Therapists in Sunny Valley, OR

Photo of Rivkah Barmore, MA, LMFT, Marriage & Family Therapist
Rivkah Barmore
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sunny Valley, OR 97497
I believe that within each individual is the possibility for an optimum life complete with health, balance and well-being. I utilize a varied approach with a strong influence from cognitive-behavioral influences. Imagine a life free from trauma, anxiety, guilt and worry. Imagine a life of emotional freedom. It can be yours. My services are designed to assist you gain mastery over depression, anxiety, stress and doubt through learning how to listen to your inner wisdom and tap into your inner strengths.
I believe that within each individual is the possibility for an optimum life complete with health, balance and well-being. I utilize a varied approach with a strong influence from cognitive-behavioral influences. Imagine a life free from trauma, anxiety, guilt and worry. Imagine a life of emotional freedom. It can be yours. My services are designed to assist you gain mastery over depression, anxiety, stress and doubt through learning how to listen to your inner wisdom and tap into your inner strengths.
(541) 255-4776 View (541) 255-4776

More Therapists Nearby

Photo of Michael Stattel, MA, LPC, Licensed Professional Counselor
Michael Stattel
Licensed Professional Counselor, MA, LPC
Verified Verified
Grants Pass, OR 97526
I provide a mind-body centered approach to mental health. Mind-body work restores joy, vitality, physical well being and intimacy with others by freeing up emotional blocks in a safe and supportive manner. Grief, depression, anxiety, stress, and couples conflict are also addressed. This approach is especially effective in releasing psychological traumas which underly physical symptoms. I have over twenty-five years of experience helping individuals, couples and teens to achieve healing. My background of study includes extensive work with many of the most highly regarded leaders in the field of mind-body psychology.
I provide a mind-body centered approach to mental health. Mind-body work restores joy, vitality, physical well being and intimacy with others by freeing up emotional blocks in a safe and supportive manner. Grief, depression, anxiety, stress, and couples conflict are also addressed. This approach is especially effective in releasing psychological traumas which underly physical symptoms. I have over twenty-five years of experience helping individuals, couples and teens to achieve healing. My background of study includes extensive work with many of the most highly regarded leaders in the field of mind-body psychology.
(541) 205-4354 View (541) 205-4354
Photo of Jessica Menke, CSWA, QMHP, CADC-I
Jessica Menke
Clinical Social Work Associate, CSWA, QMHP, CADC-I
Verified Verified
Online Only
Struggling with addiction, PTSD, trauma, or relationship challenges? Compassionate support is offered with empathy and empowerment for individuals, including men navigating complex issues such as emotional expression, identity, and societal expectations. Specialization includes working with the LGBTQIA2S+ community and formerly incarcerated individuals, providing a safe, non-judgmental space for healing. Focusing on personal growth, life transitions, and resilience, clients are supported in overcoming past difficulties and creating a healthier, more fulfilling life.
Struggling with addiction, PTSD, trauma, or relationship challenges? Compassionate support is offered with empathy and empowerment for individuals, including men navigating complex issues such as emotional expression, identity, and societal expectations. Specialization includes working with the LGBTQIA2S+ community and formerly incarcerated individuals, providing a safe, non-judgmental space for healing. Focusing on personal growth, life transitions, and resilience, clients are supported in overcoming past difficulties and creating a healthier, more fulfilling life.
(541) 920-5797 View (541) 920-5797
Photo of Sara Connell, MA, LPC, Licensed Professional Counselor
Sara Connell
Licensed Professional Counselor, MA, LPC
Verified Verified
Grants Pass, OR 97526
If you are feeling lost, powerless, or simply overwhelmed, I want to help you carve out a safe space where you can come and reflect on what is important to you and the person you want to be. Together, we can work on the tools, mindsets, and daily acts of care for yourself that foster a stronger sense of trust in yourself and ultimately a stronger sense of resilience. I am deeply inspired by our younger generations and their commitment to equity, authenticity, and self-determination. I work with youth ages 6-24 and - I love my job! Also please note that I conduct ADHD evaluations for youth ages 6-24 if you need that support as well!
