Therapists in Karnes City, TX

Photo of Grace Friesenhahn-Soliz, Licensed Professional Counselor, MS, EdD, LPC-S
Grace Friesenhahn-Soliz
Licensed Professional Counselor, MS, EdD, LPC-S
Serves Area
When our lives are disrupted by unforeseen events, it's important to have support to process through emotions, move forward, and heal. I am a bilingual, Licensed Professional Counselor Supervisor and a retired Texas public school counselor and educator. My background includes working with adults, adolescents, and children in private practice, school, and facility settings. My treatment approach is client focused as I believe the therapist's function should be dependent upon the client and their specific needs.
When our lives are disrupted by unforeseen events, it's important to have support to process through emotions, move forward, and heal. I am a bilingual, Licensed Professional Counselor Supervisor and a retired Texas public school counselor and educator. My background includes working with adults, adolescents, and children in private practice, school, and facility settings. My treatment approach is client focused as I believe the therapist's function should be dependent upon the client and their specific needs.
(210) 978-0790 View (210) 978-0790
Photo of Cheryl Patton, Licensed Professional Counselor, LPC
Cheryl Patton
Licensed Professional Counselor, LPC
Serves Area
Hi, I’m Cheryl —a trauma therapist with over 11 years of experience helping people navigate life’s challenges. I understand how the daily stressors of work, relationships, family, school, and financial pressures can sometimes feel overwhelming. As a therapist, I work with my client to meet them where they are in their current situation. My role is to help you reach the goals you aspire to in life providing a safe, trusting, and empathetic therapeutic environment. My approach is compassionate and collaborative. Together, we’ll work toward the goals you aspire to, creating a safe, supportive, and empathetic space for healing & growth
Hi, I’m Cheryl —a trauma therapist with over 11 years of experience helping people navigate life’s challenges. I understand how the daily stressors of work, relationships, family, school, and financial pressures can sometimes feel overwhelming. As a therapist, I work with my client to meet them where they are in their current situation. My role is to help you reach the goals you aspire to in life providing a safe, trusting, and empathetic therapeutic environment. My approach is compassionate and collaborative. Together, we’ll work toward the goals you aspire to, creating a safe, supportive, and empathetic space for healing & growth
(830) 953-5955 View (830) 953-5955
Photo of Nichole Sieracki, Psychologist, PhD
Nichole Sieracki
Psychologist, PhD
Serves Area
Searching for a mental health provider with compassion and experience? I have 15 years of experience treating mental illness in individuals within the inpatient and outpatient settings. Psychiatric symptoms I have treated include depression, anxiety, mania, psychosis, trauma, grief, chronic physical illnesses and pain, those related to head injuries, behavior disturbances, and relationship stress. My treatment approaches include supportive therapy, solution-focused therapy, existential therapy, cognitive behavior therapy, trauma-focused therapy, grief therapy, brief strategic family therapy, and psychoeducation.
Searching for a mental health provider with compassion and experience? I have 15 years of experience treating mental illness in individuals within the inpatient and outpatient settings. Psychiatric symptoms I have treated include depression, anxiety, mania, psychosis, trauma, grief, chronic physical illnesses and pain, those related to head injuries, behavior disturbances, and relationship stress. My treatment approaches include supportive therapy, solution-focused therapy, existential therapy, cognitive behavior therapy, trauma-focused therapy, grief therapy, brief strategic family therapy, and psychoeducation.
(830) 498-0931 View (830) 498-0931

