Therapists in Kihei, HI

Photo of Marcie L Courter, Psychologist in Kihei, HI
Marcie L Courter
Psychologist, Psy D
Verified Verified
3 Endorsed
Kihei, HI 96753
I am a licensed psychologist working with children, adolescents, and adults. I have a person-centered approach to counseling that focuses on the biopsychosocial spiritual view of others. I practice from an integrative approach to diversity and multicultural aspects of treatment. Cognitive Behavioral Therapy is an emphasis of treatment. I am a certified clinical trauma professional and a certified compassion fatigue specialist. I am also trained in CBT-I as well as play therapy. I can work with clients in person or via Thera-link an online platform.
I am a licensed psychologist working with children, adolescents, and adults. I have a person-centered approach to counseling that focuses on the biopsychosocial spiritual view of others. I practice from an integrative approach to diversity and multicultural aspects of treatment. Cognitive Behavioral Therapy is an emphasis of treatment. I am a certified clinical trauma professional and a certified compassion fatigue specialist. I am also trained in CBT-I as well as play therapy. I can work with clients in person or via Thera-link an online platform.
(808) 201-8152 View (808) 201-8152
Photo of Ann Van Patten, Marriage & Family Therapist in Kihei, HI
Ann Van Patten
Marriage & Family Therapist, LMFT
Verified Verified
Kihei, HI 96753
As a therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life and relationships. We can work together to heal trauma from the past and be your best self. I provide a safe space to explore past experiences, relationships and belief systems you may feel are limiting you from experiencing your wholeness so you can live a joyful life. If you are struggling to cope with stress of life's transitions, I encourage you to reach out.
As a therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life and relationships. We can work together to heal trauma from the past and be your best self. I provide a safe space to explore past experiences, relationships and belief systems you may feel are limiting you from experiencing your wholeness so you can live a joyful life. If you are struggling to cope with stress of life's transitions, I encourage you to reach out.
(808) 518-4838 View (808) 518-4838
Photo of Heather Doughty, Counselor in Kihei, HI
Heather Doughty
Counselor, MA, LMHC
Verified Verified
Kihei, HI 96753
Pain is a part of life, but feeling like you're alone in your suffering shouldn't have to be. My goal is to make sure that no matter what you are going through, that you do not feel alone in your struggle. I use a client-centered approach in my therapy and draw from a blend of mindfulness, relational therapy, cognitive behavioral therapy, play therapy, social justice-oriented, and person-centered approaches. I use Brainspotting as a way to provide relief for severe trauma symptoms. Together I believe that we can collaborate in your growth and healing journey to bring you to a place of peace and joy.
Pain is a part of life, but feeling like you're alone in your suffering shouldn't have to be. My goal is to make sure that no matter what you are going through, that you do not feel alone in your struggle. I use a client-centered approach in my therapy and draw from a blend of mindfulness, relational therapy, cognitive behavioral therapy, play therapy, social justice-oriented, and person-centered approaches. I use Brainspotting as a way to provide relief for severe trauma symptoms. Together I believe that we can collaborate in your growth and healing journey to bring you to a place of peace and joy.
(808) 207-8031 View (808) 207-8031
Photo of Chris Haas, Marriage & Family Therapist in Kihei, HI
Chris Haas
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Kihei, HI 96753
Is your current state of life really taking a toll on your relationships, marriage, or your own mental health individually? I would love to work with you through life’s difficulties and confusion by creating a safe place to explore all of life’s emotions and struggles. We are all people hardwired for and long for connection with others, and yet, relationships can be so difficult.
Is your current state of life really taking a toll on your relationships, marriage, or your own mental health individually? I would love to work with you through life’s difficulties and confusion by creating a safe place to explore all of life’s emotions and struggles. We are all people hardwired for and long for connection with others, and yet, relationships can be so difficult.
(210) 972-7179 View (210) 972-7179
Photo of Walles Wellness - Meghan Walles LCSW, Clinical Social Work/Therapist in Kihei, HI
Walles Wellness - Meghan Walles LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Kihei, HI 96753  (Online Only)
Not accepting new clients
Are you feeling stuck, unsure, or disconnected from your life? Are you just needing a confidential space to process the complexities of day to day? Individual therapy is a space for self development. Natural stressors occur in life. Therapy provides a confidential space to assure self care. At Walles Wellness, we acknowledge and honor the strength and courage it takes for someone to talk about themselves. We honor your journey.
