knowing what to do seem to overwhelm you. Waves of worry, unsurety, uncertainty. insecurity, fear, and even discontent have crept in. You are burdened, even despaired. At times you feel hopeless, helpless, powerless, continuously hearing the lie that whispers, “There’s no hope!” If only you could see a glimmer of light in the distance, you could rise above these feelings and challenges with renewed strength, a sense of clarity, balance, and optimism.
You’ve been feeling out of sorts lately, and something is telling you, “Today is the day to talk with someone.” Feelings of anxiety, wearisomeness, confusion, and not knowing what to do seem to overwhelm you. Waves of worry, unsurety, uncertainty. insecurity, fear, and even discontent have crept in. You are burdened, even despaired. At times you feel hopeless, helpless, powerless, continuously hearing the lie that whispers, “There’s no hope!” If only you could see a glimmer of light in the distance, you could rise above these feelings and challenges with renewed strength, a sense of clarity, balance, and optimism.
(561) 556-4128 View (561) 556-4128
Photo of Keli R Karbowski - Healing Perspectives Counseling, LLC, LCSW, CAP, Clinical Social Work/Therapist
Healing Perspectives Counseling, LLC
Clinical Social Work/Therapist, LCSW, CAP
Verified Verified
Online Only
Seeking help or guidance shows courage and strength and is the first step towards your journey to healing and recovery. Often we operate in autopilot and don't take the needed time to work on ourselves or explore ways to improve our health and well being. I believe in providing a safe space, working collaboratively with you towards your goals with a non-judgmental and compassionate approach. As we build a therapeutic relationship we can explore feelings, where you may feel stuck, learn healthy coping skills and foster growth and healing.
Seeking help or guidance shows courage and strength and is the first step towards your journey to healing and recovery. Often we operate in autopilot and don't take the needed time to work on ourselves or explore ways to improve our health and well being. I believe in providing a safe space, working collaboratively with you towards your goals with a non-judgmental and compassionate approach. As we build a therapeutic relationship we can explore feelings, where you may feel stuck, learn healthy coping skills and foster growth and healing.
(561) 783-4726 View (561) 783-4726
Photo of Nathan Hudson - Oasis Counseling Center, LMHC
Oasis Counseling Center
Licensed Mental Health Counselor, LMHC
Verified Verified
Serves Area
The mission of Oasis Counseling is to help men, women, and their families heal from the trials and pains of life with life-affirming, spiritual based, counseling and proven therapeutic techniques.
The mission of Oasis Counseling is to help men, women, and their families heal from the trials and pains of life with life-affirming, spiritual based, counseling and proven therapeutic techniques.
(561) 462-8024 View (561) 462-8024
Photo of Marc R Feinberg, CBC, Coach, Pastoral Counselor
Marc R Feinberg
Pastoral Counselor, CBC, Coach
Not Verified Not Verified
Serves Area
Have you ever felt the desire to break free from issues such as sex addiction, pornography, drug and alcohol dependency, anger, abuse, hatred, self-betrayal, or unforgiveness toward yourself or others? Perhaps you have longed to find the right coach or counselor who can guide you towards reclaiming your freedom.
Have you ever felt the desire to break free from issues such as sex addiction, pornography, drug and alcohol dependency, anger, abuse, hatred, self-betrayal, or unforgiveness toward yourself or others? Perhaps you have longed to find the right coach or counselor who can guide you towards reclaiming your freedom.
(561) 293-4381 View (561) 293-4381
Photo of Jacqueline Sabarese - Dr Jackie PLLC, PhD, JD, Psychologist
Dr Jackie PLLC
Psychologist, PhD, JD
Verified Verified
2 Endorsed
Online Only
Tired of feeling anxious, depressed, stressed? Replaying conversations and events in your mind? Not feeling balance in your life? Have you experienced a traumatic event that has you stuck in negative patterns or withdrawn from others? Have you been to other therapists that just "listen" and have not made the progress you were looking for? Let me draw upon my 25 years of clinical experience and help you get back to a balanced, healthy meaningful life! I promise you that I am as real as it gets! We will work together for your success. I am Dr. Jacqueline Sabarese, a licensed Psychologist (and attorney admitted in New York).
Tired of feeling anxious, depressed, stressed? Replaying conversations and events in your mind? Not feeling balance in your life? Have you experienced a traumatic event that has you stuck in negative patterns or withdrawn from others? Have you been to other therapists that just "listen" and have not made the progress you were looking for? Let me draw upon my 25 years of clinical experience and help you get back to a balanced, healthy meaningful life! I promise you that I am as real as it gets! We will work together for your success. I am Dr. Jacqueline Sabarese, a licensed Psychologist (and attorney admitted in New York).
(561) 448-9251 View (561) 448-9251
Photo of Katie Ingram, LMHC, RPT-S, Counselor
Katie Ingram
Counselor, LMHC, RPT-S
Verified Verified
Serves Area
Katie Ingram has worked in the mental health industry since 2007 and provided psychotherapy services in Florida since 2016. In addition to being a Licensed Mental Health Counselor and Qualified Supervisor, Katie is a Registered Play Therapist-Supervisor and uses play therapy with children ages 5+. She is a Guardian ad Litem in the 15th Circuit, Palm Beach County, and a Certified Emergency Responder and Public Safety Clinician. Katie is also certified to conduct Juvenile Competency Evaluations in the State of Florida.
Katie Ingram has worked in the mental health industry since 2007 and provided psychotherapy services in Florida since 2016. In addition to being a Licensed Mental Health Counselor and Qualified Supervisor, Katie is a Registered Play Therapist-Supervisor and uses play therapy with children ages 5+. She is a Guardian ad Litem in the 15th Circuit, Palm Beach County, and a Certified Emergency Responder and Public Safety Clinician. Katie is also certified to conduct Juvenile Competency Evaluations in the State of Florida.
(561) 462-8758 View (561) 462-8758

