Therapists in Paramus, NJ

Photo of Rosario Cruz, Licensed Professional Counselor in Paramus, NJ
Rosario Cruz
Licensed Professional Counselor, LPC
Verified Verified
Paramus, NJ 07652
Rosario Cruz is a Licensed Professional Counselor in the state of New Jersey with more than 8 years of experience serving children, adolescents, and adults from multicultural backgrounds. Rosario has experience working with clients with depression, anxiety, grief, life transitions, behavioral management, and relationship issues.
Rosario Cruz is a Licensed Professional Counselor in the state of New Jersey with more than 8 years of experience serving children, adolescents, and adults from multicultural backgrounds. Rosario has experience working with clients with depression, anxiety, grief, life transitions, behavioral management, and relationship issues.
(551) 777-9985 View (551) 777-9985
Photo of Daniel Sosa, Clinical Social Work/Therapist in Paramus, NJ
Daniel Sosa
Clinical Social Work/Therapist, LCSW
Verified Verified
Paramus, NJ 07652
Daniel Sosa is a Licensed Clinical Social Worker with 13 years of experience in the mental health field. He is motivated to help adults at varying stages of their life and recovery, as well as guide couples through obstacles that create challenges for their relationship. Daniel specializes in depression, anxiety, addiction management, trauma, relationship issues, and major life transitions. Daniel received his Masters in Social Work (MSW) through Fordham University in NYC and has history working with adults struggling with addiction and unmanageable mental health struggles.
Daniel Sosa is a Licensed Clinical Social Worker with 13 years of experience in the mental health field. He is motivated to help adults at varying stages of their life and recovery, as well as guide couples through obstacles that create challenges for their relationship. Daniel specializes in depression, anxiety, addiction management, trauma, relationship issues, and major life transitions. Daniel received his Masters in Social Work (MSW) through Fordham University in NYC and has history working with adults struggling with addiction and unmanageable mental health struggles.
(551) 310-2896 View (551) 310-2896
Photo of Sarah Merza, Counselor in Paramus, NJ
Sarah Merza
Counselor, LAC
Verified Verified
Paramus, NJ 07652  (Online Only)
Sarah Merza is a Licensed Associate Counselor and Nationally Certified Counselor. Sarah received her M.S. in Clinical Mental Health Counseling from Walden University and a B.A. in psychology from the Ohio State University. In her free time, she enjoys exercising, unwinding to any number of shows on Netflix, and reading the occassional mystery novel. Sarah has experience working with older adults, young adults, and teenagers who struggle with mental health diagnoses.
Sarah Merza is a Licensed Associate Counselor and Nationally Certified Counselor. Sarah received her M.S. in Clinical Mental Health Counseling from Walden University and a B.A. in psychology from the Ohio State University. In her free time, she enjoys exercising, unwinding to any number of shows on Netflix, and reading the occassional mystery novel. Sarah has experience working with older adults, young adults, and teenagers who struggle with mental health diagnoses.
(973) 319-8629 View (973) 319-8629
Photo of Jucelia Pitt, Clinical Social Work/Therapist in Paramus, NJ
Jucelia Pitt
Clinical Social Work/Therapist, MSW, LCSW, EMDR
Verified Verified
2 Endorsed
Paramus, NJ 07652
I offer a highly personalized approach tailored to each individual's needs in a comfortable and supportive atmosphere. My training and experience includes individual, families and couples psychotherapy. If you're suffering from issues such as anxiety, depression, mood disorders, low self-esteem, self-harm, loss, grief, couples issues, domestic abuse (male and female), divorce and addiction, you'll find a safe environment to uncover meaningful insights, move through challenging emotions, recover and flourish.
I offer a highly personalized approach tailored to each individual's needs in a comfortable and supportive atmosphere. My training and experience includes individual, families and couples psychotherapy. If you're suffering from issues such as anxiety, depression, mood disorders, low self-esteem, self-harm, loss, grief, couples issues, domestic abuse (male and female), divorce and addiction, you'll find a safe environment to uncover meaningful insights, move through challenging emotions, recover and flourish.
(201) 790-5235 View (201) 790-5235
Photo of Allyson Good, Licensed Professional Counselor in Paramus, NJ
Allyson Good
Licensed Professional Counselor
Verified Verified
Paramus, NJ 07653  (Online Only)