If you are feeling lost, powerless, or simply overwhelmed, I want to help you carve out a safe space where you can come and reflect on what is important to you and the person you want to be. Together, we can work on the tools, mindsets, and daily acts of care for yourself that foster a stronger sense of trust in yourself and ultimately a stronger sense of resilience. I am deeply inspired by our younger generations and their commitment to equity, authenticity, and self-determination. I work with youth ages 6-24 and - I love my job! Also please note that I conduct ADHD evaluations for youth ages 6-24 if you need that support as well!
(458) 236-3341 View (458) 236-3341
Photo of Dan Way Harper, MA, PhD, QMHP
Dan Way Harper
MA, PhD, QMHP
Verified Verified
Grants Pass, OR 97527
I help with life issues and personal growth. I provide Psychological Life Coaching based on Acceptance and Commitment Therapy (ACT) ACT is an evidenced based, usually brief form of therapy which focuses on the inherent strengths you already have. I offer a very reasonable sliding scale fee schedule and weekday, evening and weekend appointments are available. I am dedicated to providing high quality therapy for any one who wants it. THERE WILL BE A LIMITED NUMBER OF OPENINGS FOR THE NEW YEAR. Emails are the preferred method of initial contact. All inquiries will be answered.
I help with life issues and personal growth. I provide Psychological Life Coaching based on Acceptance and Commitment Therapy (ACT) ACT is an evidenced based, usually brief form of therapy which focuses on the inherent strengths you already have. I offer a very reasonable sliding scale fee schedule and weekday, evening and weekend appointments are available. I am dedicated to providing high quality therapy for any one who wants it. THERE WILL BE A LIMITED NUMBER OF OPENINGS FOR THE NEW YEAR. Emails are the preferred method of initial contact. All inquiries will be answered.
(541) 319-7694 View (541) 319-7694
Photo of Tabitha Michelle, LCSW, Clinical Social Work/Therapist
Tabitha Michelle
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Grants Pass, OR 97526
Do you feel disconnected & detached? Are you struggling to find peace & security with yourself or in your relationships? Our minds & bodies are interdependent- so reliant on one another that they often try to protect themselves by splitting apart or shutting down. It can be so tempting to numb ourselves to pain, loss, or stress to try to minimize their impact. Inevitably, we numb the good along with the bad. This mind-body disconnection tends to reveal itself most during major life transitions & often coincides with trauma, eating disorders, anxiety or depression. You may be in the midst of one (or several) of the above.
Do you feel disconnected & detached? Are you struggling to find peace & security with yourself or in your relationships? Our minds & bodies are interdependent- so reliant on one another that they often try to protect themselves by splitting apart or shutting down. It can be so tempting to numb ourselves to pain, loss, or stress to try to minimize their impact. Inevitably, we numb the good along with the bad. This mind-body disconnection tends to reveal itself most during major life transitions & often coincides with trauma, eating disorders, anxiety or depression. You may be in the midst of one (or several) of the above.
(541) 906-8221 View (541) 906-8221
Photo of Robert L. Nutting, MSW, LCSW, LMT, Clinical Social Work/Therapist
Robert L. Nutting
Clinical Social Work/Therapist, MSW, LCSW, LMT
Verified Verified
Serves Area
Thanks for your time. I provide support for clients while holding the belief that we experience life in the context of mental, physical, emotional, spiritual and social dimensions that are inseparable; those aspects that makes someone a whole person; the people we are, the product of our personal and social interactions and contributions to them; that which makes you, and that which makes me—we; that we are equal, interconnected and are more alike than different. I think about healthcare from an integrative approach; that historical, contemporary and complimentary/alternative forms of medicine are not mutually exclusive.
Thanks for your time. I provide support for clients while holding the belief that we experience life in the context of mental, physical, emotional, spiritual and social dimensions that are inseparable; those aspects that makes someone a whole person; the people we are, the product of our personal and social interactions and contributions to them; that which makes you, and that which makes me—we; that we are equal, interconnected and are more alike than different. I think about healthcare from an integrative approach; that historical, contemporary and complimentary/alternative forms of medicine are not mutually exclusive.
(458) 203-5011 View (458) 203-5011
Photo of Grenda David, MBA, MA, LMFT, Marriage & Family Therapist
Grenda David
Marriage & Family Therapist, MBA, MA, LMFT
Verified Verified
1 Endorsed
Serves Area