More Therapists Nearby

Photo of Claudia Saul-Sadler - Claudia Saul-Sadler, LCSW, LCSW, Clinical Social Work/Therapist
Claudia Saul-Sadler, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I am a psychotherapist with over 20 years of clinical practice with individuals, couples, and families. I am fully bilingual Spanish-English. My training in psychology and clinical social work provides me with a broad view and understanding of human behavior. I enjoy my job a great deal and I have the priviledge of being able to practice in both English and Spanish.
I am a psychotherapist with over 20 years of clinical practice with individuals, couples, and families. I am fully bilingual Spanish-English. My training in psychology and clinical social work provides me with a broad view and understanding of human behavior. I enjoy my job a great deal and I have the priviledge of being able to practice in both English and Spanish.
(561) 964-8250 View (561) 964-8250
Photo of Carly Washor, LCSW, CIMHP, MCAP, ICADC, EMDR, Clinical Social Work/Therapist
Carly Washor
Clinical Social Work/Therapist, LCSW, CIMHP, MCAP, ICADC, EMDR
Verified Verified
2 Endorsed
Parkland, FL 33076
Whether you are encountering uncertainty, life transitions, bereavement, a breakup/divorce, changes in health, trauma symptoms, thought, emotional, and/or behavioral matters; there is a way through. Together, we will explore your life's challenges thoroughly and thoughtfully. Engagement with clients is founded on a relationship of integrity, respect, unconditional regard, & empathic presence, which I see as key components to establishing and maintaining a robust therapeutic dynamic.
Whether you are encountering uncertainty, life transitions, bereavement, a breakup/divorce, changes in health, trauma symptoms, thought, emotional, and/or behavioral matters; there is a way through. Together, we will explore your life's challenges thoroughly and thoughtfully. Engagement with clients is founded on a relationship of integrity, respect, unconditional regard, & empathic presence, which I see as key components to establishing and maintaining a robust therapeutic dynamic.
(754) 240-3672 View (754) 240-3672
Photo of Jodi Shir, PhD, Psychologist
Jodi Shir
Psychologist, PhD
Verified Verified
Boca Raton, FL 33487
Dr. Jodi Samuels Shir is a Florida Licensed Psychologist and has over twenty-five years of experience in treating individuals, couples, and families for a variety of mental health issues. Dr. Shir received her Bachelors’s, Master’s, and Doctoral degrees graduating with the distinction of high honors from the University of Florida. She completed her internship at Nova Southeastern University with a specialization in child trauma and family violence. Since 1991, Dr. Shir has developed a focus on the treatment of emotional and behavioral problems of children and adolescents.
Dr. Jodi Samuels Shir is a Florida Licensed Psychologist and has over twenty-five years of experience in treating individuals, couples, and families for a variety of mental health issues. Dr. Shir received her Bachelors’s, Master’s, and Doctoral degrees graduating with the distinction of high honors from the University of Florida. She completed her internship at Nova Southeastern University with a specialization in child trauma and family violence. Since 1991, Dr. Shir has developed a focus on the treatment of emotional and behavioral problems of children and adolescents.
(561) 532-1484 View (561) 532-1484
Photo of Jessica Bonaventura, LMHC, Counselor
Jessica Bonaventura
Counselor, LMHC
Verified Verified
Online Only
Hello! My name is Jessica Bonaventura. I am a Licensed Mental Health Counselor with over 7 years of clinical experience providing therapy for various individuals with addiction, depression, anxiety, bipolar disorder, and borderline personality disorder, among many other mental health diagnoses. I enjoy using a mixture of Cognitive Behavioral Therapy, solution-focused therapy, person-centered therapy, DBT, and a psychoanalytic approach to help clients understand how their past has affected their present. I believe in encouraging my clients to apply their creativity in a less directive-based therapeutic approach.
