Photo of Khair Fatima, LMFT, Marriage & Family Therapist
Khair Fatima
Marriage & Family Therapist, LMFT
Verified Verified
Carson, CA 90745
Hello, my name is Khair Fatima, I am a Licensed Marriage and Family Therapist committed to helping others learn how to cope with life challenges. My work focuses on ineffective behaviors, habits, and beliefs and replacing them with effective coping skills. I believe in taking a collaborative approach to helping clients reach their goals. I am currently trained in Individual Cognitive Behavioral Therapy, Seeking Safety, and Managing and Adapting Practices. I am client centered passionate about helping clients reach their potential and have a life worth living.
Hello, my name is Khair Fatima, I am a Licensed Marriage and Family Therapist committed to helping others learn how to cope with life challenges. My work focuses on ineffective behaviors, habits, and beliefs and replacing them with effective coping skills. I believe in taking a collaborative approach to helping clients reach their goals. I am currently trained in Individual Cognitive Behavioral Therapy, Seeking Safety, and Managing and Adapting Practices. I am client centered passionate about helping clients reach their potential and have a life worth living.
(562) 837-2798 View (562) 837-2798
Photo of Kristen Sherman, LMFT, Marriage & Family Therapist
Kristen Sherman
Marriage & Family Therapist, LMFT
Verified Verified
Carson, CA 90745
Hello, I am a licensed marriage and family therapist who works with adults and adolescents. I provide client centered therapy to help clients who are looking to improve their life worth living. I help those who suffer from painful emotions, dysregulating thoughts and ineffective behaviors that leads them to feel numb or avoid life. The most important part of therapy is the relationship we build together. I am passionate about helping individuals and families break the stigma of mental health issues and create a life worth living.
Hello, I am a licensed marriage and family therapist who works with adults and adolescents. I provide client centered therapy to help clients who are looking to improve their life worth living. I help those who suffer from painful emotions, dysregulating thoughts and ineffective behaviors that leads them to feel numb or avoid life. The most important part of therapy is the relationship we build together. I am passionate about helping individuals and families break the stigma of mental health issues and create a life worth living.
(562) 526-1430 View (562) 526-1430
Photo of LaQuita Suggs, LCSW, Clinical Social Work/Therapist
LaQuita Suggs
Clinical Social Work/Therapist, LCSW
Verified Verified
Carson, CA 90745
My name is LaQuita Suggs. I am a Licensed Clinical Social Worker with more than 18 years of experience. I approach therapy from an embracing and nonjudgmental perspective. I am comfortable working with a variety of individuals from teenagers to Adults dealing with a variety of life/biological and environmental issues. My comfort level extends to a variety of conditions such as grief& Loss, work/life balance, depression, anxiety, stress, phase of life change, relational concerns, gender identity/sexuality struggles, family conflict etc.
My name is LaQuita Suggs. I am a Licensed Clinical Social Worker with more than 18 years of experience. I approach therapy from an embracing and nonjudgmental perspective. I am comfortable working with a variety of individuals from teenagers to Adults dealing with a variety of life/biological and environmental issues. My comfort level extends to a variety of conditions such as grief& Loss, work/life balance, depression, anxiety, stress, phase of life change, relational concerns, gender identity/sexuality struggles, family conflict etc.
(562) 580-4052 View (562) 580-4052
Photo of Briana Yedalian, LMFT, Marriage & Family Therapist
Briana Yedalian
Marriage & Family Therapist, LMFT
Verified Verified
Carson, CA 90745
Hi there, my name is Briana Yedalian, I am a Licensed Marriage and Family Therapist (LMFT 137449). It is essential that clients get personalized suggestions based on around your needs. This is a collaborative relationship made up of honesty, authenticity and open-mindedness. As a modern clinician, my approach is eclectic. I use a variety of tools and orientations that work for you, not the other way around.
Hi there, my name is Briana Yedalian, I am a Licensed Marriage and Family Therapist (LMFT 137449). It is essential that clients get personalized suggestions based on around your needs. This is a collaborative relationship made up of honesty, authenticity and open-mindedness. As a modern clinician, my approach is eclectic. I use a variety of tools and orientations that work for you, not the other way around.
(562) 539-4371 View (562) 539-4371
Photo of Angelica Soto, PsyD, Psychologist
Angelica Soto
Psychologist, PsyD
Verified Verified
Carson, CA 90745