It is truly possible to live a happy, balanced and serene life, and to be your authentic self in the process. Addictions, anxiety and depression don't have to be your norm nor the secrets you keep. You don't have to fake it to make it, nor do you have to suffer isolated and alone. I help individuals, couples and families sort things out and get on with living. Call today and let's talk about the changes you are seeking and how I can help.
It is truly possible to live a happy, balanced and serene life, and to be your authentic self in the process. Addictions, anxiety and depression don't have to be your norm nor the secrets you keep. You don't have to fake it to make it, nor do you have to suffer isolated and alone. I help individuals, couples and families sort things out and get on with living. Call today and let's talk about the changes you are seeking and how I can help.
(805) 439-6693 View (805) 439-6693
Photo of Janet Pinneau, MS, MA, LMFT, Marriage & Family Therapist
Janet Pinneau
Marriage & Family Therapist, MS, MA, LMFT
Verified Verified
1 Endorsed
Grants Pass, OR 97527
Trauma and anxiety do not have to stay with you forever. You are off balance, and it is a struggle to get back into your life's routine. Daily affirmations are not enough. Give voice to your story in a safe and comfortable setting and take steps to eliminate your anxiety, rage and heartache. Utilizing a whole-body approach to treatment we will minimize disruptive blocks & triggers and develop internal and external strategies to help you find freedom from fear and regain your self trust. I don't accept insurance, but check with your insurance and see it they will reimburse you from a SuperBill that I can provide to you.
Trauma and anxiety do not have to stay with you forever. You are off balance, and it is a struggle to get back into your life's routine. Daily affirmations are not enough. Give voice to your story in a safe and comfortable setting and take steps to eliminate your anxiety, rage and heartache. Utilizing a whole-body approach to treatment we will minimize disruptive blocks & triggers and develop internal and external strategies to help you find freedom from fear and regain your self trust. I don't accept insurance, but check with your insurance and see it they will reimburse you from a SuperBill that I can provide to you.
(818) 946-0646 View (818) 946-0646
Photo of Eva Albert - Eva Albert - Gemini Counseling Services LLC, MSW, LCSW, Clinical Social Work/Therapist
Eva Albert - Gemini Counseling Services LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Serves Area
Eva’s aim is that you’ll gain a sense of self, as you process & cultivate strategies to counteract distressing situations & emotions during your sessions. She’ll aid you in setting and attaining your therapeutic goals. She has experience working with individuals who struggle with trauma, substance use, anxiety, and depression, just to name a few. Eva offers both in-person & virtual sessions. She utilizes a strength-based perspective, with a person-centered approach. She is Internal Family Systems (IFS) informed which focuses on parts.
Eva’s aim is that you’ll gain a sense of self, as you process & cultivate strategies to counteract distressing situations & emotions during your sessions. She’ll aid you in setting and attaining your therapeutic goals. She has experience working with individuals who struggle with trauma, substance use, anxiety, and depression, just to name a few. Eva offers both in-person & virtual sessions. She utilizes a strength-based perspective, with a person-centered approach. She is Internal Family Systems (IFS) informed which focuses on parts.
(541) 236-9868 View (541) 236-9868
Photo of Alan Ledford, PhD, Psychologist
Alan Ledford
Psychologist, PhD
Verified Verified
Central Point, OR 97502
Not accepting new clients
I provide mental and behavioral health care for individuals and families across the lifespan from all ethnic, cultural and financial backgrounds; consultation, training, and supervision, and psychological assessment and testing.
I provide mental and behavioral health care for individuals and families across the lifespan from all ethnic, cultural and financial backgrounds; consultation, training, and supervision, and psychological assessment and testing.
(541) 499-0344 View (541) 499-0344
Photo of Tamara M Ulrey - Eye to Eye Counseling and Therapy LLC, LCSW, Clinical Social Work/Therapist
Eye to Eye Counseling and Therapy LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Grants Pass, OR 97526
Taking new patients
Taking new patients
(541) 248-6158 View (541) 248-6158
Photo of Maribel Aheran - Neupathway (Maribel Aheran), EdD, LPC, LMHC, Licensed Professional Counselor
Neupathway (Maribel Aheran)
Licensed Professional Counselor, EdD, LPC, LMHC
Verified Verified
Grants Pass, OR 97527
Accepting New Patients, same week availability................................... Maribel Aheran Ed.D, LMHC-QS, NCC, MCAP is a bilingual (English & Spanish) licensed clinical mental health counselor with over 12 years of experience treating children, adolescents, college students, and adults. She completed a bachelor's degree in education from Caribbean University, a master's degree in English for speakers of other languages from Turabo University, a master's degree in Counseling and Psychology from Troy University, and a doctorate degree in education from Edgewood College.
