Photo of Amoreena Berg, MA, MFT, Marriage & Family Therapist
Amoreena Berg
Marriage & Family Therapist, MA, MFT
Verified Verified
San Marcos, CA 92078  (Online Only)
I am a licensed MFT who has been in practice for over 20 years. I have extensive experience treating a wide variety of issues and psychological disorders from the most mild to the most severe. I work with adults and adolescents. My approach is warm, positive and compassionate. I can help you to achieve your personal goals, more effectively manage your emotions and stressors and develop strategies that will promote positive self-growth and lead you to and a more satisfying life. My specialties include anxiety and depressive disorders, ADHD, stress management, sleep disorders, crisis counseling, grief counseling, and relationships.
I am a licensed MFT who has been in practice for over 20 years. I have extensive experience treating a wide variety of issues and psychological disorders from the most mild to the most severe. I work with adults and adolescents. My approach is warm, positive and compassionate. I can help you to achieve your personal goals, more effectively manage your emotions and stressors and develop strategies that will promote positive self-growth and lead you to and a more satisfying life. My specialties include anxiety and depressive disorders, ADHD, stress management, sleep disorders, crisis counseling, grief counseling, and relationships.
(760) 368-6041 View (760) 368-6041
Photo of Bethany Reddinger, MA, AMFT
Bethany Reddinger
Associate Marriage & Family Therapist, MA, AMFT
Verified Verified
1 Endorsed
San Marcos, CA 92078
Have you experienced profound loss? As a therapist, I’m passionate about serving clients who are anticipating the death of someone they love, those who've lost connection to someone they love, and those trying to navigate a world that now feels empty. As a former Hospice Bereavement Counselor, I have experience providing access to the emotional work that accompanies grief. The cultural norm does not prepare us for the severe impact of the death of a loved one, nor does it make space for our grief thereafter. Our work together can make sense of your grief and work toward lightening the emotional load.
Have you experienced profound loss? As a therapist, I’m passionate about serving clients who are anticipating the death of someone they love, those who've lost connection to someone they love, and those trying to navigate a world that now feels empty. As a former Hospice Bereavement Counselor, I have experience providing access to the emotional work that accompanies grief. The cultural norm does not prepare us for the severe impact of the death of a loved one, nor does it make space for our grief thereafter. Our work together can make sense of your grief and work toward lightening the emotional load.
(760) 576-4311 View (760) 576-4311
Photo of Lindsey Schmidt - Lindsey Schmidt Counseling, Inc., MA, LMFT, Marriage & Family Therapist
Lindsey Schmidt Counseling, Inc.
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Marcos, CA 92078  (Online Only)
I am a collaborative, creative, and empathetic therapist. I believe that in order to effectively meet your goals; sessions should be personalized based on your individual needs. I believe that the key to personal growth and success is to find balance and inner happiness within ourselves. As a therapist, my role is to provide a nurturing environment allowing the opportunity for self-exploration and growth. My style is holistic as I belief that the mind, body, and emotions are all interconnected. If this approach aligns with your goals for therapy, I would love to connect with you and help you along your journey to better health.
I am a collaborative, creative, and empathetic therapist. I believe that in order to effectively meet your goals; sessions should be personalized based on your individual needs. I believe that the key to personal growth and success is to find balance and inner happiness within ourselves. As a therapist, my role is to provide a nurturing environment allowing the opportunity for self-exploration and growth. My style is holistic as I belief that the mind, body, and emotions are all interconnected. If this approach aligns with your goals for therapy, I would love to connect with you and help you along your journey to better health.
(619) 916-4983 View (619) 916-4983
Photo of Cory Anderson - Integrity Counseling Group, LMFT, CSAT, CMAT, Marriage & Family Therapist
Integrity Counseling Group
Marriage & Family Therapist, LMFT, CSAT, CMAT
Verified Verified
3 Endorsed
San Marcos, CA 92078
Are you tired of repeating the same cycle, whether it’s addiction, depression, anxiety, or infidelity? Our skilled and compassionate therapists are here to help you finally break free, so you can live fully and joyfully.
Are you tired of repeating the same cycle, whether it’s addiction, depression, anxiety, or infidelity? Our skilled and compassionate therapists are here to help you finally break free, so you can live fully and joyfully.
