Therapists in Big Sur, CA

Photo of Abby Foster, LCSW, Clinical Social Work/Therapist
Abby Foster
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Big Sur, CA 93920  (Online Only)
I work with individuals (ages 14 & up) looking for relief, a change, direction, & for things to not feel so hard anymore. I am licensed to see patients state-wide in CA & PA & have an online teletherapy practice. My treatment style focuses on working to help patients gain a better understanding of what is going on & then teach strategies to lessen intrusive thoughts & anxiety & build confidence. I am able to achieve great results with my patients by helping them figure out what factors & maladaptive patterns get in the way & then assist them in finding ways to alter these patterns so they can reach their full potential.
I work with individuals (ages 14 & up) looking for relief, a change, direction, & for things to not feel so hard anymore. I am licensed to see patients state-wide in CA & PA & have an online teletherapy practice. My treatment style focuses on working to help patients gain a better understanding of what is going on & then teach strategies to lessen intrusive thoughts & anxiety & build confidence. I am able to achieve great results with my patients by helping them figure out what factors & maladaptive patterns get in the way & then assist them in finding ways to alter these patterns so they can reach their full potential.
(717) 925-2825 View (717) 925-2825
Photo of Gina Francesca Regalbuto, LCSW, Clinical Social Work/Therapist
Gina Francesca Regalbuto
Clinical Social Work/Therapist, LCSW
Verified Verified
Big Sur, CA 93920
Hello, my name is Gina Regalbuto and I am a licensed clinical social worker practicing in California. My specialization is in healing trauma, depression, and anxiety and the symptoms and stressors that follow as a result. I have also worked extensively with bipolar disorder, schizophrenia, and borderline personality disorder. I primarily practice through the lens of psychodynamic theory and I am an eclectic provider who utilizes the modality that serves my client's the best. I am also a certified yoga teacher so I can teach client's calming breathing techniques if they are interested in learning other ways to manage emotions.
Hello, my name is Gina Regalbuto and I am a licensed clinical social worker practicing in California. My specialization is in healing trauma, depression, and anxiety and the symptoms and stressors that follow as a result. I have also worked extensively with bipolar disorder, schizophrenia, and borderline personality disorder. I primarily practice through the lens of psychodynamic theory and I am an eclectic provider who utilizes the modality that serves my client's the best. I am also a certified yoga teacher so I can teach client's calming breathing techniques if they are interested in learning other ways to manage emotions.
(310) 683-4693 View (310) 683-4693
Photo of Kamara Mcandrews - Kamara Therapy Inc., MA, LMFT, CST, CST-S, Marriage & Family Therapist
Kamara Therapy Inc.
Marriage & Family Therapist, MA, LMFT, CST, CST-S
Verified Verified
Big Sur, CA 93920  (Online Only)
I provide Sex Therapy and Coaching. I am a Licensed Marriage and Family Therapist, AASECT certified sex therapist, and AASECT supervisor. I have had the honor of being a therapist for 26+ years. I work with adults to help solve personal, sexual, and relationship issues. I provide both brief counseling and ongoing psychotherapy as well as coaching. I run sexuality and spirituality workshops locally and nationally. We will discuss and evaluate your most personal dilemmas and you will receive my compassionate expertise. I do not accept any insurance.
I provide Sex Therapy and Coaching. I am a Licensed Marriage and Family Therapist, AASECT certified sex therapist, and AASECT supervisor. I have had the honor of being a therapist for 26+ years. I work with adults to help solve personal, sexual, and relationship issues. I provide both brief counseling and ongoing psychotherapy as well as coaching. I run sexuality and spirituality workshops locally and nationally. We will discuss and evaluate your most personal dilemmas and you will receive my compassionate expertise. I do not accept any insurance.
(719) 428-3522 View (719) 428-3522
Photo of Sharona Halpern, MA, LMHC, ACC, Counselor
Sharona Halpern
Counselor, MA, LMHC, ACC
Verified Verified
Big Sur, CA 93920
Unfortunately, I am not accepting new clients at this time. (updated 05/15/24) For over twenty five years, I have been practicing psychotherapy with couples, families and individuals, addressing a variety of issues including depression, anxiety, life transitions, sexuality, trauma, loss and grief. My style is interactive, supportive and collaborative. My role is to help you discover your strengths and learn to build on them, leading to personal growth and change. Additionally, therapy is a place to explore what is preventing you from reaching your goals and living a better quality life.
Unfortunately, I am not accepting new clients at this time. (updated 05/15/24) For over twenty five years, I have been practicing psychotherapy with couples, families and individuals, addressing a variety of issues including depression, anxiety, life transitions, sexuality, trauma, loss and grief. My style is interactive, supportive and collaborative. My role is to help you discover your strengths and learn to build on them, leading to personal growth and change. Additionally, therapy is a place to explore what is preventing you from reaching your goals and living a better quality life.
(857) 919-1811 View (857) 919-1811
Photo of Michael Griffith, MFT, MA, MS, Marriage & Family Therapist
Michael Griffith
Marriage & Family Therapist, MFT, MA, MS
Verified Verified
Big Sur, CA 93920
Successfully helping individuals and couples has always been a priority to me. First and foremost I want you to feel comfortable and safe when we work together and this is essential to fostering your growth. I will be open with you in my understanding of your situation and to share what I can about options you might use in your life situation. Your sessions will encourage you to learn how to make sense of yourself in relationship to others, in love and work. Our work will leave you both supported and also challenged to explore new options in your personal style. Heal dental anxiety and phobias.
Successfully helping individuals and couples has always been a priority to me. First and foremost I want you to feel comfortable and safe when we work together and this is essential to fostering your growth. I will be open with you in my understanding of your situation and to share what I can about options you might use in your life situation. Your sessions will encourage you to learn how to make sense of yourself in relationship to others, in love and work. Our work will leave you both supported and also challenged to explore new options in your personal style. Heal dental anxiety and phobias.
(628) 244-8524 View (628) 244-8524

