Therapists in Southwest Ada, Boise, ID

Photo of Stephanie Meeks, LCSW, MA, Clinical Social Work/Therapist
Stephanie Meeks
Clinical Social Work/Therapist, LCSW, MA
Verified Verified
Southwest Ada, Boise, ID 83709
Hello, My name is Stephanie Meeks. I am a LCSW who works with a diverse patient population to improve mental health. I believe that mental health care is a holistic experience encompassing body, mind, spirit and soul. I am trained in cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), mindfulness, strengths-based therapies and navigating grief and loss.
Hello, My name is Stephanie Meeks. I am a LCSW who works with a diverse patient population to improve mental health. I believe that mental health care is a holistic experience encompassing body, mind, spirit and soul. I am trained in cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), mindfulness, strengths-based therapies and navigating grief and loss.
(208) 904-9445 View (208) 904-9445
Photo of Tonia Vojtkofsky, PsyD, Psychologist
Tonia Vojtkofsky
Psychologist, PsyD
Verified Verified
Southwest Ada, Boise, ID 83709  (Online Only)
I believe there is hope for you, no matter what you are struggling with, or how intense your suffering is. I am dedicated to providing compassionate and evidenced-based treatments that empower people to learn, grow, and heal.
I believe there is hope for you, no matter what you are struggling with, or how intense your suffering is. I am dedicated to providing compassionate and evidenced-based treatments that empower people to learn, grow, and heal.
(208) 953-2449 View (208) 953-2449
Photo of Andrea Pikes, LPC, Licensed Professional Counselor
Andrea Pikes
Licensed Professional Counselor, LPC
Verified Verified
Southwest Ada, Boise, ID 83709
Limited availability for new clients...Take what the game gives you, my dad always said… that is the number one mantra and peace of advice that has resonated with me during the swells and swallows this ocean of life has to offer. And like all humble humans, I believe growth, learning, and love are the foundations for change. I believe if we take what the game of life gives us, and can cope and adapt at whatever is thrown our way, we will have made it to our highest and truest potential.
Limited availability for new clients...Take what the game gives you, my dad always said… that is the number one mantra and peace of advice that has resonated with me during the swells and swallows this ocean of life has to offer. And like all humble humans, I believe growth, learning, and love are the foundations for change. I believe if we take what the game of life gives us, and can cope and adapt at whatever is thrown our way, we will have made it to our highest and truest potential.
(208) 486-5919 View (208) 486-5919
Photo of Carmen C French - Carmen French Counseling LLC, LCPC, MCOUN, NCC
Carmen French Counseling LLC
Licensed Clinical Professional Counselor, LCPC, MCOUN, NCC
Verified Verified
1 Endorsed
Southwest Ada, Boise, ID 83709
Telehealth appointments available. Are you ready to do things differently? Are you ready to overcome depression or anxiety, to heal from past trauma, grief, or to improve your marriage? You may be nervous, scared, frustrated, hurt, or just 'done' doing things the same way. My passion is helping others sort through the messiness of life to find healing and peace. Let me help you discover hidden strengths and use them to bring about healthy changes. I would be honored to help you smooth out the crinkled pages of your life story or even start a new one. My goal is to help you make healing changes because "healing changes everything."
Telehealth appointments available. Are you ready to do things differently? Are you ready to overcome depression or anxiety, to heal from past trauma, grief, or to improve your marriage? You may be nervous, scared, frustrated, hurt, or just 'done' doing things the same way. My passion is helping others sort through the messiness of life to find healing and peace. Let me help you discover hidden strengths and use them to bring about healthy changes. I would be honored to help you smooth out the crinkled pages of your life story or even start a new one. My goal is to help you make healing changes because "healing changes everything."
(208) 907-3606 View (208) 907-3606
Photo of Luke Frantz, Pre-Licensed Professional
Luke Frantz
Pre-Licensed Professional
Verified Verified
1 Endorsed
Southwest Ada, Boise, ID 83709
Accepting new clients. If you're struggling with trauma, anxiety, depression, or feeling overwhelmed by ADHD symptoms, you are not alone. These challenges can deeply affect your self-esteem, relationships, and overall well-being. I am here to help support individuals in healing from complex trauma, anxiety, ADHD, and depression, helping them lead more balanced and fulfilling lives. I have a deep interest in exploring the subconscious mind to uncover one's true strengths, passions, and motivations. My goal is to help you address these issues and find a sense of inner peace and balance.
