Therapists in Laguna Hills, CA

Photo of Sibylle Georgianna, Psychologist in Laguna Hills, CA
Sibylle Georgianna
Psychologist, PhD, PSY, EMDR-C, CSAT-S, CCPS
Verified Verified
Laguna Hills, CA 92653
Waitlist for new clients
Whether you visit face-to-face in the office or in an online consultation with me: there is hope for your/your loved one: Confused or overwhelmed by what you are facing (e.g., relationship distress, dealing with complex physical conditions)? Trying to make sense of what is going on? Affected by betrayal or simply looking for tools to navigate today's complex challenges? I help adults, couples, and adolescents to eliminate problem behaviors or issues related to stress including work, sex, love relationships. I treat sexual pain, internet and pornography addiction, emotional/sexual affairs, trauma, and financial betrayal.
Whether you visit face-to-face in the office or in an online consultation with me: there is hope for your/your loved one: Confused or overwhelmed by what you are facing (e.g., relationship distress, dealing with complex physical conditions)? Trying to make sense of what is going on? Affected by betrayal or simply looking for tools to navigate today's complex challenges? I help adults, couples, and adolescents to eliminate problem behaviors or issues related to stress including work, sex, love relationships. I treat sexual pain, internet and pornography addiction, emotional/sexual affairs, trauma, and financial betrayal.
(562) 203-8846 View (562) 203-8846
Photo of Jill Boultinghouse, Marriage & Family Therapist in Laguna Hills, CA
Jill Boultinghouse
Marriage & Family Therapist, MA, LMFT, EMDR
Verified Verified
1 Endorsed
Laguna Hills, CA 92653
I have over 20 years of experience as a therapist. I truly understand how difficult it can be to ask for help. Many feel uncomfortable & anxious when seeking help from a counselor about such sensitive & personal issues. It takes courage and faith to reach out. I believe together we will find real solutions to your struggles.
I have over 20 years of experience as a therapist. I truly understand how difficult it can be to ask for help. Many feel uncomfortable & anxious when seeking help from a counselor about such sensitive & personal issues. It takes courage and faith to reach out. I believe together we will find real solutions to your struggles.
(949) 258-9739 View (949) 258-9739
Photo of Jay Jameson, Marriage & Family Therapist in Laguna Hills, CA
Jay Jameson
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Laguna Hills, CA 92653
Teen Success is the motto for my practice. I specialize in adolescent/family counseling and parent coaching. I am a clinician with over 14 years of experience in treating struggling adolescents and their families. My goal is to help teens and families get through this often difficult period of life. I also enjoy helping young adults transition towards independence.
Teen Success is the motto for my practice. I specialize in adolescent/family counseling and parent coaching. I am a clinician with over 14 years of experience in treating struggling adolescents and their families. My goal is to help teens and families get through this often difficult period of life. I also enjoy helping young adults transition towards independence.
(949) 313-8961 View (949) 313-8961
Photo of Erin Garriott, Clinical Social Work/Therapist in Laguna Hills, CA
Erin Garriott
Clinical Social Work/Therapist, LCSW
Verified Verified
Laguna Hills, CA 92653  (Online Only)
I have a deep respect for those who enter therapy and trust me with their story. I feel honored to be of support to my clients and help them as they work through issues of anxiety, anger, depression and trauma. I provide a warm, open environment for every client I meet and create a safe space for healing, understanding, and solutions to unfold. I have a common-sense approach that makes the therapy process clear and understandable, and I believe in the inner strengths and wisdom of every individual. If we work together, it will be a partnership and collaboration wherein your goals are our focus.
I have a deep respect for those who enter therapy and trust me with their story. I feel honored to be of support to my clients and help them as they work through issues of anxiety, anger, depression and trauma. I provide a warm, open environment for every client I meet and create a safe space for healing, understanding, and solutions to unfold. I have a common-sense approach that makes the therapy process clear and understandable, and I believe in the inner strengths and wisdom of every individual. If we work together, it will be a partnership and collaboration wherein your goals are our focus.
(949) 391-4262 View (949) 391-4262
Photo of Kevin Mulcahy, Marriage & Family Therapist in Laguna Hills, CA
Kevin Mulcahy
Marriage & Family Therapist, MA, LMFT
Verified Verified
Laguna Hills, CA 92653
