Photo of Alanna Donach, MSW, LMSW, Clinical Social Work/Therapist
Alanna Donach
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
East Setauket, NY 11733
Are you feeling anxious? Do you find it difficult to make friends? Are you experiencing loneliness? Struggling in school? Relationship difficulties? Life is hard. Come talk to me. Together, we will work on strategies that allow you to address the root causes of your difficulties and build meaningful social connections.
Are you feeling anxious? Do you find it difficult to make friends? Are you experiencing loneliness? Struggling in school? Relationship difficulties? Life is hard. Come talk to me. Together, we will work on strategies that allow you to address the root causes of your difficulties and build meaningful social connections.
(516) 588-6828 View (516) 588-6828
Photo of Keri Divanian, LMSW, Clinical Social Work/Therapist
Keri Divanian
Clinical Social Work/Therapist, LMSW
Verified Verified
Setauket, NY 11733
Hey, I’m Keri, a licensed therapist. My approach to therapy focuses on empowerment. I believe you have the ability to adapt, grow, and learn so that you can overcome any challenge you may be facing. We get one life and I’m here to help you show up as your most authentic self so you can live each day to its fullest. Whether you’re struggling in your relationships, overwhelmed with work, or feeling stuck in a rut, I’m here to help you make a change. In therapy, we will work together collaboratively so that you can overcome any obstacles and find your path forward.
Hey, I’m Keri, a licensed therapist. My approach to therapy focuses on empowerment. I believe you have the ability to adapt, grow, and learn so that you can overcome any challenge you may be facing. We get one life and I’m here to help you show up as your most authentic self so you can live each day to its fullest. Whether you’re struggling in your relationships, overwhelmed with work, or feeling stuck in a rut, I’m here to help you make a change. In therapy, we will work together collaboratively so that you can overcome any obstacles and find your path forward.
(631) 769-2949 View (631) 769-2949
Photo of Gabrielle Fasano, LCSW, Clinical Social Work/Therapist
Gabrielle Fasano
Clinical Social Work/Therapist, LCSW
Verified Verified
Setauket, NY 11733
Hey, I'm Gabby and I'm glad you're here! Reaching out for help takes courage and you've already taken a huge first step. Life can hit you with serious challenges, but you don't have to go through them alone. In therapy, I create an accepting and inviting environment where you can be yourself, open up, and maybe even have a laugh while discussing difficult issues. I truly love what I do and am most excited to work with people who are ready to work on themselves.
Hey, I'm Gabby and I'm glad you're here! Reaching out for help takes courage and you've already taken a huge first step. Life can hit you with serious challenges, but you don't have to go through them alone. In therapy, I create an accepting and inviting environment where you can be yourself, open up, and maybe even have a laugh while discussing difficult issues. I truly love what I do and am most excited to work with people who are ready to work on themselves.
(631) 540-1201 View (631) 540-1201
Photo of Colleen G. Gilligan, LMSW
Colleen G. Gilligan
LMSW
Verified Verified
Setauket, NY 11733
The privilege of a lifetime is to become who you truly are. -Carl Yung It is hard when you're told by other people you have so much in life to happy about, but you can't really feel it for yourself. Laying in bed often wondering, "Could I do more?", "Am I enough?", and "Why does it seem like I am missing something?". Asking yourself about these kinds of things are actually brave and courageous thoughts! Many times we feel alone or are afraid to share what we think and feel because no-one wants to be judged or ridiculed. To trust someone with our inner most thoughts and feelings, must be respected and protected.
The privilege of a lifetime is to become who you truly are. -Carl Yung It is hard when you're told by other people you have so much in life to happy about, but you can't really feel it for yourself. Laying in bed often wondering, "Could I do more?", "Am I enough?", and "Why does it seem like I am missing something?". Asking yourself about these kinds of things are actually brave and courageous thoughts! Many times we feel alone or are afraid to share what we think and feel because no-one wants to be judged or ridiculed. To trust someone with our inner most thoughts and feelings, must be respected and protected.
(631) 837-2163 View (631) 837-2163
Photo of Dr. Jessica A Scher Lisa - Long Island Mental Health Wellness, PsyD, Psychologist
Dr. Jessica A Scher Lisa - Long Island Mental Health Wellness
Psychologist, PsyD
Verified Verified
Setauket, NY 11733
Navigating the parenting journey with a child or teen on the autism spectrum requires thoughtful support, from therapy to evaluations to engaging in social groups; rest assured, I am dedicated to providing personalized assistance to help you access the services your family needs.