Accepting new clients. If you're struggling with trauma, anxiety, depression, or feeling overwhelmed by ADHD symptoms, you are not alone. These challenges can deeply affect your self-esteem, relationships, and overall well-being. I am here to help support individuals in healing from complex trauma, anxiety, ADHD, and depression, helping them lead more balanced and fulfilling lives. I have a deep interest in exploring the subconscious mind to uncover one's true strengths, passions, and motivations. My goal is to help you address these issues and find a sense of inner peace and balance.
(208) 897-2495 View (208) 897-2495
Lifepath Counseling and Wellness
Clinical Social Work/Therapist, LCSW, LPC, FNP, LMSW, LCPC
Verified Verified
Southwest Ada, Boise, ID 83709
At Lifepath Counseling & Wellness we provide an array of quality mental health services to individuals, couples, families, adolescents and children. Our multidisciplinary staff provide quality treatment of anxiety disorders, grief and loss, mood disorders, PTSD, behavioral disorders, conduct problems in children and teens; LGBTQ populations, as well as stress management, addictions, and many other mental health issues. These services are provided in a positive, respectful and non-judgemental setting to people of all ages, lifestyles and backgrounds.
At Lifepath Counseling & Wellness we provide an array of quality mental health services to individuals, couples, families, adolescents and children. Our multidisciplinary staff provide quality treatment of anxiety disorders, grief and loss, mood disorders, PTSD, behavioral disorders, conduct problems in children and teens; LGBTQ populations, as well as stress management, addictions, and many other mental health issues. These services are provided in a positive, respectful and non-judgemental setting to people of all ages, lifestyles and backgrounds.
(208) 780-3900 View (208) 780-3900
Photo of Chelsea Lafee, LMSW, Clinical Social Work/Therapist
Chelsea Lafee
Clinical Social Work/Therapist, LMSW
Verified Verified
Southwest Ada, Boise, ID 83709
Hello, I am glad that you're here. My name is Chelsea. I am a Licensed Master Social Worker focusing on anxiety, depression, and addiction . I want to work with you around your mental health goals. I come from a nonjudgemental, empathetic perspective that understands life can be tough sometimes. I will work along side you in the struggling of finding peace and safety. I support diversity and encourage individuality. I believe Self-care and self-compassion, understanding and hope are needed in so many areas of life. What is your hope for change? .
Hello, I am glad that you're here. My name is Chelsea. I am a Licensed Master Social Worker focusing on anxiety, depression, and addiction . I want to work with you around your mental health goals. I come from a nonjudgemental, empathetic perspective that understands life can be tough sometimes. I will work along side you in the struggling of finding peace and safety. I support diversity and encourage individuality. I believe Self-care and self-compassion, understanding and hope are needed in so many areas of life. What is your hope for change? .
(208) 544-4907 View (208) 544-4907
Photo of Kathleen Weathers, MA, LCPC, Counselor
Kathleen Weathers
Counselor, MA, LCPC
Verified Verified
Southwest Ada, Boise, ID 83709
The client that Kathleen works well with is youth (age 7 - teens) with trauma, divorce of parents, placement in foster care, adoption, or residential care, or who are involved in (or at risk) the juvenile justice system. Kathleen enjoys working with a variety of brain health issues - depression, bipolar, PTSD, ADHD, ODD, anxiety, traumatic brain injury, and schizophrenia. Kathleen's focus is youth & family, but she also works with young adults transitioning out of foster care, & women wanting EMDR. Kathleen is trained in Amen Clinic's method, & provides evidence based tools to change your brain and change your life.
The client that Kathleen works well with is youth (age 7 - teens) with trauma, divorce of parents, placement in foster care, adoption, or residential care, or who are involved in (or at risk) the juvenile justice system. Kathleen enjoys working with a variety of brain health issues - depression, bipolar, PTSD, ADHD, ODD, anxiety, traumatic brain injury, and schizophrenia. Kathleen's focus is youth & family, but she also works with young adults transitioning out of foster care, & women wanting EMDR. Kathleen is trained in Amen Clinic's method, & provides evidence based tools to change your brain and change your life.
(208) 603-4739 View (208) 603-4739
Photo of Leah Marie Suddarth, LCPC, Counselor
Leah Marie Suddarth
Counselor, LCPC
Verified Verified
Southwest Ada, Boise, ID 83709