Whether you have been in therapy before or you are just beginning your therapeutic journey, I am so grateful you're here. We carry on our day-to-day lives, hope for change, work hard and at times still feel like nothing is working; we feel like these challenges make it impossible to move past or live the life we intend to live. It is my privilege to work alongside you to provide you the space to experience, examine and process your story, while collaboratively finding ways to not only “just deal”, but eventually, build compassion and thrive.
Whether you have been in therapy before or you are just beginning your therapeutic journey, I am so grateful you're here. We carry on our day-to-day lives, hope for change, work hard and at times still feel like nothing is working; we feel like these challenges make it impossible to move past or live the life we intend to live. It is my privilege to work alongside you to provide you the space to experience, examine and process your story, while collaboratively finding ways to not only “just deal”, but eventually, build compassion and thrive.
(201) 584-5028 View (201) 584-5028
Photo of Arista Psychological & Psychiatric Services, Psychologist in Paramus, NJ
Arista Psychological & Psychiatric Services
Psychologist, PhD, ABPP, APRN, BC
Verified Verified
Paramus, NJ 07652
ARISTA is a private mental health and chemical dependency practice which has been serving Manhattan and Bergen County, New Jersey, for over 25 years. Our health care professionals include licensed psychiatrists, psychologists, psychiatric nurse practitioners, clinical social workers, and counselors with expertise in marriage, family, adults, teens, children, hypnotherapy and addictions. Arista's warm, highly qualified psychotherapists will ensure that you receive individualized care in a comfortable, confidential setting. Our goal is to match you with a therapist who has achieved success with patients who have problems similar to yours.
ARISTA is a private mental health and chemical dependency practice which has been serving Manhattan and Bergen County, New Jersey, for over 25 years. Our health care professionals include licensed psychiatrists, psychologists, psychiatric nurse practitioners, clinical social workers, and counselors with expertise in marriage, family, adults, teens, children, hypnotherapy and addictions. Arista's warm, highly qualified psychotherapists will ensure that you receive individualized care in a comfortable, confidential setting. Our goal is to match you with a therapist who has achieved success with patients who have problems similar to yours.
(201) 254-0619 View (201) 254-0619
Photo of Courtney Angeles, Clinical Social Work/Therapist in Paramus, NJ
Courtney Angeles
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Paramus, NJ 07652
I am a Licensed Social Worker and Psychotherapist with experience working with a broad range of client populations. Creating a safe & welcoming space, as well as, developing a relationship and building rapport with my clients before beginning treatment is extremely important to me.
I am a Licensed Social Worker and Psychotherapist with experience working with a broad range of client populations. Creating a safe & welcoming space, as well as, developing a relationship and building rapport with my clients before beginning treatment is extremely important to me.
(201) 932-2458 View (201) 932-2458
Photo of May De La Cruz, Counselor in Paramus, NJ
May De La Cruz
Counselor, LAC
Verified Verified
Paramus, NJ 07652
May De La Cruz is a Bi-lingual Licensed Associate Counselor in New Jersey who has been practicing since 2022. She received a Master's degree in Mental Health Counseling and Wellness from New York University and a Bachelor of Arts degree in Criminology from John Jay College of Criminal Justice. May is passionate about helping clients find themselves and see things from a better and different perspective. She wants clients to understand their emotions and where they are coming from. May works with clients to apply healthy ways of coping with their stress, thoughts, and feelings.
May De La Cruz is a Bi-lingual Licensed Associate Counselor in New Jersey who has been practicing since 2022. She received a Master's degree in Mental Health Counseling and Wellness from New York University and a Bachelor of Arts degree in Criminology from John Jay College of Criminal Justice. May is passionate about helping clients find themselves and see things from a better and different perspective. She wants clients to understand their emotions and where they are coming from. May works with clients to apply healthy ways of coping with their stress, thoughts, and feelings.
(973) 846-1664 View (973) 846-1664
Photo of Domini D Oreski, Clinical Social Work/Therapist in Paramus, NJ
Domini D Oreski
Clinical Social Work/Therapist, ACSW, LCSW
Verified Verified
1 Endorsed
Paramus, NJ 07652
Has a recent traumatic experience turned your world upside down? Do you struggle with the aftermath of childhood abuse and don't yet know how to heal and move forward? Do others see you as successful but inside you feel anxious and uncertain of your worth? Are you struggling in your relationships? Therapy can help. No matter how difficult the traumatic event, it can be healed. There is a way through.