Online Therapists

Photo of Dudley Luke, EdM, PhD, Psychologist
Dudley Luke
Psychologist, EdM, PhD
Verified Verified
Los Altos, CA 94024
Waitlist for new clients
With training from top national universities and experience at well known agencies, I have effectively treated individuals with anxiety, mood disorder, and ADHD. As well, having worked at the Regional Center for the past 8 years, I have gained extensive knowledge and experience in my work with individuals on the Autism Spectrum, including Aspergers Syndrome. I work therapeutically with children (10 year old and older), adolescents, and young adults. I conduct psycho-educational and psycho-diagnostic assessments as well as comprehensive Autism Spectrum assessments with children ( 6 years old and older), adolescents, and adults.
With training from top national universities and experience at well known agencies, I have effectively treated individuals with anxiety, mood disorder, and ADHD. As well, having worked at the Regional Center for the past 8 years, I have gained extensive knowledge and experience in my work with individuals on the Autism Spectrum, including Aspergers Syndrome. I work therapeutically with children (10 year old and older), adolescents, and young adults. I conduct psycho-educational and psycho-diagnostic assessments as well as comprehensive Autism Spectrum assessments with children ( 6 years old and older), adolescents, and adults.
(650) 656-2769 View (650) 656-2769
Photo of Yessica Islas McLenegan, MA, LMFT, Marriage & Family Therapist
Yessica Islas McLenegan
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Jose, CA 95125  (Online Only)
My specialities include working with depression, anxiety, PTSD, social anxiety, bipolar disorder, adjustment disorder, and stress. I have experience working with adults and young adults. I provide Individual therapy.
My specialities include working with depression, anxiety, PTSD, social anxiety, bipolar disorder, adjustment disorder, and stress. I have experience working with adults and young adults. I provide Individual therapy.
(408) 763-5195 View (408) 763-5195
Photo of Lorena Rincon Arredondo, LMFT, Marriage & Family Therapist
Lorena Rincon Arredondo
Marriage & Family Therapist, LMFT
Verified Verified
Union City, CA 94587
My goal is to walk alongside my clients just until they feel confident in being able to continue their progress and meet life’s challenges on their own, with purpose and hope, and of course, with the support of their loved ones and their community.
My goal is to walk alongside my clients just until they feel confident in being able to continue their progress and meet life’s challenges on their own, with purpose and hope, and of course, with the support of their loved ones and their community.
(510) 681-2588 View (510) 681-2588
Photo of Heather Franks, MA, LMFT, #109884, Marriage & Family Therapist
Heather Franks
Marriage & Family Therapist, MA, LMFT, #109884
Verified Verified
Scotts Valley, CA 95066
I support clients to live happy and meaningful lives and help them make changes that bring about well-being and transformation. I have a passion to support individuals, couples and families through many different life transitions (from adjusting to college, marriage, divorce, births, loss, retirement, coping with illness, and caregiving). I help clients with a range of relationship issues—from marriage/romantic partner conflict, communication issues in relationships, resolving issues in friendships, co-parenting, parent-child issues, loss of relationship & grief work, contemplation of separation, and exploring unhealthy patterns.
I support clients to live happy and meaningful lives and help them make changes that bring about well-being and transformation. I have a passion to support individuals, couples and families through many different life transitions (from adjusting to college, marriage, divorce, births, loss, retirement, coping with illness, and caregiving). I help clients with a range of relationship issues—from marriage/romantic partner conflict, communication issues in relationships, resolving issues in friendships, co-parenting, parent-child issues, loss of relationship & grief work, contemplation of separation, and exploring unhealthy patterns.
(831) 435-6316 View (831) 435-6316
Photo of Marcia Bronstein Lcsw, LCSW, Clinical Social Work/Therapist
Marcia Bronstein Lcsw
Clinical Social Work/Therapist, LCSW
Verified Verified
San Luis Obispo, CA 93401
