Therapists in Bellaire, TX

Photo of Anna Sand, Clinical Social Work/Therapist in Bellaire, TX
Anna Sand
Clinical Social Work/Therapist, LCSW-S, RPT
Verified Verified
Bellaire, TX 77401
Connection, safety and support are what I can immediately offer you. I use evidence-based, effective therapeutic modalities while also providing a wholistic human relationship. I work to enhance your livelihood mentally, physically, socially and spiritually.
Connection, safety and support are what I can immediately offer you. I use evidence-based, effective therapeutic modalities while also providing a wholistic human relationship. I work to enhance your livelihood mentally, physically, socially and spiritually.
(346) 515-4359 View (346) 515-4359
Photo of Regina Smith, Licensed Professional Counselor in Bellaire, TX
Regina Smith
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Bellaire, TX 77401
Regina Smith is a Licensed Professional Counselor with a Masters in Clinical Mental Health Counseling. She has experience with doing therapy with children and adolescents. As a therapist, she is passionate about working with children and adolescents to help improve their mental health. Regina loves working with children, adolescents, and adults doing group, individual, and family therapy sessions. She is skilled in case management, individual, and group therapy, and psychological assessments. Regina has experience helping clients with trauma, anxiety, depression, ADHD, ODD, and mood disorders.
Regina Smith is a Licensed Professional Counselor with a Masters in Clinical Mental Health Counseling. She has experience with doing therapy with children and adolescents. As a therapist, she is passionate about working with children and adolescents to help improve their mental health. Regina loves working with children, adolescents, and adults doing group, individual, and family therapy sessions. She is skilled in case management, individual, and group therapy, and psychological assessments. Regina has experience helping clients with trauma, anxiety, depression, ADHD, ODD, and mood disorders.
(346) 536-8506 View (346) 536-8506
Photo of Suzi C. Phelps, Psychologist in Bellaire, TX
Suzi C. Phelps
Psychologist, PhD
Verified Verified
Bellaire, TX 77401
I believe therapy is a collaborative process where you are the expert in you and I am the expert in human behavior. Together we work toward achieving your goals. I work from a cognitive-behavioral perspective, however, I am trained in a variety of techniques, including EMDR, and I tailor my approach to meet my client's individual needs. Many adults seek treatment when they discover that their coping strategies and survival skills of childhood don't work in adulthood. Frequently, people are feeling overwhelmed when they enter treatment. Therefore, lowering one's baseline level of distress is usually the first step.
I believe therapy is a collaborative process where you are the expert in you and I am the expert in human behavior. Together we work toward achieving your goals. I work from a cognitive-behavioral perspective, however, I am trained in a variety of techniques, including EMDR, and I tailor my approach to meet my client's individual needs. Many adults seek treatment when they discover that their coping strategies and survival skills of childhood don't work in adulthood. Frequently, people are feeling overwhelmed when they enter treatment. Therefore, lowering one's baseline level of distress is usually the first step.
(713) 338-9079 View (713) 338-9079
Photo of Dr. Riggins Psychological Services, PLLC, Psychologist in Bellaire, TX
Dr. Riggins Psychological Services, PLLC
Psychologist, PhD
Verified Verified
Bellaire, TX 77402  (Online Only)
Hello! I am Dr. Reginald K. Riggins. I am licensed clinical psychologist based in Texas. I am originally from the south side of Chicago with over ten years of experience in the mental health space. Participating in therapy is the greatest investment you can ever make for yourself. When you learn how to improve your thinking, behavior and emotional well-being you create a better version of yourself. The process of healing is not easy but it is so worth it once you reach the mountain top, stare down and see how far you've come. It would be an honor to take that journey with you.
Hello! I am Dr. Reginald K. Riggins. I am licensed clinical psychologist based in Texas. I am originally from the south side of Chicago with over ten years of experience in the mental health space. Participating in therapy is the greatest investment you can ever make for yourself. When you learn how to improve your thinking, behavior and emotional well-being you create a better version of yourself. The process of healing is not easy but it is so worth it once you reach the mountain top, stare down and see how far you've come. It would be an honor to take that journey with you.
(713) 808-1841 View (713) 808-1841
Photo of Angelina H Rodriguez, Licensed Professional Counselor in Bellaire, TX
Angelina H Rodriguez
Licensed Professional Counselor, MS, LPC-ATS, ATR-BC
