Therapists in King County, WA

View cities in King County
Photo of Moriah Leigh Faimalie, Clinical Social Work/Therapist in King County, WA
Moriah Leigh Faimalie
Clinical Social Work/Therapist, LICSW, MHP, MSW
Verified Verified
Issaquah, WA 98027  (Online Only)
You Matter. You are not broken. You may be struggling with past or present trauma, abuse, religious trauma, failures, depression, anxiety, panic attacks, life transitions, or toxic family relationships – but this does not equate to brokenness. My approach to therapy is specific to who you are and what you need at this point in time. I love the work that I do and I am looking forward to helping you find your way to peace and comfort.
You Matter. You are not broken. You may be struggling with past or present trauma, abuse, religious trauma, failures, depression, anxiety, panic attacks, life transitions, or toxic family relationships – but this does not equate to brokenness. My approach to therapy is specific to who you are and what you need at this point in time. I love the work that I do and I am looking forward to helping you find your way to peace and comfort.
(425) 657-3047 View (425) 657-3047
Photo of Erin Menser , Counselor in King County, WA
Erin Menser
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98103  (Online Only)
I believe that everyone has the capacity for growth or change, whether it's easily identifiable or not. Sometimes this change occurs in tiny steps and sometimes it occurs in leaps and bounds. Other times it is difficult to even recognize that growth or change is possible and we may feel stuck, down, scared, confused, or frustrated. Together we will explore what growth or change may look like for you and how it can happen.
I believe that everyone has the capacity for growth or change, whether it's easily identifiable or not. Sometimes this change occurs in tiny steps and sometimes it occurs in leaps and bounds. Other times it is difficult to even recognize that growth or change is possible and we may feel stuck, down, scared, confused, or frustrated. Together we will explore what growth or change may look like for you and how it can happen.
(425) 292-2249 View (425) 292-2249
Photo of Joey Pickering, Counselor in King County, WA
Joey Pickering
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98108  (Online Only)
I love supporting folks through significant life changes! Successfully managing a the move from high school to college. Opening up a relationship or closing one that needs reassessing. Gender identity discovery and navigating the emotional and medical component for transition. Making a career change that involves taking a risk for better well being. I also offer Coaching services to those wanting to explore creative outlets (art, writing, performance, etc. ) for personal enrichment or income potential. This also applies to someone already working in a Creative field that wants to bring joy back into their work.
I love supporting folks through significant life changes! Successfully managing a the move from high school to college. Opening up a relationship or closing one that needs reassessing. Gender identity discovery and navigating the emotional and medical component for transition. Making a career change that involves taking a risk for better well being. I also offer Coaching services to those wanting to explore creative outlets (art, writing, performance, etc. ) for personal enrichment or income potential. This also applies to someone already working in a Creative field that wants to bring joy back into their work.
(206) 487-1729 View (206) 487-1729
Photo of Kristin Hope, Counselor in King County, WA
Kristin Hope
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98133  (Online Only)
People who work with me are often questioning whether their eating/body image issues are "bad" enough to get help. They struggle with wanting to know the right thing to do with food and exercise. They often feel guilty for caring so much about their weight and what they eat, but they don't know how to change their thoughts and behaviors. They are intrigued by the idea of eating intuitively, but are terrified of exploring it. They just want to feel comfortable in their own skin for once, and to not have to worry about food or weight.
People who work with me are often questioning whether their eating/body image issues are "bad" enough to get help. They struggle with wanting to know the right thing to do with food and exercise. They often feel guilty for caring so much about their weight and what they eat, but they don't know how to change their thoughts and behaviors. They are intrigued by the idea of eating intuitively, but are terrified of exploring it. They just want to feel comfortable in their own skin for once, and to not have to worry about food or weight.
(206) 208-2353 View (206) 208-2353
Photo of Kristen Thorsen, Counselor in King County, WA
Kristen Thorsen
Counselor, LMHCA, MEd
Verified Verified
Bellevue, WA 98005