Are You feeling stressed, frustrated, and exhausted by the everyday challenges of parenting. Although many times kids are simply dealing with the ordinary issues of growing up, their behavior and reactions may go beyond what’s expected or appropriate and gets in the way of the things they want or need, or impacts the way the family operates. Counseling can help children, parents and families express feelings and thoughts effectively and, can help families cope with everyday life transitions such as; separation, divorce, blended families, moving, serious illness, or gaining new family members. I offer therapy for college students.
Are You feeling stressed, frustrated, and exhausted by the everyday challenges of parenting. Although many times kids are simply dealing with the ordinary issues of growing up, their behavior and reactions may go beyond what’s expected or appropriate and gets in the way of the things they want or need, or impacts the way the family operates. Counseling can help children, parents and families express feelings and thoughts effectively and, can help families cope with everyday life transitions such as; separation, divorce, blended families, moving, serious illness, or gaining new family members. I offer therapy for college students.
(805) 317-4493 View (805) 317-4493
Photo of Miranda Pinckert, PhD, Psychologist
Miranda Pinckert
Psychologist, PhD
Verified Verified
1 Endorsed
Menlo Park, CA 94025
Everyone needs help sometimes. In therapy, we join together to achieve your goals. Many of my clients are working on issues with anxiety and depression brought on by life transitions and past traumas. Together we examine patterns of thinking and behaviors that are no longer serving you. New coping skills help clients tolerate their feelings and improve their interpersonal communication.
Everyone needs help sometimes. In therapy, we join together to achieve your goals. Many of my clients are working on issues with anxiety and depression brought on by life transitions and past traumas. Together we examine patterns of thinking and behaviors that are no longer serving you. New coping skills help clients tolerate their feelings and improve their interpersonal communication.
(650) 460-1387 View (650) 460-1387
Photo of Samantha Sigala, LMFT, Marriage & Family Therapist
Samantha Sigala
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95118  (Online Only)
You may be paralyzed by self-doubt, exhausted by continual people-pleasing and overanalyzing, or overtaken by the past. You've learned to survive on auto pilot, and now is the time to break free from these behaviors and cycles. I truly believe it's never too late to create the life you want. I would love to be apart of your journey. I will help to support you in learning to love taking care of yourself, finding your path to healing and becoming the best version of yourself. Being a human is so complex that having a space to show up and unpack life is so important.
You may be paralyzed by self-doubt, exhausted by continual people-pleasing and overanalyzing, or overtaken by the past. You've learned to survive on auto pilot, and now is the time to break free from these behaviors and cycles. I truly believe it's never too late to create the life you want. I would love to be apart of your journey. I will help to support you in learning to love taking care of yourself, finding your path to healing and becoming the best version of yourself. Being a human is so complex that having a space to show up and unpack life is so important.
(669) 257-8199 View (669) 257-8199
Photo of Mitchell Eckstein, LCSW, Clinical Social Work/Therapist
Mitchell Eckstein
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
San Mateo, CA 94402
Feeling stuck? I'm here to help. As a caring, licensed mental health therapist with over 30 years of experience, I specialize in helping individuals navigate trauma, anxiety, depression, relationship issues, and feelings of loneliness. Whether you're grappling with your identity, family dynamics, or dissatisfaction at work, you don't have to face it alone. If you're seeking a safe space to share and grow, let's connect and explore how I can support your journey toward healing and fulfillment.
Feeling stuck? I'm here to help. As a caring, licensed mental health therapist with over 30 years of experience, I specialize in helping individuals navigate trauma, anxiety, depression, relationship issues, and feelings of loneliness. Whether you're grappling with your identity, family dynamics, or dissatisfaction at work, you don't have to face it alone. If you're seeking a safe space to share and grow, let's connect and explore how I can support your journey toward healing and fulfillment.
