Therapists in West University Place, TX

Photo of Spoon Therapy Group, Pre-Licensed Professional in West University Place, TX
Spoon Therapy Group
Pre-Licensed Professional
Verified Verified
1 Endorsed
West University Place, TX 77005
Have you ever gone to a different country and not understood their native language? How difficult was it for you to get what you needed? Imagine you are a child, wanting to tell you what they are going through but cannot tell you in words. Play therapy is a language a child utilizes to express what cannot be vocalized. I am Whitney, trained to interpret this language to help you get the ease you need as a parent. You are a good parent, you are here; looking to do all you can for her child. Give me a call!
Have you ever gone to a different country and not understood their native language? How difficult was it for you to get what you needed? Imagine you are a child, wanting to tell you what they are going through but cannot tell you in words. Play therapy is a language a child utilizes to express what cannot be vocalized. I am Whitney, trained to interpret this language to help you get the ease you need as a parent. You are a good parent, you are here; looking to do all you can for her child. Give me a call!
(346) 536-8140 View (346) 536-8140
Photo of An Phong A. P. Vo, Clinical Social Work/Therapist in West University Place, TX
An Phong A. P. Vo
Clinical Social Work/Therapist, JD, LCSW
Verified Verified
2 Endorsed
West University Place, TX 77005
Did your marriage or relationship start with a deep connection, being in love, exciting thoughts and hopes for the future, but you drifted apart and are longing for more? Has one or both of you started overworking, over-parenting, and being less available? Do you feel like roommates? Is there infidelity, anxiety, anger, or depression? Navigating marriage and intimate relationships can be a complex journey because they are shaped by our individual life experiences, our unique personalities, our hopes, desires, and expectations, which can sometimes clash, especially with time. But, this doesn’t mean you can’t turn things around.
Did your marriage or relationship start with a deep connection, being in love, exciting thoughts and hopes for the future, but you drifted apart and are longing for more? Has one or both of you started overworking, over-parenting, and being less available? Do you feel like roommates? Is there infidelity, anxiety, anger, or depression? Navigating marriage and intimate relationships can be a complex journey because they are shaped by our individual life experiences, our unique personalities, our hopes, desires, and expectations, which can sometimes clash, especially with time. But, this doesn’t mean you can’t turn things around.
(346) 482-0976 View (346) 482-0976
Photo of Glenda L Rice, Licensed Professional Counselor in West University Place, TX
Glenda L Rice
Licensed Professional Counselor, MA, LPC
Verified Verified
West University Place, TX 77005  (Online Only)
Have you lost track of who you really are? Do you take care of the wants and needs of others without having your own needs met? Do you live your life according to what other people want and expect from you? Do you sometimes feel like you’re just a mirror, reflecting other people’s lives? I can help you find a balance between your inner self and your outer self.
Have you lost track of who you really are? Do you take care of the wants and needs of others without having your own needs met? Do you live your life according to what other people want and expect from you? Do you sometimes feel like you’re just a mirror, reflecting other people’s lives? I can help you find a balance between your inner self and your outer self.
(713) 338-9245 View (713) 338-9245
Photo of Rosalie W Hyde, Clinical Social Work/Therapist in West University Place, TX
Rosalie W Hyde
Clinical Social Work/Therapist, LCSW, S
Verified Verified
1 Endorsed
West University Place, TX 77005
In this time of crisis and fear that the whole world is experiencing, I think that I must first address how any person who comes to me is coping, how she/he is managing safety and fears for her/himself and his/her family. We cannot dissociate what is happening to all of us now because that replicates what may have happened to many of us in some distant past traumatic experience: Not to talk about what happened. My clients often have struggled with similar problems for years, often working hard in therapy, but not fully understanding the link between their struggles and their experiences in the past.
In this time of crisis and fear that the whole world is experiencing, I think that I must first address how any person who comes to me is coping, how she/he is managing safety and fears for her/himself and his/her family. We cannot dissociate what is happening to all of us now because that replicates what may have happened to many of us in some distant past traumatic experience: Not to talk about what happened. My clients often have struggled with similar problems for years, often working hard in therapy, but not fully understanding the link between their struggles and their experiences in the past.
(713) 338-9049 View (713) 338-9049
Photo of Catherine A Casey, Licensed Professional Counselor in West University Place, TX
