Photo of Terri Procida, Clinical Social Work/Therapist, LCSW-R, CASAC, SIFI, EMDR II
Terri Procida
Clinical Social Work/Therapist, LCSW-R, CASAC, SIFI, EMDR II
Verified Verified
East Moriches, NY 11940
Waitlist for new clients
There is hope... Life can feel overwhelming—especially when anxiety, trauma, or past experiences weigh you down. If this sounds familiar, you’re not alone—and you don’t have to navigate it by yourself. I believe trauma is unique to the individual, not a textbook diagnosis. Our bodies store trauma and negative experiences, presenting as symptoms of anxiety, phobias, OCD, depression, etc. Regulation of the nervous system is key to healing. Through EMDR, Trauma Informed Treatment, Mindfulness, and CBT, I help people break free of symptoms and patterns that are debilitating and erode quality of life.
There is hope... Life can feel overwhelming—especially when anxiety, trauma, or past experiences weigh you down. If this sounds familiar, you’re not alone—and you don’t have to navigate it by yourself. I believe trauma is unique to the individual, not a textbook diagnosis. Our bodies store trauma and negative experiences, presenting as symptoms of anxiety, phobias, OCD, depression, etc. Regulation of the nervous system is key to healing. Through EMDR, Trauma Informed Treatment, Mindfulness, and CBT, I help people break free of symptoms and patterns that are debilitating and erode quality of life.
(631) 699-2098 View (631) 699-2098
Photo of Jennifer Fassino, Clinical Social Work/Therapist, LCSW
Jennifer Fassino
Clinical Social Work/Therapist, LCSW
Verified Verified
East Moriches, NY 11940
Waitlist for new clients
With almost 20 years of experience working with children and adolescents as a Licensed Social Worker, I have come to truly recognize what our children are up against in the current state of the world. Between social media, television, and access to anything with the click of a button, our children are exposed to so much a lot earlier. Anxiety among children is on the rise as a result. So many parents are struggling to deal with this reality while trying to help their children simply cope, be a good friend, and make good choices. This can be an overwhelming task and I am here to help!
With almost 20 years of experience working with children and adolescents as a Licensed Social Worker, I have come to truly recognize what our children are up against in the current state of the world. Between social media, television, and access to anything with the click of a button, our children are exposed to so much a lot earlier. Anxiety among children is on the rise as a result. So many parents are struggling to deal with this reality while trying to help their children simply cope, be a good friend, and make good choices. This can be an overwhelming task and I am here to help!
(631) 528-6240 View (631) 528-6240
Photo of Krista Metrinko, Clinical Social Work/Therapist, LCSW
Krista Metrinko
Clinical Social Work/Therapist, LCSW
Verified Verified
East Moriches, NY 11940
You get up early for a quick shower or a hot cup of coffee before the kids wake up and the day gets insane. Or, you peel yourself out of your bed with foggy eyes and force yourself to get ready to start the day. That knot in your stomach just won't go away and you feel like you are running in circles. Things have happened in your life that affected you in ways you can't really understand. Strained relationships with family, a divorce or difficulty adjusting to your new role as a parent. Life doesn't have to be this way!
You get up early for a quick shower or a hot cup of coffee before the kids wake up and the day gets insane. Or, you peel yourself out of your bed with foggy eyes and force yourself to get ready to start the day. That knot in your stomach just won't go away and you feel like you are running in circles. Things have happened in your life that affected you in ways you can't really understand. Strained relationships with family, a divorce or difficulty adjusting to your new role as a parent. Life doesn't have to be this way!
(631) 419-7985 View (631) 419-7985
Photo of Nella Hahn, Clinical Social Work/Therapist, LCSW-R, R, Pa
Nella Hahn
Clinical Social Work/Therapist, LCSW-R, R, Pa
Verified Verified
1 Endorsed
East Moriches, NY 11940
I am an experienced and compassionate therapist who helps many individuals feel better about life. I work with people who are not reaching their potential- either professionally or personally. My goal is to provide you with a professional, yet personal atmosphere where you will experience comfort and safety working toward healing and restoration. As an experienced therapist, I guide individuals toward success in different areas of their lives. If you feel you are not reaching your full potential, but are motivated to do so, I will help you achieve your goal.
I am an experienced and compassionate therapist who helps many individuals feel better about life. I work with people who are not reaching their potential- either professionally or personally. My goal is to provide you with a professional, yet personal atmosphere where you will experience comfort and safety working toward healing and restoration. As an experienced therapist, I guide individuals toward success in different areas of their lives. If you feel you are not reaching your full potential, but are motivated to do so, I will help you achieve your goal.