Are you feeling stuck, unsure, or disconnected from your life? Are you just needing a confidential space to process the complexities of day to day? Individual therapy is a space for self development. Natural stressors occur in life. Therapy provides a confidential space to assure self care. At Walles Wellness, we acknowledge and honor the strength and courage it takes for someone to talk about themselves. We honor your journey.
(808) 219-0503 View (808) 219-0503
Photo of Ryan Price, Counselor in Kihei, HI
Ryan Price
Counselor, LMHC
Verified Verified
Kihei, HI 96753  (Online Only)
Whether you're struggling with PTSD, childhood trauma, the aftermath of a recent traumatic event, depression, anxiety or more specific mental health conditions- I am here to support you every step of the way. My goal is not just to help you survive, but to thrive. Together, we'll work as a team to identify your strengths, uncover underlying patterns, and empower you to live a more fulfilling and balanced life. No matter what challenges you're facing, know that you don't have to face them alone.
Whether you're struggling with PTSD, childhood trauma, the aftermath of a recent traumatic event, depression, anxiety or more specific mental health conditions- I am here to support you every step of the way. My goal is not just to help you survive, but to thrive. Together, we'll work as a team to identify your strengths, uncover underlying patterns, and empower you to live a more fulfilling and balanced life. No matter what challenges you're facing, know that you don't have to face them alone.
(808) 862-2807 View (808) 862-2807
Photo of Ben Griffin, Mental Health Counselor in Kihei, HI
Ben Griffin
Mental Health Counselor, LMHC
Verified Verified
1 Endorsed
Kihei, HI 96753  (Online Only)
Life doesn’t always go as planned, and let’s face it, it can be hard. My goal is to provide a safe and non-judgmental place for you to explore ways to cope, adapt to change, challenge yourself, and work through emotional, career, and personal difficulties. My hope is for each client to gain a sense of empowerment, learn their abilities and work together to create a unique, individual plan for their personal success.
Life doesn’t always go as planned, and let’s face it, it can be hard. My goal is to provide a safe and non-judgmental place for you to explore ways to cope, adapt to change, challenge yourself, and work through emotional, career, and personal difficulties. My hope is for each client to gain a sense of empowerment, learn their abilities and work together to create a unique, individual plan for their personal success.
(808) 353-4553 View (808) 353-4553
Photo of Stephanie Passamonte, Counselor in Kihei, HI
Stephanie Passamonte
Counselor, MA, LMHC, NCC
Verified Verified
Kihei, HI 96753
Are you seeking a compassionate connection to help you or your family navigate the complexities and challenges of life? We all face struggles that may leave us overwhelmed or lost and reaching out is a courageous act of self-care and a powerful choice in support of your mental health. Together we can create a safe and non-judgmental space where you can express your thoughts and emotions. Your unique journey will be met with empathy and understanding as we work together to establish your goals and discover your inner strengths.
Are you seeking a compassionate connection to help you or your family navigate the complexities and challenges of life? We all face struggles that may leave us overwhelmed or lost and reaching out is a courageous act of self-care and a powerful choice in support of your mental health. Together we can create a safe and non-judgmental space where you can express your thoughts and emotions. Your unique journey will be met with empathy and understanding as we work together to establish your goals and discover your inner strengths.
(808) 736-1950 View (808) 736-1950
Photo of Lauren Kelly, Counselor in Kihei, HI
Lauren Kelly
Counselor, LMHC, BCBA
Verified Verified
1 Endorsed
Kihei, HI 96753  (Online Only)
Lauren became a holistic therapist in 2009 and began her counseling career providing crisis care to families involved in the child welfare system. She remained involved in trauma treatment while transitioning to the Maui school system to work with students with learning disabilities. She cared for adults in home and community settings, as well, and in 2019, she became licensed to provide medical treatment to individuals with autism. She continues to serve individuals with disabilities, teach parenting skills, and offer therapy to children and adults seeking to resolve problems around stress, mood, relationships, and purpose.