(415) 969-2712 View (415) 969-2712
Photo of Jeremy Joseph Strametz, LMFT, PPS, MA, Marriage & Family Therapist
Jeremy Joseph Strametz
Marriage & Family Therapist, LMFT, PPS, MA
Verified Verified
1 Endorsed
Gilroy, CA 95020
Working through life's challenges on our own can be a daunting task and often in these instances it can be extremely helpful to sit with someone who can process through these difficulties side by side. In therapy I seek to develop a genuine and strong connection with my clients while providing them with the insight needed to better understand and develop control in their lives. Often struggles in the area of mental health can cause us to feel that we have no control over these issues. I seek to help you regain that control and balance in your life.
Working through life's challenges on our own can be a daunting task and often in these instances it can be extremely helpful to sit with someone who can process through these difficulties side by side. In therapy I seek to develop a genuine and strong connection with my clients while providing them with the insight needed to better understand and develop control in their lives. Often struggles in the area of mental health can cause us to feel that we have no control over these issues. I seek to help you regain that control and balance in your life.
(408) 478-9665 View (408) 478-9665
Photo of Lance Waltman - Lance Waltman, LPC, MS, LPC, Counselor
Lance Waltman, LPC
Counselor, MS, LPC
Verified Verified
4 Endorsed
Menlo Park, CA 94025  (Online Only)
I often work with clients who struggle with never feeling good enough. This would surprise people around you as there's a good chance you've found success in life. You excelled academically, have advanced your career, and appear confident to others, but internally you feel different. The drive to perform has been an attempt to finally feel like you are enough. I can help you begin to look at how these patterns were at one time protective, but may no longer fit in your life. We will work together to heal the underlying wounds these patterns are protecting.
I often work with clients who struggle with never feeling good enough. This would surprise people around you as there's a good chance you've found success in life. You excelled academically, have advanced your career, and appear confident to others, but internally you feel different. The drive to perform has been an attempt to finally feel like you are enough. I can help you begin to look at how these patterns were at one time protective, but may no longer fit in your life. We will work together to heal the underlying wounds these patterns are protecting.
(424) 866-8637 View (424) 866-8637
Photo of Suzanne C MacLelland, PsyD, Psychologist
Suzanne C MacLelland
Psychologist, PsyD
Verified Verified
Templeton, CA 93465
At its best, therapy helps you find answers within yourself. I start with a belief in the basic, natural goodness of every person. I believe, as did Carl Jung, that even the most distressing symptoms are expressions of the individual’s tendency toward growth and healing. In other words, symptoms like anxiety, anger, and depression are signs not of a “sick person,” but of the psyche protesting against unhealthy circumstances.
At its best, therapy helps you find answers within yourself. I start with a belief in the basic, natural goodness of every person. I believe, as did Carl Jung, that even the most distressing symptoms are expressions of the individual’s tendency toward growth and healing. In other words, symptoms like anxiety, anger, and depression are signs not of a “sick person,” but of the psyche protesting against unhealthy circumstances.
(805) 667-0549 View (805) 667-0549
Photo of Persephone Brianna Gonzalez - Persephone B. Gonzalez, LMFT, Marriage & Family Therapist
Persephone B. Gonzalez
Marriage & Family Therapist, LMFT
Verified Verified
Moss Landing, CA 95039
Persephone Gonzalez, LMFT, has worked extensively with the Los Angeles County Department of Mental Health, providing intensive, long and short-term psychotherapy in both English and Spanish. Her specialties include complex trauma, major depression, anxiety, substance abuse and dependence, issues of gender identity, gender expression, sexual orientation, sexuality and intimacy. Her practice has focused on adolescents and young adults, in addition to adults and families including non-monogamy, polyamory, open relationships, and other relationships styles.
