Therapists in Northeast, Houston, TX

Photo of Arisza N Hillman, Clinical Social Work/Therapist, LCSW
Arisza N Hillman
Clinical Social Work/Therapist, LCSW
2 Endorsed
Northeast, Houston, TX 77015
We work with individuals, couples, and families navigating anxiety, depression, trauma, and life transitions. Many come in feeling overwhelmed, stuck, or unsure what to do next. We support professionals, students, and families managing real-life stress while trying to maintain balance. Our team provides a safe, supportive space to gain clarity, build coping skills, and move forward with confidence.
We work with individuals, couples, and families navigating anxiety, depression, trauma, and life transitions. Many come in feeling overwhelmed, stuck, or unsure what to do next. We support professionals, students, and families managing real-life stress while trying to maintain balance. Our team provides a safe, supportive space to gain clarity, build coping skills, and move forward with confidence.
(346) 584-2760 View (346) 584-2760
K. B. Reentry Resources
Drug & Alcohol Counselor, MSW, MS, LCDC, CART
Northeast, Houston, TX 77093
Alora Swayzer is the facilitator of the Anger Management, Parenting classes/groups, conducts the Substance Use Disorder Assessments and Intensive and Supportive Outpatient Treatment. Alora Swayzer's credentials include a M.S. in Human Service, Licensed Chemical Dependency Counselor 13161, Certified Anger Resolution Therapist 2524-5937, and a Certification as a Parenting Instructor 66935.
Alora Swayzer is the facilitator of the Anger Management, Parenting classes/groups, conducts the Substance Use Disorder Assessments and Intensive and Supportive Outpatient Treatment. Alora Swayzer's credentials include a M.S. in Human Service, Licensed Chemical Dependency Counselor 13161, Certified Anger Resolution Therapist 2524-5937, and a Certification as a Parenting Instructor 66935.
(281) 688-6958 View (281) 688-6958
Photo of Ashlee N Flournoy, Licensed Professional Counselor, M Ed, NCC, LPC
Ashlee N Flournoy
Licensed Professional Counselor, M Ed, NCC, LPC
Northeast, Houston, TX 77029
Are you struggling with anxiety or depression? Have you been feeling off lately but don't know why? Are you going through a life transition such as a divorce, job change, or stepping into parenthood? Did you grow up in an unhealthy or dysfunctional environment? Are you tired of being unhappy with yourself or your relationship? Do you know your worth? Are you wanting to make a change? Do you want a better quality of life?
Are you struggling with anxiety or depression? Have you been feeling off lately but don't know why? Are you going through a life transition such as a divorce, job change, or stepping into parenthood? Did you grow up in an unhealthy or dysfunctional environment? Are you tired of being unhappy with yourself or your relationship? Do you know your worth? Are you wanting to make a change? Do you want a better quality of life?
(832) 219-6750 View (832) 219-6750
Photo of Jessica E Guillory, Licensed Professional Counselor, LPC
Jessica E Guillory
Licensed Professional Counselor, LPC
Northeast, Houston, TX 77029
Depression, anxiety, addictions/compulsions from trauma, and chaotic, unsatisfying relationships do not have to be your “normal”. You can live freely, feel deeply, and love fully. I welcome you to partner with me in your journey. We can work towards meeting your goals for healing and thriving. Whatever your story may be, you are welcome here. It is never too late to begin healing, and I am honored to help. Prepare to widen your capacity for encouragement and delight. I believe in you.
Depression, anxiety, addictions/compulsions from trauma, and chaotic, unsatisfying relationships do not have to be your “normal”. You can live freely, feel deeply, and love fully. I welcome you to partner with me in your journey. We can work towards meeting your goals for healing and thriving. Whatever your story may be, you are welcome here. It is never too late to begin healing, and I am honored to help. Prepare to widen your capacity for encouragement and delight. I believe in you.
(832) 342-7512 View (832) 342-7512
Photo of John Joslin - Thriveworks Counseling & Psychiatry Houston, Licensed Professional Counselor
Thriveworks Counseling & Psychiatry Houston
Licensed Professional Counselor
Northeast, Houston, TX 77029
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(832) 843-1836 View (832) 843-1836
Photo of Ashley Shantharaj, Licensed Professional Counselor, LPC
Ashley Shantharaj
Licensed Professional Counselor, LPC
3 Endorsed
Northeast, Houston, TX 77020