More Therapists Nearby

Photo of Shannon Lyle, Counselor, ThM, MA, LPC-S
Shannon Lyle
Counselor, ThM, MA, LPC-S
Online Only
My passion is in working with women struggling with relationships and balancing family and other priorities. I use a respectful, direct and collaborative approach in my sessions and believe that interpersonal relationships are a key factor in successfully navigating life. Transitions and challenges can offer us an opportunity to find greater understanding of purpose, more meaningful relationships, and increased confidence and personal gratification. I understand how difficult the process of counseling can be, but I also know the rewards that come from true healing.
My passion is in working with women struggling with relationships and balancing family and other priorities. I use a respectful, direct and collaborative approach in my sessions and believe that interpersonal relationships are a key factor in successfully navigating life. Transitions and challenges can offer us an opportunity to find greater understanding of purpose, more meaningful relationships, and increased confidence and personal gratification. I understand how difficult the process of counseling can be, but I also know the rewards that come from true healing.
(972) 526-7009 View (972) 526-7009
Photo of Jorge E Gonzalez, Psychologist, PhD, LP, LSSP
Jorge E Gonzalez
Psychologist, PhD, LP, LSSP
Serves Area
Many families seek me out because they are worried about their child’s or teen’s behavior—whether that looks like frequent tantrums, defiance, aggression, problems with peers, or serious difficulties at school and home. As a licensed psychologist in Texas, I work closely with families in both English and Spanish to understand what is driving those behavior concerns and how they are affecting daily life, relationships, and school learning. In our work together, I take time to listen carefully, learn about your family’s routines, expectations, and cultural values, and partner with you to set goals that feel realistic.
Many families seek me out because they are worried about their child’s or teen’s behavior—whether that looks like frequent tantrums, defiance, aggression, problems with peers, or serious difficulties at school and home. As a licensed psychologist in Texas, I work closely with families in both English and Spanish to understand what is driving those behavior concerns and how they are affecting daily life, relationships, and school learning. In our work together, I take time to listen carefully, learn about your family’s routines, expectations, and cultural values, and partner with you to set goals that feel realistic.
(210) 981-6627 View (210) 981-6627
Photo of Monica Lara, Licensed Professional Counselor, MA, LPC-S
Monica Lara
Licensed Professional Counselor, MA, LPC-S
Serves Area
Are you struggling financially as a LPC-associate and need a supervisor? IF so, I am currently accepting new supervisees. I am flexible and willing to provide online and/or telephonic supervision outside of San Antonio. Please call or email me to discuss my supervision model and fees. Additionally, if you find yourself in a stressful situation and need help dealing with life's stressors, and/or feeling "stuck" with your current situation, then you're ready for a "Second Chance" at life. I am here to help you achieve lifestyle changes and succeed on personal goals.
Are you struggling financially as a LPC-associate and need a supervisor? IF so, I am currently accepting new supervisees. I am flexible and willing to provide online and/or telephonic supervision outside of San Antonio. Please call or email me to discuss my supervision model and fees. Additionally, if you find yourself in a stressful situation and need help dealing with life's stressors, and/or feeling "stuck" with your current situation, then you're ready for a "Second Chance" at life. I am here to help you achieve lifestyle changes and succeed on personal goals.
(210) 714-1597 View (210) 714-1597
Photo of Melanie P. Trevino, Licensed Professional Counselor, MA, LPC-S, NCC, LCDC-I
Melanie P. Trevino
Licensed Professional Counselor, MA, LPC-S, NCC, LCDC-I
Online Only
We all face seasons of uncertainty—moments when change feels overwhelming and fear or indecision keep us stuck. My role as a therapist is to provide a safe, affirming space where you feel supported in reclaiming your peace of mind and moving forward with clarity. I’m a board-certified, licensed professional counselor supervisor with 11 years of experience helping teens and adults navigate challenges such as stress, anxiety, depression, relationships, and major life transitions.
We all face seasons of uncertainty—moments when change feels overwhelming and fear or indecision keep us stuck. My role as a therapist is to provide a safe, affirming space where you feel supported in reclaiming your peace of mind and moving forward with clarity. I’m a board-certified, licensed professional counselor supervisor with 11 years of experience helping teens and adults navigate challenges such as stress, anxiety, depression, relationships, and major life transitions.
(830) 261-3142 View (830) 261-3142
Photo of Debra Theesfield, Licensed Professional Counselor Associate, MEd
Debra Theesfield
