Therapists in Fox Island, WA

Photo of Marie M Ceya, LMHCA, MA
Marie M Ceya
Mental Health Counselor Associate, LMHCA, MA
Verified Verified
Online Only
Life happens and at times it can be messy and may create challenges. I can assist you with guidance and healing, which can produce mental clarity and physical health. I can guide you along your journey. I believe in meeting you where you are and helping you to feel comfortable and safe to improve your ability to find your path, navigate hurdles, overcome barriers and struggles. My background focuses on men & women mental health and healing, Anxiety, depression, work related concerns as well as a spiritual and biblical based approach when it fits the client.
Life happens and at times it can be messy and may create challenges. I can assist you with guidance and healing, which can produce mental clarity and physical health. I can guide you along your journey. I believe in meeting you where you are and helping you to feel comfortable and safe to improve your ability to find your path, navigate hurdles, overcome barriers and struggles. My background focuses on men & women mental health and healing, Anxiety, depression, work related concerns as well as a spiritual and biblical based approach when it fits the client.
(253) 993-1725 View (253) 993-1725
Photo of Shayla Haller, MS, LMHC, MHP, CMHS, Counselor
Shayla Haller
Counselor, MS, LMHC, MHP, CMHS
Verified Verified
Fox Island, WA 98333
We were created for belonging, and each one of us has an innate desire to connect and feel seen. My experience as a therapist allows me to connect with a variety of people from all walks of life, including teenagers, athletes, couples, and families. Whether you’re dealing with trauma, anxiety, depression, relationship issues, or other concerns, I would be honored to help you. I am a former educator and coach (soccer) specializing in high performance and athletic coaching. I have additional experience working with first responders, collegiate athletes, military and veterans.
We were created for belonging, and each one of us has an innate desire to connect and feel seen. My experience as a therapist allows me to connect with a variety of people from all walks of life, including teenagers, athletes, couples, and families. Whether you’re dealing with trauma, anxiety, depression, relationship issues, or other concerns, I would be honored to help you. I am a former educator and coach (soccer) specializing in high performance and athletic coaching. I have additional experience working with first responders, collegiate athletes, military and veterans.
(206) 823-3250 View (206) 823-3250