Accepting New Patients, same week availability................................... Maribel Aheran Ed.D, LMHC-QS, NCC, MCAP is a bilingual (English & Spanish) licensed clinical mental health counselor with over 12 years of experience treating children, adolescents, college students, and adults. She completed a bachelor's degree in education from Caribbean University, a master's degree in English for speakers of other languages from Turabo University, a master's degree in Counseling and Psychology from Troy University, and a doctorate degree in education from Edgewood College.
(541) 348-6750 View (541) 348-6750
Photo of Jennifer Andrews, LPC, Licensed Professional Counselor
Jennifer Andrews
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Grants Pass, OR 97526
Healing is available to you. Deep down, we all have the power to heal. Starting therapy takes courage, and it's not always easy to stick with it. But the changes it can bring to your life are huge. In our work together I strive to invite you to discover things about yourself you never knew, find parts of yourself you thought were lost, and learn how to bounce back stronger when life gets tough. I'm here to walk with you through this journey, gently helping you tap into your own inner wisdom where healing, growth, and a new you are waiting.
Healing is available to you. Deep down, we all have the power to heal. Starting therapy takes courage, and it's not always easy to stick with it. But the changes it can bring to your life are huge. In our work together I strive to invite you to discover things about yourself you never knew, find parts of yourself you thought were lost, and learn how to bounce back stronger when life gets tough. I'm here to walk with you through this journey, gently helping you tap into your own inner wisdom where healing, growth, and a new you are waiting.
(541) 329-3330 View (541) 329-3330
Photo of Jessica Griego, CWSA
Jessica Griego
Clinical Social Work Associate, CWSA
Verified Verified
1 Endorsed
Online Only
I believe that healing begins with feeling heard and understood in a safe, non-judgmental space. As a therapist, my mission is to support you in overcoming challenges related to anxiety, PTSD, depression, and trauma, helping you build the skills and resilience to move forward with confidence. As a Veteran with 15 years of service in the Army National Guard, I bring a deep understanding of resilience and the challenges that come with navigating trauma and anxiety.
I believe that healing begins with feeling heard and understood in a safe, non-judgmental space. As a therapist, my mission is to support you in overcoming challenges related to anxiety, PTSD, depression, and trauma, helping you build the skills and resilience to move forward with confidence. As a Veteran with 15 years of service in the Army National Guard, I bring a deep understanding of resilience and the challenges that come with navigating trauma and anxiety.
(541) 348-6154 View (541) 348-6154
Photo of Holly Anthony, MEd, Pre-Licensed Professional
Holly Anthony
Pre-Licensed Professional, MEd
Verified Verified
Grants Pass, OR 97526
Hey Gen Z! I want to help you find your voice and empower you to be the best you can be. I draw heavily from Rogerian (person-centered) therapy, with the belief that clients deserve unconditional positive regard and empathy no matter what they bring into therapy. I also draw from cognitive behavioral therapy, and I use art and play therapy as well. I find passion in working with clients who have experienced trauma and want to find the tools to find their own voice and break out of negative cycles that have impacted their families. I wholeheartedly believe that everyone is a work in progress, and I would love to get to know you!
Hey Gen Z! I want to help you find your voice and empower you to be the best you can be. I draw heavily from Rogerian (person-centered) therapy, with the belief that clients deserve unconditional positive regard and empathy no matter what they bring into therapy. I also draw from cognitive behavioral therapy, and I use art and play therapy as well. I find passion in working with clients who have experienced trauma and want to find the tools to find their own voice and break out of negative cycles that have impacted their families. I wholeheartedly believe that everyone is a work in progress, and I would love to get to know you!
(458) 224-8586 View (458) 224-8586
Photo of Brandon R. Edgar, MA, LPC, LCPC, Licensed Professional Counselor
Brandon R. Edgar
Licensed Professional Counselor, MA, LPC, LCPC
Verified Verified
Serves Area