Licensed Professional Counselor Associate, MEd
3 Endorsed
Stockdale, TX 78160
Life has seasons that can feel overwhelming, but you don’t have to navigate them alone. A safe, impartial, and nonjudgmental space to talk can make a meaningful difference. If the challenges you’re facing—big or small—are holding you back from thriving, counseling can help.
Life has seasons that can feel overwhelming, but you don’t have to navigate them alone. A safe, impartial, and nonjudgmental space to talk can make a meaningful difference. If the challenges you’re facing—big or small—are holding you back from thriving, counseling can help.
(830) 339-7864 View (830) 339-7864
Photo of Jim Toombs, Marriage & Family Therapist, MA, LMFT, EMDR
Jim Toombs
Marriage & Family Therapist, MA, LMFT, EMDR
Serves Area
Emotional pain ... sucks. I can help your pain. Flashbacks, nightmares and PTSD respond very well to EMDR, as do intrusive thoughts and disturbing memories. I have been using it since 1993, so early that Francine Shapiro, the creator of EMDR, trained me herself. In addition, my basic training is Marriage and Family so I excel in relationships. But memories cause most of our problems.
Emotional pain ... sucks. I can help your pain. Flashbacks, nightmares and PTSD respond very well to EMDR, as do intrusive thoughts and disturbing memories. I have been using it since 1993, so early that Francine Shapiro, the creator of EMDR, trained me herself. In addition, my basic training is Marriage and Family so I excel in relationships. But memories cause most of our problems.
(210) 417-4687 View (210) 417-4687
Photo of Natasha Mahesh, Licensed Professional Counselor Associate, MEd
Natasha Mahesh
Licensed Professional Counselor Associate, MEd
1 Endorsed
Serves Area
Are you a chronic over-achiever seeking the realization of your own inherent worth, not tied to external achievements? Do you long for a more fulfilling and balanced life, with healthier relationships and a positive mindset? You're not alone. Together we will explore practical resources, empowering solutions, and a positive outlook that can bring meaningful change to your life. I specialize in helping you heal your inner child, develop resilience, cope with stressors, and understand your triggers so you can develop tools to regain control and get back to doing the things you love.
Are you a chronic over-achiever seeking the realization of your own inherent worth, not tied to external achievements? Do you long for a more fulfilling and balanced life, with healthier relationships and a positive mindset? You're not alone. Together we will explore practical resources, empowering solutions, and a positive outlook that can bring meaningful change to your life. I specialize in helping you heal your inner child, develop resilience, cope with stressors, and understand your triggers so you can develop tools to regain control and get back to doing the things you love.
(945) 248-1559 View (945) 248-1559
Photo of Evelyn Brewton, Licensed Professional Counselor, LPC
Evelyn Brewton
Licensed Professional Counselor, LPC
Serves Area
I am a compassionate Licensed Professional Counselor who brings over 10 years of heartfelt experience offering nurturing and supportive therapeutic services. With a deep commitment to fostering healing and growth, I guide individuals through their struggles with kindness and understanding. My true passion lies in helping children, families, and individuals navigate the intricacies of trauma, anxiety, depression, and various mental health challenges. I create a safe, empathetic space where clients feel understood and cared for as they begin their journey toward well-being.
I am a compassionate Licensed Professional Counselor who brings over 10 years of heartfelt experience offering nurturing and supportive therapeutic services. With a deep commitment to fostering healing and growth, I guide individuals through their struggles with kindness and understanding. My true passion lies in helping children, families, and individuals navigate the intricacies of trauma, anxiety, depression, and various mental health challenges. I create a safe, empathetic space where clients feel understood and cared for as they begin their journey toward well-being.
(210) 794-8445 View (210) 794-8445
Photo of Heather Kopecki, Clinical Social Work/Therapist, LCSW
Heather Kopecki
Clinical Social Work/Therapist, LCSW
Online Only
Are you feeling overwhelmed by life, struggling to keep up, or finding it hard to feel like yourself lately - even when you’re doing your best? Perhaps you’re feeling anxious, stuck, disconnected, grieving, or simply carrying more than anyone realizes. Maybe you’re functioning on the outside while quietly struggling underneath. Maybe you’re tired of surviving and ready for something more… a greater sense of peace, balance, connection, and fulfillment. If this resonates, you’re in the right place. You don’t have to face it alone. Therapy offers you a space to exhale, reflect, process life’s challenges, and reconnect with yourself.