(646) 386-2310 View (646) 386-2310
Photo of Tanya Byrnes, Clinical Social Work/Therapist, LCSW
Tanya Byrnes
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
You deserve to live a life that leaves you excited to wake up every morning. If you are feeling hopeless, frustrated, stressed or anxious I would love to help you out. Most of my clients see me to help navigate through feelings of anxiety, depression, stress and struggles to communicate their thoughts and feelings effectively. I believe that therapy is more about the journey and not just the destination and I would like to help be a part of the journey of finding your best self.
You deserve to live a life that leaves you excited to wake up every morning. If you are feeling hopeless, frustrated, stressed or anxious I would love to help you out. Most of my clients see me to help navigate through feelings of anxiety, depression, stress and struggles to communicate their thoughts and feelings effectively. I believe that therapy is more about the journey and not just the destination and I would like to help be a part of the journey of finding your best self.
(631) 538-4023 View (631) 538-4023
Photo of Priscilla Karpin, Marriage & Family Therapist, LMFT, CSTIP
Priscilla Karpin
Marriage & Family Therapist, LMFT, CSTIP
Verified Verified
5 Endorsed
East Moriches, NY 11940
I am a psychotherapist that utilizes a systemic and humanistic approach when working with my clients. My areas of expertise include relationship issues, sex therapy, mood and anxiety disorders, depression, perinatal and women's health, and major life transitions. I work with individuals and couples; both monogamous and non-monogamous.
I am a psychotherapist that utilizes a systemic and humanistic approach when working with my clients. My areas of expertise include relationship issues, sex therapy, mood and anxiety disorders, depression, perinatal and women's health, and major life transitions. I work with individuals and couples; both monogamous and non-monogamous.
(631) 237-8358 View (631) 237-8358
Photo of Kathleen F. Malsky, Clinical Social Work/Therapist, LCSW
Kathleen F. Malsky
Clinical Social Work/Therapist, LCSW
Verified Verified
East Moriches, NY 11940
Therapy for 18 -75 year old. As a compassionate, caring individual & trained Social Worker/ Therapist; I can offer a safe place for you to voice your life struggles. Whether you are struggling with daily life stressors, anxiety, relationship issues, grief &/or just need someone to listen and validate your feelings; we can work together on a consistent basis to help promote better well being. Email at the address available to give necessary information (issues, insurance) & discuss the possibility of our working as a team to reduce whatever stressors you may be having.
Therapy for 18 -75 year old. As a compassionate, caring individual & trained Social Worker/ Therapist; I can offer a safe place for you to voice your life struggles. Whether you are struggling with daily life stressors, anxiety, relationship issues, grief &/or just need someone to listen and validate your feelings; we can work together on a consistent basis to help promote better well being. Email at the address available to give necessary information (issues, insurance) & discuss the possibility of our working as a team to reduce whatever stressors you may be having.
(631) 540-1189 View (631) 540-1189
Photo of Wayne M Gurnick, Clinical Social Work/Therapist, MS, LCSW
Wayne M Gurnick
Clinical Social Work/Therapist, MS, LCSW
Verified Verified
1 Endorsed
East Moriches, NY 11940
Life circumstances can often become overwhelming and feel unmanageable. Whether it be stress related to your child's emotional well-being or behavior, family communication or interactions, other relationship issues, or other personal struggles, you and those important to you deserve happiness. Although life can sometimes get in the way of making ourselves our number one priority - it is time! With over 24 years experience working with children, adolescents, and adults I have joined many in assisting them on their path back to hope, happiness, and personal fulfillment - I look forward to the opportunity to join you on your path.
Life circumstances can often become overwhelming and feel unmanageable. Whether it be stress related to your child's emotional well-being or behavior, family communication or interactions, other relationship issues, or other personal struggles, you and those important to you deserve happiness. Although life can sometimes get in the way of making ourselves our number one priority - it is time! With over 24 years experience working with children, adolescents, and adults I have joined many in assisting them on their path back to hope, happiness, and personal fulfillment - I look forward to the opportunity to join you on your path.
(631) 352-4298 View (631) 352-4298
Photo of Michelle Mulligan, Clinical Social Work/Therapist, LCSW-R
Michelle Mulligan
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
East Moriches, NY 11940
The first step towards change begins with seeking support outside yourself. It is a daunting and frightening choice for many. The relief from sharing whatever you are struggling with can bring tremendous and sometimes immediate relief. It is the first bridge towards change. Being at peace with yourself is an important part of healing and growth. I am a dedicated and conscientious professional and will respond promptly to anyone who seeks help.
The first step towards change begins with seeking support outside yourself. It is a daunting and frightening choice for many. The relief from sharing whatever you are struggling with can bring tremendous and sometimes immediate relief. It is the first bridge towards change. Being at peace with yourself is an important part of healing and growth. I am a dedicated and conscientious professional and will respond promptly to anyone who seeks help.