Verified Verified
Bellaire, TX 77401
Has your life not been going the way you planned? Perhaps the Covid-19 pandemic created new problems or dragged up unresolved issues. You may have spent countless hours on social media searching for relief for your loneliness, sadness, anger, shame and anxiety only to realize how easy it is to be influenced by false profiles, false information and alternative versions of reality. Even if you are not alone, perhaps you are feeling isolated because you are struggling in your marriage or other relationships and are wishing that you had better communication, emotional connection and intimacy. There is a way out of your pain and sufferin
Has your life not been going the way you planned? Perhaps the Covid-19 pandemic created new problems or dragged up unresolved issues. You may have spent countless hours on social media searching for relief for your loneliness, sadness, anger, shame and anxiety only to realize how easy it is to be influenced by false profiles, false information and alternative versions of reality. Even if you are not alone, perhaps you are feeling isolated because you are struggling in your marriage or other relationships and are wishing that you had better communication, emotional connection and intimacy. There is a way out of your pain and sufferin
(713) 338-9047 View (713) 338-9047
Photo of Raquel Angelica Ducote, Licensed Professional Counselor in Bellaire, TX
Raquel Angelica Ducote
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Bellaire, TX 77401
The goal of therapy is to empower you with insight, strength, knowledge and healing to make a difference in your own life! We all have the power to heal and with guidance and direction, it is possible. I want to offer hope to every person who comes through my door because that's what I believe! I utilize a variety of proven psychological techniques and have over 15 years of experience! In a calm and peaceful atmosphere, I will offer the insight and wisdom you need to find your way to a place of inner calm and serenity.
The goal of therapy is to empower you with insight, strength, knowledge and healing to make a difference in your own life! We all have the power to heal and with guidance and direction, it is possible. I want to offer hope to every person who comes through my door because that's what I believe! I utilize a variety of proven psychological techniques and have over 15 years of experience! In a calm and peaceful atmosphere, I will offer the insight and wisdom you need to find your way to a place of inner calm and serenity.
(832) 924-5551 View (832) 924-5551
Photo of Dr. Jessica M Meers, Psychologist in Bellaire, TX
Dr. Jessica M Meers
Psychologist, PhD, DBSM
Verified Verified
Bellaire, TX 77401
Sleep difficulties like insomnia can affect every facet of your life, which is why it is so stressful when sleep isn't going right. I specialize in helping my clients learn strategies for lasting sleep improvements. As a licensed clinical psychologist board certified in behavioral sleep medicine, I treat insomnia, hypersomnia, circadian rhythm disorders, and CPAP adherence issues in adults and children. I have a special interest in helping women navigate their own unique sleep challenges, such as menstrual disorders, pregnancy/postpartum, and menopause.
Sleep difficulties like insomnia can affect every facet of your life, which is why it is so stressful when sleep isn't going right. I specialize in helping my clients learn strategies for lasting sleep improvements. As a licensed clinical psychologist board certified in behavioral sleep medicine, I treat insomnia, hypersomnia, circadian rhythm disorders, and CPAP adherence issues in adults and children. I have a special interest in helping women navigate their own unique sleep challenges, such as menstrual disorders, pregnancy/postpartum, and menopause.
(346) 482-2845 View (346) 482-2845
Photo of Sari Janice Meltzer, Psychologist in Bellaire, TX
Sari Janice Meltzer
Psychologist, PhD
Verified Verified
Bellaire, TX 77401
I have a doctorate in Clinical Psychology and have been in practice since 1986. My style is interactive, but varies depending on the needs and personality of the client(s). I see the therapy process as a team effort with ongoing review of client satisfaction. When appropriate I consult other professionals and/or make referrals. I believe that peoples' feelings and behaviors are effected by their interpretations of events, and sometimes encourage clients to explore their interpretations. I try to work within their spiritual and cultural belief system, and seek information when my knowledge is limited.
I have a doctorate in Clinical Psychology and have been in practice since 1986. My style is interactive, but varies depending on the needs and personality of the client(s). I see the therapy process as a team effort with ongoing review of client satisfaction. When appropriate I consult other professionals and/or make referrals. I believe that peoples' feelings and behaviors are effected by their interpretations of events, and sometimes encourage clients to explore their interpretations. I try to work within their spiritual and cultural belief system, and seek information when my knowledge is limited.