Catherine A Casey
Licensed Professional Counselor, LPC, LMFT
Verified Verified
West University Place, TX 77005  (Online Only)
I specialize in individual and couples or relationship therapy for adults. I work with a wide range of emotional issues. Speciality areas include depression, anxiety, stress management, grief and loss, relationship issues, and women's issues. I believe strongly in the mind-body connection, and have helped many clients move toward practices which create more balance and reduce stress in daily living. I employ a variety of approaches in my work, using what best fits the needs of any individual client. I am often drawn to cognitive-behavioral and family systems frameworks.
I specialize in individual and couples or relationship therapy for adults. I work with a wide range of emotional issues. Speciality areas include depression, anxiety, stress management, grief and loss, relationship issues, and women's issues. I believe strongly in the mind-body connection, and have helped many clients move toward practices which create more balance and reduce stress in daily living. I employ a variety of approaches in my work, using what best fits the needs of any individual client. I am often drawn to cognitive-behavioral and family systems frameworks.
(281) 853-9678 View (281) 853-9678
Photo of Jeana Hayes Carrier, Clinical Social Work/Therapist in West University Place, TX
Jeana Hayes Carrier
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
West University Place, TX 77005
Waitlist for new clients
The insight, understanding and perspectives that can be gained through therapy can be invaluable to our sense of well being, personal autonomy, and fulfillment. Although I have a generalist clinical practice--meaning I work with men and women who come to treatment for a variety of reasons---I have a special interest in treatment issues related to depression, loss, grief, life cycle transitions, and women's mental health. Other areas of interest include: diminished self esteem, abuse--sexual, physical and emotional, alcohol abuse, and issues related to individuals living with a terminally ill family member.
The insight, understanding and perspectives that can be gained through therapy can be invaluable to our sense of well being, personal autonomy, and fulfillment. Although I have a generalist clinical practice--meaning I work with men and women who come to treatment for a variety of reasons---I have a special interest in treatment issues related to depression, loss, grief, life cycle transitions, and women's mental health. Other areas of interest include: diminished self esteem, abuse--sexual, physical and emotional, alcohol abuse, and issues related to individuals living with a terminally ill family member.
(413) 207-9419 View (413) 207-9419
Photo of Linda J Harris, Licensed Professional Counselor in West University Place, TX
Linda J Harris
Licensed Professional Counselor, MEd, LPC
Verified Verified
West University Place, TX 77005  (Online Only)
Uncomfortable in your relationships at home, at work or with your family? Are you waiting for other people to change so that you can be happy? Are you thinking, "There must be a better way?" I will assist you in your taking charge of your own life. Together, we will identify choices, options and strategies to help you attain better life outcomes and more personal happiness.
Uncomfortable in your relationships at home, at work or with your family? Are you waiting for other people to change so that you can be happy? Are you thinking, "There must be a better way?" I will assist you in your taking charge of your own life. Together, we will identify choices, options and strategies to help you attain better life outcomes and more personal happiness.
(832) 323-1977 View (832) 323-1977
Photo of Angela A Koreth, Licensed Professional Counselor in West University Place, TX
Angela A Koreth
Licensed Professional Counselor, LPC-S
Verified Verified
West University Place, TX 77005
I strive to help others live a happy, healthy, successful life and cope when it can get difficult. If you have an addiction, troubles in a relationship or marriage, need help with increasing effective parenting, lack confidence in your self-worth, are tired of feeling a vast range of emotions, cannot get motivated or reach higher school/work performance, I am here to work with you; and together, we can work towards achieving your goals. For over 15 years, I've been a professional counselor and enjoy helping children, young adults, adults, families, and couples through a therapeutic style that is non-judgmental yet straightforward.
I strive to help others live a happy, healthy, successful life and cope when it can get difficult. If you have an addiction, troubles in a relationship or marriage, need help with increasing effective parenting, lack confidence in your self-worth, are tired of feeling a vast range of emotions, cannot get motivated or reach higher school/work performance, I am here to work with you; and together, we can work towards achieving your goals. For over 15 years, I've been a professional counselor and enjoy helping children, young adults, adults, families, and couples through a therapeutic style that is non-judgmental yet straightforward.