Are you feeling "stuck" or "shut down"? Perhaps you're feeling like you are on a never-ending "hamster wheel" and are having trouble making sense or finding purpose in your life. Maybe anxiety or depression are preventing you from engaging with yourself and the world in the way that you would like - more connected, more open and less "closed off." I can offer a safe space for you to process these and more life issues you are facing, freeing you from the burden of bearing them alone and perhaps learning new strategies to cope with life's stresses. Normally you're pretty good at overcoming obstacles but are finding it challenging.
Are you feeling "stuck" or "shut down"? Perhaps you're feeling like you are on a never-ending "hamster wheel" and are having trouble making sense or finding purpose in your life. Maybe anxiety or depression are preventing you from engaging with yourself and the world in the way that you would like - more connected, more open and less "closed off." I can offer a safe space for you to process these and more life issues you are facing, freeing you from the burden of bearing them alone and perhaps learning new strategies to cope with life's stresses. Normally you're pretty good at overcoming obstacles but are finding it challenging.
(458) 204-0648 View (458) 204-0648
Photo of Tony Arthur Haro - Tony A. Haro, M.A., L.P.C., MA, LPC, Licensed Professional Counselor
Tony A. Haro, M.A., L.P.C.
Licensed Professional Counselor, MA, LPC
Verified Verified
Grants Pass, OR 97526
I believe that the first step to healing and growth is in our admission that we need help. Asking for help is not always easy when trust may have been violated or when society tells us to be strong and hold it together when the storms of life occur. When this happens, we tend to feel alone in our emotional pain and suffering, thinking and believing that no one understands what we are going through. We all need a safe place to uncoil, work through our difficulties and feel good about ourselves and our relationships with others.
I believe that the first step to healing and growth is in our admission that we need help. Asking for help is not always easy when trust may have been violated or when society tells us to be strong and hold it together when the storms of life occur. When this happens, we tend to feel alone in our emotional pain and suffering, thinking and believing that no one understands what we are going through. We all need a safe place to uncoil, work through our difficulties and feel good about ourselves and our relationships with others.
(541) 291-4983 View (541) 291-4983
Photo of Heather Jenard, LCSW, Clinical Social Work/Therapist
Heather Jenard
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Online Only
Are you feeling disconnected from yourself or struggling to prioritize your needs? Many people experience anxiety and uncertainty in their relationships and careers, leading to a sense that life could be more fulfilling. Taking the step to seek help is a brave choice, and I’m here to support you on that journey.
Are you feeling disconnected from yourself or struggling to prioritize your needs? Many people experience anxiety and uncertainty in their relationships and careers, leading to a sense that life could be more fulfilling. Taking the step to seek help is a brave choice, and I’m here to support you on that journey.
(541) 366-6538 View (541) 366-6538
Photo of Mizuna Allman, LPC, Licensed Professional Counselor
Mizuna Allman
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Serves Area
Not accepting new clients
Welcome to psychotherapy, a process of deepening self-awareness and working towards inner growth. I believe that every person strives to become who they truly are to achieve peace and happiness within ourselves. However, life throws us curveballs, and we face many challenges throughout our lives. Psychotherapy can be helpful to be able to manage those challenges as effectively as possible. The process of therapy can also bring deep awareness for ourselves, making it possible to break unhealthy patterns, regulate emotions, or learning appropriate coping strategies.
Welcome to psychotherapy, a process of deepening self-awareness and working towards inner growth. I believe that every person strives to become who they truly are to achieve peace and happiness within ourselves. However, life throws us curveballs, and we face many challenges throughout our lives. Psychotherapy can be helpful to be able to manage those challenges as effectively as possible. The process of therapy can also bring deep awareness for ourselves, making it possible to break unhealthy patterns, regulate emotions, or learning appropriate coping strategies.
(458) 241-5228 View (458) 241-5228

How does your Therapist compare?

Number of Therapists in Sunny Valley, OR

< 10

Therapists in Sunny Valley, OR who prioritize treating:

100% Anxiety
100% Addiction
100% Child
100% ADHD
100% Chronic Pain
100% Domestic Abuse
100% Obsessive-Compulsive (OCD)

Average years in practice

27 Years

How Therapists in Sunny Valley, OR see their clients

100% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Sunny Valley?

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.