(516) 826-4317 View (516) 826-4317
Photo of Keri Neary-Wood, Clinical Social Work/Therapist, LCSW, CASAC
Keri Neary-Wood
Clinical Social Work/Therapist, LCSW, CASAC
Verified Verified
Online Only
Hello, I am a licensed clinical social worker and certified addiction specialist dedicated to helping individuals grow, recover, and become the best versions of themselves. I have over 20 years of experience treating anxiety, depression, substance misuse, trauma, stress, adverse childhood experiences, grief and relationship conflicts. My practice centers on creating a safe and supportive atmosphere rooted in respect and open communication, allowing healing to occur. My work is focused on helping you to understand yourself better, to recognize unhelpful patterns and meet your treatment goals.
Hello, I am a licensed clinical social worker and certified addiction specialist dedicated to helping individuals grow, recover, and become the best versions of themselves. I have over 20 years of experience treating anxiety, depression, substance misuse, trauma, stress, adverse childhood experiences, grief and relationship conflicts. My practice centers on creating a safe and supportive atmosphere rooted in respect and open communication, allowing healing to occur. My work is focused on helping you to understand yourself better, to recognize unhelpful patterns and meet your treatment goals.
(518) 543-7255 View (518) 543-7255
Photo of Alexandra Poje, Clinical Social Work/Therapist, LCSW
Alexandra Poje
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
Hi there! So glad you are here! Whether this is your first time in therapy or you are returning, I hope to create a unique, supportive and tailored therapeutic experience to your individual needs. I practice a holistic and integrative perspective. I strive to create safety and accountability to help you meet your goals. I plan to challenge you to be the best version of yourself. I am passionate about making therapy a creative, meaningful and rewarding experience for my clients. I am a Licensed School Social Worker and have experience with kids/families!
Hi there! So glad you are here! Whether this is your first time in therapy or you are returning, I hope to create a unique, supportive and tailored therapeutic experience to your individual needs. I practice a holistic and integrative perspective. I strive to create safety and accountability to help you meet your goals. I plan to challenge you to be the best version of yourself. I am passionate about making therapy a creative, meaningful and rewarding experience for my clients. I am a Licensed School Social Worker and have experience with kids/families!
(631) 883-5535 View (631) 883-5535
Photo of Mara Baldwin, Clinical Social Work/Therapist, LCSW
Mara Baldwin
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
I am a Licensed Clinical Social Worker in the state of New York with experience working with anxiety, depression, emotion regulation difficulties, family and relationship issues, identity, stress, and life transitions. My prior experience includes working within college student counseling centers at NYU, Pratt Institute and Suffolk County Community College. I am also experienced working with seniors, veterans and military families.
I am a Licensed Clinical Social Worker in the state of New York with experience working with anxiety, depression, emotion regulation difficulties, family and relationship issues, identity, stress, and life transitions. My prior experience includes working within college student counseling centers at NYU, Pratt Institute and Suffolk County Community College. I am also experienced working with seniors, veterans and military families.
(631) 910-6081 View (631) 910-6081
Photo of Michael Toomey, Clinical Social Work/Therapist, LCSW-R
Michael Toomey
Clinical Social Work/Therapist, LCSW-R
Verified Verified
3 Endorsed
Serves Area
My ideal client is someone looking to explore and discuss their issues, develop a plan, and work towards change. I love to support my clients in their journey and enable them to make their own progress individually. I am happy to work with anyone struggling to manage their emotions, impulsive behaviors, relationships, major life changes, or someone simply working towards their best life.
My ideal client is someone looking to explore and discuss their issues, develop a plan, and work towards change. I love to support my clients in their journey and enable them to make their own progress individually. I am happy to work with anyone struggling to manage their emotions, impulsive behaviors, relationships, major life changes, or someone simply working towards their best life.
(631) 557-6749 View (631) 557-6749
Photo of Allysa Wachholder, Clinical Social Work/Therapist, LCSW
Allysa Wachholder
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
Reaching out for help can often be the hardest step when struggling emotionally. Finding a therapist that is the best fit for you can be just as challenging. I specialize in helping clients develop coping strategies to manage and overcome obstacles in their lives. I have a compassionate, person-centered approach that is customized to meet your needs in the most effective way. If you or your family member are in need of emotional support I am here to help you find the tools you need to navigate through this difficult time in your life and provide strategies to manage any future obstacles that may arise.
Reaching out for help can often be the hardest step when struggling emotionally. Finding a therapist that is the best fit for you can be just as challenging. I specialize in helping clients develop coping strategies to manage and overcome obstacles in their lives. I have a compassionate, person-centered approach that is customized to meet your needs in the most effective way. If you or your family member are in need of emotional support I am here to help you find the tools you need to navigate through this difficult time in your life and provide strategies to manage any future obstacles that may arise.
