Therapists in Wheat Ridge, CO

Photo of Maureen Scott, LPC Intern in Wheat Ridge, CO
Maureen Scott
LPC Intern
Verified Verified
Wheat Ridge, CO 80033
I'm here to offer guidance and compassionate perspective to help others overcome life’s obstacles in order to live healthy, fulfilled, and whole lives. You deserve to live a life that reflects your authentic self and aligns with who you are. Often we find ourselves out of balance and out of touch with ourselves, and I believe counseling can help you find your center again.
I'm here to offer guidance and compassionate perspective to help others overcome life’s obstacles in order to live healthy, fulfilled, and whole lives. You deserve to live a life that reflects your authentic self and aligns with who you are. Often we find ourselves out of balance and out of touch with ourselves, and I believe counseling can help you find your center again.
(720) 868-9808 View (720) 868-9808
Photo of Nava Narayani, Registered Psychotherapist in Wheat Ridge, CO
Nava Narayani
Registered Psychotherapist, LPCC, MFT-C
Verified Verified
6 Endorsed
Wheat Ridge, CO 80033
I offer individual and relationship counseling. I am affirmative of LBGTQIA2S+, BIPOC, sex workers, burners, mystics, and polyamorous experiences. I specialize in helping clients with struggles in trauma, identity, creative blocks, sex, relationships and integration of spiritual experiences. I help people work with their emotions by relating to their whole body’s processing system, creative outlets, and nature. I help clients to feel more alive, present, clear in their sense of self and place in the world, soft yet resilient to living, and maintain nourishing relationships in their life.
I offer individual and relationship counseling. I am affirmative of LBGTQIA2S+, BIPOC, sex workers, burners, mystics, and polyamorous experiences. I specialize in helping clients with struggles in trauma, identity, creative blocks, sex, relationships and integration of spiritual experiences. I help people work with their emotions by relating to their whole body’s processing system, creative outlets, and nature. I help clients to feel more alive, present, clear in their sense of self and place in the world, soft yet resilient to living, and maintain nourishing relationships in their life.
(720) 613-2921 View (720) 613-2921
Photo of Jane Landis, Licensed Professional Counselor in Wheat Ridge, CO
Jane Landis
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Wheat Ridge, CO 80033
Hello! Are you or your child struggling to experience happiness and contentment in your life and relationships? Do you long for deeper and more meaningful relationships, less disconnection, and more joy? Do you struggle with a history of trauma that leads to feeling dysregulated and disconnected from self and others? Common issues include anxiety, depression, grief and loss, and parenting struggles. If you are navigating these issues you are not alone. In my work we will deepen your insight and awareness, build skills for showing up for yourself or your child, and move forward with the ability to lead a more fulfilled life.
Hello! Are you or your child struggling to experience happiness and contentment in your life and relationships? Do you long for deeper and more meaningful relationships, less disconnection, and more joy? Do you struggle with a history of trauma that leads to feeling dysregulated and disconnected from self and others? Common issues include anxiety, depression, grief and loss, and parenting struggles. If you are navigating these issues you are not alone. In my work we will deepen your insight and awareness, build skills for showing up for yourself or your child, and move forward with the ability to lead a more fulfilled life.
(720) 664-2769 View (720) 664-2769
Photo of Ashley Sakker, Licensed Professional Counselor in Wheat Ridge, CO
Ashley Sakker
Licensed Professional Counselor, LPC, MS
Verified Verified
Wheat Ridge, CO 80033  (Online Only)
Sweet! You made it this far because looking for a therapist is half the battle. I specialize in helping young adult women who experience anxiety, grief or family member struggling with addiction. Life can be extremely hard to navigate when you are feeling anxious and fearful. I personally know how hard it can be. Sometimes it feels impossible. Together we can walk through the fire and add to the toolbox.
Sweet! You made it this far because looking for a therapist is half the battle. I specialize in helping young adult women who experience anxiety, grief or family member struggling with addiction. Life can be extremely hard to navigate when you are feeling anxious and fearful. I personally know how hard it can be. Sometimes it feels impossible. Together we can walk through the fire and add to the toolbox.
(720) 741-6832 View (720) 741-6832
Photo of Barry Fowler, Licensed Professional Counselor in Wheat Ridge, CO
Barry Fowler
Licensed Professional Counselor, MA, LPC
Verified Verified
Wheat Ridge, CO 80033