Hello! My name is Jessica Bonaventura. I am a Licensed Mental Health Counselor with over 7 years of clinical experience providing therapy for various individuals with addiction, depression, anxiety, bipolar disorder, and borderline personality disorder, among many other mental health diagnoses. I enjoy using a mixture of Cognitive Behavioral Therapy, solution-focused therapy, person-centered therapy, DBT, and a psychoanalytic approach to help clients understand how their past has affected their present. I believe in encouraging my clients to apply their creativity in a less directive-based therapeutic approach.
(786) 829-7314 View (786) 829-7314
Photo of Psychodrama Somatic Emdr Therapist Cara Harbaugh, LCSW, Clinical Social Work/Therapist
Psychodrama Somatic Emdr Therapist Cara Harbaugh
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Palm Beach Gardens, FL 33418
Waitlist for new clients
Are struggling to connect with talk therapy? Do you feel disconnected from self or others but don't know what to do? Are you looking to go deeper in therapy? Experiential therapy might be what you’ve been searching for. My clients are looking to connect with themself, others and/or the world. If you are experiencing anxiety, grief, PTSD, a feeling of disconnection, lack of body awareness, stress from hormonal imbalances (PCOS) or just experiencing a sense of wanting more from life or therapy, I am your therapist.
Are struggling to connect with talk therapy? Do you feel disconnected from self or others but don't know what to do? Are you looking to go deeper in therapy? Experiential therapy might be what you’ve been searching for. My clients are looking to connect with themself, others and/or the world. If you are experiencing anxiety, grief, PTSD, a feeling of disconnection, lack of body awareness, stress from hormonal imbalances (PCOS) or just experiencing a sense of wanting more from life or therapy, I am your therapist.
(561) 816-4873 x104 View (561) 816-4873 x104
Photo of Lauren Rothstein - Lauren Rothstein, LCSW, LCSW, Clinical Social Work/Therapist
Lauren Rothstein, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Boca Raton, FL 33431
Are you struggling with anxiety, depression, emotional eating issues, substance abuse/early recovery, self confidence and/or LGBTQIA+ issues? The most basic human need is our desire to be heard and understood. I provide a non-judgmental and empathic space where you can explore your thoughts and feelings and be heard and understood. I actively listen and assist you to raise awareness of conscious, and subconscious processes and how they impact your relationships with yourself and others. I offer the opportunity for you to learn healthy and effective ways to cope with intense feelings, resolve problems, and care for yourself.
Are you struggling with anxiety, depression, emotional eating issues, substance abuse/early recovery, self confidence and/or LGBTQIA+ issues? The most basic human need is our desire to be heard and understood. I provide a non-judgmental and empathic space where you can explore your thoughts and feelings and be heard and understood. I actively listen and assist you to raise awareness of conscious, and subconscious processes and how they impact your relationships with yourself and others. I offer the opportunity for you to learn healthy and effective ways to cope with intense feelings, resolve problems, and care for yourself.
(561) 962-1335 View (561) 962-1335
Photo of Mailyn C Paredes, LCSW, Clinical Social Work/Therapist
Mailyn C Paredes
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I am passionate about solution - focused counseling. I believe in assisting others in identifying realistic therapy goals and helping them embark on interpersonal change. Therapy is an opportunity to gain insight into who we are, learn about our strengths, patterns, develop better coping skills, and ultimately learn ways to improve ourselves in order to achieve a greater potential in our community.
I am passionate about solution - focused counseling. I believe in assisting others in identifying realistic therapy goals and helping them embark on interpersonal change. Therapy is an opportunity to gain insight into who we are, learn about our strengths, patterns, develop better coping skills, and ultimately learn ways to improve ourselves in order to achieve a greater potential in our community.
