Therapists in Coral Gables, FL

Photo of Marianne Cortes, Counselor in Coral Gables, FL
Marianne Cortes
Counselor, LMHC
Verified Verified
Coral Gables, FL 33146
Stress and change are inevitable experiences in life. If you find that you are struggling with relationships, change or transitions, therapy can serve as an opportunity for personal growth and gaining emotional tools that will enhance resiliency. I help individuals find balance with their physical and emotional health. My hope is that you experience meaningfulness in your personal relationships and feel more fulfilled with life. I am a strong proponent of evidenced -based modalities and mindfulness based therapeutic interventions that have been proven to be effective in treatment of common mental health symptoms.
Stress and change are inevitable experiences in life. If you find that you are struggling with relationships, change or transitions, therapy can serve as an opportunity for personal growth and gaining emotional tools that will enhance resiliency. I help individuals find balance with their physical and emotional health. My hope is that you experience meaningfulness in your personal relationships and feel more fulfilled with life. I am a strong proponent of evidenced -based modalities and mindfulness based therapeutic interventions that have been proven to be effective in treatment of common mental health symptoms.
(786) 590-2719 View (786) 590-2719
Photo of Gretchen Melissa Suarez, Counselor in Coral Gables, FL
Gretchen Melissa Suarez
Counselor, Analyst, MH
Verified Verified
Coral Gables, FL 33146
Are you feeling sad, depressed, overwhelmed or anxious? Are you aware of the voice that is telling you that nothing you do is good enough? Are you ready to let go of all that negative self talk? I provide my clients with the latest methods to facilitate a meaningful life. Together we will use methods to understand and remove obstacles and limiting beliefs that prevent you from living your life to your full potential. Are you ready for relief? Call me today for a free consultation.
Are you feeling sad, depressed, overwhelmed or anxious? Are you aware of the voice that is telling you that nothing you do is good enough? Are you ready to let go of all that negative self talk? I provide my clients with the latest methods to facilitate a meaningful life. Together we will use methods to understand and remove obstacles and limiting beliefs that prevent you from living your life to your full potential. Are you ready for relief? Call me today for a free consultation.
(786) 563-4544 View (786) 563-4544
Photo of Ingrid Roman PsyD PA, Psychologist in Coral Gables, FL
Ingrid Roman PsyD PA
Psychologist, PsyD
Verified Verified
Coral Gables, FL 33134
Waitlist for new clients
Hello and welcome to our practice! We hope to help you find clarity and regain momentum. We believe that effective psychotherapy provides a deep understanding and appreciation of an individual's thoughts and emotions, hence it facilitates change, growth, and resilience. Our work is Informed by a blend of active listening and collaborative problem solving and our approach is interactive, open, and warm. For us, our work, is more than our profession, it is our passion, which is why we put all of our resources and a high level of involvement to support and accompany the people who decide to trust us.
Hello and welcome to our practice! We hope to help you find clarity and regain momentum. We believe that effective psychotherapy provides a deep understanding and appreciation of an individual's thoughts and emotions, hence it facilitates change, growth, and resilience. Our work is Informed by a blend of active listening and collaborative problem solving and our approach is interactive, open, and warm. For us, our work, is more than our profession, it is our passion, which is why we put all of our resources and a high level of involvement to support and accompany the people who decide to trust us.
(305) 419-0794 View (305) 419-0794
Photo of Terina K Lopez, Counselor in Coral Gables, FL
Terina K Lopez
Counselor, MS, LMHC
Verified Verified
Coral Gables, FL 33146
As one seeks change in their life, it is important to do so with support and understanding. Whether you are hoping to change chronic patterns in relationships, enhance your self esteem, build greater self awareness or examine your relationship with food and your body, a strong therapeutic relationship can help attain meaningful change.
As one seeks change in their life, it is important to do so with support and understanding. Whether you are hoping to change chronic patterns in relationships, enhance your self esteem, build greater self awareness or examine your relationship with food and your body, a strong therapeutic relationship can help attain meaningful change.
(305) 547-8761 View (305) 547-8761
Photo of Rebecca M Marshall, Counselor in Coral Gables, FL
Rebecca M Marshall
Counselor, MS, LMHC, CBP
Verified Verified
2 Endorsed
Coral Gables, FL 33134  (Online Only)