Life is full of unforeseen obstacles and challenges. My role as a therapist is to walk through your journey with you and support you in finding your way. I believe that a strong therapeutic relationship can help individuals reach their full potential. I strive to create a safe, non-judgmental place for you to process your experiences and find healing. I enjoy working with adolescents (13-17) and adults experiencing a variety of presenting concerns including: anxiety, depression, mood disorders, life transitions, stress and difficulty with self esteem.
Life is full of unforeseen obstacles and challenges. My role as a therapist is to walk through your journey with you and support you in finding your way. I believe that a strong therapeutic relationship can help individuals reach their full potential. I strive to create a safe, non-judgmental place for you to process your experiences and find healing. I enjoy working with adolescents (13-17) and adults experiencing a variety of presenting concerns including: anxiety, depression, mood disorders, life transitions, stress and difficulty with self esteem.
(208) 897-2804 View (208) 897-2804
Photo of Meredith Potter, LPC, LCPC
Meredith Potter
Licensed Clinical Professional Counselor, LPC, LCPC
Verified Verified
1 Endorsed
Southwest Ada, Boise, ID 83709
My ideal client is someone navigating anxiety, chronic stress, or significant life transitions. They may be highly sensitive individuals seeking support in managing their emotions and finding balance. Their needs include a safe, compassionate space to explore their challenges and develop coping strategies. They aim to enhance their emotional well-being, achieve financial wellness, and embrace their sensitivity as a strength. Ultimately, they want to feel empowered, grounded, and confident in their ability to navigate life's complexities, fostering a deeper mind-body connection for overall health and fulfillment.
My ideal client is someone navigating anxiety, chronic stress, or significant life transitions. They may be highly sensitive individuals seeking support in managing their emotions and finding balance. Their needs include a safe, compassionate space to explore their challenges and develop coping strategies. They aim to enhance their emotional well-being, achieve financial wellness, and embrace their sensitivity as a strength. Ultimately, they want to feel empowered, grounded, and confident in their ability to navigate life's complexities, fostering a deeper mind-body connection for overall health and fulfillment.
(208) 295-0478 View (208) 295-0478
Photo of Karin E Curtiss, PhD , Psychologist
Karin E Curtiss
Psychologist, PhD
Verified Verified
Southwest Ada, Boise, ID 83709  (Online Only)
My area of expertise lies in individual therapy. This form of one-on-one treatment provides a safe and supportive space for adults to explore personal issues, emotional challenges, and mental health concerns. Through individual therapy, clients can develop healthier thought patterns, coping mechanisms, and problem-solving skills to improve their overall well-being and quality of life.
My area of expertise lies in individual therapy. This form of one-on-one treatment provides a safe and supportive space for adults to explore personal issues, emotional challenges, and mental health concerns. Through individual therapy, clients can develop healthier thought patterns, coping mechanisms, and problem-solving skills to improve their overall well-being and quality of life.
(208) 428-1400 View (208) 428-1400
Photo of Ashley Hocken, Pre-Licensed Professional
Ashley Hocken
Pre-Licensed Professional
Verified Verified
Southwest Ada, Boise, ID 83709
Do you feel as though you are grappling with low self-esteem, persistent anxiety, depression, or occasional suicidal thoughts? Or feel unfulfilled in your current life, struggling to find meaning or satisfaction? If so, despite these challenges, you have a deep-seated desire to overcome these issues and work towards a more balanced, meaningful life. You are motivated to improve your mental health and well-being, but might be unsure how to start or feel overwhelmed by your emotions. Lets work together to achieve a sense of inner peace and fulfillment, and have you reach a life that aligns with your true self and aspirations.
Do you feel as though you are grappling with low self-esteem, persistent anxiety, depression, or occasional suicidal thoughts? Or feel unfulfilled in your current life, struggling to find meaning or satisfaction? If so, despite these challenges, you have a deep-seated desire to overcome these issues and work towards a more balanced, meaningful life. You are motivated to improve your mental health and well-being, but might be unsure how to start or feel overwhelmed by your emotions. Lets work together to achieve a sense of inner peace and fulfillment, and have you reach a life that aligns with your true self and aspirations.