(561) 821-7185 View (561) 821-7185
Photo of Claudia S. Ferreira, RMHI
Claudia S. Ferreira
Registered Mental Health Counselor Intern, RMHI
Verified Verified
11 Endorsed
Lake Worth, FL 33461
Hablo español! I am dedicated to guiding individuals of all ages – children, adolescents, and adults – on their journey towards healing and well-being. With a strong foundation in evidence-based practices, I offer personalized therapy to address a range of mental health challenges. These may include anxiety, depression, ADHD, self-esteem issues, life transitions and more.
Hablo español! I am dedicated to guiding individuals of all ages – children, adolescents, and adults – on their journey towards healing and well-being. With a strong foundation in evidence-based practices, I offer personalized therapy to address a range of mental health challenges. These may include anxiety, depression, ADHD, self-esteem issues, life transitions and more.
(561) 739-4161 View (561) 739-4161
Photo of Staci Weiner - Apple Psychological, PsyD, Psychologist
Apple Psychological
Psychologist, PsyD
Verified Verified
Boca Raton, FL 33433
Are you wondering if there is a better, easier, happier way to live life? Are you struggling with your child's behavior, academic success, or with parental strategies? Are you looking to discover your own identity and improve your confidence, self-esteem and relationships? If you said 'yes' to any of these questions, you are not alone. You are in the right place. Apple Psychological is a group of caring professionals who together with you, embark on a journey toward discovery, truth, and fulfilment causing you to feel relief, contentment, and ease in your life.
Are you wondering if there is a better, easier, happier way to live life? Are you struggling with your child's behavior, academic success, or with parental strategies? Are you looking to discover your own identity and improve your confidence, self-esteem and relationships? If you said 'yes' to any of these questions, you are not alone. You are in the right place. Apple Psychological is a group of caring professionals who together with you, embark on a journey toward discovery, truth, and fulfilment causing you to feel relief, contentment, and ease in your life.
(516) 344-8948 View (516) 344-8948
Photo of Dr. Christopher Joaquim, EdD, MEd, MS, LMHC, LPCC, Counselor
Dr. Christopher Joaquim
Counselor, EdD, MEd, MS, LMHC, LPCC
Verified Verified
Greenacres, FL 33467
Life can be difficult, full of challenges, and complexity. Are you busy, overwhelmed, and searching for nonjudgmental support? Do you need a space where you can be heard? I offer a safe space where you can be yourself and talk about the most important things impacting your life. I believe in a personalized, client centered approach. I work with individuals, couples, athletes, performing artists, and executives. When you’re ready to invest time into your personal development and emotional health, I’m happy to schedule time to meet and work on a positive path forward.
Life can be difficult, full of challenges, and complexity. Are you busy, overwhelmed, and searching for nonjudgmental support? Do you need a space where you can be heard? I offer a safe space where you can be yourself and talk about the most important things impacting your life. I believe in a personalized, client centered approach. I work with individuals, couples, athletes, performing artists, and executives. When you’re ready to invest time into your personal development and emotional health, I’m happy to schedule time to meet and work on a positive path forward.
(561) 532-1187 View (561) 532-1187
Photo of Dr. Alexis Mercado, LMFT, Marriage & Family Therapist
Dr. Alexis Mercado
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Online Only
Dr. Alexis is a Licensed Marriage and Family Therapist originally from the Bronx, NY. She received her Masters from Long Island University in 2009 and her doctoral degree from Nova Southeastern University in 2019 in Marriage and Family Therapy.
Dr. Alexis is a Licensed Marriage and Family Therapist originally from the Bronx, NY. She received her Masters from Long Island University in 2009 and her doctoral degree from Nova Southeastern University in 2019 in Marriage and Family Therapy.
(561) 559-7108 View (561) 559-7108