Lauren became a holistic therapist in 2009 and began her counseling career providing crisis care to families involved in the child welfare system. She remained involved in trauma treatment while transitioning to the Maui school system to work with students with learning disabilities. She cared for adults in home and community settings, as well, and in 2019, she became licensed to provide medical treatment to individuals with autism. She continues to serve individuals with disabilities, teach parenting skills, and offer therapy to children and adults seeking to resolve problems around stress, mood, relationships, and purpose.
(808) 378-7520 View (808) 378-7520
Photo of Cathy Hembd, Marriage & Family Therapist in Kihei, HI
Cathy Hembd
Marriage & Family Therapist, MA, MFT
Verified Verified
Kihei, HI 96753
Are you feeling lonely, depressed, anxious, angry or just dissatisfied with your relationships, your work, or your life? We all are conditioned by our experiences and impacted by genetics, but with awareness and compassion you can begin to make choices that are more fulfilling, satisfying and meaningful. The more we are able to meet the full range of our emotions and all aspects of our internal dialogue, the more freedom we have to be our genuine selves.
Are you feeling lonely, depressed, anxious, angry or just dissatisfied with your relationships, your work, or your life? We all are conditioned by our experiences and impacted by genetics, but with awareness and compassion you can begin to make choices that are more fulfilling, satisfying and meaningful. The more we are able to meet the full range of our emotions and all aspects of our internal dialogue, the more freedom we have to be our genuine selves.
(808) 518-2587 View (808) 518-2587
Photo of Mark Rauser, Psychologist in Kihei, HI
Mark Rauser
Psychologist, PsyD
Verified Verified
Kihei, HI 96753
Life consists of many challenges that can be difficult to handle on our own. At these times, it is helpful to know that we have an individual with us who provides non-judgmental support and guidance. I view the psychologist-client relationship as being collaborative, with both individuals working together to help understand the patient and the patients’ difficulties more clearly. It is my job to create a safe, comfortable environment where we can work together to help you better understand yourself and your difficulties more clearly, as well as develop a meaningful, helpful approach to resolve your concerns.
Life consists of many challenges that can be difficult to handle on our own. At these times, it is helpful to know that we have an individual with us who provides non-judgmental support and guidance. I view the psychologist-client relationship as being collaborative, with both individuals working together to help understand the patient and the patients’ difficulties more clearly. It is my job to create a safe, comfortable environment where we can work together to help you better understand yourself and your difficulties more clearly, as well as develop a meaningful, helpful approach to resolve your concerns.
(808) 204-4827 View (808) 204-4827
Photo of Nancy Morgan, Counselor in Kihei, HI
Nancy Morgan
Counselor, LMHC
Verified Verified
6 Endorsed
Kihei, HI 96753
I have worked with a broad spectrum of emotional problems that affect mental health and I have a perspective that includes the interconnectedness of body, mind and spirit. I honor your uniqueness and approach this work together with curiosity. I am committed to providing a safe, respectful, empathic, nonjudgmental setting to explore your issues together. Distress can be lessened with effective strategies and new skills. My specialized, client-centered approach allows for a connection with my clients where there is a focus on insight, goals and change.
I have worked with a broad spectrum of emotional problems that affect mental health and I have a perspective that includes the interconnectedness of body, mind and spirit. I honor your uniqueness and approach this work together with curiosity. I am committed to providing a safe, respectful, empathic, nonjudgmental setting to explore your issues together. Distress can be lessened with effective strategies and new skills. My specialized, client-centered approach allows for a connection with my clients where there is a focus on insight, goals and change.
(808) 518-2103 View (808) 518-2103
Photo of Roger Johnston, Clinical Social Work/Therapist in Kihei, HI
Roger Johnston
Clinical Social Work/Therapist, LCSW
Verified Verified
Kihei, HI 96753  (Online Only)
In your pursuit of a life filled with depth and equanimity, you may find yourself at a crossroads, feeling as though you've lost perspective or are at wit's end, grappling with how to respond effectively to life's internal and external challenges. You seek not just answers but meaningful strategies grounded in wisdom that has stood the test of time, paired with the insights of modern psychology. You're prepared to embark on a transformative journey, using these very challenges as catalysts for developing a richer understanding of yourself and crafting a life of purpose, resilience, and fulfillment.