Navigating the parenting journey with a child or teen on the autism spectrum requires thoughtful support, from therapy to evaluations to engaging in social groups; rest assured, I am dedicated to providing personalized assistance to help you access the services your family needs.
(631) 597-8849 View (631) 597-8849
Photo of Nancy R. Goldstein, LCSW, Clinical Social Work/Therapist
Nancy R. Goldstein
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
East Setauket, NY 11733  (Online Only)
I have a profound faith in the process of therapy to help you live a happier, more satisfying life. Your unique personal history, needs and goals will shape our work. You will experience the deep level of engagement, caring and commitment that I bring to our work together. Do you want to talk with someone who is non-judgmental, and who will not just listen to you, but will provide gentle insight, honest feedback and guidance informed by 35 years in practice? Would you like to discover deeper meaning in your life, access your inner wisdom, and be kinder to yourself? If so, I can help you. Call me today.
I have a profound faith in the process of therapy to help you live a happier, more satisfying life. Your unique personal history, needs and goals will shape our work. You will experience the deep level of engagement, caring and commitment that I bring to our work together. Do you want to talk with someone who is non-judgmental, and who will not just listen to you, but will provide gentle insight, honest feedback and guidance informed by 35 years in practice? Would you like to discover deeper meaning in your life, access your inner wisdom, and be kinder to yourself? If so, I can help you. Call me today.
(631) 410-6118 View (631) 410-6118
Photo of Jessica Carlucci, LCSW, Clinical Social Work/Therapist
Jessica Carlucci
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
East Setauket, NY 11733
Sometimes parts of our life can feel overwhelming and debilitating. It can be difficult to know who to turn to and what to do. I strive to build a collaborative relationship built on respect and trust, meeting each client exactly where they are. I work to foster a safe, supportive and non-judgmental environment where we can effectively work together to resolve problems. I believe that most individuals possess the innate capacity to heal themselves, but may lack insight due to emotional or psychological distress.
Sometimes parts of our life can feel overwhelming and debilitating. It can be difficult to know who to turn to and what to do. I strive to build a collaborative relationship built on respect and trust, meeting each client exactly where they are. I work to foster a safe, supportive and non-judgmental environment where we can effectively work together to resolve problems. I believe that most individuals possess the innate capacity to heal themselves, but may lack insight due to emotional or psychological distress.
(631) 364-0403 View (631) 364-0403
Photo of Yolanda Vazquez, LCSW, Clinical Social Work/Therapist
Yolanda Vazquez
Clinical Social Work/Therapist, LCSW
Verified Verified
East Setauket, NY 11733  (Online Only)
If you're looking to make changes in yourself and in your life, therapy can help. Whether you're here to navigate a short-term challenge or you've had a long history of anxiety, depression, relationship struggles, or trauma affecting your day-to-day life, you've already taken the first step toward making big changes.
If you're looking to make changes in yourself and in your life, therapy can help. Whether you're here to navigate a short-term challenge or you've had a long history of anxiety, depression, relationship struggles, or trauma affecting your day-to-day life, you've already taken the first step toward making big changes.
(631) 202-1093 View (631) 202-1093
Photo of Lorraine Gonzalez, LCSW-R, Clinical Social Work/Therapist
Lorraine Gonzalez
Clinical Social Work/Therapist, LCSW-R
Verified Verified
3 Endorsed
Setauket, NY 11733  (Online Only)
I am a Licensed Clinical Social worker who treats individuals and families with various presenting problems in the interest of helping them better understand behaviors, while refining their abilities to cope.
I am a Licensed Clinical Social worker who treats individuals and families with various presenting problems in the interest of helping them better understand behaviors, while refining their abilities to cope.
(917) 809-7851 View (917) 809-7851
Photo of Alyse J Parise, LCSW, MSW, Clinical Social Work/Therapist
Alyse J Parise
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
East Setauket, NY 11733