Are you struggling with anxiety, depression, or are you having difficulty in your relationship? I am a firm believer that everyone can benefit from counseling at one point or another. I aim to create a safe environment, where my clients can feel heard and respected as we work together to identify your personal values and move towards a life that reflects those values. When working with couples, my goal is to help resolve painful conflicts and help you and your partner to build a rich and meaningful relationship, with increased intimacy, connection, and understanding.
Are you struggling with anxiety, depression, or are you having difficulty in your relationship? I am a firm believer that everyone can benefit from counseling at one point or another. I aim to create a safe environment, where my clients can feel heard and respected as we work together to identify your personal values and move towards a life that reflects those values. When working with couples, my goal is to help resolve painful conflicts and help you and your partner to build a rich and meaningful relationship, with increased intimacy, connection, and understanding.
(425) 906-3128 View (425) 906-3128
Photo of Pen Mims, Counselor in King County, WA
Pen Mims
Counselor, LMHC, LPC, MA
Verified Verified
1 Endorsed
Seattle, WA 98102  (Online Only)
I believe in the transformative power of expressing who you are and how you truly feel. My intention is to create a warm, relaxed, judgment-free space that gives you the freedom to just be yourself and feel your feelings. My style as a therapist is open-minded, collaborative, and flexible. I prioritize getting to know you and what’s important to you in order to build a secure foundation for our work together. Within the safety of the therapeutic relationship we will work together to make sense of your experiences and build confidence to move forward in your life the way you want to.
I believe in the transformative power of expressing who you are and how you truly feel. My intention is to create a warm, relaxed, judgment-free space that gives you the freedom to just be yourself and feel your feelings. My style as a therapist is open-minded, collaborative, and flexible. I prioritize getting to know you and what’s important to you in order to build a secure foundation for our work together. Within the safety of the therapeutic relationship we will work together to make sense of your experiences and build confidence to move forward in your life the way you want to.
(206) 741-0841 View (206) 741-0841
Photo of Emma B Sander, Counselor in King County, WA
Emma B Sander
Counselor, LMHCA
Verified Verified
Seattle, WA 98104  (Online Only)
Do you feel overstimulated by others' energy throughout your day or week? You may have noticed that you have a stronger emotional response than those close to you (both positive & negative). Or maybe, you find yourself so focused on your responsibilities that you struggle to enjoy the journey. We often find ourselves isolating or masking just to cope with impossible feelings. Through counseling, you can face these challenges and decrease the stress, anxiety, and even relationship bumps that you might be experiencing.
Do you feel overstimulated by others' energy throughout your day or week? You may have noticed that you have a stronger emotional response than those close to you (both positive & negative). Or maybe, you find yourself so focused on your responsibilities that you struggle to enjoy the journey. We often find ourselves isolating or masking just to cope with impossible feelings. Through counseling, you can face these challenges and decrease the stress, anxiety, and even relationship bumps that you might be experiencing.
(206) 278-2930 View (206) 278-2930
Photo of Unified Counseling, Counselor in King County, WA
Unified Counseling
Counselor
Verified Verified
1 Endorsed
Duvall, WA 98019
It is our mission to provide mental health counseling that is evidence-based and collaborative. No matter the challenge or problem, we will work with you to find tools, techniques and skills that work for you and your lifestyle. Together we can find a solution.
It is our mission to provide mental health counseling that is evidence-based and collaborative. No matter the challenge or problem, we will work with you to find tools, techniques and skills that work for you and your lifestyle. Together we can find a solution.
(425) 981-5336 View (425) 981-5336
Photo of Diane Dempcy, Counselor in King County, WA
Diane Dempcy
Counselor, MA, LMHC, MPH
Verified Verified
1 Endorsed
Bellevue, WA 98005
You never feel good enough and the voice in your head is quick to remind you of all the ways you are falling short. You've spent the last months or years trying to keep everything together, but it’s exhausting and you don’t think you can do it anymore. Most days you feel so anxious you can barely breathe or you can’t stop crying. Friends reach out but you would rather pull the covers over your head and numb out to social media, food, alcohol or other things you know are not healthy for you. You can’t motivate yourself to do the things you really want to do. “What’s wrong with me” is a thought that goes everywhere with you.
You never feel good enough and the voice in your head is quick to remind you of all the ways you are falling short. You've spent the last months or years trying to keep everything together, but it’s exhausting and you don’t think you can do it anymore. Most days you feel so anxious you can barely breathe or you can’t stop crying. Friends reach out but you would rather pull the covers over your head and numb out to social media, food, alcohol or other things you know are not healthy for you. You can’t motivate yourself to do the things you really want to do. “What’s wrong with me” is a thought that goes everywhere with you.