(713) 338-9078 View (713) 338-9078
Photo of Suzana Marijan Stankovic, Licensed Professional Counselor in Bellaire, TX
Suzana Marijan Stankovic
Licensed Professional Counselor, LPC-S, CHT
Verified Verified
1 Endorsed
Bellaire, TX 77401
No matter where you are in your inner journey, life continues to challenge you to grow and change. You might be struggling with aftermath of a recent traumatic experience. Maybe you are haunted by painful childhood experiences that still affect your life today. Perhaps, things are going smoothly, and you are seeking ways to improve your performance at work, sport or a hobby. Let me help you take the next step.
No matter where you are in your inner journey, life continues to challenge you to grow and change. You might be struggling with aftermath of a recent traumatic experience. Maybe you are haunted by painful childhood experiences that still affect your life today. Perhaps, things are going smoothly, and you are seeking ways to improve your performance at work, sport or a hobby. Let me help you take the next step.
(281) 918-8009 View (281) 918-8009
Photo of Alexis Noel Patel, Licensed Professional Counselor in Bellaire, TX
Alexis Noel Patel
Licensed Professional Counselor, LPC
Verified Verified
Bellaire, TX 77401
Life comes at you fast, things change and can become difficult. Motherhood in particular is the most challenging but rewarding thing you can do. The goal is to conquer it everyday to the best of our ability to be the mother our children need to grow and thrive.
Life comes at you fast, things change and can become difficult. Motherhood in particular is the most challenging but rewarding thing you can do. The goal is to conquer it everyday to the best of our ability to be the mother our children need to grow and thrive.
(713) 565-0922 View (713) 565-0922
Photo of Alisha L. Wagner, Psychologist in Bellaire, TX
Alisha L. Wagner
Psychologist, PhD
Verified Verified
Bellaire, TX 77401
People seek therapy for many reasons. You may face illness or health issues, and seek therapy for support. You may experience an unexpected negative event and need therapy to deal with resulting stress, depression or anxiety. Or you may want a different perspective on a given situation and seek therapy for clarity. My goal is to help you find the support, relief and clarity to enjoy a more productive life. I believe in a non-judgmental, active and collaborative approach. Warmth, compassion and humor characterize my therapy style.
People seek therapy for many reasons. You may face illness or health issues, and seek therapy for support. You may experience an unexpected negative event and need therapy to deal with resulting stress, depression or anxiety. Or you may want a different perspective on a given situation and seek therapy for clarity. My goal is to help you find the support, relief and clarity to enjoy a more productive life. I believe in a non-judgmental, active and collaborative approach. Warmth, compassion and humor characterize my therapy style.
(281) 940-2771 View (281) 940-2771
Photo of Karina Brisack, LPC Intern in Bellaire, TX
Karina Brisack
LPC Intern
Not Verified Not Verified
1 Endorsed
Bellaire, TX 77401
Hello, my name is Karina, a student clinical intern under supervision by Dr. Manahil Riaz LPC-S. and I am here to offer you support and guidance as you navigate through life transitions and explore your spiritual identity. I understand that these issues can sometimes feel overwhelming and cause anxiety, but please know that you are not alone. I have the experience working with anxiety, trauma, and helping individuals find their spiritual identity. My approach to therapy is non-judgmental and inclusive of all genders and sexuality.
Hello, my name is Karina, a student clinical intern under supervision by Dr. Manahil Riaz LPC-S. and I am here to offer you support and guidance as you navigate through life transitions and explore your spiritual identity. I understand that these issues can sometimes feel overwhelming and cause anxiety, but please know that you are not alone. I have the experience working with anxiety, trauma, and helping individuals find their spiritual identity. My approach to therapy is non-judgmental and inclusive of all genders and sexuality.
(346) 570-0372 View (346) 570-0372
Photo of LoriAnne Reeves, Licensed Professional Counselor in Bellaire, TX
LoriAnne Reeves
Licensed Professional Counselor, LPC
Verified Verified
Bellaire, TX 77401  (Online Only)
I'm LoriAnne Reeves, MA and I'm licensed as Licensed Professional Counselor. My Master's is in Marriage & Family Therapy. I've been in the mental health space for 25 years working with a wide range of clients and problems, especially around relationships and communication. I'm also certified as a business and executive coach working with clients around workplace issues. My expertise in relationships includes working with couples, partnerships, families and individuals around getting, growing and keeping love, toxic relationships and other relationship issues. This also includes the relationship with yourself around change.