Photo of Olivia Savor, BA, MBA, MS, LMHC, Counselor
Olivia Savor
Counselor, BA, MBA, MS, LMHC
Verified Verified
Boca Raton, FL 33487
As a therapist, a mother, and a devoted dog lover, I bring a unique blend of empathy, warmth, and understanding to my practice. With a specialization in trauma, depression, anxiety, and women's issues, I am deeply committed to supporting individuals on their journey towards healing and empowerment. I understand firsthand the challenges that life can present, and I am passionate about providing a safe and nurturing space for my clients to explore their experiences and reclaim their strength.
As a therapist, a mother, and a devoted dog lover, I bring a unique blend of empathy, warmth, and understanding to my practice. With a specialization in trauma, depression, anxiety, and women's issues, I am deeply committed to supporting individuals on their journey towards healing and empowerment. I understand firsthand the challenges that life can present, and I am passionate about providing a safe and nurturing space for my clients to explore their experiences and reclaim their strength.
(561) 782-8624 View (561) 782-8624
Photo of Andrea Cuva - Phoenix Therapeutic Solutions, PhD, SAP, MCAP, Marriage & Family Therapist
Phoenix Therapeutic Solutions
Marriage & Family Therapist, PhD, SAP, MCAP
Verified Verified
2 Endorsed
Boca Raton, FL 33496
Making the decision to start therapy is not always an easy one to make. For many, this decision is often complicated by personal expectations and self-judgement regarding what they “could” have done differently in the past, or what they “should” be able to change (on their own). So, if you’re finding yourself struggling to make a similar decision, you’re not alone! If you don't think you are ready for therapy, don't rush into it!
Making the decision to start therapy is not always an easy one to make. For many, this decision is often complicated by personal expectations and self-judgement regarding what they “could” have done differently in the past, or what they “should” be able to change (on their own). So, if you’re finding yourself struggling to make a similar decision, you’re not alone! If you don't think you are ready for therapy, don't rush into it!
(754) 240-8106 View (754) 240-8106
Photo of Avery May, LMHC, Counselor
Avery May
Counselor, LMHC
Verified Verified
Online Only
My name is Avery May and I am a Licensed Mental Health Counselor in the state of Florida. I am most experienced working with individuals struggling with symptoms of anxiety, symptoms of depression, family conflict and trauma. I primarily work with young adults and adolescents and implement solution-focused, CBT, DBT and EMDR techniques in my counseling sessions. I recall my own experience going through therapy as an adolescent and how awkward it felt to be expected to reveal all of my feelings to a “stranger”. I decided to become a therapist to help others feel safe in a vulnerable setting and comfortable sharing private aspects of
My name is Avery May and I am a Licensed Mental Health Counselor in the state of Florida. I am most experienced working with individuals struggling with symptoms of anxiety, symptoms of depression, family conflict and trauma. I primarily work with young adults and adolescents and implement solution-focused, CBT, DBT and EMDR techniques in my counseling sessions. I recall my own experience going through therapy as an adolescent and how awkward it felt to be expected to reveal all of my feelings to a “stranger”. I decided to become a therapist to help others feel safe in a vulnerable setting and comfortable sharing private aspects of
(904) 664-5583 View (904) 664-5583

See more therapy options for Westlake

How does your Therapist compare?

Number of Therapists in Westlake, FL

< 10

Therapists in Westlake, FL who prioritize treating:

83% Depression
83% Anxiety
67% Relationship Issues
67% Trauma and PTSD
67% Anger Management
67% Women's Issues
50% Addiction

Average years in practice

26 Years

Top 3 insurances accepted

50% Aetna
50% Cigna and Evernorth
50% UnitedHealthcare UHC | UBH

How Therapists in Westlake, FL see their clients

50% In Person and Online
50% Online Only

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Westlake?

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.