(833) 766-5032 View (833) 766-5032
Photo of Nancy Illback Cook, Psychologist in West University Place, TX
Nancy Illback Cook
Psychologist, PhD
Verified Verified
West University Place, TX 77005
My area of specialization focuses on looking at problems in relationships through the lens of one's own attachment history to try to understand why one feels and responds in current relationships in ways that are not productive. I also specialize in working with children to help them learn to emotionally regulate themselves so that they are able to function in a variety of social and educational situations. My work with parents helps them come to better understand their child as a unique person so as parents they can feel effective & have a close relationship with their child.
My area of specialization focuses on looking at problems in relationships through the lens of one's own attachment history to try to understand why one feels and responds in current relationships in ways that are not productive. I also specialize in working with children to help them learn to emotionally regulate themselves so that they are able to function in a variety of social and educational situations. My work with parents helps them come to better understand their child as a unique person so as parents they can feel effective & have a close relationship with their child.
(713) 587-9977 View (713) 587-9977
Photo of Leslie Crossman, Psychologist in West University Place, TX
Leslie Crossman
Psychologist, PhD
Verified Verified
West University Place, TX 77005
Assessment of children ages 5 to Adult for ADHD, learning disorders, cognitive processing difficulties and psychological disorders. Evaluations to measure variety of ability areas, such as thinking ability, verbal ability, and processing speed. Psycho-educational testing to determine entrance into private schools, documentation of a disability condition for public or private schools, for colleges or universities, and college board entrance exams. Assistance with educational planning and testing accommodations.
Assessment of children ages 5 to Adult for ADHD, learning disorders, cognitive processing difficulties and psychological disorders. Evaluations to measure variety of ability areas, such as thinking ability, verbal ability, and processing speed. Psycho-educational testing to determine entrance into private schools, documentation of a disability condition for public or private schools, for colleges or universities, and college board entrance exams. Assistance with educational planning and testing accommodations.
(713) 234-0693 View (713) 234-0693
Photo of Men Are Stupid - Women Are Crazy, Licensed Professional Counselor in West University Place, TX
Men Are Stupid - Women Are Crazy
Licensed Professional Counselor, MEd
Verified Verified
1 Endorsed
West University Place, TX 77005
Are you frustrated, angry and confused about your relationship, your partner or yourself? Are you about to pull your hair out because you don't understand what's going on in your relationship? Have you ever thought "Why are men so stupid" or "Why are women so crazy?" Are you tired of arguing? Are you tired of feeling alone because you don't have the connection and partnership you really crave? We'd like to help you create the emotional, spiritual and physical intimacy you deserve and to do so we're offering a FREE 30 minute phone consultation.
Are you frustrated, angry and confused about your relationship, your partner or yourself? Are you about to pull your hair out because you don't understand what's going on in your relationship? Have you ever thought "Why are men so stupid" or "Why are women so crazy?" Are you tired of arguing? Are you tired of feeling alone because you don't have the connection and partnership you really crave? We'd like to help you create the emotional, spiritual and physical intimacy you deserve and to do so we're offering a FREE 30 minute phone consultation.
(713) 338-9204 View (713) 338-9204
Photo of Helen K Chong, Clinical Social Work/Therapist in West University Place, TX
Helen K Chong
Clinical Social Work/Therapist, LCSW-S, CGP, PLLC
Verified Verified
West University Place, TX 77005
Waitlist for new clients
The gift of therapy cannot be truly measured in words or action, but in how you feel afterwards. Your decision to begin psychotherapy was probably made after a great deal of thought and consideration. Selecting a therapist who will be a good fit for you is critical since the process of psychotherapy is intense, and a satisfactory outcome is essential. I provide a broad spectrum of evaluation and psychotherapeutic services with individuals, couples, families, and groups. My approach is collaborative, seeking solutions within your value system.
The gift of therapy cannot be truly measured in words or action, but in how you feel afterwards. Your decision to begin psychotherapy was probably made after a great deal of thought and consideration. Selecting a therapist who will be a good fit for you is critical since the process of psychotherapy is intense, and a satisfactory outcome is essential. I provide a broad spectrum of evaluation and psychotherapeutic services with individuals, couples, families, and groups. My approach is collaborative, seeking solutions within your value system.