Do you feel called to make positive changes in your life? Would you like to overcome or prevent stress, anxiety, emotional dysregulation, indecision or "dis-ease"? Interested in activating and maintaining a healthy lifestyle - or gaining support through difficult times, important transitions, personal growth or change? Receive support, direction and guidance through a collaborative process. Experience increased clarity, confidence and ease in your mind, body & spirit. Enhance your sense of wellness, alignment & balance while expanding your skill set for supporting your health and wellbeing over time.
Do you feel called to make positive changes in your life? Would you like to overcome or prevent stress, anxiety, emotional dysregulation, indecision or "dis-ease"? Interested in activating and maintaining a healthy lifestyle - or gaining support through difficult times, important transitions, personal growth or change? Receive support, direction and guidance through a collaborative process. Experience increased clarity, confidence and ease in your mind, body & spirit. Enhance your sense of wellness, alignment & balance while expanding your skill set for supporting your health and wellbeing over time.
(305) 930-7645 View (305) 930-7645
Photo of Jonathan Anthony Rojas, Marriage & Family Therapist in Coral Gables, FL
Jonathan Anthony Rojas
Marriage & Family Therapist, MS
Verified Verified
1 Endorsed
Coral Gables, FL 33134
I work with my clients to help them repair and nurture the relationships they have with their loved ones. Though I am trained in treating couples and families, my therapy also values a focus on the individual. I find it important to promote a balance between rational and emotional orientations to our experiences, and I help my clients to reflect this balance in multiple facets of their lives.
I work with my clients to help them repair and nurture the relationships they have with their loved ones. Though I am trained in treating couples and families, my therapy also values a focus on the individual. I find it important to promote a balance between rational and emotional orientations to our experiences, and I help my clients to reflect this balance in multiple facets of their lives.
(954) 231-1469 View (954) 231-1469
Photo of Ana Maria Buzzi, Counselor in Coral Gables, FL
Ana Maria Buzzi
Counselor, MA, LPA, LMHC
Verified Verified
Coral Gables, FL 33145
Are you waking up a 3 a.m. worrying about your problems? Let me use my 20 years of proven professional experience to help you! I will listen to you empathetically and together we will come up with a plan. I use evidence-based interventions that suit your individual case to help you improve, resolve problems, and create the changes you desire. I specialize in the treatment of depression and anxiety, surviving the impact of a trauma, life transition, work-related stress, grief and loss, relationship problems, low self-esteem, children behavior problems at home and at school, ADHD, parenting.
Are you waking up a 3 a.m. worrying about your problems? Let me use my 20 years of proven professional experience to help you! I will listen to you empathetically and together we will come up with a plan. I use evidence-based interventions that suit your individual case to help you improve, resolve problems, and create the changes you desire. I specialize in the treatment of depression and anxiety, surviving the impact of a trauma, life transition, work-related stress, grief and loss, relationship problems, low self-esteem, children behavior problems at home and at school, ADHD, parenting.
(786) 756-7383 View (786) 756-7383
Photo of Raquel Espinel Suarez, Counselor in Coral Gables, FL
Raquel Espinel Suarez
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Coral Gables, FL 33146
My therapeutic approach is uniquely tailored to your individual needs and is collaborative, interactive, and practical. I am passionate about providing a warm and empathic space to heal, grow, and thrive. Utilizing a cognitive behavioral framework, we will develop coping skills that enable you to make better choices and lead a happier and healthier existence. I have over two decades of clinical experience and have helped countless people change their lives for the better. I look forward to doing the same for you!
My therapeutic approach is uniquely tailored to your individual needs and is collaborative, interactive, and practical. I am passionate about providing a warm and empathic space to heal, grow, and thrive. Utilizing a cognitive behavioral framework, we will develop coping skills that enable you to make better choices and lead a happier and healthier existence. I have over two decades of clinical experience and have helped countless people change their lives for the better. I look forward to doing the same for you!
(305) 748-2869 View (305) 748-2869
Photo of Alexandra Vavoulis, Counselor in Coral Gables, FL
Alexandra Vavoulis
Counselor, MS, LMHC
Verified Verified
Coral Gables, FL 33134