Are you feeling overwhelmed by life, struggling to keep up, or finding it hard to feel like yourself lately - even when you’re doing your best? Perhaps you’re feeling anxious, stuck, disconnected, grieving, or simply carrying more than anyone realizes. Maybe you’re functioning on the outside while quietly struggling underneath. Maybe you’re tired of surviving and ready for something more… a greater sense of peace, balance, connection, and fulfillment. If this resonates, you’re in the right place. You don’t have to face it alone. Therapy offers you a space to exhale, reflect, process life’s challenges, and reconnect with yourself.
(830) 490-1687 View (830) 490-1687
Photo of Samantha Kravitz, Licensed Professional Counselor, MS, LPC, NCC
Samantha Kravitz
Licensed Professional Counselor, MS, LPC, NCC
2 Endorsed
Serves Area
Waitlist for new clients
Sometimes it can be easy to doubt ourselves, our worth, and our abilities. The experiences we have in life can lead us to having these painful beliefs and emotions, which can bring about feelings of shame, misunderstanding or despair. When we are able to overcome the shame and self-doubt, our true selves are able to be discovered. No matter what you’ve been through, you deserve to be appreciated and respected. My hope is to guide you in self-discovery and finding compassion for yourself that allows you to become the person that you desire to be. Allow me to guide you on your journey of healing and growth.
Sometimes it can be easy to doubt ourselves, our worth, and our abilities. The experiences we have in life can lead us to having these painful beliefs and emotions, which can bring about feelings of shame, misunderstanding or despair. When we are able to overcome the shame and self-doubt, our true selves are able to be discovered. No matter what you’ve been through, you deserve to be appreciated and respected. My hope is to guide you in self-discovery and finding compassion for yourself that allows you to become the person that you desire to be. Allow me to guide you on your journey of healing and growth.
(210) 591-7499 View (210) 591-7499
Photo of Elizabeth Tofani-Garcia, Licensed Professional Counselor, LCDC, LPC-S
Elizabeth Tofani-Garcia
Licensed Professional Counselor, LCDC, LPC-S
Floresville, TX 78114
My goal is to help people who are struggling with personal and interpersonal challenges. Whether you're struggling with a long-term problem or just going through a rough patch, my goal is to help you move forward, feel more empowered and in control of your life. The therapeutic relationship offers a thoughtful, sensitive and safe space where you will feel heard and understood, and where you will get honest, objective feedback. We will start with where you feel stuck, and develop a plan to help you make changes. Each of us has a unique personal history.
My goal is to help people who are struggling with personal and interpersonal challenges. Whether you're struggling with a long-term problem or just going through a rough patch, my goal is to help you move forward, feel more empowered and in control of your life. The therapeutic relationship offers a thoughtful, sensitive and safe space where you will feel heard and understood, and where you will get honest, objective feedback. We will start with where you feel stuck, and develop a plan to help you make changes. Each of us has a unique personal history.
(830) 376-2650 View (830) 376-2650
Photo of Cheryl Patton, Licensed Professional Counselor, LPC, CCM
Cheryl Patton
Licensed Professional Counselor, LPC, CCM
3 Endorsed
Kenedy, TX 78119
Work, family, and relationships can feel overwhelming—like you’re constantly juggling too much and terrified of letting anything fall. You wake up with a knot in your stomach that never really goes away, and it’s been far too long since you’ve felt calm, confident, or at ease. Anxiety feels like it’s running your life, while depression drains the energy you need to get through the day. When you’re this exhausted and overwhelmed, it’s hard to be present for yourself or the people you care about. You don’t have to face this alone—support and help is available.
Work, family, and relationships can feel overwhelming—like you’re constantly juggling too much and terrified of letting anything fall. You wake up with a knot in your stomach that never really goes away, and it’s been far too long since you’ve felt calm, confident, or at ease. Anxiety feels like it’s running your life, while depression drains the energy you need to get through the day. When you’re this exhausted and overwhelmed, it’s hard to be present for yourself or the people you care about. You don’t have to face this alone—support and help is available.
(830) 476-7508 View (830) 476-7508
Photo of Lynette Ewuchie - Healing Mind Psychiatry PLLC, PA-C
Healing Mind Psychiatry PLLC
Verified Verified
4 Endorsed
Serves Area
Now Accepting NEW Clients! Welcome to Healing Mind Psychiatry, where our goal is to offer compassionate, thorough, and individualized mental health services. We know how intimidating it might be to seek professional assistance for mental health issues. Our clinic offers a wide range of services to both adolescents and adults dealing with a variety of mental health conditions. As a result, our team of skilled mental health providers are committed to fostering a secure and welcoming environment for every client who enters our doors. From depression and anxiety, bipolar illness & ADHD, our specialists have the knowledge to help you.