More Therapists Nearby

Malagon Healing
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Online Only
Are you feeling overwhelmed by life’s transitions or struggling to find your footing during challenging times? We understand that everyone faces moments of uncertainty and difficulty. We are here to offer you a compassionate and supportive environment dedicated to helping you navigate these challenges with empathy and understanding. At Malagon Healing, we believe in the power of connection and the transformative impact it can have on your healing journey.
Are you feeling overwhelmed by life’s transitions or struggling to find your footing during challenging times? We understand that everyone faces moments of uncertainty and difficulty. We are here to offer you a compassionate and supportive environment dedicated to helping you navigate these challenges with empathy and understanding. At Malagon Healing, we believe in the power of connection and the transformative impact it can have on your healing journey.
(253) 525-5260 View (253) 525-5260
Photo of Jamie Villemonte, LICSW, LCSW, LAC, CIMHP, Clinical Social Work/Therapist
Jamie Villemonte
Clinical Social Work/Therapist, LICSW, LCSW, LAC, CIMHP
Verified Verified
1 Endorsed
Online Only
The way we see ourselves, our past and our enviornment, dictates our reality. I am passionate about helping clients see themselves and life situations using compassion, curiosity and forgiveness. Once we find what's really going on in our story, we can enhance this reality in beautiful ways. I love to work on Identity formation, spiritual/moral development and coping skills development to unveil client's natural light.
The way we see ourselves, our past and our enviornment, dictates our reality. I am passionate about helping clients see themselves and life situations using compassion, curiosity and forgiveness. Once we find what's really going on in our story, we can enhance this reality in beautiful ways. I love to work on Identity formation, spiritual/moral development and coping skills development to unveil client's natural light.
(253) 358-8628 View (253) 358-8628
Photo of Teresa R Renner, MA, LMFT, Marriage & Family Therapist
Teresa R Renner
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
Gig Harbor, WA 98335
My passion is to motivate, educate and support the deepest level of healing and highest level of achievement available to my clients, personally, professionally and in their relationships. I assist my clients in healing long standing issue as they move through difficult life circumstances with a deeper understanding and appreciation of themselves and others. Utilizing my training in fitness, holistic nutrition, & personal growth combined with over 20 years experience in mental health, I feel uniquely qualified to assist my clients in understanding and healing their "whole being". I'm licensed and have practices in WA and CA.
My passion is to motivate, educate and support the deepest level of healing and highest level of achievement available to my clients, personally, professionally and in their relationships. I assist my clients in healing long standing issue as they move through difficult life circumstances with a deeper understanding and appreciation of themselves and others. Utilizing my training in fitness, holistic nutrition, & personal growth combined with over 20 years experience in mental health, I feel uniquely qualified to assist my clients in understanding and healing their "whole being". I'm licensed and have practices in WA and CA.
(253) 321-1853 View (253) 321-1853
Photo of Jennifer Croke, LICSW, Clinical Social Work/Therapist
Jennifer Croke
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Tacoma, WA 98422
Preferred contact method is email, please check your junk for my reply! I feel so fortunate to have found a career that I love, and cherish! My practice came about in the form of an epiphany one day, as I sat on the AIDS unit in NYC as a volunteer. As I listened to a man share his story, I realized that he had not been celebrated for his many talents, but had been ostracized for having AIDS. I decided that my philosophy was going to be-"our differences are what make us beautiful, we should all be celebrated for our uniqueness." This is the philosophy I live by daily.
Preferred contact method is email, please check your junk for my reply! I feel so fortunate to have found a career that I love, and cherish! My practice came about in the form of an epiphany one day, as I sat on the AIDS unit in NYC as a volunteer. As I listened to a man share his story, I realized that he had not been celebrated for his many talents, but had been ostracized for having AIDS. I decided that my philosophy was going to be-"our differences are what make us beautiful, we should all be celebrated for our uniqueness." This is the philosophy I live by daily.
(253) 259-3202 View (253) 259-3202
Photo of Brian Garrison, MA, LMHC, Counselor
Brian Garrison
Counselor, MA, LMHC
Verified Verified
8 Endorsed
Tacoma, WA 98404
Behind so much of how we think, what we long for, and how we relate to ourselves and others lies unacknowledged shame, trauma, and the strategies we developed, sometimes very early on, to cope with and hide these realities from ourselves. These make up the “muscle memory” of our emotional worlds, which cannot always be easily recalled, but determine our lives nonetheless. Therapy aims to cultivate awareness of what lies underneath in disconnected, dissociated ways, and provides a space to move through the pain, accept, and integrate the past so that it no longer repeats itself in our lives.