If you’re feeling anxious, depressed, disconnected from yourself or your relationships it can be an extremely difficult experience. Figuring out how to navigate these challenges and implement change can be overwhelming and can even feel impossible. It can be a frustrating experience to want to make positive changes in your life and yet not know where to start. If you are searching for deeper understanding of yourself, your behaviors, and your relationships, I am here to help! I am a licensed mental health counselor and have training in EMDR and the Gottman Couples therapy method.
If you’re feeling anxious, depressed, disconnected from yourself or your relationships it can be an extremely difficult experience. Figuring out how to navigate these challenges and implement change can be overwhelming and can even feel impossible. It can be a frustrating experience to want to make positive changes in your life and yet not know where to start. If you are searching for deeper understanding of yourself, your behaviors, and your relationships, I am here to help! I am a licensed mental health counselor and have training in EMDR and the Gottman Couples therapy method.
(786) 751-5179 View (786) 751-5179
Photo of Kathleen Warman, Psychologist in Coral Gables, FL
Kathleen Warman
Psychologist, PsyD
Verified Verified
1 Endorsed
Coral Gables, FL 33146
I'm a Licensed Psychologist with experience providing treatment to children, adolescents, young adults, and families. In addition to treating a variety of behavioral and emotional difficulties, I have specialized training working with the Latinx/Hispanic population and the LGBTQIA+ population. I provide treatment in both English and Spanish. My therapy primarily incorporates a family systems approach and Cognitive Behavioral Therapy (CBT). In order to provide well-rounded care, I consider the whole person, including the experiences they have had in the past to inform the current challenges.
I'm a Licensed Psychologist with experience providing treatment to children, adolescents, young adults, and families. In addition to treating a variety of behavioral and emotional difficulties, I have specialized training working with the Latinx/Hispanic population and the LGBTQIA+ population. I provide treatment in both English and Spanish. My therapy primarily incorporates a family systems approach and Cognitive Behavioral Therapy (CBT). In order to provide well-rounded care, I consider the whole person, including the experiences they have had in the past to inform the current challenges.
(786) 692-9128 View (786) 692-9128
Photo of Clemencia Cartas, Counselor in Coral Gables, FL
Clemencia Cartas
Counselor, LPC, LMHC
Verified Verified
3 Endorsed
Coral Gables, FL 33134
I am an experienced Couples Therapist. I can help you with multiple relationship issues including: affairs and infidelity; lack of trust; feeling emotionally disconnected; intimacy issues and infrequent sex; fighting about the same problems without resolution; unbalanced relationship and feeling you are the only one is trying. All of these problems can be resolved if you seek adequate professional help. I am here for you! I’ll assist you in becoming emotionally closer and regain intimacy, romance and passion. You’ll rebuild trust, learn effective communication skills, conflict management, and heal from relational injuries.
I am an experienced Couples Therapist. I can help you with multiple relationship issues including: affairs and infidelity; lack of trust; feeling emotionally disconnected; intimacy issues and infrequent sex; fighting about the same problems without resolution; unbalanced relationship and feeling you are the only one is trying. All of these problems can be resolved if you seek adequate professional help. I am here for you! I’ll assist you in becoming emotionally closer and regain intimacy, romance and passion. You’ll rebuild trust, learn effective communication skills, conflict management, and heal from relational injuries.
(305) 930-8903 View (305) 930-8903
Photo of Dr. Austin Aibel, Psychologist in Coral Gables, FL
Dr. Austin Aibel
Psychologist, PsyD
Verified Verified
Coral Gables, FL 33133  (Online Only)
Hello there! My name is Dr. Austin Aibel. I am a licensed clinical psychologist and I specialize in eating disorders and body image issues. I have also done a lot of work with folks struggling with trauma, OCD, chronic illness/complex medical conditions, and identity concerns. I often work with individuals in their teens, twenties, and thirties (but love working with people across the age spectrum). I am passionate about this work and this shows in sessions. I am not a "smile and nod therapist"- Clients have described me as interactive, genuine, and energetic.
Hello there! My name is Dr. Austin Aibel. I am a licensed clinical psychologist and I specialize in eating disorders and body image issues. I have also done a lot of work with folks struggling with trauma, OCD, chronic illness/complex medical conditions, and identity concerns. I often work with individuals in their teens, twenties, and thirties (but love working with people across the age spectrum). I am passionate about this work and this shows in sessions. I am not a "smile and nod therapist"- Clients have described me as interactive, genuine, and energetic.