In your pursuit of a life filled with depth and equanimity, you may find yourself at a crossroads, feeling as though you've lost perspective or are at wit's end, grappling with how to respond effectively to life's internal and external challenges. You seek not just answers but meaningful strategies grounded in wisdom that has stood the test of time, paired with the insights of modern psychology. You're prepared to embark on a transformative journey, using these very challenges as catalysts for developing a richer understanding of yourself and crafting a life of purpose, resilience, and fulfillment.
(808) 563-4847 View (808) 563-4847
Photo of Mark Cady, Marriage & Family Therapist in Kihei, HI
Mark Cady
Marriage & Family Therapist, LMFT
Verified Verified
Kihei, HI 96753
Mark has experience working with a wide variety of clients ranging from children to geriatrics. His experience has primarily occurred in private practice as well as hospital and community clinic settings. He specializes in Individual Adult, Youth and Couples Counseling. Mark’s approach is compassionate, direct, and inquisitive aiming to support clients in greater harmony and self actualization. Mark believes that you, the client, has the ability to change whatever you want to change. You will work together and Mark will guide along the way. It is work, it does take time, and you can make changes.
Mark has experience working with a wide variety of clients ranging from children to geriatrics. His experience has primarily occurred in private practice as well as hospital and community clinic settings. He specializes in Individual Adult, Youth and Couples Counseling. Mark’s approach is compassionate, direct, and inquisitive aiming to support clients in greater harmony and self actualization. Mark believes that you, the client, has the ability to change whatever you want to change. You will work together and Mark will guide along the way. It is work, it does take time, and you can make changes.
(808) 278-9684 View (808) 278-9684
Photo of Lisa Kronauer, Pre-Licensed Professional in Kihei, HI
Lisa Kronauer
Pre-Licensed Professional, MS
Verified Verified
Kihei, HI 96753
During difficult moments, when stress and overwhelming emotions seem to consume us, therapy serves as a valuable resource. It helps alleviate the pressure, soothe emotional distress, and carve out internal space to navigate these challenging experiences. Within the compassionate confines of therapy, these difficulties can be transformed into opportunities for personal growth, heightened self-awareness, acceptance, and a deeper sense of purpose. As a result, everyday life becomes more manageable, fulfilling, and harmonious.
During difficult moments, when stress and overwhelming emotions seem to consume us, therapy serves as a valuable resource. It helps alleviate the pressure, soothe emotional distress, and carve out internal space to navigate these challenging experiences. Within the compassionate confines of therapy, these difficulties can be transformed into opportunities for personal growth, heightened self-awareness, acceptance, and a deeper sense of purpose. As a result, everyday life becomes more manageable, fulfilling, and harmonious.
(808) 207-8650 View (808) 207-8650
Photo of Dr. Heike Kholooci, Psychologist in Kihei, HI
Dr. Heike Kholooci
Psychologist, PsyD
Verified Verified
6 Endorsed
Kihei, HI 96753
Not accepting new clients
If you look for relief from stress and emotional pain, or need help sorting things out, one of the kindest things you can do for yourself is to talk to an experienced and compassionate psychologist. Whether you are feeling stuck and overwhelmed, dealing with a disappointing relationship, or going through a difficult life transition, I can help you discover the path that is right for you. You don't have to do it alone. In a safe and supportive environment you can explore who you really are and what you want out of life, and learn the skills to make positive changes and improve your relationships.
If you look for relief from stress and emotional pain, or need help sorting things out, one of the kindest things you can do for yourself is to talk to an experienced and compassionate psychologist. Whether you are feeling stuck and overwhelmed, dealing with a disappointing relationship, or going through a difficult life transition, I can help you discover the path that is right for you. You don't have to do it alone. In a safe and supportive environment you can explore who you really are and what you want out of life, and learn the skills to make positive changes and improve your relationships.
(808) 427-0084 View (808) 427-0084
Photo of Jillian Lommori, Pre-Licensed Professional in Kihei, HI
Jillian Lommori
Pre-Licensed Professional, MFT
Verified Verified
Kihei, HI 96753  (Online Only)
I believe that a safe, supportive and strong therapeutic relationship is vital to creating meaningful change. If you are interested in scheduling a consultation to see if we might be a good fit, I'd love to connect with you. Please feel free to call or email. For more information about me and my practice, please visit my website at the link below.
I believe that a safe, supportive and strong therapeutic relationship is vital to creating meaningful change. If you are interested in scheduling a consultation to see if we might be a good fit, I'd love to connect with you. Please feel free to call or email. For more information about me and my practice, please visit my website at the link below.