Behind so much of how we think, what we long for, and how we relate to ourselves and others lies unacknowledged shame, trauma, and the strategies we developed, sometimes very early on, to cope with and hide these realities from ourselves. These make up the “muscle memory” of our emotional worlds, which cannot always be easily recalled, but determine our lives nonetheless. Therapy aims to cultivate awareness of what lies underneath in disconnected, dissociated ways, and provides a space to move through the pain, accept, and integrate the past so that it no longer repeats itself in our lives.
(206) 337-0756 View (206) 337-0756
Photo of Nick Etherington, LMHC, MS, Counselor
Nick Etherington
Counselor, LMHC, MS
Verified Verified
1 Endorsed
Puyallup, WA 98373
“There is no greater agony than bearing an untold story inside you”- Maya Angelou. It can be difficult taking the first step to seek out help when life seems unmanageable. However, it is often more difficult to work through the issues causing this disruption alone. Whether this is due to limited support in your life, or feeling that you have to take care of it yourself, you do not have to work through it alone.
“There is no greater agony than bearing an untold story inside you”- Maya Angelou. It can be difficult taking the first step to seek out help when life seems unmanageable. However, it is often more difficult to work through the issues causing this disruption alone. Whether this is due to limited support in your life, or feeling that you have to take care of it yourself, you do not have to work through it alone.
(253) 446-7176 View (253) 446-7176
Photo of Gretchen Escobar, LMHC, Counselor
Gretchen Escobar
Counselor, LMHC
Verified Verified
Online Only
An ideal client is the one who has identified the need to seek help. Has the willingness to work on those areas that need to be adjusted or changed. Understand that goals are placed to help and improve their life, work on them and is ready to practice and practice the skills being taught.
An ideal client is the one who has identified the need to seek help. Has the willingness to work on those areas that need to be adjusted or changed. Understand that goals are placed to help and improve their life, work on them and is ready to practice and practice the skills being taught.
(253) 780-7792 View (253) 780-7792
Photo of Megan Gillman, MS, MSW, LICSW, Clinical Social Work/Therapist
Megan Gillman
Clinical Social Work/Therapist, MS, MSW, LICSW
Verified Verified
Online Only
Many of my clients come to me feeling misunderstood or out of sync with the world around them, often having only recently discovered that they may be neurodivergent or on the autism spectrum. They may also be navigating the complexities of LGBTQIA+ identities, non-traditional relationships, or grappling with the emotional and physical challenges of chronic illness and mental health issues like anxiety, depression, or trauma. Life transitions—whether related to parenthood, relationships, or career—can feel overwhelming, and many struggle to connect with their emotions or communicate their needs.
Many of my clients come to me feeling misunderstood or out of sync with the world around them, often having only recently discovered that they may be neurodivergent or on the autism spectrum. They may also be navigating the complexities of LGBTQIA+ identities, non-traditional relationships, or grappling with the emotional and physical challenges of chronic illness and mental health issues like anxiety, depression, or trauma. Life transitions—whether related to parenthood, relationships, or career—can feel overwhelming, and many struggle to connect with their emotions or communicate their needs.
(360) 284-1785 View (360) 284-1785
Photo of Katreace Katrell Moore - Wellness Counseling Services PLLC , MSP/MAC, SUDP, LMHCA
Wellness Counseling Services PLLC
MSP/MAC, SUDP, LMHCA
Verified Verified
1 Endorsed
University Place, WA 98466
My name is Katreace Moore, a licensed substance abuse professional- internationally endorsed by NADDAC as a master-level counselor and licensed mental health associate. I received my second master’s degree from Walden University School of Behavioral Science (it was embedded in my Ph.D. for Clinical Psychology with a Specialization in Forensics). I am a Clinical Psychology with a specialization in Forensics Ph.D. candidate. I am a student member of the American Psychology Association, Golden Key Honor Society, PSI Chi, and an International Honors Society Member. My passion for mental health motivates my pursuit of my Ph.D.
My name is Katreace Moore, a licensed substance abuse professional- internationally endorsed by NADDAC as a master-level counselor and licensed mental health associate. I received my second master’s degree from Walden University School of Behavioral Science (it was embedded in my Ph.D. for Clinical Psychology with a Specialization in Forensics). I am a Clinical Psychology with a specialization in Forensics Ph.D. candidate. I am a student member of the American Psychology Association, Golden Key Honor Society, PSI Chi, and an International Honors Society Member. My passion for mental health motivates my pursuit of my Ph.D.
(253) 528-8967 x3627 View (253) 528-8967 x3627
Photo of Hannah Joy Kercher, MA, LMHC, Counselor
Hannah Joy Kercher
Counselor, MA, LMHC
Verified Verified
Bonney Lake, WA 98391
Accepting New clients. Do you feel like a misfit? Are you finding it difficult to connect with others due to your past trauma or grief/loss? Have you you had controlling people in your lives telling you what to believe spiritually or dictating everything you say and do and are trying to find your own peace in life and place in this world? Anxiety and depression are common for those who have experienced past trauma, I see you and care for you.