(312) 626-5114 View (312) 626-5114
Photo of Alissa Rodriguez, Counselor in Coral Gables, FL
Alissa Rodriguez
Counselor, LMHC
Verified Verified
Coral Gables, FL 33134
I am an experienced and licensed psychotherapist; I specialize in working with teens and adults struggling with substance use disorders, anxiety, relationship conflicts and many other concerns.
I am an experienced and licensed psychotherapist; I specialize in working with teens and adults struggling with substance use disorders, anxiety, relationship conflicts and many other concerns.
(786) 730-9791 View (786) 730-9791
Photo of Maritza Montano, Counselor in Coral Gables, FL
Maritza Montano
Counselor, MS, PhD
Verified Verified
Coral Gables, FL 33146
As a relationship expert, mentor- public speaker, psychotherapist and published author, I enjoy working with adults, teens and couples, regardless of their ethnicity, religion or gender. I encourage them to establish goals and eliminate unhealthy patterns of thinking, feeling and behaving. The title of my book- “Meant to Last Together”. This book is aimed to help you discover the importance of identifying your weaknesses and strengths in order to create a positive relationship.
As a relationship expert, mentor- public speaker, psychotherapist and published author, I enjoy working with adults, teens and couples, regardless of their ethnicity, religion or gender. I encourage them to establish goals and eliminate unhealthy patterns of thinking, feeling and behaving. The title of my book- “Meant to Last Together”. This book is aimed to help you discover the importance of identifying your weaknesses and strengths in order to create a positive relationship.
(786) 789-2825 View (786) 789-2825
Photo of Francesca Vazquez, Psychologist in Coral Gables, FL
Francesca Vazquez
Psychologist, PsyD
Verified Verified
Coral Gables, FL 33134
I combine my knowledge in nutritional psychology and as a health psychologist to guide my clients in gaining mind-body wellness. If you are experiencing stress, anxiety, low mood, health issues, chronic pain, insomnia, addiction, emotional sequelae after injury or medical diagnoses, I can help. If your goal is to use more than just talk therapy and want to actually heal both your mind and body through nutrition, relaxation training, guidance/support, and lifestyle changes, you’re in the right place! ​ As a licensed psychologist and a yoga instructor, I have developed a holistic approach to mental health and treatment.
I combine my knowledge in nutritional psychology and as a health psychologist to guide my clients in gaining mind-body wellness. If you are experiencing stress, anxiety, low mood, health issues, chronic pain, insomnia, addiction, emotional sequelae after injury or medical diagnoses, I can help. If your goal is to use more than just talk therapy and want to actually heal both your mind and body through nutrition, relaxation training, guidance/support, and lifestyle changes, you’re in the right place! ​ As a licensed psychologist and a yoga instructor, I have developed a holistic approach to mental health and treatment.
(844) 912-3682 View (844) 912-3682
Photo of Ricardo E. Sardiña, Counselor in Coral Gables, FL
Ricardo E. Sardiña
Counselor, LMHC
Verified Verified
1 Endorsed
Coral Gables, FL 33134
I believe in guiding individuals who are seeking assistance and empowering them to take the necessary steps to overcome the challenges they may be facing. My goal is to assist individuals to seek fulfillment while making decisions that will lead them in the right path. I look forward to working with, and helping to make a difference, in the lives of children, adolescents, families, and adults as they strive to create and maintain healthy relationships with others, and as they grow and experience life's toughest transitions.
I believe in guiding individuals who are seeking assistance and empowering them to take the necessary steps to overcome the challenges they may be facing. My goal is to assist individuals to seek fulfillment while making decisions that will lead them in the right path. I look forward to working with, and helping to make a difference, in the lives of children, adolescents, families, and adults as they strive to create and maintain healthy relationships with others, and as they grow and experience life's toughest transitions.
(305) 964-8386 View (305) 964-8386
Photo of Elizabeth F. Palenzuela, P.A., Marriage & Family Therapist in Coral Gables, FL
Elizabeth F. Palenzuela, P.A.
Marriage & Family Therapist, MS, LMFT
Verified Verified
Coral Gables, FL 33134
Not accepting new clients
Since 1997 I have been providing care to clients struggling with varying degrees of mental health and life issues. I work with a diverse population and provide individual, couples and family therapy in an outpatient setting. My therapy approach is client-centered and requires each client to be actively involved in creating their own life changes within the context of their family system and/or their identified social network.