(808) 855-6596 View (808) 855-6596
Photo of Wendy Frashure Tresidder, Clinical Social Work/Therapist in Kihei, HI
Wendy Frashure Tresidder
Clinical Social Work/Therapist, LCSW
Verified Verified
Kihei, HI 96753
Waitlist for new clients
*Offering phone and video sessions* Reaching out for help when we are suffering can be extremely difficult. It takes courage to seek out support when we are experiencing symptoms related to internal or external conflict. I believe our symptoms are gifts inviting us to explore more deeply our connection or lack thereof to ourselves and others and provide opportunity for growth. I see myself as a facilitator in your understanding of the meaning of these messages in order to enable healing. Sometimes these signs present themselves as uncomfortable or painful experiences such as shame, blame, loneliness, pain, anger and anxiety.
*Offering phone and video sessions* Reaching out for help when we are suffering can be extremely difficult. It takes courage to seek out support when we are experiencing symptoms related to internal or external conflict. I believe our symptoms are gifts inviting us to explore more deeply our connection or lack thereof to ourselves and others and provide opportunity for growth. I see myself as a facilitator in your understanding of the meaning of these messages in order to enable healing. Sometimes these signs present themselves as uncomfortable or painful experiences such as shame, blame, loneliness, pain, anger and anxiety.
(808) 201-1468 View (808) 201-1468
Photo of Meera Riitta Ojala, Counselor in Kihei, HI
Meera Riitta Ojala
Counselor, LPC2774, MHC-995
Verified Verified
2 Endorsed
Kihei, HI 96753
I am passionate about assisting people in clearing challenges and obstacles in order to allow growth and transformation to take place on physical, emotional, cognitive, relational, energetic and spiritual levels. I provide a safe space with compassionate presence where you can be authentically you, discover what is keeping you from moving forward and how to create health, balance and peace. I know from my own life challenges and illnesses how obstacles and losses in our lives can bring growth and transformation when we get support. After surviving two cancers I wrote the book “The Little Book of Hope” to spread seeds of Hope.
I am passionate about assisting people in clearing challenges and obstacles in order to allow growth and transformation to take place on physical, emotional, cognitive, relational, energetic and spiritual levels. I provide a safe space with compassionate presence where you can be authentically you, discover what is keeping you from moving forward and how to create health, balance and peace. I know from my own life challenges and illnesses how obstacles and losses in our lives can bring growth and transformation when we get support. After surviving two cancers I wrote the book “The Little Book of Hope” to spread seeds of Hope.
(720) 613-6221 x1 View (720) 613-6221 x1
Photo of Christopher Skaggs, Marriage & Family Therapist in Kihei, HI
Christopher Skaggs
Marriage & Family Therapist, MA, LMFT
Verified Verified
Kihei, HI 96753  (Online Only)
I work with individuals, and relationships and people that struggle to effectively communicate their needs. Because of how they were brought up, or conditioned through experience, they might have vastly different ways of showing up in relationships, especially through conflict. We all want to work on what drives our behavior so that we can better understand ourselves and each other. This allows us to be vulnerable with one another and experience our real selves, so we can connect and love on a much deeper and more meaningful and satisfying level.
I work with individuals, and relationships and people that struggle to effectively communicate their needs. Because of how they were brought up, or conditioned through experience, they might have vastly different ways of showing up in relationships, especially through conflict. We all want to work on what drives our behavior so that we can better understand ourselves and each other. This allows us to be vulnerable with one another and experience our real selves, so we can connect and love on a much deeper and more meaningful and satisfying level.
(808) 646-3306 View (808) 646-3306

How does your Therapist compare?

Number of Therapists in Kihei, HI

90+

Average cost per session

$150

Therapists in Kihei, HI who prioritize treating:

86% Depression
82% Anxiety
78% Relationship Issues
78% Trauma and PTSD
73% Self Esteem
70% Grief
67% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

82% Hawaii Medical Services Association
69% Hawaii Medical Assurance Association
65% University Health Alliance

How Therapists in Kihei, HI see their clients

66% In Person and Online
34% Online Only

Gender breakdown

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

How can I find a therapist in Kihei?

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.