Accepting New clients. Do you feel like a misfit? Are you finding it difficult to connect with others due to your past trauma or grief/loss? Have you you had controlling people in your lives telling you what to believe spiritually or dictating everything you say and do and are trying to find your own peace in life and place in this world? Anxiety and depression are common for those who have experienced past trauma, I see you and care for you.
(360) 382-2978 View (360) 382-2978
Photo of Candace Lea Hunsucker - Candace Hunsucker Therapeutic Services, LLC, LMFT, SUDP, Marriage & Family Therapist
Candace Hunsucker Therapeutic Services, LLC
Marriage & Family Therapist, LMFT, SUDP
Verified Verified
Puyallup, WA 98372
I offer therapeutic sessions for individuals, couples, youth, and families. I help facilitate a process where people can develop insight and understanding of what may be holding them back from wellness, joy, and personal growth. Sometimes this may involve family patterns, behaviors that are not in line with one's values, or relationships that are no longer serving you. My job is to create safety for people to share their authentic selves, honoring strengths and navigating challenges together. My intention is to honor your gifts and to expand new ways of thinking or approaching situations to better meet your goals.
I offer therapeutic sessions for individuals, couples, youth, and families. I help facilitate a process where people can develop insight and understanding of what may be holding them back from wellness, joy, and personal growth. Sometimes this may involve family patterns, behaviors that are not in line with one's values, or relationships that are no longer serving you. My job is to create safety for people to share their authentic selves, honoring strengths and navigating challenges together. My intention is to honor your gifts and to expand new ways of thinking or approaching situations to better meet your goals.
(206) 486-2113 View (206) 486-2113
Photo of Robert L Neumann - A Vital Connection - Hypnotherapy, BCH
A Vital Connection - Hypnotherapy
BCH
Verified Verified
University Place, WA 98466
Hypnosis is a powerful tool that can transform your life! I've been a WA State Licensed Hypnotherapist and Board Certified Hypnotist for well over thirty years. I have helped thousands of individuals change their lives by connecting them with the power lying dormant within their subconscious mind. My mission is, to listen to you, so that I have a thorough understanding of exactly what your needs are. Then to help you overcome any obstacle that is blocking your well-being, happiness, and success using hypnotherapy. The question most commonly asked is, can I be hypnotized. The answer is always, you already are.
Hypnosis is a powerful tool that can transform your life! I've been a WA State Licensed Hypnotherapist and Board Certified Hypnotist for well over thirty years. I have helped thousands of individuals change their lives by connecting them with the power lying dormant within their subconscious mind. My mission is, to listen to you, so that I have a thorough understanding of exactly what your needs are. Then to help you overcome any obstacle that is blocking your well-being, happiness, and success using hypnotherapy. The question most commonly asked is, can I be hypnotized. The answer is always, you already are.
(253) 201-3474 View (253) 201-3474
Photo of Shannon King, MA, LHMC, Counselor
Shannon King
Counselor, MA, LHMC
Verified Verified
Bonney Lake, WA 98391
New Clients: Current openings between 9-12 only. Everyone struggles at some point in their life. Sometimes we are able to handle life's difficulties on our own and sometimes we could use the help of a professional to conquer our dilemmas. I am honored to help people through those rough patches, and at all times guide them in a nonjudgmental, confidential, caring way. I do not take a 'one size fits all' approach to counseling. I will work with my clients to establish goals and how we will work towards that growth.
New Clients: Current openings between 9-12 only. Everyone struggles at some point in their life. Sometimes we are able to handle life's difficulties on our own and sometimes we could use the help of a professional to conquer our dilemmas. I am honored to help people through those rough patches, and at all times guide them in a nonjudgmental, confidential, caring way. I do not take a 'one size fits all' approach to counseling. I will work with my clients to establish goals and how we will work towards that growth.
(253) 447-8293 View (253) 447-8293
Photo of Chelsey Tschosik, MSW, LICSW, Clinical Social Work/Therapist
Chelsey Tschosik
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Online Only
My main goal is to create a welcoming and safe space where you feel comfortable as we build mutual trust and rapport. Together, we will develop a personalized treatment plan tailored to your mental health goals. I specialize in helping those who have experienced trauma and are currently suffering from depression and anxiety,
My main goal is to create a welcoming and safe space where you feel comfortable as we build mutual trust and rapport. Together, we will develop a personalized treatment plan tailored to your mental health goals. I specialize in helping those who have experienced trauma and are currently suffering from depression and anxiety,
(253) 364-5641 View (253) 364-5641
Photo of Tamara Pietzke, LICSW, Counselor
Tamara Pietzke
Counselor, LICSW
Verified Verified
Online Only