Since 1997 I have been providing care to clients struggling with varying degrees of mental health and life issues. I work with a diverse population and provide individual, couples and family therapy in an outpatient setting. My therapy approach is client-centered and requires each client to be actively involved in creating their own life changes within the context of their family system and/or their identified social network.
(305) 707-6279 View (305) 707-6279
Photo of Kevin Scholz, Psychologist in Coral Gables, FL
Kevin Scholz
Psychologist, PsyD
Verified Verified
Coral Gables, FL 33134
I am the co-director of the Miami Counseling & Resource Center, a multidisciplinary mental health practice in Coral Gables. I provide individual, couples and family therapy for a variety of presenting problems, life struggles and relationship issues. I grew up in Miami, and I have a great love for and familiarity with South Florida and the multi-cultural and ethnic diversity that make it such a colorful place to live and work. I am very enthusiastic about my work with clients from all walks of life, and I hope that I can be of help to you, too!
I am the co-director of the Miami Counseling & Resource Center, a multidisciplinary mental health practice in Coral Gables. I provide individual, couples and family therapy for a variety of presenting problems, life struggles and relationship issues. I grew up in Miami, and I have a great love for and familiarity with South Florida and the multi-cultural and ethnic diversity that make it such a colorful place to live and work. I am very enthusiastic about my work with clients from all walks of life, and I hope that I can be of help to you, too!
(305) 767-1169 x115 View (305) 767-1169 x115
Photo of Jerome H Poliacoff, Psychologist in Coral Gables, FL
Jerome H Poliacoff
Psychologist, PhD
Verified Verified
1 Endorsed
Coral Gables, FL 33134
Marital woes? Problem teens? Child behavior problems? The blues? For the past 30 plus years I have offered my good humor, warmth, along with psychodynamic and cognitive and behavioral techniques, to achieve results oriented, solution focused, treatment of CHILDREN, ADOLESCENTS, and their PARENTS who are experiencing BEHAVIORAL or EMOTIONAL problems. I work well with HIGH CONFLICT FAMILIES - both PRE AND POST DIVORCE – as well as individually with children and teens and their parents to address and overcome behavioral and emotional problems. On a case by case basis LATE AFTERNOONS, EVENINGS and SATURDAY appointments are available.
Marital woes? Problem teens? Child behavior problems? The blues? For the past 30 plus years I have offered my good humor, warmth, along with psychodynamic and cognitive and behavioral techniques, to achieve results oriented, solution focused, treatment of CHILDREN, ADOLESCENTS, and their PARENTS who are experiencing BEHAVIORAL or EMOTIONAL problems. I work well with HIGH CONFLICT FAMILIES - both PRE AND POST DIVORCE – as well as individually with children and teens and their parents to address and overcome behavioral and emotional problems. On a case by case basis LATE AFTERNOONS, EVENINGS and SATURDAY appointments are available.
(305) 570-4831 View (305) 570-4831
Photo of Stephanie May, Psychologist in Coral Gables, FL
Stephanie May
Psychologist, PsyD
Verified Verified
Coral Gables, FL 33134
My highest intention in working with you is to create collaboration that is based in respect, dignity, compassion, and results. I'd like therapy to not just be a "good experience" for you, but would like for you to walk away from this experience knowing that something tangible was created in your life as a result. It is my commitment to be present for you every step of the way, and to provide specialized individualized care. I have been working in the area of Eating Disorders and Relationship Success for the last 15 years.
My highest intention in working with you is to create collaboration that is based in respect, dignity, compassion, and results. I'd like therapy to not just be a "good experience" for you, but would like for you to walk away from this experience knowing that something tangible was created in your life as a result. It is my commitment to be present for you every step of the way, and to provide specialized individualized care. I have been working in the area of Eating Disorders and Relationship Success for the last 15 years.
(786) 882-5918 View (786) 882-5918

See more therapy options for Coral Gables

How does your Therapist compare?

Number of Therapists in Coral Gables, FL

500+

Average cost per session

$175

Therapists in Coral Gables, FL who prioritize treating:

93% Anxiety
86% Depression
79% Self Esteem
77% Relationship Issues
69% Coping Skills
62% Stress
61% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

77% Aetna
75% UnitedHealthcare UHC | UBH
74% Cigna and Evernorth

How Therapists in Coral Gables, FL see their clients

76% In Person and Online
24% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Coral Gables?

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.