Has a recent traumatic experience turned your world upside down? Do you struggle with the aftermath of childhood abuse and don't yet know how to heal and move forward? Do others see you as successful but inside you feel anxious and uncertain of your worth? Are you struggling in your relationships? Therapy can help. No matter how difficult the traumatic event, it can be healed. There is a way through.
(201) 331-9246 View (201) 331-9246
Photo of Karen Surowiec, Psychologist in Paramus, NJ
Karen Surowiec
Psychologist, PsyD
Verified Verified
Paramus, NJ 07652
Welcome to my practice. I am a NY, NJ, and FL-licensed clinical psychologist specializing in testing for autism and immigration evaluations. If you or your child has signs of autism and you would like answers, I can help. If you are not sure what your symptoms mean, I specialize in hard to diagnose conditions and will often catch clues other tests have missed. I can help you figure it all out and make recommendations for a better life. I use evidence-based measures and methods where I trained at Albert Einstein, Montefiore, Mt. Sinai, Icahn Medical School, and the Seaver Center for Autism.
Welcome to my practice. I am a NY, NJ, and FL-licensed clinical psychologist specializing in testing for autism and immigration evaluations. If you or your child has signs of autism and you would like answers, I can help. If you are not sure what your symptoms mean, I specialize in hard to diagnose conditions and will often catch clues other tests have missed. I can help you figure it all out and make recommendations for a better life. I use evidence-based measures and methods where I trained at Albert Einstein, Montefiore, Mt. Sinai, Icahn Medical School, and the Seaver Center for Autism.
(718) 550-1080 View (718) 550-1080
Photo of Elizabeth Enoksen, Clinical Social Work/Therapist in Paramus, NJ
Elizabeth Enoksen
Clinical Social Work/Therapist, LCSW
Verified Verified
Paramus, NJ 07652
Elizabeth Enoksen is a Licensed Clinical Social Worker with 12 years of experience in the social work field. She has experience working with parents, families, children, adolescents and adults. Elizabeth works on building strong relationships with her clients based on trust and a desire to help clients move forward from their current issues. She specializes in depression, anxiety, developing coping skills, managing stress, relationship issues and self-esteem. Elizabeth completed her Masters in Social Work (MSW) at Rutgers University and her Bachelors in Social Work (BSW) at Sacred Heart University.
Elizabeth Enoksen is a Licensed Clinical Social Worker with 12 years of experience in the social work field. She has experience working with parents, families, children, adolescents and adults. Elizabeth works on building strong relationships with her clients based on trust and a desire to help clients move forward from their current issues. She specializes in depression, anxiety, developing coping skills, managing stress, relationship issues and self-esteem. Elizabeth completed her Masters in Social Work (MSW) at Rutgers University and her Bachelors in Social Work (BSW) at Sacred Heart University.
(201) 581-1485 View (201) 581-1485
Photo of Albaliz Tello, Clinical Social Work/Therapist in Paramus, NJ
Albaliz Tello
Clinical Social Work/Therapist, EdD, LCSW
Verified Verified
Paramus, NJ 07652
I am a multilingual and bicultural clinical social worker with 10+ years' experience in supporting individuals from a diverse background. Dr. Tello specializes in working with children, teens, and young adults. I specialize in working with clients with anxiety, panic attacks, depression, OCD, trauma, and separation or divorce challenges.
I am a multilingual and bicultural clinical social worker with 10+ years' experience in supporting individuals from a diverse background. Dr. Tello specializes in working with children, teens, and young adults. I specialize in working with clients with anxiety, panic attacks, depression, OCD, trauma, and separation or divorce challenges.
(973) 840-8708 View (973) 840-8708
Photo of Cynthia Rowberg, Counselor in Paramus, NJ
Cynthia Rowberg
Counselor, MEd, LPC, SAC, NCC, MM
Verified Verified
Paramus, NJ 07652
Life is challenging. Are you feel overwhelmed, depressed, lethargic, or anxious? I am here for you and ready to help you move forward in a healthy, happy, and productive life. I work closely with adults, adolescents, children, and families who wish to change something that is not working for them. I provide effective treatment for anxiety, depression, mood management, behavioral issues, grief/loss, and career coaching.