I work with women of all ages struggling with life transitions, depression, anxiety, PTSD, attachment issues, and codependency. In the therapy world, a big focus is often on the client learning to trust the therapist and building a strong therapeutic relationship. While I agree this is an essential catalyst for growth, I also believe it is equally important for the client to learn to trust themselves. I focus on empowering my clients to understand how their past experiences have impacted their current relationships, with self and others, and how they can change these patterns.
I work with women of all ages struggling with life transitions, depression, anxiety, PTSD, attachment issues, and codependency. In the therapy world, a big focus is often on the client learning to trust the therapist and building a strong therapeutic relationship. While I agree this is an essential catalyst for growth, I also believe it is equally important for the client to learn to trust themselves. I focus on empowering my clients to understand how their past experiences have impacted their current relationships, with self and others, and how they can change these patterns.
(346) 572-9698 View (346) 572-9698
Photo of Phillip McKinley Bilal, Pre-Licensed Professional, LMFT
Phillip McKinley Bilal
Pre-Licensed Professional, LMFT
Northeast, Houston, TX 77029
Do you struggle with anxiety, depression, or relationship issues that impact your daily life? Do you often feel overwhelmed, exhausted, or lost just trying to get through your day? Do you wonder how much better your life could be if you could healthily address your issues? Now more than ever, people are feeling uncertain about their future and struggling to overcome their issues. I believe it shouldn't be hard to live the life that you desire. I believe that everyone can change.
Do you struggle with anxiety, depression, or relationship issues that impact your daily life? Do you often feel overwhelmed, exhausted, or lost just trying to get through your day? Do you wonder how much better your life could be if you could healthily address your issues? Now more than ever, people are feeling uncertain about their future and struggling to overcome their issues. I believe it shouldn't be hard to live the life that you desire. I believe that everyone can change.
(832) 789-6277 View (832) 789-6277
Photo of Yvette Cornish - Be Lite Counseling, PLLC, Licensed Professional Counselor, CART, LPC, PhDc
Be Lite Counseling, PLLC
Licensed Professional Counselor, CART, LPC, PhDc
Northeast, Houston, TX 77015
All the self help books in the world won't help if you don't know how to apply what you have learned. If you want me to tell you it's going to be ok, I can do that, but I would rather you know how to handle life when it's not ok. I am a solution focused therapist and my goal is to help you find the best quality of life, knowing in the end that most people are searching for love, peace, and happiness.
All the self help books in the world won't help if you don't know how to apply what you have learned. If you want me to tell you it's going to be ok, I can do that, but I would rather you know how to handle life when it's not ok. I am a solution focused therapist and my goal is to help you find the best quality of life, knowing in the end that most people are searching for love, peace, and happiness.
(346) 245-5117 View (346) 245-5117
Photo of Seperia D Preston, Licensed Professional Counselor, LPC
Seperia D Preston
Licensed Professional Counselor, LPC
2 Endorsed
Northeast, Houston, TX 77026
You may be feeling overwhelmed by stress, depression, anxiety, or challenges at home that feel difficult to manage on your own. When emotions run high or behavior feels hard to control, it can impact your relationships, confidence, and daily life. Therapy can provide a space where you and your family feel supported, understood, and guided toward positive change. I work to create a safe, engaging environment where we can begin restoring balance and building healthier ways to cope and communicate.
You may be feeling overwhelmed by stress, depression, anxiety, or challenges at home that feel difficult to manage on your own. When emotions run high or behavior feels hard to control, it can impact your relationships, confidence, and daily life. Therapy can provide a space where you and your family feel supported, understood, and guided toward positive change. I work to create a safe, engaging environment where we can begin restoring balance and building healthier ways to cope and communicate.
(832) 957-7392 View (832) 957-7392
Photo of LaShay Dupree - LaShay Dupree Serenity Behavior Health Services, Clinical Social Work/Therapist, LCSW
LaShay Dupree Serenity Behavior Health Services
Clinical Social Work/Therapist, LCSW
Northeast, Houston, TX 77015