I'm LoriAnne Reeves, MA and I'm licensed as Licensed Professional Counselor. My Master's is in Marriage & Family Therapy. I've been in the mental health space for 25 years working with a wide range of clients and problems, especially around relationships and communication. I'm also certified as a business and executive coach working with clients around workplace issues. My expertise in relationships includes working with couples, partnerships, families and individuals around getting, growing and keeping love, toxic relationships and other relationship issues. This also includes the relationship with yourself around change.
(346) 230-3361 View (346) 230-3361
Photo of Rabia Ilahi, Marriage & Family Therapist in Bellaire, TX
Rabia Ilahi
Marriage & Family Therapist, MA, LMFT, CART
Verified Verified
2 Endorsed
Bellaire, TX 77401
'And the day came when the risk to remain tight in the bud was more painful than the risk it took to blossom' (Anais Nin). It is scary for many of us to risk initiating change in our lives, whether it's in ourselves, professionally, or in our intimate or family relationships. Having come to this site is a courageous first step, and I would like to help you in fulfilling your journey. I offer collaborative counseling/therapy for individuals, couples, and families who want to live more fulfilling lives.
'And the day came when the risk to remain tight in the bud was more painful than the risk it took to blossom' (Anais Nin). It is scary for many of us to risk initiating change in our lives, whether it's in ourselves, professionally, or in our intimate or family relationships. Having come to this site is a courageous first step, and I would like to help you in fulfilling your journey. I offer collaborative counseling/therapy for individuals, couples, and families who want to live more fulfilling lives.
(713) 489-4823 View (713) 489-4823
Photo of Dr. Wenli Liu in Bellaire, TX
Dr. Wenli Liu
MD
Not Verified Not Verified
Bellaire, TX 77401
Frequently, metabolic disorders and mental health challenges coexist, exacerbating each other's effects. As one aspect worsens, it can adversely affect the other. Rectifying metabolic disorders can alleviate mental health issues, and vice versa, yet adopting essential lifestyle adjustments such as dietary changes and behavioral modifications can prove challenging amidst intense emotional stress and chronic symptoms. By seamlessly combining holistic insight and conventional medical precision, integrative medicine offers an array of tools tailored to tackle intricate symptom clusters, fostering enduring well-being and health.
Frequently, metabolic disorders and mental health challenges coexist, exacerbating each other's effects. As one aspect worsens, it can adversely affect the other. Rectifying metabolic disorders can alleviate mental health issues, and vice versa, yet adopting essential lifestyle adjustments such as dietary changes and behavioral modifications can prove challenging amidst intense emotional stress and chronic symptoms. By seamlessly combining holistic insight and conventional medical precision, integrative medicine offers an array of tools tailored to tackle intricate symptom clusters, fostering enduring well-being and health.
(346) 788-1817 View (346) 788-1817
Photo of Toby D Howell, Clinical Social Work/Therapist in Bellaire, TX
Toby D Howell
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Bellaire, TX 77401
I passionately work to empower clients. If you choose to work with me, I will use my extensive experience and years of practice to support you in working through areas of your life where you feel hopeless, inhibited, or stuck. I firmly believe that there are reasons for hopelessness, destress, and being thwarted. Said another way, there is nothing innately wrong with you. There are just problems that you have not distinguished or determined how to deal with. I can support you in developing your own power to work through them all.
I passionately work to empower clients. If you choose to work with me, I will use my extensive experience and years of practice to support you in working through areas of your life where you feel hopeless, inhibited, or stuck. I firmly believe that there are reasons for hopelessness, destress, and being thwarted. Said another way, there is nothing innately wrong with you. There are just problems that you have not distinguished or determined how to deal with. I can support you in developing your own power to work through them all.
(832) 358-3882 View (832) 358-3882
Photo of Dr. Julia L. Prillaman, Psychologist in Bellaire, TX
Dr. Julia L. Prillaman
Psychologist, PhD
Verified Verified
Bellaire, TX 77401