Life is challenging. Are you feel overwhelmed, depressed, lethargic, or anxious? I am here for you and ready to help you move forward in a healthy, happy, and productive life. I work closely with adults, adolescents, children, and families who wish to change something that is not working for them. I provide effective treatment for anxiety, depression, mood management, behavioral issues, grief/loss, and career coaching.
(201) 778-6503 View (201) 778-6503
Photo of Jiwon Yoo, Psychologist in Paramus, NJ
Jiwon Yoo
Psychologist, PhD, PSYPACT
Verified Verified
Paramus, NJ 07652  (Online Only)
I’m a licensed psychologist providing virtual psychotherapy services for children, adolescents, and families in New York and New Jersey, as well as in the 35 and counting PSYPACT states (please see the list below). My areas of specialty include anxiety, trauma, ADHD, early childhood issues, and immigrant family dynamics. I also help adults navigate various life transitions and parenting issues to foster connection, balance, and growth.
I’m a licensed psychologist providing virtual psychotherapy services for children, adolescents, and families in New York and New Jersey, as well as in the 35 and counting PSYPACT states (please see the list below). My areas of specialty include anxiety, trauma, ADHD, early childhood issues, and immigrant family dynamics. I also help adults navigate various life transitions and parenting issues to foster connection, balance, and growth.
(201) 254-8420 View (201) 254-8420
Photo of Lauren McCarthy, Licensed Professional Counselor in Paramus, NJ
Lauren McCarthy
Licensed Professional Counselor, LPC, MS
Verified Verified
Paramus, NJ 07652
Is this your first time seeking therapy? Or do you have previous experience working with a therapist? Either way, I want to warmly invite you into a safe space to explore whatever is bringing you to therapy and to work toward bettering your mental health. In our work together we could tackle issues related to life transitions, relationships, building self-esteem, learning tools to better manage stress, anxiety, or depression. I have experience working with various mental health diagnoses and age groups including children, adolescents, and adults. I also work with LGBTQ+ individuals and provide care that is gender affirming.
Is this your first time seeking therapy? Or do you have previous experience working with a therapist? Either way, I want to warmly invite you into a safe space to explore whatever is bringing you to therapy and to work toward bettering your mental health. In our work together we could tackle issues related to life transitions, relationships, building self-esteem, learning tools to better manage stress, anxiety, or depression. I have experience working with various mental health diagnoses and age groups including children, adolescents, and adults. I also work with LGBTQ+ individuals and provide care that is gender affirming.
(551) 296-1197 View (551) 296-1197
Photo of Kanan Kapila, Clinical Social Work/Therapist in Paramus, NJ
Kanan Kapila
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Paramus, NJ 07652
Kanan Kapila strives to provide a wise, compassionate, welcoming, and culturally conscious space where therapy can help cultivate our capacity for meaningful life, career, and relationship experiences. Psychotherapy brings awareness to emotions in relation to thoughts, amplifying our ability to respond with kind inquiry and authenticity in our actions. Kanan Kapila adopts an integrative approach to Psychotherapy, drawing from Cognitive-Behavioral, Somatic Therapy, Clinical Hypnotherapy, and Mindfulness techniques. Through therapy, clients gain insight into the patterns shaping their personalities.
Kanan Kapila strives to provide a wise, compassionate, welcoming, and culturally conscious space where therapy can help cultivate our capacity for meaningful life, career, and relationship experiences. Psychotherapy brings awareness to emotions in relation to thoughts, amplifying our ability to respond with kind inquiry and authenticity in our actions. Kanan Kapila adopts an integrative approach to Psychotherapy, drawing from Cognitive-Behavioral, Somatic Therapy, Clinical Hypnotherapy, and Mindfulness techniques. Through therapy, clients gain insight into the patterns shaping their personalities.
(973) 313-5421 View (973) 313-5421
Photo of Fanta Keita, Clinical Social Work/Therapist in Paramus, NJ
Fanta Keita
Clinical Social Work/Therapist, LMSW
Verified Verified
Paramus, NJ 07652  (Online Only)
Fanta Keita is a Licensed Master Social Worker with a background in Clinical Social Work and Psychology. Through studying the human mind and behavior as a student and gaining experience working in the mental health field, Fanta has learned the importance of taking care of one’s mental health. She is passionate about de-stigmatizing therapy in all communitieand advocating to not neglect mental wellness. As humans, there are times when we need support and someone to confide in. Family and friends may not always understand or offer the help you need. Fanta believes you should never feel alone or have to deal with struggles on your own.