Welcome! I'm Angelica Soto and I am a Licensed Psychologist who believes in change through empowerment. I am highly intuitive and person-centered and can provide tailored support to individuals, couples, and families. I have significant experience treating complex developmental trauma and the symptoms of shame, depression, and anxiety that often go along with traumatic experiences. I have over 13 years of experience working with foster and adoptive families and am certified as an adoption-competent clinician. I use a variety of techniques, including CBT, narrative therapy, art and play therapy, and acceptance and commitment therapy.
Welcome! I'm Angelica Soto and I am a Licensed Psychologist who believes in change through empowerment. I am highly intuitive and person-centered and can provide tailored support to individuals, couples, and families. I have significant experience treating complex developmental trauma and the symptoms of shame, depression, and anxiety that often go along with traumatic experiences. I have over 13 years of experience working with foster and adoptive families and am certified as an adoption-competent clinician. I use a variety of techniques, including CBT, narrative therapy, art and play therapy, and acceptance and commitment therapy.
(562) 568-9656 View (562) 568-9656
Photo of George Young, LCSW, Clinical Social Work/Therapist
George Young
Clinical Social Work/Therapist, LCSW
Verified Verified
Carson, CA 90745
My name is George Young III. I am a board-certified LCSW. I am an Army Combat War Veteran. I specialize in Cognitive Behavioral Therapy. I have over 15 years of experience working with Children, Families, and Service Members. I like working with people and helping people reach their goals and true potential.
My name is George Young III. I am a board-certified LCSW. I am an Army Combat War Veteran. I specialize in Cognitive Behavioral Therapy. I have over 15 years of experience working with Children, Families, and Service Members. I like working with people and helping people reach their goals and true potential.
(562) 526-1479 View (562) 526-1479
Photo of David Vest, LMFT, Marriage & Family Therapist
David Vest
Marriage & Family Therapist, LMFT
Verified Verified
Carson, CA 90745
What doesn't hurt you makes you stronger.....but don't show your emotions!" Hi, I am David Vest, LMFT103919, in California and I specialize in trauma-informed. I have been practicing since 2010 and also work with anxiety, depression, cognitive disorders, substance use, and couples. I am most successful with adults and have currently limited practice with those over 18. I focus on the strengths and perspectives that people bring with them. I believe most of us already have many answers to our own problems and treat each person as their own expert.
What doesn't hurt you makes you stronger.....but don't show your emotions!" Hi, I am David Vest, LMFT103919, in California and I specialize in trauma-informed. I have been practicing since 2010 and also work with anxiety, depression, cognitive disorders, substance use, and couples. I am most successful with adults and have currently limited practice with those over 18. I focus on the strengths and perspectives that people bring with them. I believe most of us already have many answers to our own problems and treat each person as their own expert.
(562) 553-3649 View (562) 553-3649
Photo of Andrew Boutros - Andrew Boutros Coaching, MS, FHD
Andrew Boutros Coaching
MS, FHD
Verified Verified
1 Endorsed
Carson, CA 90745
Do you feel you are cruising through life without having any clue who you truly are, what your passion is, what your talents are, and who you want to be? Do you feel stuck in a job you hate, a toxic relationship, or a negative mindset? If questions like 'who am I?' and 'why am I here on earth?' bug you because you can’t seem to find an answer, you are not alone. This is where I step in & work with you to answer these tough questions.
Do you feel you are cruising through life without having any clue who you truly are, what your passion is, what your talents are, and who you want to be? Do you feel stuck in a job you hate, a toxic relationship, or a negative mindset? If questions like 'who am I?' and 'why am I here on earth?' bug you because you can’t seem to find an answer, you are not alone. This is where I step in & work with you to answer these tough questions.
(949) 356-2994 View (949) 356-2994
Photo of Ashleigh Wroten, LMFT, Marriage & Family Therapist
Ashleigh Wroten
Marriage & Family Therapist, LMFT
Verified Verified
Carson, CA 90745
Hey there! I'm Ashleigh, a Licensed Marriage and Family Therapist with a passion for helping people navigate through life's ups and downs. I understand that life can throw some major curveballs and it's not always easy to navigate through them. That's where I come in! I'm here to support and empower you as you tackle life's challenges and work towards your goals.
Hey there! I'm Ashleigh, a Licensed Marriage and Family Therapist with a passion for helping people navigate through life's ups and downs. I understand that life can throw some major curveballs and it's not always easy to navigate through them. That's where I come in! I'm here to support and empower you as you tackle life's challenges and work towards your goals.