Persephone Gonzalez, LMFT, has worked extensively with the Los Angeles County Department of Mental Health, providing intensive, long and short-term psychotherapy in both English and Spanish. Her specialties include complex trauma, major depression, anxiety, substance abuse and dependence, issues of gender identity, gender expression, sexual orientation, sexuality and intimacy. Her practice has focused on adolescents and young adults, in addition to adults and families including non-monogamy, polyamory, open relationships, and other relationships styles.
(831) 226-8566 View (831) 226-8566
Photo of Suzanne Hamasaki, LMFT, Marriage & Family Therapist
Suzanne Hamasaki
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95123
There are times in everyone's life when we experience challenges and difficulties. Whether it be problems in our relationships or adjusting to a life transition, these challenges may affect our well-being, but they can also present an opportunity for growth and positive change.
There are times in everyone's life when we experience challenges and difficulties. Whether it be problems in our relationships or adjusting to a life transition, these challenges may affect our well-being, but they can also present an opportunity for growth and positive change.
(408) 762-4179 View (408) 762-4179
Photo of Tasha Oswald, PhD, Psychologist
Tasha Oswald
Psychologist, PhD
Verified Verified
Palo Alto, CA 94306
Do you or someone you love have difficulty reading social cues, feel anxious about social interactions, and struggle with making friends and setting goals? Do you feel alone and misunderstood? Do you have autism traits that are not always apparent? We offer group therapy and social skills groups, along with individual counseling, for you and your family. By joining one of our groups, you’ll feel understood, accepted and encouraged by the other group members who have shared experiences and challenges. The expert-led group will help you gain the strategies, knowledge, and confidence to more effectively handle these problems.
Do you or someone you love have difficulty reading social cues, feel anxious about social interactions, and struggle with making friends and setting goals? Do you feel alone and misunderstood? Do you have autism traits that are not always apparent? We offer group therapy and social skills groups, along with individual counseling, for you and your family. By joining one of our groups, you’ll feel understood, accepted and encouraged by the other group members who have shared experiences and challenges. The expert-led group will help you gain the strategies, knowledge, and confidence to more effectively handle these problems.
(650) 460-5059 View (650) 460-5059
Photo of Roger Karlsson, PhD, ABPP, QME, Psychologist
Roger Karlsson
Psychologist, PhD, ABPP, QME
Verified Verified
4 Endorsed
Campbell, CA 95008
I am trained as a psychologist and psychotherapist in both California and Sweden. I am an appointed Adjunct Clinical Associate Professor of Psychiatry and Behavioral Sciences at Stanford University School of Medicine, and I have over 30-years of experience in providing mental health treatment. I am a board certified specialist (ABPP) in both forensic psychology and psychoanalysis and a certified Qualified Medical Evaluator (QME). I provide treatment as well as psychological and forensic evaluations. I know how to help you effectively without judgement or blame. You have the right to feel better about yourself and your life.
I am trained as a psychologist and psychotherapist in both California and Sweden. I am an appointed Adjunct Clinical Associate Professor of Psychiatry and Behavioral Sciences at Stanford University School of Medicine, and I have over 30-years of experience in providing mental health treatment. I am a board certified specialist (ABPP) in both forensic psychology and psychoanalysis and a certified Qualified Medical Evaluator (QME). I provide treatment as well as psychological and forensic evaluations. I know how to help you effectively without judgement or blame. You have the right to feel better about yourself and your life.
(510) 878-3780 View (510) 878-3780

See more therapy options for Big Sur

How does your Therapist compare?

Number of Therapists in Big Sur, CA

< 10

Therapists in Big Sur, CA who prioritize treating:

100% Relationship Issues
100% Depression
100% Self Esteem
80% Anxiety
80% Other
80% Coping Skills
80% Women's Issues

Average years in practice

21 Years

Top 3 insurances accepted

50% Aetna
50% BlueCross and BlueShield
50% UnitedHealthcare UHC | UBH

How Therapists in Big Sur, CA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Big Sur?

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.