I am a Licensed Marriage Family Therapist with over 16 years of experience in treating struggling adolescents, young adults and their families. My goal is to help teens, adults and families get through this often difficult period of life. I specifically focus on working with individuals whose lives have been affected by relationship problems, social issues, anxiety, depression, ADHD, panic disorder, drug issues, school related issues, anger, self esteem, mood disorders, sexual issues, and personal growth.
I am a Licensed Marriage Family Therapist with over 16 years of experience in treating struggling adolescents, young adults and their families. My goal is to help teens, adults and families get through this often difficult period of life. I specifically focus on working with individuals whose lives have been affected by relationship problems, social issues, anxiety, depression, ADHD, panic disorder, drug issues, school related issues, anger, self esteem, mood disorders, sexual issues, and personal growth.
(949) 779-6150 View (949) 779-6150
Photo of Danielle Reddel, Marriage & Family Therapist in Laguna Hills, CA
Danielle Reddel
Marriage & Family Therapist, MS, LMFT
Verified Verified
Laguna Hills, CA 92653
Not accepting new clients
Starting therapy is an important step to taking care of you. Whether you are feeling depressed, anxious, confused about your next step in life, or having relationship problems, talking with a therapist can help provide you with a clearer perspective of challenging situations and relationships. Finding a therapist you can relate to and feel comfortable with is very important for therapy to be successful. That's why I'm available to consult with you by phone or email as you look for a therapist to work with.
Starting therapy is an important step to taking care of you. Whether you are feeling depressed, anxious, confused about your next step in life, or having relationship problems, talking with a therapist can help provide you with a clearer perspective of challenging situations and relationships. Finding a therapist you can relate to and feel comfortable with is very important for therapy to be successful. That's why I'm available to consult with you by phone or email as you look for a therapist to work with.
(949) 536-9233 View (949) 536-9233
Photo of Lindsey Fletcher, Clinical Social Work/Therapist in Laguna Hills, CA
Lindsey Fletcher
Clinical Social Work/Therapist, LCSW
Verified Verified
Laguna Hills, CA 92653
Being REAL, therapy is hard and challenging to face all the pain we try to avoid. Finding a therapist is usually the hardest part! Maybe you're struggling with the pain of loneliness or being controlled by overwhelming fears? Are you watching the relationships in your life and not sure why you feel so disconnected and misunderstood? Maybe you have experienced betrayal and trauma? I want you to feel safe to go deeper, stay in the emotions and gain more self awareness to make decisions in your relationships.
Being REAL, therapy is hard and challenging to face all the pain we try to avoid. Finding a therapist is usually the hardest part! Maybe you're struggling with the pain of loneliness or being controlled by overwhelming fears? Are you watching the relationships in your life and not sure why you feel so disconnected and misunderstood? Maybe you have experienced betrayal and trauma? I want you to feel safe to go deeper, stay in the emotions and gain more self awareness to make decisions in your relationships.
(949) 978-0358 View (949) 978-0358
Photo of Mahsa Hojat, Clinical Social Work/Therapist in Laguna Hills, CA
Mahsa Hojat
Clinical Social Work/Therapist, PhD, LCSW, CCTP
Verified Verified
1 Endorsed
Laguna Hills, CA 92653
My experience includes 12 years of helping people improve and repair their relationships. I also assist with individuals and couples with overcoming anxiety, sadness, fear, isolation, inability to trust or build meaningful relationships. If you are having distresses due to relationships at home, work, with the family or being unable to connect with others, I look forward to the opportunity to be of assistance. Very often, we struggle with sadness, difficulty with life transitions or obstacles in relationships. You are in charge and I will act as a guide, collaborator and help you pursue your dreams.
My experience includes 12 years of helping people improve and repair their relationships. I also assist with individuals and couples with overcoming anxiety, sadness, fear, isolation, inability to trust or build meaningful relationships. If you are having distresses due to relationships at home, work, with the family or being unable to connect with others, I look forward to the opportunity to be of assistance. Very often, we struggle with sadness, difficulty with life transitions or obstacles in relationships. You are in charge and I will act as a guide, collaborator and help you pursue your dreams.
(562) 269-1373 View (562) 269-1373
Photo of Julianne Flora-Tostado, Psychologist in Laguna Hills, CA
Julianne Flora-Tostado
Psychologist, PhD
Verified Verified
Laguna Hills, CA 92653