(619) 378-3988 View (619) 378-3988
Photo of Stacey S Stoefen, LCSW, Clinical Social Work/Therapist
Stacey S Stoefen
Clinical Social Work/Therapist, LCSW
Verified Verified
San Marcos, CA 92078
Hi, first I want to commend you for having the courage to reach out. It is very humbling to admit that we don't feel well or we aren't behaving like the person we want to be. Therapy is a hopeful non judgmental place where healing and growth can happen. I have benefited myself from professional help and will be along side you to join you in whatever goals you set for yourself. The human condition comes along with many challenges and powerful emotions we cannot avoid, but I do believe there is a way to handle them with grace and self love. And to tend to those wounds without letting them drive us.
Hi, first I want to commend you for having the courage to reach out. It is very humbling to admit that we don't feel well or we aren't behaving like the person we want to be. Therapy is a hopeful non judgmental place where healing and growth can happen. I have benefited myself from professional help and will be along side you to join you in whatever goals you set for yourself. The human condition comes along with many challenges and powerful emotions we cannot avoid, but I do believe there is a way to handle them with grace and self love. And to tend to those wounds without letting them drive us.
(858) 603-2891 View (858) 603-2891
Photo of Lois T Mehnert, RN, MPH, LMFT, Marriage & Family Therapist
Lois T Mehnert
Marriage & Family Therapist, RN, MPH, LMFT
Verified Verified
San Marcos, CA 92078
Everyone wants to MAKE THE MOST OF THE LIFE YOU HAVE... but often present-day distress interferes with our ability to experience a more fulfilling life. Whether you have been experiencing lingering distress from past hurts or current challenges, I am here to partner with you to restore your hope. Everyone needs strong encouragement during times of difficulty. I look forward to championing you to live your best life starting today!
Everyone wants to MAKE THE MOST OF THE LIFE YOU HAVE... but often present-day distress interferes with our ability to experience a more fulfilling life. Whether you have been experiencing lingering distress from past hurts or current challenges, I am here to partner with you to restore your hope. Everyone needs strong encouragement during times of difficulty. I look forward to championing you to live your best life starting today!
(760) 428-9884 View (760) 428-9884
Photo of Jeff Goodman, MS, LMFT, Marriage & Family Therapist
Jeff Goodman
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Marcos, CA 92078
My personal belief about therapy is that healing happens in relationships rather than through a specific theory or intervention. Much of the time, problems arise in relationship to other people or things, not by themselves so it makes sense to find and practice solutions in a therapeutic relationship with someone like me. Gaining new insight combined with action can be just what is needed to help you feel unstuck.
My personal belief about therapy is that healing happens in relationships rather than through a specific theory or intervention. Much of the time, problems arise in relationship to other people or things, not by themselves so it makes sense to find and practice solutions in a therapeutic relationship with someone like me. Gaining new insight combined with action can be just what is needed to help you feel unstuck.
(760) 933-3754 View (760) 933-3754
Photo of Karisa Kloscak, MC, LPC, SEP, RYT-200, EAP, Licensed Professional Counselor
Karisa Kloscak
Licensed Professional Counselor, MC, LPC, SEP, RYT-200, EAP
Verified Verified
4 Endorsed
San Marcos, CA 92078
Karisa is a Licensed Professional Counselor in AZ and CA as well as a Yoga Teacher and Equine Assisted Psychotherapist specializing in trauma and crisis resolution models. She started her career in community mental health working with the Seriously Mentally Ill (SMI) population. She currently works with all levels of mental health. Feeling comfortable with your therapist is crucial to the healing process. Her intention is to support clients by providing a safe and nurturing environment to allow for trauma resolution.
Karisa is a Licensed Professional Counselor in AZ and CA as well as a Yoga Teacher and Equine Assisted Psychotherapist specializing in trauma and crisis resolution models. She started her career in community mental health working with the Seriously Mentally Ill (SMI) population. She currently works with all levels of mental health. Feeling comfortable with your therapist is crucial to the healing process. Her intention is to support clients by providing a safe and nurturing environment to allow for trauma resolution.
(480) 999-3814 View (480) 999-3814
Photo of Kelly M. Kaitson, LCSW, Clinical Social Work/Therapist