Fanta Keita is a Licensed Master Social Worker with a background in Clinical Social Work and Psychology. Through studying the human mind and behavior as a student and gaining experience working in the mental health field, Fanta has learned the importance of taking care of one’s mental health. She is passionate about de-stigmatizing therapy in all communitieand advocating to not neglect mental wellness. As humans, there are times when we need support and someone to confide in. Family and friends may not always understand or offer the help you need. Fanta believes you should never feel alone or have to deal with struggles on your own.
(973) 281-4678 View (973) 281-4678
Photo of Irena Pergjika, Counselor in Paramus, NJ
Irena Pergjika
Counselor, MS, LMHC, LPC
Verified Verified
4 Endorsed
Paramus, NJ 07652  (Online Only)
I’m a non-traditional therapist with a modern approach. I show up to each session as my authentic self because I know how important it is to be able to trust and relate to your therapist. I am a collaborator in our sessions because let’s be real, nobody wants a therapist that nods, only listens and asks you “and how does that make you feel?” At the end of the day, we just want someone who gets us, and I get that.
I’m a non-traditional therapist with a modern approach. I show up to each session as my authentic self because I know how important it is to be able to trust and relate to your therapist. I am a collaborator in our sessions because let’s be real, nobody wants a therapist that nods, only listens and asks you “and how does that make you feel?” At the end of the day, we just want someone who gets us, and I get that.
(201) 371-6117 View (201) 371-6117
Photo of Kelly Mcguire, Licensed Professional Counselor in Paramus, NJ
Kelly Mcguire
Licensed Professional Counselor, LPC
Verified Verified
Paramus, NJ 07652
I obtained my Master's Degree in Mental Health Counseling from William Paterson University's accredited counseling program. I have experience providing therapy to clients in both individual and group settings. I am certified by the State of New Jersey as a Licensed Associate Counselor as well as a National Certified Counselor. I specialize in Cognitive Behavioral Therapy, Play Therapy, and working with children and adolescents. My treatment areas are adolescent/teen issues, anxiety, interpersonal challenges, and mood disorders.
I obtained my Master's Degree in Mental Health Counseling from William Paterson University's accredited counseling program. I have experience providing therapy to clients in both individual and group settings. I am certified by the State of New Jersey as a Licensed Associate Counselor as well as a National Certified Counselor. I specialize in Cognitive Behavioral Therapy, Play Therapy, and working with children and adolescents. My treatment areas are adolescent/teen issues, anxiety, interpersonal challenges, and mood disorders.
(973) 382-9421 View (973) 382-9421
Photo of Susan Judith Reyna, Clinical Social Work/Therapist in Paramus, NJ
Susan Judith Reyna
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Paramus, NJ 07652
I believe one of the most courageous steps a person can take is to embark on a journey of self-reflection. Understanding one's own story is crucial in comprehending our present selves and shaping the individuals we aspire to become. It's important to acknowledge that this process is ongoing, as our stories continue to unfold. In facilitating your personal growth and development, my aim is to assist you in strengthening your self-awareness and equipping you with the necessary tools to navigate life with enhanced clarity and purpose.
I believe one of the most courageous steps a person can take is to embark on a journey of self-reflection. Understanding one's own story is crucial in comprehending our present selves and shaping the individuals we aspire to become. It's important to acknowledge that this process is ongoing, as our stories continue to unfold. In facilitating your personal growth and development, my aim is to assist you in strengthening your self-awareness and equipping you with the necessary tools to navigate life with enhanced clarity and purpose.
(973) 874-2846 View (973) 874-2846

How does your Therapist compare?

Number of Therapists in Paramus, NJ

300+

Average cost per session

$175

Therapists in Paramus, NJ who prioritize treating:

92% Anxiety
89% Depression
77% Relationship Issues
73% Self Esteem
66% Coping Skills
63% Trauma and PTSD
61% Stress

Average years in practice

13 Years

Top 3 insurances accepted

65% Aetna
50% UnitedHealthcare UHC | UBH
48% Cigna and Evernorth

How Therapists in Paramus, NJ see their clients

73% In Person and Online
27% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Paramus?

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.