I have worked in the mental health field for over 20 years. I receive frequent referrals for issues pertaining to perfectionism, over-achievement, obsessions, and depressive conditions including bipolar disorder. I am particularly interested in working with individuals with unique and/or complex constellations of symptoms. Regardless of diagnosis, I encourage all patients to define their goals for treatment and to actively participate in the therapy process. I have worked both domestically and internationally and welcome all cultures to my practice.
I have worked in the mental health field for over 20 years. I receive frequent referrals for issues pertaining to perfectionism, over-achievement, obsessions, and depressive conditions including bipolar disorder. I am particularly interested in working with individuals with unique and/or complex constellations of symptoms. Regardless of diagnosis, I encourage all patients to define their goals for treatment and to actively participate in the therapy process. I have worked both domestically and internationally and welcome all cultures to my practice.
(713) 338-9108 View (713) 338-9108
Photo of Lindsey E Knott, Psychologist in Bellaire, TX
Lindsey E Knott
Psychologist, MA, PhD
Verified Verified
1 Endorsed
Bellaire, TX 77401
We are hardwired to seek meaning and connection. When we lose sight of our needs and values we might feel depressed, not good enough, and stuck in an unhelpful cycle. Experiences like trauma, OCD, or ADHD tend to just add fuel to the fire. As a Clinical Psychologist I provide evidence-based treatments for anxiety and depression complicated by other factors, such as trauma, neurodivergence, perfectionism, and shame. I strive to help my clients increase self-awareness, process and cope with sticky emotions, and develop the skills needed to design and live a fulfilling and meaningful life.
We are hardwired to seek meaning and connection. When we lose sight of our needs and values we might feel depressed, not good enough, and stuck in an unhelpful cycle. Experiences like trauma, OCD, or ADHD tend to just add fuel to the fire. As a Clinical Psychologist I provide evidence-based treatments for anxiety and depression complicated by other factors, such as trauma, neurodivergence, perfectionism, and shame. I strive to help my clients increase self-awareness, process and cope with sticky emotions, and develop the skills needed to design and live a fulfilling and meaningful life.
(281) 957-8559 View (281) 957-8559
Photo of Rebecca Rucker, Licensed Professional Counselor in Bellaire, TX
Rebecca Rucker
Licensed Professional Counselor, MA, LPC-S, LMFT, BCC
Verified Verified
1 Endorsed
Bellaire, TX 77401
Are you a professional in crisis? Are you a high-performance individual who is feeling stressed or burned out? Are you having difficulty in your career and want to make a change? Do you wake up anxious dreading the day ahead? Are you having difficulty with your performance at work? My clients are high-performance business professionals just like you who are experiencing difficulty in life. This difficulty might be managing a career, family, relationships, money or health due to work demands, high stress and high expectations. This life difficulty may also include a psychological disorder and/or addiction.
Are you a professional in crisis? Are you a high-performance individual who is feeling stressed or burned out? Are you having difficulty in your career and want to make a change? Do you wake up anxious dreading the day ahead? Are you having difficulty with your performance at work? My clients are high-performance business professionals just like you who are experiencing difficulty in life. This difficulty might be managing a career, family, relationships, money or health due to work demands, high stress and high expectations. This life difficulty may also include a psychological disorder and/or addiction.
(713) 987-3676 View (713) 987-3676
Photo of Sarah Bradshaw, Licensed Professional Counselor in Bellaire, TX
Sarah Bradshaw
Licensed Professional Counselor, MEd, LPC S
Verified Verified
2 Endorsed
Bellaire, TX 77401
I work with people who are trying to navigate life and may need a little help. Whether you just need a few sessions to answer some questions or are looking to understand yourself on a deeper level, counseling is a wonderful and safe place to explore you and life.
I work with people who are trying to navigate life and may need a little help. Whether you just need a few sessions to answer some questions or are looking to understand yourself on a deeper level, counseling is a wonderful and safe place to explore you and life.
(346) 275-5336 View (346) 275-5336

How does your Therapist compare?

Number of Therapists in Bellaire, TX

200+

Average cost per session

$172

Therapists in Bellaire, TX who prioritize treating:

92% Anxiety
91% Depression
76% Relationship Issues
70% Self Esteem
65% Coping Skills
64% Grief
64% Stress

Average years in practice

14 Years

Top 3 insurances accepted

80% Aetna
66% Cigna and Evernorth
59% UnitedHealthcare UHC | UBH

How Therapists in Bellaire, TX see their clients

76% In Person and Online
24% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Bellaire?

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.