Are you seeking a therapist who is present, responsive and accessible? I am her. She is me. I pride myself on being accessible to my clients and their needs. My goal is to exceed your expectations as a therapist and ensure you are not alone on this journey we call life. Are you tired of toxic relationships? Are you a senior living alone or confined to your home? Are you a teen mom scared of what the future may hold for you and your baby? Or are you just simply tired of being present for everyone else and unable to find anyone to be there for YOU? Want to quiet the storm and experience peace and serenity?
Are you seeking a therapist who is present, responsive and accessible? I am her. She is me. I pride myself on being accessible to my clients and their needs. My goal is to exceed your expectations as a therapist and ensure you are not alone on this journey we call life. Are you tired of toxic relationships? Are you a senior living alone or confined to your home? Are you a teen mom scared of what the future may hold for you and your baby? Or are you just simply tired of being present for everyone else and unable to find anyone to be there for YOU? Want to quiet the storm and experience peace and serenity?
(281) 519-3157 View (281) 519-3157
Photo of Carrie Thompson Widmer, Clinical Social Work/Therapist
Carrie Thompson Widmer
Clinical Social Work/Therapist
Northeast, Houston, TX 77015
Do you feel like you’re constantly "running on empty," even when you’re achieving at a high level? Whether you are a fellow medical professional navigating burnout or an individual struggling with the persistent weight of anxiety, ADHD, or depression, you don’t have to manage these complexities alone. I specialize in helping high-functioning individuals find relief from the internal noise that keeps them from feeling present and fulfilled. Together, we will look beyond just your symptoms to understand the "whole person," creating a space where you can finally feel heard, supported, and understood.
Do you feel like you’re constantly "running on empty," even when you’re achieving at a high level? Whether you are a fellow medical professional navigating burnout or an individual struggling with the persistent weight of anxiety, ADHD, or depression, you don’t have to manage these complexities alone. I specialize in helping high-functioning individuals find relief from the internal noise that keeps them from feeling present and fulfilled. Together, we will look beyond just your symptoms to understand the "whole person," creating a space where you can finally feel heard, supported, and understood.
(832) 743-2174 View (832) 743-2174
Photo of Charles LaDay, Licensed Professional Counselor, MA, BS, LPC-S
Charles LaDay
Licensed Professional Counselor, MA, BS, LPC-S
2 Endorsed
Northeast, Houston, TX 77016
As a Licensed Professional Counselor, Charles LaDay presents with over 15 years of experience and expertise in behavioral health practices. LaDay maintains a vast knowledge of the mental health community in Texas and a commitment to serving the BIPOC population with a culturally sensitive approach. LaDay’s dedication to applying various modalities of therapy and mental health interventions tailored to clients’ needs throughout treatment (such as EMDR, CBT, a complete therapeutic CANS assessment for youth in DFPS care, etc.) aids clients in reaching their goals and making better decisions for their personal health and growth.
As a Licensed Professional Counselor, Charles LaDay presents with over 15 years of experience and expertise in behavioral health practices. LaDay maintains a vast knowledge of the mental health community in Texas and a commitment to serving the BIPOC population with a culturally sensitive approach. LaDay’s dedication to applying various modalities of therapy and mental health interventions tailored to clients’ needs throughout treatment (such as EMDR, CBT, a complete therapeutic CANS assessment for youth in DFPS care, etc.) aids clients in reaching their goals and making better decisions for their personal health and growth.
(832) 621-3341 View (832) 621-3341
Photo of Tashea Walker, Licensed Professional Counselor, LPC-S
Tashea Walker
Licensed Professional Counselor, LPC-S
2 Endorsed
Northeast, Houston, TX 77028
In my clinical experience, I’ve had the privilege of supporting adults, & adolescents, & their families as they navigate a range of challenges, including anxiety, depression, trauma, self-esteem concerns, parental difficulties, LGBTQ+ identities, & career exploration. More recently, my work has focused on helping clients manage major life transitions, process past traumas, & navigate grief. I am deeply committed to walking alongside clients who are ready to manage their anxiety, pursue meaningful career paths, heal from familial trauma, & embrace personal growth. I'm here to support you!