Kelly M. Kaitson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Marcos, CA 92078
Now Accepting New Clients! Do you feel you are not the best version of yourself? Are you feeling confused, scared, disconnected and lost? I am here to help. If you are being triggered by emotions and behaviors and it's making other problems in your life worse, I hope you will consider contacting me today. Supporting you at this time is my sincere desire and I'm here to tell you that there can be change, success and growth to bring forward your best version. I will equip you with tools and support so you not only get by but actually thrive. I look forward to speaking with you!
Now Accepting New Clients! Do you feel you are not the best version of yourself? Are you feeling confused, scared, disconnected and lost? I am here to help. If you are being triggered by emotions and behaviors and it's making other problems in your life worse, I hope you will consider contacting me today. Supporting you at this time is my sincere desire and I'm here to tell you that there can be change, success and growth to bring forward your best version. I will equip you with tools and support so you not only get by but actually thrive. I look forward to speaking with you!
(760) 415-0085 View (760) 415-0085
Photo of Ellie Messinger-Adams, MA, LPCC, PPS-SC, SCL, Counselor
Ellie Messinger-Adams
Counselor, MA, LPCC, PPS-SC, SCL
Verified Verified
1 Endorsed
San Marcos, CA 92078
As an anxious or overwhelmed mom—or an expectant mother—it is all too common to feel like you're lost in the chaos of trying to "have it all." The weight of societal expectations can leave you feeling utterly disconnected from your true self. If you're longing for a moment of "me time," struggling to balance the demands of life, or grappling with the relentless mom guilt that whispers you're not doing enough, I want you to know: I see you, and I understand. You are not alone in this journey, and together we can find a path to reclaiming your joy and authenticity in motherhood.
As an anxious or overwhelmed mom—or an expectant mother—it is all too common to feel like you're lost in the chaos of trying to "have it all." The weight of societal expectations can leave you feeling utterly disconnected from your true self. If you're longing for a moment of "me time," struggling to balance the demands of life, or grappling with the relentless mom guilt that whispers you're not doing enough, I want you to know: I see you, and I understand. You are not alone in this journey, and together we can find a path to reclaiming your joy and authenticity in motherhood.
(442) 259-8061 View (442) 259-8061
Photo of Chara M Ward, LCSW, Clinical Social Work/Therapist
Chara M Ward
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Marcos, CA 92078
There are times in life when we reach a point in which positive change needs to occur. Perhaps you've been dealing with the same issue for a long time, or maybe new challenges have arisen that you need help navigating. If any of this applies to you or your child/teen, or if you're simply seeking to reach some desired goals, I hope that you will consider contacting me.
There are times in life when we reach a point in which positive change needs to occur. Perhaps you've been dealing with the same issue for a long time, or maybe new challenges have arisen that you need help navigating. If any of this applies to you or your child/teen, or if you're simply seeking to reach some desired goals, I hope that you will consider contacting me.
(760) 821-8050 View (760) 821-8050
Photo of Lauren Perez, LMFT, Marriage & Family Therapist
Lauren Perez
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
San Marcos, CA 92078  (Online Only)
Do you feel overwhelmed or full of anxiety, no matter what you do or try? Do you desire to feel different but struggle with where to start? Do you feel disconnected from your true self or your goals? Maybe you feel stuck and unable to enjoy the things you used to love. Are you feeling like you struggle to connect to others? You might not even remember a time when you didn't feel this way. But one thing is for sure: You are ready for some RELIEF. You're ready to feel like you can BREATHE and ENJOY again. You are ready to feel connected, calm, and confident again. Most of all, you're ready to start living the life you desire!
Do you feel overwhelmed or full of anxiety, no matter what you do or try? Do you desire to feel different but struggle with where to start? Do you feel disconnected from your true self or your goals? Maybe you feel stuck and unable to enjoy the things you used to love. Are you feeling like you struggle to connect to others? You might not even remember a time when you didn't feel this way. But one thing is for sure: You are ready for some RELIEF. You're ready to feel like you can BREATHE and ENJOY again. You are ready to feel connected, calm, and confident again. Most of all, you're ready to start living the life you desire!