(657) 530-6424 View (657) 530-6424
Photo of Dr. Ta-Taneisha R Thames - Free Spirit Coaching & Psychological Services PLC, PsyD, Psychological Associate
Free Spirit Coaching & Psychological Services PLC
Psychological Associate, PsyD
Verified Verified
2 Endorsed
Carson, CA 90745  (Online Only)
I am very direct and will help make the changes you need to grow and heal. I work with individuals, couples and families with children ages 5 and up. I specialize in treating problems related to marriage and parenting; social, emotional, behavioral, intellectual and academic issues, self-esteem and confidence; life transitions, grief and loss; abuse, trauma, PTSD, depression and anxiety. I’m passionate about helping children and their parents work together as a family, as a team. A team approach is the most effective approach, which is why I also collaborate with your child’s teachers and other providers as needed.
I am very direct and will help make the changes you need to grow and heal. I work with individuals, couples and families with children ages 5 and up. I specialize in treating problems related to marriage and parenting; social, emotional, behavioral, intellectual and academic issues, self-esteem and confidence; life transitions, grief and loss; abuse, trauma, PTSD, depression and anxiety. I’m passionate about helping children and their parents work together as a family, as a team. A team approach is the most effective approach, which is why I also collaborate with your child’s teachers and other providers as needed.
(213) 816-7175 View (213) 816-7175
Photo of Janelle Watson, LMFT, PMH-C, Marriage & Family Therapist
Janelle Watson
Marriage & Family Therapist, LMFT, PMH-C
Verified Verified
2 Endorsed
Carson, CA 90745  (Online Only)
How are you doing? How are the people in your life doing? Sometimes, we wish that the answer to the second question didn't have an effect on the first, but it does. I believe that relationships are a key component to our ability to thrive- whether it's romantic, platonic, or the relationship you have with yourself. You'd be surprised how often the biggest stressors in our lives are associated with the relationships we have with our partners, our families, or within ourselves.
How are you doing? How are the people in your life doing? Sometimes, we wish that the answer to the second question didn't have an effect on the first, but it does. I believe that relationships are a key component to our ability to thrive- whether it's romantic, platonic, or the relationship you have with yourself. You'd be surprised how often the biggest stressors in our lives are associated with the relationships we have with our partners, our families, or within ourselves.
(213) 263-5705 View (213) 263-5705
Photo of Kristen Fragoso, LCSW, Clinical Social Work/Therapist
Kristen Fragoso
Clinical Social Work/Therapist, LCSW
Verified Verified
Carson, CA 90745
Hello! My name is Kristen Fragoso, and I am a Licensed Clinical Social Worker based in Southern California, working with clients statewide via telehealth. I work with adults and specialize in depression, anxiety, and complex trauma. I use Cognitive Behavioral Therapy, Motivational Interviewing, and Solution Focused Therapy to help my clients navigate the hardships of day-to-day life. I want my clients to, first and foremost, feel safe and comfortable talking with me about anything. I understand that building a relationship takes time and is the most important task in having successful sessions.
Hello! My name is Kristen Fragoso, and I am a Licensed Clinical Social Worker based in Southern California, working with clients statewide via telehealth. I work with adults and specialize in depression, anxiety, and complex trauma. I use Cognitive Behavioral Therapy, Motivational Interviewing, and Solution Focused Therapy to help my clients navigate the hardships of day-to-day life. I want my clients to, first and foremost, feel safe and comfortable talking with me about anything. I understand that building a relationship takes time and is the most important task in having successful sessions.
(562) 669-4225 View (562) 669-4225
Photo of Leahmontaine Barrow, LCSW, Clinical Social Work/Therapist
Leahmontaine Barrow
Clinical Social Work/Therapist, LCSW
Verified Verified
Carson, CA 90745
My name is Leahmontaine Barrow and I am a Licensed Clinical Social Worker. I try to meet each person where they are and collaborate with them as they work to meet and manage the impact various symptoms and issues have on their relationships, work, and lives. I take an eclectic approach when meeting with people. I try to meet each person where they are and provide the therapeutic approach that best addresses their needs. Some of the approaches I use are Humanistic, Strengths-based, CBT, CPT, Narrative, and Solution-focused therapy. In addition, I provide coping skills and self-care training.