(425) 307-4582 View (425) 307-4582
Photo of Michael Yu, Mental Health Counselor in King County, WA
Michael Yu
Mental Health Counselor, MS, LMHC, CMHS, EMMHS, CIMC
Verified Verified
11 Endorsed
Renton, WA 98058  (Online Only)
With over sixteen years of experience working with individuals, couples, and families, Michael has successfully helped many clients with complex issues that negatively impact their lives and their families in significant ways. He believes in treating clients holistically (mind, body, and spirit) and that the work clients do outside of therapy is as important as the work they do in session. The priorities are helping clients develop skills and providing resources that will support them to make lasting change.
With over sixteen years of experience working with individuals, couples, and families, Michael has successfully helped many clients with complex issues that negatively impact their lives and their families in significant ways. He believes in treating clients holistically (mind, body, and spirit) and that the work clients do outside of therapy is as important as the work they do in session. The priorities are helping clients develop skills and providing resources that will support them to make lasting change.
(425) 414-8814 View (425) 414-8814
Photo of Kelly Egan, Counselor in King County, WA
Kelly Egan
Counselor, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98121  (Online Only)
Hello! I am Kelly, a mental health therapist. My specialty is working with ADHD in adolescents and adults, as well as recently diagnosed adults. ADHD can have a crippling effect upon self esteem and general life functioning. I think ADHD is a gift and can allow us to operate and think in ways that can be very insightful. I have spent the last 4 years working in middle school, high schools and working with high level engineers and executives from major Seattle based companies with ADHD symptoms. ADHD comes in many packages, please allow me to assist in helping you to create a positive platform to launch from.
Hello! I am Kelly, a mental health therapist. My specialty is working with ADHD in adolescents and adults, as well as recently diagnosed adults. ADHD can have a crippling effect upon self esteem and general life functioning. I think ADHD is a gift and can allow us to operate and think in ways that can be very insightful. I have spent the last 4 years working in middle school, high schools and working with high level engineers and executives from major Seattle based companies with ADHD symptoms. ADHD comes in many packages, please allow me to assist in helping you to create a positive platform to launch from.
(206) 984-2093 View (206) 984-2093
Photo of Mary Lea, Counselor in King County, WA
Mary Lea
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Shoreline, WA 98155
We all find ourselves repeating behaviors and patterns that once helped but begin to no longer work for us and hinder the way that we want to be free in the world. Often my clients are in a stuck place, a life transition, grieving a loss, or wanting to change relational patterns. I see clients with a variety of needs and areas they want to focus on or improve like boundaries or codependency. In addition, I am particularly attuned to addressing the specific healing needs of the those recovering from Complex PTSD.
We all find ourselves repeating behaviors and patterns that once helped but begin to no longer work for us and hinder the way that we want to be free in the world. Often my clients are in a stuck place, a life transition, grieving a loss, or wanting to change relational patterns. I see clients with a variety of needs and areas they want to focus on or improve like boundaries or codependency. In addition, I am particularly attuned to addressing the specific healing needs of the those recovering from Complex PTSD.
(425) 470-6286 View (425) 470-6286
Photo of Tracie Grace, Clinical Social Work/Therapist in King County, WA
Tracie Grace
Clinical Social Work/Therapist, LSWAIC, MSW
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
My clients are often facing transitions that may leave them feeling alone or unlike themselves. By creating a nonjudgmental space where they can feel seen and understood, I help my clients discover what is most important to them so that they can find more ease in their lives. Therapeutic sessions will be tailored to clients' individual needs. I prioritize using a strengths-based approach, along with Cognitive Behavioral Therapy and similar modalities. In therapy, clients often learn that their current coping strategies, even those that are harmful, have served a purpose.
My clients are often facing transitions that may leave them feeling alone or unlike themselves. By creating a nonjudgmental space where they can feel seen and understood, I help my clients discover what is most important to them so that they can find more ease in their lives. Therapeutic sessions will be tailored to clients' individual needs. I prioritize using a strengths-based approach, along with Cognitive Behavioral Therapy and similar modalities. In therapy, clients often learn that their current coping strategies, even those that are harmful, have served a purpose.