Note: I also accept in-network Kaiser clients. I work to explore your full potential and to help you build the life you want to live. I seek to overcome the challenges of depression, anxiety and the personal road blocks that inevitably present themselves in life. Drawing on your inner wisdom, together we will discover the strength and fire that makes you uniquely you. As a compassionate therapist who will walk side by side with you along this path, I offer support and skill to guide you through the challenges, opportunities and transitions your life presents.
Note: I also accept in-network Kaiser clients. I work to explore your full potential and to help you build the life you want to live. I seek to overcome the challenges of depression, anxiety and the personal road blocks that inevitably present themselves in life. Drawing on your inner wisdom, together we will discover the strength and fire that makes you uniquely you. As a compassionate therapist who will walk side by side with you along this path, I offer support and skill to guide you through the challenges, opportunities and transitions your life presents.
(866) 441-2539 View (866) 441-2539
Photo of Robyn Ruetz, Licensed Professional Counselor in Wheat Ridge, CO
Robyn Ruetz
Licensed Professional Counselor, MA, LPC, NCC, C-DBT, CCTP
Verified Verified
1 Endorsed
Wheat Ridge, CO 80033
Waitlist for new clients
Many people find that a season in their life has become overwhelming. Current events, traumatic events, major life changes, and even just the ongoing stress of daily living can become too much to cope with effectively. That's when a mental health specialist can help. My goal is to work with you to help you find your balance once again. Life doesn't have to be overwhelming: You can gain resiliency and the strength to life live to its fullest. For those who desire to incorporate their Christian faith in their therapy, I am honored to provide a Christian perspective on mental health.
Many people find that a season in their life has become overwhelming. Current events, traumatic events, major life changes, and even just the ongoing stress of daily living can become too much to cope with effectively. That's when a mental health specialist can help. My goal is to work with you to help you find your balance once again. Life doesn't have to be overwhelming: You can gain resiliency and the strength to life live to its fullest. For those who desire to incorporate their Christian faith in their therapy, I am honored to provide a Christian perspective on mental health.
(719) 356-3373 View (719) 356-3373
Photo of Tania Henderson, Counselor in Wheat Ridge, CO
Tania Henderson
Counselor, MA, LPC, NCC
Verified Verified
4 Endorsed
Wheat Ridge, CO 80033
It is easy to feel overwhelmed and out of control when your best efforts to manage are not enough. Sometimes emotions like anger, anxiety, or depression are too intense, making it hard to deal with even the day to day. Sometimes, your support system is not able to meet your needs or perhaps an issue is so impactful it requires expertise to successfully address it. There is support for these tough times. Whether skills and strategies need bolstering or deep hurts healed, you do not have to face this alone.
It is easy to feel overwhelmed and out of control when your best efforts to manage are not enough. Sometimes emotions like anger, anxiety, or depression are too intense, making it hard to deal with even the day to day. Sometimes, your support system is not able to meet your needs or perhaps an issue is so impactful it requires expertise to successfully address it. There is support for these tough times. Whether skills and strategies need bolstering or deep hurts healed, you do not have to face this alone.
(303) 900-5911 View (303) 900-5911
Photo of Sharon L Allen, Registered Psychotherapist in Wheat Ridge, CO
Sharon L Allen
Registered Psychotherapist, PhD
Verified Verified
Wheat Ridge, CO 80033
Are you experiencing stress, anxiety or depression as the result of a major life change? Life changes can be exciting: new job, recent marriage, birth of a child. Life changes can also be terrifying: loss of job, divorce, death of a loved one. You may initiate some life changes: planned retirement, move to another city or another country. Other life changes seem to force themselves upon you: a toxic relationship with a loved one that is no longer acceptable, unexpected injury, loved one that has betrayed your trust.
Are you experiencing stress, anxiety or depression as the result of a major life change? Life changes can be exciting: new job, recent marriage, birth of a child. Life changes can also be terrifying: loss of job, divorce, death of a loved one. You may initiate some life changes: planned retirement, move to another city or another country. Other life changes seem to force themselves upon you: a toxic relationship with a loved one that is no longer acceptable, unexpected injury, loved one that has betrayed your trust.
(720) 707-0769 View (720) 707-0769
Photo of Jamie Lacy, Pre-Licensed Professional in Wheat Ridge, CO
Jamie Lacy