I enjoy working with clients who want to rekindle their naturally creative, and confident Self. Many professionals, parents, and early-career adults have found that therapy helps them learn skills to address worry, to better balance self-care and to become more present, mindful and effective in their relationships and their work. I offer the understanding and research-guided psychological perspectives that help you bounce back from crisis, career paralysis and loneliness. I am also skilled in Recovery work for Depression, Anxiety, including Social Anxiety and OCD, Caregiving and Cancer crises
I enjoy working with clients who want to rekindle their naturally creative, and confident Self. Many professionals, parents, and early-career adults have found that therapy helps them learn skills to address worry, to better balance self-care and to become more present, mindful and effective in their relationships and their work. I offer the understanding and research-guided psychological perspectives that help you bounce back from crisis, career paralysis and loneliness. I am also skilled in Recovery work for Depression, Anxiety, including Social Anxiety and OCD, Caregiving and Cancer crises
(949) 397-2559 View (949) 397-2559
Photo of Danielle Ball, Marriage & Family Therapist in Laguna Hills, CA
Danielle Ball
Marriage & Family Therapist, MS, LMFT
Verified Verified
Laguna Hills, CA 92653  (Online Only)
If you are reading this you may feel stuck, anxious, frustrated… all of the above. Are you searching for change and a way to get through it all? Change may seem scary and impossible. BUT change is possible. I am here to support you on your journey.
If you are reading this you may feel stuck, anxious, frustrated… all of the above. Are you searching for change and a way to get through it all? Change may seem scary and impossible. BUT change is possible. I am here to support you on your journey.
(949) 806-4688 View (949) 806-4688
Photo of Kriss Murphy, Marriage & Family Therapist in Laguna Hills, CA
Kriss Murphy
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Laguna Hills, CA 92653
Thank you for taking the first step toward change in your life! Challenging habits can be very scary. It is possible you have been practicing these habits for so long you have forgotten where they began. Many people view their symptoms as their identity. My passion is to work with you to empower that part of you that is hoping for more from your life and relationships. Please know you are not alone in this journey. Our job together is to work to identify the core issues driving those symptoms and find healthier ways of living the life you want.
Thank you for taking the first step toward change in your life! Challenging habits can be very scary. It is possible you have been practicing these habits for so long you have forgotten where they began. Many people view their symptoms as their identity. My passion is to work with you to empower that part of you that is hoping for more from your life and relationships. Please know you are not alone in this journey. Our job together is to work to identify the core issues driving those symptoms and find healthier ways of living the life you want.
(949) 565-4609 View (949) 565-4609
Photo of Nancie Kohlenberger, Marriage & Family Therapist in Laguna Hills, CA
Nancie Kohlenberger
Marriage & Family Therapist, LMFT
Verified Verified
Laguna Hills, CA 92653  (Online Only)
Are you looking for a therapist who is passionate about helping you deal effectively with your life and your relationships? Together, we will evaluate where you are and where you want to be. We can work with issues of anxiety, stress, life transitions, and relationship challenges, I collaborate with you on setting reasonable and attainable goals. Hopefully, you will see results pretty quickly so you know you are on the right path. I will be by your side helping you to move gently towards living your best life, gaining confidence with every step you take.
Are you looking for a therapist who is passionate about helping you deal effectively with your life and your relationships? Together, we will evaluate where you are and where you want to be. We can work with issues of anxiety, stress, life transitions, and relationship challenges, I collaborate with you on setting reasonable and attainable goals. Hopefully, you will see results pretty quickly so you know you are on the right path. I will be by your side helping you to move gently towards living your best life, gaining confidence with every step you take.
(949) 518-0499 View (949) 518-0499
Photo of Barbara Colitz, Clinical Social Work/Therapist in Laguna Hills, CA
Barbara Colitz
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Laguna Hills, CA 92653
I have extensive experience serving all ages. .I work with a wide range of emotional and behavioral issues providing services that span from therapy for depression and grief counseling to parenting support,couples counseling and beyond. In a comfortable and supportive atmosphere, I offer a highly personalized approach tailored to each of my clients individual needs to help attain the personal growth they are striving for. Treatment specialization includes Therapy for depression and anxiety;'couples counseling;family counseling; parenting support;counseling to grandparents raising grandchildren;grief counseling;work and career issues;stress management;addiction and recovery;conflict resolution and hypnotherapy.