Now Accepting NEW Clients! Welcome to Healing Mind Psychiatry, where our goal is to offer compassionate, thorough, and individualized mental health services. We know how intimidating it might be to seek professional assistance for mental health issues. Our clinic offers a wide range of services to both adolescents and adults dealing with a variety of mental health conditions. As a result, our team of skilled mental health providers are committed to fostering a secure and welcoming environment for every client who enters our doors. From depression and anxiety, bipolar illness & ADHD, our specialists have the knowledge to help you.
(214) 241-4684 View (214) 241-4684
Photo of Lauren Esquivel, Marriage & Family Therapist, LMFT
Lauren Esquivel
Marriage & Family Therapist, LMFT
Serves Area
I am a Licensed Marriage and Family Therapist in Texas, bringing over five years of professional experience to my practice. I earned my Bachelor of Arts degree from Texas Lutheran University in 2010, followed by a Master’s degree in Marriage and Family Therapy from Abilene Christian University in Dallas, Texas, completed in May 2021.
I am a Licensed Marriage and Family Therapist in Texas, bringing over five years of professional experience to my practice. I earned my Bachelor of Arts degree from Texas Lutheran University in 2010, followed by a Master’s degree in Marriage and Family Therapy from Abilene Christian University in Dallas, Texas, completed in May 2021.
(830) 423-5087 View (830) 423-5087
Photo of Miranda Velasquez - Hillhaven Hollow PLLC, Marriage & Family Therapist, MA, LMFT, LCDC
Hillhaven Hollow PLLC
Marriage & Family Therapist, MA, LMFT, LCDC
1 Endorsed
Stockdale, TX 78160
Have you been looking for a Christian therapist who is a bit “vintage era” with a splash of thrill seeker and a huge dose of animal lover? Working together, we focus on your needs and the best way to get you where you want to be. Is your marriage in need of a tune up? Do you feel like something is missing in your relationships? Do you want better boundaries, to reduce anxiety or depression, develop your faith, or get your spiritual groove back? We've got you covered! Here at Hillhaven Hollow, we know that life throws us obstacles and we're here to help you navigate them. When you're ready, we'd be honored to help you.
Have you been looking for a Christian therapist who is a bit “vintage era” with a splash of thrill seeker and a huge dose of animal lover? Working together, we focus on your needs and the best way to get you where you want to be. Is your marriage in need of a tune up? Do you feel like something is missing in your relationships? Do you want better boundaries, to reduce anxiety or depression, develop your faith, or get your spiritual groove back? We've got you covered! Here at Hillhaven Hollow, we know that life throws us obstacles and we're here to help you navigate them. When you're ready, we'd be honored to help you.
(830) 400-4114 View (830) 400-4114
Photo of Kelly Deanne Hobbs, LPC-Associate, M.S., B.S., LPC-As
Kelly Deanne Hobbs
LPC-Associate, M.S., B.S., LPC-As
Online Only
I work with teens and adults facing a variety of life's challenges, including stress, anxiety, grief, relationship concerns, life transitions, trauma, and personal growth. Many clients come to counseling feeling overwhelmed, stuck, or uncertain about how to move forward. I provide a supportive, nonjudgmental environment where clients can gain insight, develop practical coping skills, build resilience, and create meaningful change. My goal is to meet clients where they are and help them navigate life's challenges with confidence, hope, and support.
I work with teens and adults facing a variety of life's challenges, including stress, anxiety, grief, relationship concerns, life transitions, trauma, and personal growth. Many clients come to counseling feeling overwhelmed, stuck, or uncertain about how to move forward. I provide a supportive, nonjudgmental environment where clients can gain insight, develop practical coping skills, build resilience, and create meaningful change. My goal is to meet clients where they are and help them navigate life's challenges with confidence, hope, and support.
View
Photo of Mirza Juliana Vasquez, Licensed Professional Counselor, LPC, NCC
Mirza Juliana Vasquez
Licensed Professional Counselor, LPC, NCC
Online Only
I am eager to work with clients that are looking for support during their journey in improving their mental health as they are facing symptoms of anxiety or depression.
I am eager to work with clients that are looking for support during their journey in improving their mental health as they are facing symptoms of anxiety or depression.
(210) 796-1466 View (210) 796-1466

How does your Therapist compare?

Number of Therapists in Karnes City, TX

< 10

Therapists in Karnes City, TX who prioritize treating:

100% Depression
100% Anxiety
100% Grief
100% Trauma and PTSD
100% Bipolar Disorder
100% Social Anxiety
100% Complex PTSD

Average years in practice

18 Years

Top 3 insurances accepted

100% Cigna and Evernorth
67% Aetna
67% BlueCross and BlueShield

How Therapists in Karnes City, TX see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Karnes City?

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.