(208) 768-3166 View (208) 768-3166
Photo of Cheryl A Baker, MS, LCPC, RS, Counselor
Cheryl A Baker
Counselor, MS, LCPC, RS
Verified Verified
Southwest Ada, Boise, ID 83709
Sometimes you may feel all alone and that no one understands. Or you may even be unsure as to what is happening inside of yourself, or how to handle what you are experiencing in life.
Sometimes you may feel all alone and that no one understands. Or you may even be unsure as to what is happening inside of yourself, or how to handle what you are experiencing in life.
(208) 225-6098 View (208) 225-6098
Photo of Andrew Geske, LMSW, Clinical Social Work/Therapist
Andrew Geske
Clinical Social Work/Therapist, LMSW
Verified Verified
Southwest Ada, Boise, ID 83709
I am a licensed SocIal Worker with a focus on Individual and Family psychotherapy. My role in therapy is to be a compassionate and nonjudgemental second set of eyes to help examine your relationships with yourself and with others. My training as a social worker and my own life experiences make me conscious of the structural inequalities that shape each of our outer and inner worlds - we all have shared and have unique challenges to navigate, and at times these challenges can overwhelm our ability to show up as our best selves.
I am a licensed SocIal Worker with a focus on Individual and Family psychotherapy. My role in therapy is to be a compassionate and nonjudgemental second set of eyes to help examine your relationships with yourself and with others. My training as a social worker and my own life experiences make me conscious of the structural inequalities that shape each of our outer and inner worlds - we all have shared and have unique challenges to navigate, and at times these challenges can overwhelm our ability to show up as our best selves.
(208) 646-9486 View (208) 646-9486
Photo of Carli Holmes, LCPC , Counselor
Carli Holmes
Counselor, LCPC
Verified Verified
Southwest Ada, Boise, ID 83709
There is no issue too large or small to seek assistance for. I am committed to helping my clients reach their optimal potential in mental, emotional, and social growth. I believe that self-awareness and personal identity are the very heart and core of individuals. My mission is to assist your growth by walking alongside you and providing a non-judgmental, empathetic and safe place to work through any issues, personal development, relationship concerns, and conflict. Together, we can find solutions and develop plans and skills to handle life’s twists and turns.
There is no issue too large or small to seek assistance for. I am committed to helping my clients reach their optimal potential in mental, emotional, and social growth. I believe that self-awareness and personal identity are the very heart and core of individuals. My mission is to assist your growth by walking alongside you and providing a non-judgmental, empathetic and safe place to work through any issues, personal development, relationship concerns, and conflict. Together, we can find solutions and develop plans and skills to handle life’s twists and turns.
(208) 423-1916 View (208) 423-1916
Photo of Tami Marie Morgan, MA, LCPC, Licensed Professional Counselor
Tami Marie Morgan
Licensed Professional Counselor, MA, LCPC
Verified Verified
1 Endorsed
Southwest Ada, Boise, ID 83709
At times we become trapped in repeating negative patterns, unable to achieve our goals. Life feels meaningless, lonely and cold. Clarity and direction needed for the pursuit of happiness is lost in the weight of the day blocking the energy needed for change and growth. Lost in this mindset we fill every space with condemning thoughts and fruitless behaviors. These thought patterns result in no room for healthy, life affirming emotion. Whatever we use to numb from the dark, also numbs out the light.
At times we become trapped in repeating negative patterns, unable to achieve our goals. Life feels meaningless, lonely and cold. Clarity and direction needed for the pursuit of happiness is lost in the weight of the day blocking the energy needed for change and growth. Lost in this mindset we fill every space with condemning thoughts and fruitless behaviors. These thought patterns result in no room for healthy, life affirming emotion. Whatever we use to numb from the dark, also numbs out the light.
(208) 291-1767 View (208) 291-1767
Photo of Dawn Huntington - NewFound Counseling, LPC, Licensed Professional Counselor
NewFound Counseling
Licensed Professional Counselor, LPC
Verified Verified
Southwest Ada, Boise, ID 83709
For God gave us a spirit not of fear but of power and love and self-control. - Timothy 1:7 ESV The therapeutic relationship can offer a source of support and guidance that improves quality of life and overall health and well-being. We work together to determine strengths, identify goals, track symptoms and monitor progress. Learning healthy and effective ways to cope, communicate, and self-care strategies can make a difference in ways you don’t even expect.