If you’re frustrated having spent lots of time and money on quick fix programs that promised the world, I get it. Life is messy and uncertain. Does it seem like many of the ways you feel inadequate are hard to hide, especially from yourself? What’s holding you back? Are you trying to improve or leave difficult relationships? Are you stressed and want to overcome the hidden affects of trauma and family secrets? If you answered yes, often the answers are in the shadows. When you shine light on your darkness, anxiety and not feeling enough recede. Then you can reclaim your confidence having a vibrant and fulfilling life.
If you’re frustrated having spent lots of time and money on quick fix programs that promised the world, I get it. Life is messy and uncertain. Does it seem like many of the ways you feel inadequate are hard to hide, especially from yourself? What’s holding you back? Are you trying to improve or leave difficult relationships? Are you stressed and want to overcome the hidden affects of trauma and family secrets? If you answered yes, often the answers are in the shadows. When you shine light on your darkness, anxiety and not feeling enough recede. Then you can reclaim your confidence having a vibrant and fulfilling life.
(631) 317-2123 View (631) 317-2123
Photo of Judith Damico, Clinical Social Work/Therapist
Judith Damico
Clinical Social Work/Therapist
Verified Verified
Setauket, NY 11733  (Online Only)
Do you feel depressed or suffer from anxiety? Do you feel stressed and overwhelmed? Are you unhappy with important aspects of you life? Are your relationships problematic and less than you would like them to be? If you have answered yes to any of these questions please reach out and accept a helping hand in solving these issues. I am a good listener, but also offer feedback and ask relevant questions to assist you in changing your perspective. Understanding consequences to our actions and learning new ways to think about issues allows us to move forward and accomplish appropriate goals. Please feel free to e-mail and or call me to discuss any concerns or questions that you may have.
Do you feel depressed or suffer from anxiety? Do you feel stressed and overwhelmed? Are you unhappy with important aspects of you life? Are your relationships problematic and less than you would like them to be? If you have answered yes to any of these questions please reach out and accept a helping hand in solving these issues. I am a good listener, but also offer feedback and ask relevant questions to assist you in changing your perspective. Understanding consequences to our actions and learning new ways to think about issues allows us to move forward and accomplish appropriate goals. Please feel free to e-mail and or call me to discuss any concerns or questions that you may have.
(631) 743-4772 View (631) 743-4772
Photo of Crista E. Maracic, PhD, Psychologist
Crista E. Maracic
Psychologist, PhD
Verified Verified
1 Endorsed
Setauket, NY 11733
Not accepting new clients
Adverse life experiences, including traumatic experiences, often contribute to feelings of fear and stagnation and block joy and creativity. Through a trusting therapeutic relationship, together we can address painful issues you are facing and consider intuitive and adaptive ways you can move forward. By shedding old, unhelpful patterns, you will cultivate new, optimal ways of working, relating, and being in the world.
Adverse life experiences, including traumatic experiences, often contribute to feelings of fear and stagnation and block joy and creativity. Through a trusting therapeutic relationship, together we can address painful issues you are facing and consider intuitive and adaptive ways you can move forward. By shedding old, unhelpful patterns, you will cultivate new, optimal ways of working, relating, and being in the world.
(516) 550-3140 View (516) 550-3140
Photo of Alice Woodson White - Alice Miriam Marjorie Woodson White, LCSW, P.C., LCSW, Clinical Social Work/Therapist
Alice Miriam Marjorie Woodson White, LCSW, P.C.
Clinical Social Work/Therapist, LCSW
Verified Verified
East Setauket, NY 11733  (Online Only)
Restore your strength and resilience. Maximize your emotional, mental, physical, and spiritual ability. Affirm your inner greatness. Children, teens, adults, military veterans, their families, substance abusers, and the seriously and persistently mentally ill receive help. I am a certified Gottman Seven Principles of Marriage Program Educator, and a NYS Impaired Driver Assessment and Evaluation Provider. Receive the mature experience of a former preschool teacher, home school teacher, police detective, patrol supervisor, bereavement coordinator, college Psychology instructor, substance abuse counselor, and mental health therapist.
Restore your strength and resilience. Maximize your emotional, mental, physical, and spiritual ability. Affirm your inner greatness. Children, teens, adults, military veterans, their families, substance abusers, and the seriously and persistently mentally ill receive help. I am a certified Gottman Seven Principles of Marriage Program Educator, and a NYS Impaired Driver Assessment and Evaluation Provider. Receive the mature experience of a former preschool teacher, home school teacher, police detective, patrol supervisor, bereavement coordinator, college Psychology instructor, substance abuse counselor, and mental health therapist.