My name is Leahmontaine Barrow and I am a Licensed Clinical Social Worker. I try to meet each person where they are and collaborate with them as they work to meet and manage the impact various symptoms and issues have on their relationships, work, and lives. I take an eclectic approach when meeting with people. I try to meet each person where they are and provide the therapeutic approach that best addresses their needs. Some of the approaches I use are Humanistic, Strengths-based, CBT, CPT, Narrative, and Solution-focused therapy. In addition, I provide coping skills and self-care training.
(562) 784-8593 View (562) 784-8593
Photo of Lanore Giegerich, LMFT, Marriage & Family Therapist
Lanore Giegerich
Marriage & Family Therapist, LMFT
Verified Verified
Carson, CA 90745
It is my belief that we are all experts in our own lives and personal experiences. My role as Marriage Family Therapist is to work collaboratively with my clients to find solutions that work for them as an individual. I provide initial assessments and brief individual psychotherapy. I am bi-lingual Spanish speaking, and I hold a BA in Anthropology and Latin American Studies from UCSC. I graduated with a Master's degree in Counseling Psychology.
It is my belief that we are all experts in our own lives and personal experiences. My role as Marriage Family Therapist is to work collaboratively with my clients to find solutions that work for them as an individual. I provide initial assessments and brief individual psychotherapy. I am bi-lingual Spanish speaking, and I hold a BA in Anthropology and Latin American Studies from UCSC. I graduated with a Master's degree in Counseling Psychology.
(562) 568-5869 View (562) 568-5869
Photo of Sandy Garcia, LCSW, Clinical Social Work/Therapist
Sandy Garcia
Clinical Social Work/Therapist, LCSW
Verified Verified
Carson, CA 90745
Dealing with life, the every day “stuff,” and emotions can be tough. Don’t be so hard on yourself—healing is a process. I see therapy as a joint venture where our knowledge and skills are combined to create solutions. In my practice I bring kindness, humor, and authenticity with the purpose of creating a safe and nonjudgmental space for my clients to experience freedom. When it comes to treatment, no one size fits all. Because all my clients come from diverse backgrounds with various presenting problems, every therapeutic alliance is unique.
Dealing with life, the every day “stuff,” and emotions can be tough. Don’t be so hard on yourself—healing is a process. I see therapy as a joint venture where our knowledge and skills are combined to create solutions. In my practice I bring kindness, humor, and authenticity with the purpose of creating a safe and nonjudgmental space for my clients to experience freedom. When it comes to treatment, no one size fits all. Because all my clients come from diverse backgrounds with various presenting problems, every therapeutic alliance is unique.
(562) 222-0944 View (562) 222-0944
Photo of Norma Monroe, LCSW, Clinical Social Work/Therapist
Norma Monroe
Clinical Social Work/Therapist, LCSW
Verified Verified
Carson, CA 90745
I've worked and learned from people of diverse backgrounds and phases in their lives. As a previous social worker in a nursing home for veterans, I knew the critical component of learning. My veterans shared life stories, experiences that I will never forget, and lessons I can relay.
I've worked and learned from people of diverse backgrounds and phases in their lives. As a previous social worker in a nursing home for veterans, I knew the critical component of learning. My veterans shared life stories, experiences that I will never forget, and lessons I can relay.
(562) 662-5763 View (562) 662-5763
Photo of Chandra Thomas, LMFT, Marriage & Family Therapist
Chandra Thomas
Marriage & Family Therapist, LMFT
Verified Verified
Carson, CA 90745
Hello, my name is Chandra Thomas, and I am a Licensed Marriage Family Therapist, LMFT41447. Congratulations in having the courage to reach out for support; it is a significant and meaningful decision to prioritize your mental health. Cognitive behavioral therapy (CBT) combines cognitive therapy and behavioral therapy to form a more holistic approach, and is one the models I am trained in. Additionally, I have specialized training in dialectical behavior therapy. I treat individuals, couples and families. I have experience in working with relationship issues, grief and loss, anxiety, depression and mood disorders.
Hello, my name is Chandra Thomas, and I am a Licensed Marriage Family Therapist, LMFT41447. Congratulations in having the courage to reach out for support; it is a significant and meaningful decision to prioritize your mental health. Cognitive behavioral therapy (CBT) combines cognitive therapy and behavioral therapy to form a more holistic approach, and is one the models I am trained in. Additionally, I have specialized training in dialectical behavior therapy. I treat individuals, couples and families. I have experience in working with relationship issues, grief and loss, anxiety, depression and mood disorders.