(503) 966-0183 View (503) 966-0183
Photo of Debbi Brod, Clinical Social Work/Therapist in West University Place, TX
Debbi Brod
Clinical Social Work/Therapist, LCSW
Verified Verified
West University Place, TX 77005
Debbi specializes in guiding individuals and couples toward a more meaningful life. Her clients seek self-discovery and self-identity, and she incorporates life coaching to enhance authenticity in their relationships and address challenges. Debbi's approach is solutions-oriented, involving collaborative goal-setting and problem-solving. With a compassionate and modern approach, Debbi specializes in helping clients unearth their authentic selves, nurturing self-identity, fostering genuine connections, and bridging cognitive thinking with emotional intelligence.
Debbi specializes in guiding individuals and couples toward a more meaningful life. Her clients seek self-discovery and self-identity, and she incorporates life coaching to enhance authenticity in their relationships and address challenges. Debbi's approach is solutions-oriented, involving collaborative goal-setting and problem-solving. With a compassionate and modern approach, Debbi specializes in helping clients unearth their authentic selves, nurturing self-identity, fostering genuine connections, and bridging cognitive thinking with emotional intelligence.
(713) 705-6262 View (713) 705-6262
Photo of Nettie Jones, Psychotherapy for Women, Licensed Professional Counselor in West University Place, TX
Nettie Jones, Psychotherapy for Women
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
West University Place, TX 77005  (Online Only)
Nettie Jones provides psychotherapy services to women who are wanting to find balance, reconnect with intimacy, live out their purpose and passion, and know the value of their voice. Women can learn to embrace the many seasons of life. Depression and anxiety have become the common cold of the mental disorders,learn to identify the signs and symptoms and what to do with them.
Nettie Jones provides psychotherapy services to women who are wanting to find balance, reconnect with intimacy, live out their purpose and passion, and know the value of their voice. Women can learn to embrace the many seasons of life. Depression and anxiety have become the common cold of the mental disorders,learn to identify the signs and symptoms and what to do with them.
(832) 462-7009 View (832) 462-7009
Photo of A. Timothy Butcher, Psychologist in West University Place, TX
A. Timothy Butcher
Psychologist, MDiv, PhD
Verified Verified
West University Place, TX 77005
The Clinic for Adult Attention Problems P.A. (CAAP) is a specialty clinic. The primary mission of the clinic is to provide exemplary patient care through state-of-the-art assessment and treatment and to expand knowledge through research.
The Clinic for Adult Attention Problems P.A. (CAAP) is a specialty clinic. The primary mission of the clinic is to provide exemplary patient care through state-of-the-art assessment and treatment and to expand knowledge through research.
(713) 489-8361 View (713) 489-8361
Photo of Dr. Julia L. Prillaman, Psychologist in West University Place, TX
Dr. Julia L. Prillaman
Psychologist, PhD
Verified Verified
West University Place, TX 77005
I have worked in the mental health field for over 20 years. I receive frequent referrals for issues pertaining to perfectionism, over-achievement, obsessions, and depressive conditions including bipolar disorder. I am particularly interested in working with individuals with unique and/or complex constellations of symptoms. Regardless of diagnosis, I encourage all patients to define their goals for treatment and to actively participate in the therapy process. I have worked both domestically and internationally and welcome all cultures to my practice.
I have worked in the mental health field for over 20 years. I receive frequent referrals for issues pertaining to perfectionism, over-achievement, obsessions, and depressive conditions including bipolar disorder. I am particularly interested in working with individuals with unique and/or complex constellations of symptoms. Regardless of diagnosis, I encourage all patients to define their goals for treatment and to actively participate in the therapy process. I have worked both domestically and internationally and welcome all cultures to my practice.
(713) 338-9108 View (713) 338-9108
Photo of Felix M Scardino, Clinical Social Work/Therapist in West University Place, TX
Felix M Scardino
Clinical Social Work/Therapist, LCSW
Verified Verified
West University Place, TX 77005
I have counseled individuals, families, and couples for forty-four years. I assist clients with issues that include depression, anxiety, family communication, career choices, and the stress of physical illness. Trained in psychodynamic, client-centered, and Jungian methods, I tailor counseling to the needs of clients. I favor approaches that respect innate creativity, core values, and interdependence. In addition to talking, other modalities may include relaxation and imagery, sometimes called self-hypnosis, journaling, and the use of art. As a former priest I bring to my practice the conviction that problems are ultimately resolved by finding meaning and purpose.