(631) 772-9997 View (631) 772-9997
Photo of LeeAnn H Mogel, LCSW, Clinical Social Work/Therapist
LeeAnn H Mogel
Clinical Social Work/Therapist, LCSW
Verified Verified
East Setauket, NY 11733
Waitlist for new clients
Is your child struggling with Anxiety, Depression, OCD, ADHD, Self-Esteem or Self-Compassion? Do they have a diagnosis of Autism and struggle with social skills? Are you a mom overwhelmed with caregiving responsibilities and the stressors of everyday life? Having the role of a child and mother in this day of age is overwhelming and comes with increasing responsibilities and societal pressures. As a child and adult therapist I would like to help you reach your goals and integrate the knowledge and skills to handle life's challenges.
Is your child struggling with Anxiety, Depression, OCD, ADHD, Self-Esteem or Self-Compassion? Do they have a diagnosis of Autism and struggle with social skills? Are you a mom overwhelmed with caregiving responsibilities and the stressors of everyday life? Having the role of a child and mother in this day of age is overwhelming and comes with increasing responsibilities and societal pressures. As a child and adult therapist I would like to help you reach your goals and integrate the knowledge and skills to handle life's challenges.
(516) 430-4638 View (516) 430-4638
Photo of Roger Keizerstein, LCSW, Clinical Social Work/Therapist
Roger Keizerstein
Clinical Social Work/Therapist, LCSW
Verified Verified
East Setauket, NY 11733
I have been working with children and adolescents and their families for over 42 years. Therapy includes sessions with child and consultations with parents. When appropriate and with the parents' permission, consultations with teachers and other school personnel are conducted. I will speak with any person that impacts your child's life. Ultimately, the goal of therapy is to create conditions in your child's life that will lead to their growth and development. Recently, I have had success with young children experiencing anxiety due to sensory integration over-load and separation anxiety.
I have been working with children and adolescents and their families for over 42 years. Therapy includes sessions with child and consultations with parents. When appropriate and with the parents' permission, consultations with teachers and other school personnel are conducted. I will speak with any person that impacts your child's life. Ultimately, the goal of therapy is to create conditions in your child's life that will lead to their growth and development. Recently, I have had success with young children experiencing anxiety due to sensory integration over-load and separation anxiety.
(631) 449-7836 View (631) 449-7836
Photo of JoAnn Rosen, EdD, LMHC, NCC, Counselor
JoAnn Rosen
Counselor, EdD, LMHC, NCC
Verified Verified
3 Endorsed
East Setauket, NY 11733
Do you feel anxious, sad, depressed or unhappy? Are you repeating ineffective, self-defeating behaviors in relationships, work or other important areas of your life? Do you want to experience greater self-confidence? If you are struggling with these issues, I would like to help you. Asking for help is courageous, and reading this site suggests that you are taking the initial step towards positive change. My therapeutic style is friendly, engaging, and respectful. Together we will explore and better understand your painful past and present experiences, behaviors and feelings. Clarity, self-appreciation, skillfulness and true happiness can be yours!
Do you feel anxious, sad, depressed or unhappy? Are you repeating ineffective, self-defeating behaviors in relationships, work or other important areas of your life? Do you want to experience greater self-confidence? If you are struggling with these issues, I would like to help you. Asking for help is courageous, and reading this site suggests that you are taking the initial step towards positive change. My therapeutic style is friendly, engaging, and respectful. Together we will explore and better understand your painful past and present experiences, behaviors and feelings. Clarity, self-appreciation, skillfulness and true happiness can be yours!
(631) 594-8281 View (631) 594-8281
Photo of Kristin Amber Scher, LCSW, Clinical Social Work/Therapist
Kristin Amber Scher
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
East Setauket, NY 11733
Waitlist for new clients
Our thoughts have the ability to impact the quality of our life. "Change your thoughts and you change your world" Norman Vincent Peale. Through Cognitive Behavioral Therapy, we will focus on solutions, challenge distorted thinking and work towards changing destructive patterns of behavior. As a psychotherapist, I will assist you in achieving your goals and work with you to establish positive coping mechanisms to help manage your symptoms.