(760) 274-0262 View (760) 274-0262
Photo of Chrystal Baisley, LMFT, Marriage & Family Therapist
Chrystal Baisley
Marriage & Family Therapist, LMFT
Verified Verified
Carson, CA 90745
Chrystal Baisley, LMFT I collaborate with clients to provide a safe, non-judgmental space to navigate life's challenges and deepen a person's understanding of themselves and the world around them. I work with client's experiencing trauma, adjustment, mood disturbances, relationship/family issues, sexual assault, Domestic Violence, Depression, anxiety. My communication style is heavily focused on actively listening, validating, and providing exploration and clarification. I seek to understand the client with a warm, supportive tone but also challenging the client to promote growth and accountability.
Chrystal Baisley, LMFT I collaborate with clients to provide a safe, non-judgmental space to navigate life's challenges and deepen a person's understanding of themselves and the world around them. I work with client's experiencing trauma, adjustment, mood disturbances, relationship/family issues, sexual assault, Domestic Violence, Depression, anxiety. My communication style is heavily focused on actively listening, validating, and providing exploration and clarification. I seek to understand the client with a warm, supportive tone but also challenging the client to promote growth and accountability.
(559) 205-7663 View (559) 205-7663
Photo of Wendy Sura, MA , MFT , Intern, Pre-Licensed Professional
Wendy Sura
Pre-Licensed Professional, MA , MFT , Intern
Verified Verified
Carson, CA 90745  (Online Only)
I’m so glad you decided to take this step towards your well-being and happiness! I’m here to support you on your journey of healing and growth. Therapy can be a powerful tool to help you cope with challenges, discover new insights, and achieve your goals. In our sessions, we will work together to create a safe and trusting space where you can express yourself freely and explore your emotions, thoughts, and behaviors. I will listen to you with empathy and respect and offer you feedback/ guidance based on evidence-based practices and my clinical training. You are in the driver’s seat, and I’m here to support you on your journey.
I’m so glad you decided to take this step towards your well-being and happiness! I’m here to support you on your journey of healing and growth. Therapy can be a powerful tool to help you cope with challenges, discover new insights, and achieve your goals. In our sessions, we will work together to create a safe and trusting space where you can express yourself freely and explore your emotions, thoughts, and behaviors. I will listen to you with empathy and respect and offer you feedback/ guidance based on evidence-based practices and my clinical training. You are in the driver’s seat, and I’m here to support you on your journey.
(424) 477-3318 View (424) 477-3318
Photo of Melanie Castellari, LMFT, Marriage & Family Therapist
Melanie Castellari
Marriage & Family Therapist, LMFT
Verified Verified
Carson, CA 90745
I have an eclectic approach to therapy, working with my clients within the time and space that they are in while providing guidance and empathetic listening. I enjoy working with individuals and couples who need to reduce their angst and increase their enjoyment of life, themselves, and one another. I work with clients one-on-one or as a couple. My specialty is couples; however, I enjoy doing individual self-development work as well as behavior and crisis management. Working to ensure individuals fully maximize their individual potential. I believe communication is the base for a full, intimate, and engaging relationship.
I have an eclectic approach to therapy, working with my clients within the time and space that they are in while providing guidance and empathetic listening. I enjoy working with individuals and couples who need to reduce their angst and increase their enjoyment of life, themselves, and one another. I work with clients one-on-one or as a couple. My specialty is couples; however, I enjoy doing individual self-development work as well as behavior and crisis management. Working to ensure individuals fully maximize their individual potential. I believe communication is the base for a full, intimate, and engaging relationship.
(916) 633-6005 View (916) 633-6005
1

See more therapy options for 90745

How does your Therapist compare?

Number of Therapists in 90745

100+

Average cost per session

$172

Therapists in 90745 who prioritize treating:

94% Anxiety
91% Depression
79% Coping Skills
73% Self Esteem
72% Trauma and PTSD
72% Stress
71% Relationship Issues

Average years in practice

9 Years

Top 3 insurances accepted

78% Aetna
74% UnitedHealthcare UHC | UBH
71% Optum

How Therapists in 90745 see their clients

71% In Person and Online
29% Online Only

Gender breakdown

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

How can I find a therapist in 90745?

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.