In my clinical experience, I’ve had the privilege of supporting adults, & adolescents, & their families as they navigate a range of challenges, including anxiety, depression, trauma, self-esteem concerns, parental difficulties, LGBTQ+ identities, & career exploration. More recently, my work has focused on helping clients manage major life transitions, process past traumas, & navigate grief. I am deeply committed to walking alongside clients who are ready to manage their anxiety, pursue meaningful career paths, heal from familial trauma, & embrace personal growth. I'm here to support you!
(281) 609-9392 View (281) 609-9392
Photo of Ashley L Slisz, Licensed Professional Counselor, M.Ed., LPC-S
Ashley L Slisz
Licensed Professional Counselor, M.Ed., LPC-S
Northeast, Houston, TX 77092
Many people come to me feeling stuck in their own internal chaos, wanting to make sense of old wounds, recurring patterns, or racing thoughts. They’re searching for clarity, grounding, and those meaningful “aha” moments that help life finally click. I help them move forward by helping them quiet the noise, exploring the full story of their past and emotions, and guiding them toward a more connected, confident, and authentic self. I’m especially passionate about supporting individuals navigating depression, postpartum symptoms, psychosis, trauma, and the everyday pressures that wear us down.
Many people come to me feeling stuck in their own internal chaos, wanting to make sense of old wounds, recurring patterns, or racing thoughts. They’re searching for clarity, grounding, and those meaningful “aha” moments that help life finally click. I help them move forward by helping them quiet the noise, exploring the full story of their past and emotions, and guiding them toward a more connected, confident, and authentic self. I’m especially passionate about supporting individuals navigating depression, postpartum symptoms, psychosis, trauma, and the everyday pressures that wear us down.
(832) 598-0840 View (832) 598-0840
Photo of Dr. Chase A. Walding, Counselor, LPC, LSOTP
Dr. Chase A. Walding
Counselor, LPC, LSOTP
1 Endorsed
Northeast, Houston, TX 77015
I specialize in helping clients mindfully explore deep meaning, stress, and anxiety. My client diagnoses specializations include schizophrenia, bipolar, intellectual disability, dual-diagnosis disorders, and complex trauma. My passion is to help my clients develop a deeply understanding relationship to themselves, and by extension, to others. It is a healing journey for all of us. Consultation is specifically to treatment placement support for families who have adult children with dual-diagnosis and personality disorders.
I specialize in helping clients mindfully explore deep meaning, stress, and anxiety. My client diagnoses specializations include schizophrenia, bipolar, intellectual disability, dual-diagnosis disorders, and complex trauma. My passion is to help my clients develop a deeply understanding relationship to themselves, and by extension, to others. It is a healing journey for all of us. Consultation is specifically to treatment placement support for families who have adult children with dual-diagnosis and personality disorders.
(281) 560-4958 View (281) 560-4958
Photo of Jessica Spinks, Licensed Professional Counselor Associate, MEd, CSC
Jessica Spinks
Licensed Professional Counselor Associate, MEd, CSC
4 Endorsed
Northeast, Houston, TX 77015
You're a high functioning woman dealing with anxiety, burnout, or past trauma and you're tired of holding it all together. On the outside, you may look like you're managing, but internally you feel overwhelmed, disconnected, or exhausted... Sessions available virtually or in-person in East Houston.
You're a high functioning woman dealing with anxiety, burnout, or past trauma and you're tired of holding it all together. On the outside, you may look like you're managing, but internally you feel overwhelmed, disconnected, or exhausted... Sessions available virtually or in-person in East Houston.
(346) 584-4779 View (346) 584-4779
Photo of Verronica Hudson, Licensed Professional Counselor, MEd, LPC
Verronica Hudson
Licensed Professional Counselor, MEd, LPC
Northeast, Houston, TX 77029
Are you navigating a major life transition, feeling emotionally stuck, or overwhelmed by stress? Struggling with relationships or self-worth? Do you want to feel more like yourself again and find a safe space to be honest, gain clarity, and grow? If you're ready to heal, be heard, and take meaningful steps toward a more balanced, fulfilling life—you're not alone, and I'm here to help.
Are you navigating a major life transition, feeling emotionally stuck, or overwhelmed by stress? Struggling with relationships or self-worth? Do you want to feel more like yourself again and find a safe space to be honest, gain clarity, and grow? If you're ready to heal, be heard, and take meaningful steps toward a more balanced, fulfilling life—you're not alone, and I'm here to help.