Our thoughts have the ability to impact the quality of our life. "Change your thoughts and you change your world" Norman Vincent Peale. Through Cognitive Behavioral Therapy, we will focus on solutions, challenge distorted thinking and work towards changing destructive patterns of behavior. As a psychotherapist, I will assist you in achieving your goals and work with you to establish positive coping mechanisms to help manage your symptoms.
(516) 226-7620 View (516) 226-7620
Photo of Erika Delco, LCSW, Clinical Social Work/Therapist
Erika Delco
Clinical Social Work/Therapist, LCSW
Verified Verified
East Setauket, NY 11733  (Online Only)
When life feels confusing and overwhelming, it's like trying to juggle too many things at once. Sometimes, we cope in ways that aren't great for us, like eating too much or avoiding friends. But what if you had someone who understood, listened without judging, and helped you figure things out? If you're ready to try new ways to feel better and find peace of mind, you're in the right place. Let's take that first step together on a journey towards healing. I'll be here to support you all the way.
When life feels confusing and overwhelming, it's like trying to juggle too many things at once. Sometimes, we cope in ways that aren't great for us, like eating too much or avoiding friends. But what if you had someone who understood, listened without judging, and helped you figure things out? If you're ready to try new ways to feel better and find peace of mind, you're in the right place. Let's take that first step together on a journey towards healing. I'll be here to support you all the way.
(516) 583-0289 View (516) 583-0289
Photo of Passages Wellness And Counseling For Women, LCSW-R, Clinical Social Work/Therapist
Passages Wellness And Counseling For Women
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
East Setauket, NY 11733
Passages Wellness & Counseling for Women is a group practice specializing in women's health and wellness. Our focus is on the unique needs of women, helping to empower individuals to create balance and fullfillment in their lives. Working with women through the life cycle, we address issues related to self-esteem, relationships, anxiety & mood disorders, body image, work life balance, parenting, family, mental health and chronic health issues. At Passages, our goal is to create a safe and nurturing environment to support women and couples through their journey to self discovery and provide tools for ongoing self-care.
Passages Wellness & Counseling for Women is a group practice specializing in women's health and wellness. Our focus is on the unique needs of women, helping to empower individuals to create balance and fullfillment in their lives. Working with women through the life cycle, we address issues related to self-esteem, relationships, anxiety & mood disorders, body image, work life balance, parenting, family, mental health and chronic health issues. At Passages, our goal is to create a safe and nurturing environment to support women and couples through their journey to self discovery and provide tools for ongoing self-care.
(631) 941-1200 View (631) 941-1200
Photo of Mario Brajuha, PhD, Clinical Social Work/Therapist
Mario Brajuha
Clinical Social Work/Therapist, PhD
Verified Verified
Setauket, NY 11733  (Online Only)
Do you feel that your marriage has lost the spark? Are you asking yourself, what is wrong with my partner? Do you feel that you drink more than you used to? Is your teenage child acting as a runaway train? Does my child drink? Does she use drugs? Is she sexually active? Are you second-guessing your parenting skills? Is it them? Is it me? Do you feel that you have lost your grip on things? Contact me and I will help you better understand these concerns.Some people listen, and some wait to speak. I listen.
Do you feel that your marriage has lost the spark? Are you asking yourself, what is wrong with my partner? Do you feel that you drink more than you used to? Is your teenage child acting as a runaway train? Does my child drink? Does she use drugs? Is she sexually active? Are you second-guessing your parenting skills? Is it them? Is it me? Do you feel that you have lost your grip on things? Contact me and I will help you better understand these concerns.Some people listen, and some wait to speak. I listen.
(631) 880-4321 View (631) 880-4321
1

See more therapy options for 11733

How does your Therapist compare?

Number of Therapists in 11733

100+

Average cost per session

$150

Therapists in 11733 who prioritize treating:

96% Anxiety
88% Depression
82% Relationship Issues
81% Self Esteem
73% Coping Skills
70% Stress
68% Family Conflict

Average years in practice

17 Years

Top 3 insurances accepted

72% Aetna
56% UnitedHealthcare UHC | UBH
50% Cigna and Evernorth

How Therapists in 11733 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

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

How can I find a therapist in 11733?

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.