I have extensive experience serving all ages. .I work with a wide range of emotional and behavioral issues providing services that span from therapy for depression and grief counseling to parenting support,couples counseling and beyond. In a comfortable and supportive atmosphere, I offer a highly personalized approach tailored to each of my clients individual needs to help attain the personal growth they are striving for. Treatment specialization includes Therapy for depression and anxiety;'couples counseling;family counseling; parenting support;counseling to grandparents raising grandchildren;grief counseling;work and career issues;stress management;addiction and recovery;conflict resolution and hypnotherapy.
(949) 565-2563 View (949) 565-2563
Photo of Eric A. Herrera, Marriage & Family Therapist in Laguna Hills, CA
Eric A. Herrera
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Laguna Hills, CA 92653
Do you often ask yourself, is this the best life has to offer? Maybe you’re feeling anxious, depressed, or coping with an addiction. Perhaps you are quick tempered or irritable at work or home. Are you feeling as if you’re losing your teen or are you struggling to connect with your aging parents? Could it be the sense of safety and love you once felt for your partner is no longer there? Or maybe you’re not sure what’s wrong – you’re just sick of feeling tired and empty all the time. I'm Eric. Let us work together to find the answers to these and many other questions that may have caused you to lose hope.
Do you often ask yourself, is this the best life has to offer? Maybe you’re feeling anxious, depressed, or coping with an addiction. Perhaps you are quick tempered or irritable at work or home. Are you feeling as if you’re losing your teen or are you struggling to connect with your aging parents? Could it be the sense of safety and love you once felt for your partner is no longer there? Or maybe you’re not sure what’s wrong – you’re just sick of feeling tired and empty all the time. I'm Eric. Let us work together to find the answers to these and many other questions that may have caused you to lose hope.
(657) 366-5132 View (657) 366-5132
Photo of Carol R. Hughes, Marriage & Family Therapist in Laguna Hills, CA
Carol R. Hughes
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Laguna Hills, CA 92653
Peace, freedom from conflict, is a fundamental human right. "Creating more peace in the world one person, one couple, one family at a time" is my professional mission statement. My goal is to use my clinical skills to assist as many people as possible to heal and empower themselves. I have extensive training in treating trauma, depression, anxiety, post traumatic stress, chemical dependency, eating disorders, and domestic violence. For ten years I served as an associate professor of Human Services at Saddleback College training prospective counselors, therapists and others pursuing professions in human services.
Peace, freedom from conflict, is a fundamental human right. "Creating more peace in the world one person, one couple, one family at a time" is my professional mission statement. My goal is to use my clinical skills to assist as many people as possible to heal and empower themselves. I have extensive training in treating trauma, depression, anxiety, post traumatic stress, chemical dependency, eating disorders, and domestic violence. For ten years I served as an associate professor of Human Services at Saddleback College training prospective counselors, therapists and others pursuing professions in human services.
(949) 558-2603 View (949) 558-2603
Photo of Dr. Justin C. Lutz, Psychologist in Laguna Hills, CA
Dr. Justin C. Lutz
Psychologist, PsyD, MS
Verified Verified
1 Endorsed
Laguna Hills, CA 92653  (Online Only)
I am a firm believer that therapy is a process and starting therapy can be overwhelming and anxiety provoking. From finding a good fit between yourself and a clinician to being open and vulnerable with another person – the prospect is at times a lot to take in and can feel monumental. Regardless of what it is that brings you to therapy, reaching out is the first step and I wanted to congratulate you on the courage it took to take those steps and let you know that things can get better, you can solve that problem and you can reach that goal.
I am a firm believer that therapy is a process and starting therapy can be overwhelming and anxiety provoking. From finding a good fit between yourself and a clinician to being open and vulnerable with another person – the prospect is at times a lot to take in and can feel monumental. Regardless of what it is that brings you to therapy, reaching out is the first step and I wanted to congratulate you on the courage it took to take those steps and let you know that things can get better, you can solve that problem and you can reach that goal.
(949) 828-3050 View (949) 828-3050