(832) 430-7545 View (832) 430-7545
Photo of Jeremy Sprott, Licensed Professional Counselor, LPC-S
Jeremy Sprott
Licensed Professional Counselor, LPC-S
2 Endorsed
Northeast, Houston, TX 77020
If you're here, chances are something in life feels heavier than it should. Maybe you've been carrying anxiety, relationship struggles, grief, stress, self-doubt, or questions about your faith for longer than you care to admit. You may have wondered whether counseling is really necessary, whether someone will truly understand your beliefs, or if it's possible to find a therapist who values both biblical truth and proven therapeutic approaches. I want you to know that you're not alone. I believe real transformation happens when we care for the whole person—mind, body, and spirit.
If you're here, chances are something in life feels heavier than it should. Maybe you've been carrying anxiety, relationship struggles, grief, stress, self-doubt, or questions about your faith for longer than you care to admit. You may have wondered whether counseling is really necessary, whether someone will truly understand your beliefs, or if it's possible to find a therapist who values both biblical truth and proven therapeutic approaches. I want you to know that you're not alone. I believe real transformation happens when we care for the whole person—mind, body, and spirit.
(346) 639-5170 View (346) 639-5170
Photo of Melody Hudson, Clinical Social Work/Therapist, LCSW
Melody Hudson
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
I have experience in working with a population that suffers with chronic diseases. I have helped clients that struggle with depression, anxiety, and overall adjusting to living with vast medical issues and co-morbidities. I have helped them adapt to their new lifestyles, and helped them to achieve their maximum quality of life possible. I have enjoyed working together with my clients to figure out their goals and desires.
I have experience in working with a population that suffers with chronic diseases. I have helped clients that struggle with depression, anxiety, and overall adjusting to living with vast medical issues and co-morbidities. I have helped them adapt to their new lifestyles, and helped them to achieve their maximum quality of life possible. I have enjoyed working together with my clients to figure out their goals and desires.
(972) 885-6152 View (972) 885-6152
Photo of Steven LoShun Moon, Licensed Professional Counselor, MA, LPC, LCDC-I
Steven LoShun Moon
Licensed Professional Counselor, MA, LPC, LCDC-I
9 Endorsed
Serves Area
Trauma impacts our ability to foster and maintain relationships. It frequently impacts us in the domains of trust, safety, esteem, power & control and intimacy. Resolving trauma often leads to our ability to live a more fulfilled life, which is my primary goal in therapy. I believe that we have the ability to choose how to resolve our own problems and can make our own decisions with the assistance of an empathetic facilitator. I also believe that self-awareness is key to developing purpose, direction, and motivation necessary for change, and my approach will provide you with methods to solve problems utilizing your own strengths.
Trauma impacts our ability to foster and maintain relationships. It frequently impacts us in the domains of trust, safety, esteem, power & control and intimacy. Resolving trauma often leads to our ability to live a more fulfilled life, which is my primary goal in therapy. I believe that we have the ability to choose how to resolve our own problems and can make our own decisions with the assistance of an empathetic facilitator. I also believe that self-awareness is key to developing purpose, direction, and motivation necessary for change, and my approach will provide you with methods to solve problems utilizing your own strengths.
(832) 734-6484 View (832) 734-6484

See more therapy options for Northeast, Houston

How does your Therapist compare?

Number of Therapists in Northeast, Houston, TX

200+

Average cost per session

$130

Therapists in Northeast, Houston, TX who prioritize treating:

94% Anxiety
94% Social Anxiety
94% Health Anxiety
94% Driving Anxiety
88% Depression
67% Self Esteem
63% Relationship Issues

Average years in practice

9 Years

Top 3 insurances accepted

97% Aetna
97% Cigna and Evernorth
89% BlueCross and BlueShield

How Therapists in Northeast, Houston, TX see their clients

77% Online Only
23% In Person and Online

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Northeast?

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.