(425) 532-5103 View (425) 532-5103
Photo of Mindful Core Counseling, Clinical Social Work/Therapist in King County, WA
Mindful Core Counseling
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Seattle, WA 98119
It is my honor to partner with you in your healing journey of self-discovery to recognize your strengths and unique traits, at the core of who you are. Because healing is unique for each of us, we will develop an individualized therapeutic experience for you. I will meet you where you’re at, while continually maintaining unconditional positive regard for you. I am committed to providing a safe, judgment free, trustworthy, and supportive healing environment. While we engage in a personalized therapeutic process, you will be encouraged to develop new perspectives and healthy methods of doing things that work best for you.
It is my honor to partner with you in your healing journey of self-discovery to recognize your strengths and unique traits, at the core of who you are. Because healing is unique for each of us, we will develop an individualized therapeutic experience for you. I will meet you where you’re at, while continually maintaining unconditional positive regard for you. I am committed to providing a safe, judgment free, trustworthy, and supportive healing environment. While we engage in a personalized therapeutic process, you will be encouraged to develop new perspectives and healthy methods of doing things that work best for you.
(206) 567-1572 View (206) 567-1572
Photo of Cat Carson, Marriage & Family Therapist Associate in King County, WA
Cat Carson
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Seattle, WA 98103
Not accepting new clients
I believe that we all have tremendous potential for healing and improving our relationships with ourselves and those around us. From the time we are born, we are met with messages from society at large, the families we grow up in, and the systems and institutions we interact with that inform how we see ourselves. But what if some of that information is flawed? Figuring out our own truth can be incredibly challenging when we have been working with bad facts. I provide my clients with a non-judgmental space to see themselves with clear eyes, and increase safety, harmony and understanding in their relationships, to reach their goals.
I believe that we all have tremendous potential for healing and improving our relationships with ourselves and those around us. From the time we are born, we are met with messages from society at large, the families we grow up in, and the systems and institutions we interact with that inform how we see ourselves. But what if some of that information is flawed? Figuring out our own truth can be incredibly challenging when we have been working with bad facts. I provide my clients with a non-judgmental space to see themselves with clear eyes, and increase safety, harmony and understanding in their relationships, to reach their goals.
(206) 593-4254 View (206) 593-4254
Photo of Christina M Leiva, Counselor in King County, WA
Christina M Leiva
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98109
Waitlist for new clients
In life's journey, many of us encounter unexpected changes that disrupt our sense of joy and purpose, whether it's coping with loss, anxiety, severe depression, or navigating life transitions. As your therapist, I am committed to fostering an inclusive environment where diversity is not only acknowledged but celebrated. I strive to empower individuals to explore their unique identities and experiences fully. I firmly believe in embracing every facet of your being—the light and the shadow, your strengths, and vulnerabilities.
In life's journey, many of us encounter unexpected changes that disrupt our sense of joy and purpose, whether it's coping with loss, anxiety, severe depression, or navigating life transitions. As your therapist, I am committed to fostering an inclusive environment where diversity is not only acknowledged but celebrated. I strive to empower individuals to explore their unique identities and experiences fully. I firmly believe in embracing every facet of your being—the light and the shadow, your strengths, and vulnerabilities.
(206) 823-3346 View (206) 823-3346
Photo of Bobbi Ewing, Counselor in King County, WA
Bobbi Ewing
Counselor, MA, LMHC, CYT
Verified Verified
Seattle, WA 98103
Openings, in-person or online. I am glad you are here, taking this important step toward to your health and well-being. I will walk alongside you on the journey to alleviate suffering, let go of hurts, overcome challenges or obstacles, get unstuck, resolve issues or change patterns, and improve your relationships. Along the way, I will support you to become the healthiest expression and most empowered version of you, free of the weight of anxiety, depression, negative self-talk, insecurity, shame, guilt, resentment, anger, regret, grief, and more. I will support you to cultivate self-care, self-acceptance, self-compassion, and more.