(760) 981-0245 View (760) 981-0245
Photo of Megan Aguirre, LCSW, Clinical Social Work/Therapist
Megan Aguirre
Clinical Social Work/Therapist, LCSW
Verified Verified
San Marcos, CA 92078
Let’s see if we are a good match to support your wellness, together. Reach out for a no charge consultation; I am happy to listen and look forward to discussing the possibilities of what healing and change can look like for you.
Let’s see if we are a good match to support your wellness, together. Reach out for a no charge consultation; I am happy to listen and look forward to discussing the possibilities of what healing and change can look like for you.
(216) 810-6081 View (216) 810-6081
Photo of Vicki Ferrone Grove, MA, LMFT, Marriage & Family Therapist
Vicki Ferrone Grove
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
San Marcos, CA 92078
Not accepting new clients
As a certified EMDR therapist, I would love to help you break free from your past in order to live a fuller, more meaningful life in the present. If traumatic memories, depression, or anxiety are keeping you feeling stuck, I can help you find healing. Trauma is stored in the nervous system, and can leave you feeling constantly on edge, or completely checked-out. I incorporate somatic interventions into my work to also help your body work through the trauma that you may not have words for. My office is place where you can safely explore your issues, feeling unconditionally accepted and supported throughout the process.
As a certified EMDR therapist, I would love to help you break free from your past in order to live a fuller, more meaningful life in the present. If traumatic memories, depression, or anxiety are keeping you feeling stuck, I can help you find healing. Trauma is stored in the nervous system, and can leave you feeling constantly on edge, or completely checked-out. I incorporate somatic interventions into my work to also help your body work through the trauma that you may not have words for. My office is place where you can safely explore your issues, feeling unconditionally accepted and supported throughout the process.
(760) 561-5827 View (760) 561-5827
Photo of Emily Corner, MFT, PhD, Marriage & Family Therapist
Emily Corner
Marriage & Family Therapist, MFT, PhD
Verified Verified
San Marcos, CA 92078  (Online Only)
Hello and welcome! I appreciate you clicking on my page to learn more about my practice. I focus on helping adult individuals heal from all forms of trauma, including emotional, physical, sexual, and attachment injuries. I specialize in using EMDR and inner child work to help clients heal from their past traumatic experiences.
Hello and welcome! I appreciate you clicking on my page to learn more about my practice. I focus on helping adult individuals heal from all forms of trauma, including emotional, physical, sexual, and attachment injuries. I specialize in using EMDR and inner child work to help clients heal from their past traumatic experiences.
(760) 239-5387 View (760) 239-5387
Photo of Lana Hoyer, LMFT, Marriage & Family Therapist
Lana Hoyer
Marriage & Family Therapist, LMFT
Verified Verified
San Marcos, CA 92078  (Online Only)
Not accepting new clients
I’m a Licensed Marriage and Family Therapist who specializes in anxiety, depression, and trauma work. It’s my passion working with people with the number of challenges they can face to help them learn how to manage their feelings and develop ways to better cope with life. My approach to therapy is personable and genuine. I find that my style is particularly beneficial to those looking for a safe space free of judgement while getting honest engagement. I’m expressive, use humor, and genuinely enjoy getting to be a therapist.
I’m a Licensed Marriage and Family Therapist who specializes in anxiety, depression, and trauma work. It’s my passion working with people with the number of challenges they can face to help them learn how to manage their feelings and develop ways to better cope with life. My approach to therapy is personable and genuine. I find that my style is particularly beneficial to those looking for a safe space free of judgement while getting honest engagement. I’m expressive, use humor, and genuinely enjoy getting to be a therapist.
(805) 635-7401 View (805) 635-7401
Photo of Susanne M. Reno, LMFT, Marriage & Family Therapist
Susanne M. Reno
Marriage & Family Therapist, LMFT
Verified Verified
San Marcos, CA 92078
"It's not forgetting that heals. It's remembering." - Amy Greene. My area of focus is working with women and men who want to heal their mind and bodies from negative or traumatic experiences. Forgetting is not always an option because our bodies do remember. Common symptoms and complaints that can be related to traumatic events may be anxiety or depression, irritability and anger, frequent headaches, stomach-aches and fatigue. It can be difficult and overwhelming to reach out for support, but "forgetting" may no longer feel like an option for you.