I have counseled individuals, families, and couples for forty-four years. I assist clients with issues that include depression, anxiety, family communication, career choices, and the stress of physical illness. Trained in psychodynamic, client-centered, and Jungian methods, I tailor counseling to the needs of clients. I favor approaches that respect innate creativity, core values, and interdependence. In addition to talking, other modalities may include relaxation and imagery, sometimes called self-hypnosis, journaling, and the use of art. As a former priest I bring to my practice the conviction that problems are ultimately resolved by finding meaning and purpose.
(713) 338-9039 View (713) 338-9039
Photo of Lucy H Raster, Clinical Social Work/Therapist in West University Place, TX
Lucy H Raster
Clinical Social Work/Therapist, LCSW
Verified Verified
West University Place, TX 77005
I am passionate about collaborating with individuals, couples and families to achieve personal growth and realize your treatment goals so you may lead a more contented life. My clinical training with Baylor College of Medicine provides me special insight in myriad of treatment options to meet your specific needs. I pride myself on providing a warm, non-judgmental atmosphere where you can rediscover hope and healing.
I am passionate about collaborating with individuals, couples and families to achieve personal growth and realize your treatment goals so you may lead a more contented life. My clinical training with Baylor College of Medicine provides me special insight in myriad of treatment options to meet your specific needs. I pride myself on providing a warm, non-judgmental atmosphere where you can rediscover hope and healing.
(281) 853-9692 View (281) 853-9692
Photo of Harvey B Aronson, Clinical Social Work/Therapist in West University Place, TX
Harvey B Aronson
Clinical Social Work/Therapist, LCSW, LMFT, LCDC, PhD
Verified Verified
West University Place, TX 77005  (Online Only)
Not accepting new clients
Our spouse/mate is the most significant enlivening resource in our lives, or the living embodiment of hell.No one taught us how to convert conflict into enriching, intimacy. That is, however, possible and what I am an expert at offering. With twenty-five years experience, I focus on couples and individuals resolving distress and optimizing intimacy with deep interest in enhancing the meaning individuals experience in their lives. I am not a silent, listener but an active co-creator of therapeutic relationship.
Our spouse/mate is the most significant enlivening resource in our lives, or the living embodiment of hell.No one taught us how to convert conflict into enriching, intimacy. That is, however, possible and what I am an expert at offering. With twenty-five years experience, I focus on couples and individuals resolving distress and optimizing intimacy with deep interest in enhancing the meaning individuals experience in their lives. I am not a silent, listener but an active co-creator of therapeutic relationship.
(713) 338-9034 View (713) 338-9034
Photo of Eva Szego, Marriage & Family Therapist in West University Place, TX
Eva Szego
Marriage & Family Therapist, MA, LPC-S, ATR-BC, LMFT
Verified Verified
1 Endorsed
West University Place, TX 77005
Eva Szego is a Licensed Professional Counselor and Family Therapist, and a Board Certified Art Therapist. Ms. Szego earned her Degree in Expressive Therapies from the University of Louisville. Her practice is a general one involving therapy. Her goal is to help people utilize and develop their strengths and resources, instead of their weaknesses and limitations. She incorporates Art Therapies to help individuals reach their potential. Ms. Szego counsels individuals and corporations on Acculturation Issues, Stress and Sexual Abuse. She has worked for corporations all over the United States and assists in immigration cases.
Eva Szego is a Licensed Professional Counselor and Family Therapist, and a Board Certified Art Therapist. Ms. Szego earned her Degree in Expressive Therapies from the University of Louisville. Her practice is a general one involving therapy. Her goal is to help people utilize and develop their strengths and resources, instead of their weaknesses and limitations. She incorporates Art Therapies to help individuals reach their potential. Ms. Szego counsels individuals and corporations on Acculturation Issues, Stress and Sexual Abuse. She has worked for corporations all over the United States and assists in immigration cases.
(713) 338-9188 View (713) 338-9188

See more therapy options for West University Place

How does your Therapist compare?

Number of Therapists in West University Place, TX

100+

Average cost per session

$170

Therapists in West University Place, TX who prioritize treating:

97% Anxiety
95% Depression
80% Relationship Issues
75% Coping Skills
73% Self Esteem
64% Stress
59% Grief

Average years in practice

15 Years

Top 3 insurances accepted

76% Aetna
63% UnitedHealthcare UHC | UBH
58% BlueCross and BlueShield

How Therapists in West University Place, TX see their clients

79% In Person and Online
21% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in West University Place?

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.