For God gave us a spirit not of fear but of power and love and self-control. - Timothy 1:7 ESV The therapeutic relationship can offer a source of support and guidance that improves quality of life and overall health and well-being. We work together to determine strengths, identify goals, track symptoms and monitor progress. Learning healthy and effective ways to cope, communicate, and self-care strategies can make a difference in ways you don’t even expect.
(208) 486-0361 View (208) 486-0361
Photo of Lisa Paternoster, LCPC, Counselor
Lisa Paternoster
Counselor, LCPC
Verified Verified
Southwest Ada, Boise, ID 83709
Is your child anxious, scared, lonely or suffering from a chronic medical condition? Are you an overwhelmed parent? If so, please consider visiting me at Genesis Counseling and Psychological Services. Thinking about counseling can create uncertainty. It's a big step. You may have a lot of questions. I can't promise you won't be nervous when you visit for the first time, but I can promise to answer all your questions and provide a safe, non-judgemental place to grow together.
Is your child anxious, scared, lonely or suffering from a chronic medical condition? Are you an overwhelmed parent? If so, please consider visiting me at Genesis Counseling and Psychological Services. Thinking about counseling can create uncertainty. It's a big step. You may have a lot of questions. I can't promise you won't be nervous when you visit for the first time, but I can promise to answer all your questions and provide a safe, non-judgemental place to grow together.
(208) 874-4728 View (208) 874-4728
Terry E Miller
Counselor, MS, LCPC, EMDR-T
Verified Verified
Southwest Ada, Boise, ID 83709
As a therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While I can't change difficult situations of the past, We can work together to better understand and resolve challenges in your life. Using therapeutic approaches and techniques, we will uncover behavior patterns or negative perceptions that may be keeping you from experiencing a fulfilling and meaningful life. If you're looking for extra support and guidance through a challenging situation or just ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
As a therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While I can't change difficult situations of the past, We can work together to better understand and resolve challenges in your life. Using therapeutic approaches and techniques, we will uncover behavior patterns or negative perceptions that may be keeping you from experiencing a fulfilling and meaningful life. If you're looking for extra support and guidance through a challenging situation or just ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
(208) 261-7409 View (208) 261-7409
Photo of Cassidy Deshazer, MSW, LCSW, Clinical Social Work/Therapist
Cassidy Deshazer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Southwest Ada, Boise, ID 83709
Hello! I'm Cassidy Deshazer, a Licensed Clinical Social Worker rooted in Boise, Idaho. I'm honored to walk alongside you on your journey to a more enriching and fulfilling life. Whether you're navigating the maze of anxiety, striving to overcome depression's weight, unraveling the threads of OCD, or finding your way with ADHD, I'm here to offer my expertise. Therapy is more than just sessions – it's a journey we embark on together. I believe in forging a therapeutic relationship built on trust, empathy, and understanding.
Hello! I'm Cassidy Deshazer, a Licensed Clinical Social Worker rooted in Boise, Idaho. I'm honored to walk alongside you on your journey to a more enriching and fulfilling life. Whether you're navigating the maze of anxiety, striving to overcome depression's weight, unraveling the threads of OCD, or finding your way with ADHD, I'm here to offer my expertise. Therapy is more than just sessions – it's a journey we embark on together. I believe in forging a therapeutic relationship built on trust, empathy, and understanding.
(208) 759-5475 View (208) 759-5475
1

See more therapy options for Southwest Ada, Boise

How does your Therapist compare?

Number of Therapists in Southwest Ada, Boise, ID

100+

Average cost per session

$140

Therapists in Southwest Ada, Boise, ID who prioritize treating:

94% Anxiety
89% Depression
82% Self Esteem
80% Trauma and PTSD
79% Coping Skills
74% Stress
73% Relationship Issues

Average years in practice

11 Years

Top 3 insurances accepted

81% Blue Cross
70% Regence
67% BlueCross and BlueShield

How Therapists in Southwest Ada, Boise, ID see their clients

82% In Person and Online
18% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Southwest Ada, Boise?

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.