Pre-Licensed Professional
Verified Verified
Wheat Ridge, CO 80033
Are you or your child struggling with anxiety, depression, trauma, bullying, behavioral difficulties, or challenging life transitions? I believe that everyone deserves a space where they can feel heard and understood. My passion is helping children, teenagers, and young adults navigate everything that comes with growing up so they can grow into the best versions of themselves that they can be! I understand that childhood through early adulthood comes with so many unique challenges and changes, and it would truly be an honor to hear your story and be a witness and supporter in your growth and development!
Are you or your child struggling with anxiety, depression, trauma, bullying, behavioral difficulties, or challenging life transitions? I believe that everyone deserves a space where they can feel heard and understood. My passion is helping children, teenagers, and young adults navigate everything that comes with growing up so they can grow into the best versions of themselves that they can be! I understand that childhood through early adulthood comes with so many unique challenges and changes, and it would truly be an honor to hear your story and be a witness and supporter in your growth and development!
(720) 899-3305 View (720) 899-3305
Photo of Beverley Ewers, Marriage & Family Therapist in Wheat Ridge, CO
Beverley Ewers
Marriage & Family Therapist, MA, LPC, LMFT
Verified Verified
Wheat Ridge, CO 80033
Life and relationships can be challenging and reaching out for help is a sign of courage and strength. If you are struggling with relationship issues, navigating life transitions, experiencing grief and loss, or desire greater personal and interpersonal growth, I believe I can help you improve these areas of your life. I strive to create an atmosphere of warmth, safety and trust to explore your most difficult and sensitive concerns with compassion and without judgment. My goal is to help you grow, heal, and achieve your therapeutic, relationship and life goals.
Life and relationships can be challenging and reaching out for help is a sign of courage and strength. If you are struggling with relationship issues, navigating life transitions, experiencing grief and loss, or desire greater personal and interpersonal growth, I believe I can help you improve these areas of your life. I strive to create an atmosphere of warmth, safety and trust to explore your most difficult and sensitive concerns with compassion and without judgment. My goal is to help you grow, heal, and achieve your therapeutic, relationship and life goals.
(720) 239-1664 View (720) 239-1664
Photo of Leonard Roy Torres, Licensed Professional Counselor in Wheat Ridge, CO
Leonard Roy Torres
Licensed Professional Counselor, MA, LPC, LMFT
Verified Verified
2 Endorsed
Wheat Ridge, CO 80033  (Online Only)
Most of my experience is related to assisting children, adolescents, and their families in processing family trauma and navigating difficult systems that don't always support all types of family. I aim to provide support for the whole family and assist in identifying the needs and goals of my clients in a collaborative effort. I am able to provide a caring and supportive environment that prioritizes where you are at in your processes.
Most of my experience is related to assisting children, adolescents, and their families in processing family trauma and navigating difficult systems that don't always support all types of family. I aim to provide support for the whole family and assist in identifying the needs and goals of my clients in a collaborative effort. I am able to provide a caring and supportive environment that prioritizes where you are at in your processes.
(720) 712-1760 View (720) 712-1760
Photo of Jo Angela Johnston, Psychologist in Wheat Ridge, CO
Jo Angela Johnston
Psychologist, PsyD, LP
Verified Verified
Wheat Ridge, CO 80033
My ideal client is someone who is ready to take action to make changes in their thoughts and behavior. They are open to learning different perspectives and techniques to address symptoms directly. They would be experiencing symptoms of depression, anxiety, panic attacks, ocd, ptsd, and/or personality disorders. My ideal client could be anyone 18 to 90. I have worked as a psychologist for 15 years and have extensive experience working with a population diverse in cultural and ethnic identity, spiritual beliefs, sexual orientation, gender identity, and socioeconomic status. I value each person has a unique experience and perspective.
My ideal client is someone who is ready to take action to make changes in their thoughts and behavior. They are open to learning different perspectives and techniques to address symptoms directly. They would be experiencing symptoms of depression, anxiety, panic attacks, ocd, ptsd, and/or personality disorders. My ideal client could be anyone 18 to 90. I have worked as a psychologist for 15 years and have extensive experience working with a population diverse in cultural and ethnic identity, spiritual beliefs, sexual orientation, gender identity, and socioeconomic status. I value each person has a unique experience and perspective.