"It's not forgetting that heals. It's remembering." - Amy Greene. My area of focus is working with women and men who want to heal their mind and bodies from negative or traumatic experiences. Forgetting is not always an option because our bodies do remember. Common symptoms and complaints that can be related to traumatic events may be anxiety or depression, irritability and anger, frequent headaches, stomach-aches and fatigue. It can be difficult and overwhelming to reach out for support, but "forgetting" may no longer feel like an option for you.
(858) 923-7429 View (858) 923-7429
Photo of Therese Brooks, LPCC, Counselor
Therese Brooks
Counselor, LPCC
Verified Verified
San Marcos, CA 92078
I work with women - mothers, daughters, aunts, sisters, and children, to help facilitate and enjoy healthy, loving relationships. Together we develop the insight and skills necessary to experience the pleasure of love. We may explore trauma, loss, grief, anger, repressed desire, lack of vitality, and current challenging relationships. My orientation is analytical, depth/archetypal, and feminist. I take into consideration the presence and power of the unconscious, and how it works to encourage our growth and renewal. I am committed to supporting women and women's empowerment, self-esteem, and capacity for love, peace, and ease.
I work with women - mothers, daughters, aunts, sisters, and children, to help facilitate and enjoy healthy, loving relationships. Together we develop the insight and skills necessary to experience the pleasure of love. We may explore trauma, loss, grief, anger, repressed desire, lack of vitality, and current challenging relationships. My orientation is analytical, depth/archetypal, and feminist. I take into consideration the presence and power of the unconscious, and how it works to encourage our growth and renewal. I am committed to supporting women and women's empowerment, self-esteem, and capacity for love, peace, and ease.
(760) 388-9683 View (760) 388-9683
Photo of Natalie Blue, AMFT, Marriage & Family Therapist Associate
Natalie Blue
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Marcos, CA 92078
I’m a marriage and family therapist associate (AMFT: 140894) with an in-person office in San Marcos, CA. I’m also a life coach where I meet with clients virtually that live outside of California. Last but not least, I’m the owner of therapy is cool club – a hat and merchandise brand designed to help de-stigmatize what it means to be going to therapy.
I’m a marriage and family therapist associate (AMFT: 140894) with an in-person office in San Marcos, CA. I’m also a life coach where I meet with clients virtually that live outside of California. Last but not least, I’m the owner of therapy is cool club – a hat and merchandise brand designed to help de-stigmatize what it means to be going to therapy.
(760) 374-8856 View (760) 374-8856
Photo of Geraldine Gomez, LCSW, Clinical Social Work/Therapist
Geraldine Gomez
Clinical Social Work/Therapist, LCSW
Verified Verified
San Marcos, CA 92078
Hello. My name is Geraldine Gomez and I am a Licensed Clinical Social Worker. I use an eclectic approach to therapy. I am trained in various modalities and enjoy working with a variety of folks. I have an eclectic approach to therapy and am trained in various modalities which include Somatic, Cognitive Behavior Therapy, Seeking Safety, short-term Crisis Oriented Recovery, and Interpersonal Psychotherapy. I draw from the various modalities when providing treatment. I have typically worked with young to older adults. I am comfortable treating depression, perinatal mood, and anxiety disorders, mood disorders, and anxiety.
Hello. My name is Geraldine Gomez and I am a Licensed Clinical Social Worker. I use an eclectic approach to therapy. I am trained in various modalities and enjoy working with a variety of folks. I have an eclectic approach to therapy and am trained in various modalities which include Somatic, Cognitive Behavior Therapy, Seeking Safety, short-term Crisis Oriented Recovery, and Interpersonal Psychotherapy. I draw from the various modalities when providing treatment. I have typically worked with young to older adults. I am comfortable treating depression, perinatal mood, and anxiety disorders, mood disorders, and anxiety.
(760) 309-6196 View (760) 309-6196
1

How does your Therapist compare?

Number of Therapists in 92078

100+

Average cost per session

$172

Therapists in 92078 who prioritize treating:

92% Anxiety
90% Depression
72% Coping Skills
71% Relationship Issues
65% Self Esteem
65% Life Transitions
64% Trauma and PTSD

Average years in practice

14 Years

Top 3 insurances accepted

82% Aetna
74% UnitedHealthcare UHC | UBH
66% Cigna and Evernorth

How Therapists in 92078 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 92078?

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.