Photo of Makena Knapp, Marriage & Family Therapist Associate in Laguna Hills, CA
Makena Knapp
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
Laguna Hills, CA 92653
Know that each of us deserves the space to show up authentically and without judgment, to be truly seen and heard. You are welcome here; you and all the parts that make you uniquely you, including aspects that shine bright and ones hidden away, longing for attention. Two truths that inspire my work are that healing happens together & that you already have innate wisdom for wellbeing.
Know that each of us deserves the space to show up authentically and without judgment, to be truly seen and heard. You are welcome here; you and all the parts that make you uniquely you, including aspects that shine bright and ones hidden away, longing for attention. Two truths that inspire my work are that healing happens together & that you already have innate wisdom for wellbeing.
(949) 203-7678 View (949) 203-7678
Photo of Stacey Berardino, Psychologist in Laguna Hills, CA
Stacey Berardino
Psychologist, PhD
Verified Verified
Laguna Hills, CA 92653
Our office, located in South Orange County, specializes in services related to the clinical and forensic psychology fields. We provide assessment, psychological testing, diagnosis, as well as treatment for a host of issues related to both clinical and forensic psychology. We are dedicated to quick and friendly service in order to meet your needs and get you an appointment as soon as possible.
Our office, located in South Orange County, specializes in services related to the clinical and forensic psychology fields. We provide assessment, psychological testing, diagnosis, as well as treatment for a host of issues related to both clinical and forensic psychology. We are dedicated to quick and friendly service in order to meet your needs and get you an appointment as soon as possible.
(949) 525-9052 View (949) 525-9052
Photo of Rachel Coulter, Marriage & Family Therapist in Laguna Hills, CA
Rachel Coulter
Marriage & Family Therapist, LMFT
Verified Verified
Laguna Hills, CA 92653
Rachel is a therapist for San Diego based mental healthcare provider Fusion Care Group. Fusion Care Group is changing the way people think about and receive mental health service and support. We offer a welcoming and accepting environment where you can feel calm and comfortable while in our care. Our relaxed, modern atmosphere and our amazing, highly trained Psychologists, Psychiatrists and therapists are here for you. Our hope is to provide a place to help our clients achieve their life goals, explore life-circumstances, move through difficult life transitions.
Rachel is a therapist for San Diego based mental healthcare provider Fusion Care Group. Fusion Care Group is changing the way people think about and receive mental health service and support. We offer a welcoming and accepting environment where you can feel calm and comfortable while in our care. Our relaxed, modern atmosphere and our amazing, highly trained Psychologists, Psychiatrists and therapists are here for you. Our hope is to provide a place to help our clients achieve their life goals, explore life-circumstances, move through difficult life transitions.
(949) 806-6330 View (949) 806-6330
Photo of Lyn Truesdell, Psychologist in Laguna Hills, CA
Lyn Truesdell
Psychologist, PsyD
Verified Verified
2 Endorsed
Laguna Hills, CA 92653
Waitlist for new clients
With her ability to establish quick rapport and a sense of calm, Dr.Truesdell gives the immediate sense she truly understands and cares, giving you the confidence to work with the issues you feel challenged with. She specializes in working with older adults and late life issues, anxiety, depression, and grief. She has also done extensive research on the treatment for late-life depression, and works with the knowledge that depression can be treated effectively at any age.
With her ability to establish quick rapport and a sense of calm, Dr.Truesdell gives the immediate sense she truly understands and cares, giving you the confidence to work with the issues you feel challenged with. She specializes in working with older adults and late life issues, anxiety, depression, and grief. She has also done extensive research on the treatment for late-life depression, and works with the knowledge that depression can be treated effectively at any age.
(949) 245-6784 View (949) 245-6784

See more therapy options for Laguna Hills

How does your Therapist compare?

Number of Therapists in Laguna Hills, CA

100+

Average cost per session

$175

Therapists in Laguna Hills, CA who prioritize treating:

96% Anxiety
93% Depression
79% Relationship Issues
76% Trauma and PTSD
75% Self Esteem
69% Coping Skills
67% Stress

Average years in practice

13 Years

Top 3 insurances accepted

65% Aetna
62% Cigna and Evernorth
39% MHN | Health Net

How Therapists in Laguna Hills, CA see their clients

79% In Person and Online
21% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Laguna Hills?

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.