(720) 571-1699 View (720) 571-1699
Colorado Counseling & Wellness Center
Licensed Professional Counselor, MEd, LPC
Verified Verified
Wheat Ridge, CO 80033
Whether your goals include overcoming and managing anxiety and depression etc., or you want to do some wellness work focusing on confidence, self-esteem, communication etc. we are here to be your partner in this journey.
Whether your goals include overcoming and managing anxiety and depression etc., or you want to do some wellness work focusing on confidence, self-esteem, communication etc. we are here to be your partner in this journey.
(720) 650-2276 View (720) 650-2276
Photo of Rosemary Anne Leone, Pre-Licensed Professional in Wheat Ridge, CO
Rosemary Anne Leone
Pre-Licensed Professional, MFTC
Verified Verified
3 Endorsed
Wheat Ridge, CO 80033
Who do you turn to when your partner has stopped acknowledging, considering, or appreciating you? When you’re afraid that you won’t get the kind of love you need? Or the kind of respect you crave from your family or partner? Do you notice that the more you try to achieve these things, you feel more distant? Maybe there’s a recent change in your family that you didn’t see coming. You want to stay emotionally connected with them but you notice yourself drifting away. You desperately want a deep connection, to know you’re doing the right thing.
Who do you turn to when your partner has stopped acknowledging, considering, or appreciating you? When you’re afraid that you won’t get the kind of love you need? Or the kind of respect you crave from your family or partner? Do you notice that the more you try to achieve these things, you feel more distant? Maybe there’s a recent change in your family that you didn’t see coming. You want to stay emotionally connected with them but you notice yourself drifting away. You desperately want a deep connection, to know you’re doing the right thing.
(303) 557-1022 View (303) 557-1022
Photo of Karla Marie Díaz Pacheco, LPC Intern in Wheat Ridge, CO
Karla Marie Díaz Pacheco
LPC Intern
Verified Verified
Wheat Ridge, CO 80033
Do you notice patterns repeating themselves, not feeling met or seen in your struggles? Are you ready to cultivate a deeper understanding of yourself and foster healthier relationships? Do past burdens carry over into your present moment experience? Do you want to develop the ability to ensure confidence, clarity, and accurate communication of your experiences? Is there a sense of unfulfillment regarding the systems you are a part of?
Do you notice patterns repeating themselves, not feeling met or seen in your struggles? Are you ready to cultivate a deeper understanding of yourself and foster healthier relationships? Do past burdens carry over into your present moment experience? Do you want to develop the ability to ensure confidence, clarity, and accurate communication of your experiences? Is there a sense of unfulfillment regarding the systems you are a part of?
(720) 902-9761 View (720) 902-9761
Photo of Safekeeping Counseling Services, Licensed Professional Counselor in Wheat Ridge, CO
Safekeeping Counseling Services
Licensed Professional Counselor, LPC, MA
Verified Verified
Wheat Ridge, CO 80033
Safekeeping Counseling Services takes pride in providing an environment of safety, non-judgmental approach, warm, welcoming of all people from all walks of life. Therapists Toni and Jolie Anderson, at this group practice prioritize following a client centered model. One thing we believe here a Safekeeping Counseling Services is that " when the pain of staying the same becomes unbearable we then are motivated to seek change". We would love to be the vehicle for the change you wish to see in your life. We would love to be the place you seek unconditional support, resources and acceptance.
Safekeeping Counseling Services takes pride in providing an environment of safety, non-judgmental approach, warm, welcoming of all people from all walks of life. Therapists Toni and Jolie Anderson, at this group practice prioritize following a client centered model. One thing we believe here a Safekeeping Counseling Services is that " when the pain of staying the same becomes unbearable we then are motivated to seek change". We would love to be the vehicle for the change you wish to see in your life. We would love to be the place you seek unconditional support, resources and acceptance.
(720) 712-2491 View (720) 712-2491
Photo of Janelle Kramer, Licensed Professional Counselor in Wheat Ridge, CO
Janelle Kramer
Licensed Professional Counselor, MA, LPC, LAC
Verified Verified
2 Endorsed
Wheat Ridge, CO 80033  (Online Only)
Relationships are hard work, and some days are much more overwhelming than others. When we don't feel like we are getting along with ourselves or with our loved ones, we sometimes choose to yell, scream, walk away, or freeze up. Sometimes we drink or take something else. I believe that our relationships are vital and that when we don't feel like they are going well, it can ruin our day or make us anxious. You deserve to feel comfortable with yourself and with your relationships, and exploring unhelpful patterns can start you on a different path.