You matter. Your story matters. What's bringing you to this page right now matters. I care deeply about helping my clients feel seen and heard. I consider it an honor to come alongside someone and to be let into their world. As part of the therapeutic process, we can help uncover lies you might be believing, identify counterproductive thinking, explore relationship dynamics, process trauma, and troubleshoot life stressors.
You matter. Your story matters. What's bringing you to this page right now matters. I care deeply about helping my clients feel seen and heard. I consider it an honor to come alongside someone and to be let into their world. As part of the therapeutic process, we can help uncover lies you might be believing, identify counterproductive thinking, explore relationship dynamics, process trauma, and troubleshoot life stressors.
(253) 364-6276 View (253) 364-6276
Photo of Carrie Cochran - Carrie Cochran, Trauma & Relationship Therapist, LMFT, Marriage & Family Therapist
Carrie Cochran, Trauma & Relationship Therapist
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Tacoma, WA 98443
Hi, if you are here, you’re likely struggling with something in your life, relationships, overwhelming stress or anxiety, difficulty managing emotions or unresolved issues from your past. Do you find yourself constantly worried and overthinking everything? Are you irritable and feeling guilty about being short with your loved ones. Would you like to be better able to manage your emotions and thoughts and have more awareness and control over your actions and responses? Or maybe you are curious about therapy and want to know if it can help you find more joy, love and peace in your life.
Hi, if you are here, you’re likely struggling with something in your life, relationships, overwhelming stress or anxiety, difficulty managing emotions or unresolved issues from your past. Do you find yourself constantly worried and overthinking everything? Are you irritable and feeling guilty about being short with your loved ones. Would you like to be better able to manage your emotions and thoughts and have more awareness and control over your actions and responses? Or maybe you are curious about therapy and want to know if it can help you find more joy, love and peace in your life.
(808) 725-3121 View (808) 725-3121
Photo of Rachel Turner - LEEF Mental Health, PLLC, LMHC, NCC, Counselor
LEEF Mental Health, PLLC
Counselor, LMHC, NCC
Verified Verified
Tacoma, WA 98409
Are negative thoughts and feelings overwhelming you each day? Do you want a partner to help you through this tough transition in your life? Are you ready to turn over a new leaf with a greater lease on life? I’ll be there. Reach-out to me. I am committed to addressing all of your unique needs with respect and dignity. The therapeutic process is a collaboration driven by you. I take a supportive, multicultural, holistic approach towards healing and recovery. I encourage your independence, stability, learning, and goals in therapy. Now offering supervision to mental health professionals pursuing licensure.
Are negative thoughts and feelings overwhelming you each day? Do you want a partner to help you through this tough transition in your life? Are you ready to turn over a new leaf with a greater lease on life? I’ll be there. Reach-out to me. I am committed to addressing all of your unique needs with respect and dignity. The therapeutic process is a collaboration driven by you. I take a supportive, multicultural, holistic approach towards healing and recovery. I encourage your independence, stability, learning, and goals in therapy. Now offering supervision to mental health professionals pursuing licensure.
View
Photo of Jaime Di Giovanna, MSW, LICSW, MHP, Clinical Social Work/Therapist
Jaime Di Giovanna
Clinical Social Work/Therapist, MSW, LICSW, MHP
Verified Verified
1 Endorsed
Tacoma, WA 98402
Thank you for stopping by! My name is Jaime (she/her/hers), and I am a Licensed Independent Clinical Social Worker. I work with individuals aged 16 and older of all genders seeking support for a broad range of mental health and life issues. I am a strong advocate and ally, and work to help my clients on their path toward healing, acceptance, balance and growth. I have a Great Pyrenees dog in office with me, so please let me know if you would be more comfortable meeting in person or via Telehealth. I am in the process of earning my Doctorate of Social Work (DSW) through Tulane University.
Thank you for stopping by! My name is Jaime (she/her/hers), and I am a Licensed Independent Clinical Social Worker. I work with individuals aged 16 and older of all genders seeking support for a broad range of mental health and life issues. I am a strong advocate and ally, and work to help my clients on their path toward healing, acceptance, balance and growth. I have a Great Pyrenees dog in office with me, so please let me know if you would be more comfortable meeting in person or via Telehealth. I am in the process of earning my Doctorate of Social Work (DSW) through Tulane University.
(253) 201-2208 View (253) 201-2208

See more therapy options for Fox Island

How does your Therapist compare?

Number of Therapists in Fox Island, WA

< 10

Therapists in Fox Island, WA who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Parenting
100% Spirituality
100% Trauma and PTSD
100% Other

Average years in practice

6 Years

Top 3 insurances accepted

100% Aetna
100% PacificSource
100% UnitedHealthcare UHC | UBH

How Therapists in Fox Island, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Fox Island?

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.