Openings, in-person or online. I am glad you are here, taking this important step toward to your health and well-being. I will walk alongside you on the journey to alleviate suffering, let go of hurts, overcome challenges or obstacles, get unstuck, resolve issues or change patterns, and improve your relationships. Along the way, I will support you to become the healthiest expression and most empowered version of you, free of the weight of anxiety, depression, negative self-talk, insecurity, shame, guilt, resentment, anger, regret, grief, and more. I will support you to cultivate self-care, self-acceptance, self-compassion, and more.
(206) 539-1608 View (206) 539-1608
Photo of Leonora P Cabrera, Counselor in King County, WA
Leonora P Cabrera
Counselor, PhD, LMHC, MHP
Verified Verified
8 Endorsed
Seattle, WA 98107
Our wounds are often the openings into the best and most beautiful part of us. -David Richo. Finding a place where you can safely express pain, sorrow, vulnerability, shame, confusion, anger, etc., will allow you to work through the emotions, and come out learning how to manage your life. I am a clinically trained therapist with a Ph.D. and MA in Clinical Psychology. I have experience in providing psychological and forensic mental health evaluations and individual psychotherapy.
Our wounds are often the openings into the best and most beautiful part of us. -David Richo. Finding a place where you can safely express pain, sorrow, vulnerability, shame, confusion, anger, etc., will allow you to work through the emotions, and come out learning how to manage your life. I am a clinically trained therapist with a Ph.D. and MA in Clinical Psychology. I have experience in providing psychological and forensic mental health evaluations and individual psychotherapy.
(206) 745-3502 View (206) 745-3502
Photo of Anna Rhodes, Counselor in King County, WA
Anna Rhodes
Counselor, MA, LMHC, LMFTA
Verified Verified
Seattle, WA 98117
I am an interactive, solution-focused therapist dedicated to providing psychotherapy, EMDR, counseling, education, and support services to individuals, couples and professionals. I specialize in areas regarding the impact of stress, illness and loss, anxiety, depression, relationship issues, post-traumatic stress, life transitions, phobias, conflict resolution and all areas pertaining to creating and maintaining healthy relationships. Clients experience support, practical feedback, empathy, and insight to help them address life's challenges.
I am an interactive, solution-focused therapist dedicated to providing psychotherapy, EMDR, counseling, education, and support services to individuals, couples and professionals. I specialize in areas regarding the impact of stress, illness and loss, anxiety, depression, relationship issues, post-traumatic stress, life transitions, phobias, conflict resolution and all areas pertaining to creating and maintaining healthy relationships. Clients experience support, practical feedback, empathy, and insight to help them address life's challenges.
(206) 735-3589 View (206) 735-3589
Photo of Nichelle Alderson, Clinical Social Work/Therapist in King County, WA
Nichelle Alderson
Clinical Social Work/Therapist, FNTP, LICSW
Verified Verified
Seattle, WA 98108
Life Happens! Sometimes it helps to have compassionate and non-judgmental support as you work through life issues and transitions. I offer a client centered and holistic therapeutic approach that aims to bring to light the associations between: nutrition/diet; stress; family history; support systems & resources; life experiences; environment; and issues related to current and/or historical oppression; and how YOUR body, mind, and spirit have been reacting. I believe in encouraging and empowering my clients towards achieving the results they seek. I help clients identify and utilize their strengths and to identify and release unhealthy practices or defense mechanisms.
Life Happens! Sometimes it helps to have compassionate and non-judgmental support as you work through life issues and transitions. I offer a client centered and holistic therapeutic approach that aims to bring to light the associations between: nutrition/diet; stress; family history; support systems & resources; life experiences; environment; and issues related to current and/or historical oppression; and how YOUR body, mind, and spirit have been reacting. I believe in encouraging and empowering my clients towards achieving the results they seek. I help clients identify and utilize their strengths and to identify and release unhealthy practices or defense mechanisms.
(206) 745-6195 View (206) 745-6195

How does your Therapist compare?

Number of Therapists in King County, WA

3,000+

Average cost per session

$150

Therapists in King County, WA who prioritize treating:

92% Anxiety
87% Depression
78% Relationship Issues
75% Self Esteem
71% Trauma and PTSD
70% Stress
67% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

73% Premera
55% Aetna
51% Regence

How Therapists in King County, WA see their clients

54% In Person and Online
46% Online Only

Gender breakdown

77% Female
20% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in King County?

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.