Relationships are hard work, and some days are much more overwhelming than others. When we don't feel like we are getting along with ourselves or with our loved ones, we sometimes choose to yell, scream, walk away, or freeze up. Sometimes we drink or take something else. I believe that our relationships are vital and that when we don't feel like they are going well, it can ruin our day or make us anxious. You deserve to feel comfortable with yourself and with your relationships, and exploring unhelpful patterns can start you on a different path.
(303) 625-6304 View (303) 625-6304
Photo of Hillary Presper, Clinical Social Work/Therapist in Wheat Ridge, CO
Hillary Presper
Clinical Social Work/Therapist, LCSW
Verified Verified
Wheat Ridge, CO 80033
Not accepting new clients
I have the great privilege of supporting children, adults, and families. I serve individual children experiencing trauma, behavioral issues, and anxiety. I journey alongside young adults managing the stress of life transitions and making meaning of their past experiences. I partner with families experiencing difficulty in caregiver-child relationships. For adults, I offer traditional talk therapy online or in-person with the support of my canine partner, Norma, a hypoallergenic mini-poodle. For children and families, I utilize play-based therapy with an infant/early childhood mental health lens and animal-assisted-interactions.
I have the great privilege of supporting children, adults, and families. I serve individual children experiencing trauma, behavioral issues, and anxiety. I journey alongside young adults managing the stress of life transitions and making meaning of their past experiences. I partner with families experiencing difficulty in caregiver-child relationships. For adults, I offer traditional talk therapy online or in-person with the support of my canine partner, Norma, a hypoallergenic mini-poodle. For children and families, I utilize play-based therapy with an infant/early childhood mental health lens and animal-assisted-interactions.
(720) 580-6924 View (720) 580-6924
Photo of Melissa Pizzo, Licensed Professional Counselor in Wheat Ridge, CO
Melissa Pizzo
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Wheat Ridge, CO 80033
Not accepting new clients
From day to day, life presents many challenges that makes it hard to stay balanced and feel positive. I believe in the uniqueness and benefits of the therapeutic relationship and space to allow a person to feel supported and heard. Telling your story can be powerful and can allow for beginning steps to healing.
From day to day, life presents many challenges that makes it hard to stay balanced and feel positive. I believe in the uniqueness and benefits of the therapeutic relationship and space to allow a person to feel supported and heard. Telling your story can be powerful and can allow for beginning steps to healing.
(970) 293-8832 View (970) 293-8832
Photo of Dani Denver, Licensed Professional Counselor in Wheat Ridge, CO
Dani Denver
Licensed Professional Counselor, MA, LPC, LAC
Verified Verified
1 Endorsed
Wheat Ridge, CO 80033
Life can be challenging and inevitably ends up throwing us curve balls we don't expect or see coming. Because of life's intricacies, sometimes we need a space to come and sort them all out. It is my goal to provide that warm and open space for you. The space to come talk about and process the difficulties you are experiencing and feel heard in doing so. I would love to work alongside of you and collaborate in finding your strengths, learning new coping skills, and moving towards healing and a more fulfilled life.
Life can be challenging and inevitably ends up throwing us curve balls we don't expect or see coming. Because of life's intricacies, sometimes we need a space to come and sort them all out. It is my goal to provide that warm and open space for you. The space to come talk about and process the difficulties you are experiencing and feel heard in doing so. I would love to work alongside of you and collaborate in finding your strengths, learning new coping skills, and moving towards healing and a more fulfilled life.
(720) 669-7407 View (720) 669-7407

How does your Therapist compare?

Number of Therapists in Wheat Ridge, CO

200+

Average cost per session

$140

Therapists in Wheat Ridge, CO who prioritize treating:

92% Anxiety
88% Depression
78% Relationship Issues
75% Trauma and PTSD
75% Self Esteem
71% Stress
66% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

79% Aetna
71% Cigna and Evernorth
66% UnitedHealthcare UHC | UBH

How Therapists in Wheat Ridge, CO see their clients

85% In Person and Online
15% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Wheat Ridge?

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.