(631) 430-6195 View (631) 430-6195

More Therapists Nearby

Photo of Nick Califano, Clinical Social Work/Therapist, LCSW
Nick Califano
Clinical Social Work/Therapist, LCSW
Verified Verified
Port Jefferson, NY 11777
Sometimes life can feel like a rollercoaster as we go through ups and downs. During these times it can be difficult to reach out for help as intrusive thoughts lead us to feel alone, anxious, sad, or afraid. We will work together to explore these thoughts and feelings as well as set and climb towards goals at your pace.
Sometimes life can feel like a rollercoaster as we go through ups and downs. During these times it can be difficult to reach out for help as intrusive thoughts lead us to feel alone, anxious, sad, or afraid. We will work together to explore these thoughts and feelings as well as set and climb towards goals at your pace.
(516) 666-4817 View (516) 666-4817
Photo of Danielle McMath, Licensed Master Social Worker, LMSW
Danielle McMath
Licensed Master Social Worker, LMSW
Verified Verified
Online Only
I provide an empathetic and safe space where my clients can reveal anything without fear of judgement. I specialize in treating anxiety and depression and I do this by helping my clients to reframe negative thoughts. I also provide suggestions on a variety of tools and coping skills that may be beneficial. In addition, I have experience working with clients with Obsessive Compulsive Disorder. This requires a bit of a different approach than other anxiety disorders, such as Acceptance and Commitment Therapy (ACT) where you stay present in the moment and allow the thoughts rather than avoid or fight them.
I provide an empathetic and safe space where my clients can reveal anything without fear of judgement. I specialize in treating anxiety and depression and I do this by helping my clients to reframe negative thoughts. I also provide suggestions on a variety of tools and coping skills that may be beneficial. In addition, I have experience working with clients with Obsessive Compulsive Disorder. This requires a bit of a different approach than other anxiety disorders, such as Acceptance and Commitment Therapy (ACT) where you stay present in the moment and allow the thoughts rather than avoid or fight them.
(631) 769-3169 View (631) 769-3169
Photo of Moshe L Raskind - Serenity Psychotherapy LLC, Clinical Social Work/Therapist, LCSW
Serenity Psychotherapy LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Brookhaven, NY 11719
Getting to the root of your pain: learning to deal with it, building upon your strengths then learning to act versus react to people and events, takes a mindfulness that I will help you develop. I have a long history of working with diverse populations, who have developed varied problems: Mental Health, Substance Abuse, Marital, Parenting, Trauma, and more. My approach is to work with my client’s strengths; help them develop new views and skills and then organize them into a plan that works for them in obtaining their goals. I also have associates through my group Serenity Psychotherapy LLC to provide the best match for you.
Getting to the root of your pain: learning to deal with it, building upon your strengths then learning to act versus react to people and events, takes a mindfulness that I will help you develop. I have a long history of working with diverse populations, who have developed varied problems: Mental Health, Substance Abuse, Marital, Parenting, Trauma, and more. My approach is to work with my client’s strengths; help them develop new views and skills and then organize them into a plan that works for them in obtaining their goals. I also have associates through my group Serenity Psychotherapy LLC to provide the best match for you.
(516) 226-2103 View (516) 226-2103
Photo of Bonnie Neidecker Soukup, Mental Health Counselor, LMHC, NCC, EMDR II, CCTP-2
Bonnie Neidecker Soukup
Mental Health Counselor, LMHC, NCC, EMDR II, CCTP-2
Verified Verified
1 Endorsed
Islip, NY 11751
Have you ever just felt stuck? Have you ever had the thoughts:"I must be perfect", "I am a bad person", "I should have done something", "I am a failure", "I cannot have a healthy relationship"? These are just a few of the negative beliefs we tell ourselves that can lead to depression, anxiety, and feeling unsatisfied with our path in life. Sometimes events we've experienced can lead to negative emotions, sensations, and irrational negative beliefs. These belief systems can become the lenses with which we view our world making it difficult to move forward from our past.
Have you ever just felt stuck? Have you ever had the thoughts:"I must be perfect", "I am a bad person", "I should have done something", "I am a failure", "I cannot have a healthy relationship"? These are just a few of the negative beliefs we tell ourselves that can lead to depression, anxiety, and feeling unsatisfied with our path in life. Sometimes events we've experienced can lead to negative emotions, sensations, and irrational negative beliefs. These belief systems can become the lenses with which we view our world making it difficult to move forward from our past.
(631) 502-5643 View (631) 502-5643
Photo of Jason Bleecher - Jason Bleecher, LCSW (J Bleecher, LCSW-PC), Clinical Social Work/Therapist, LCSW
Jason Bleecher, LCSW (J Bleecher, LCSW-PC)
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Welcome! Taking the first step towards seeking therapy is a courageous decision, and I commend you for considering it. I am dedicated to providing a safe, compassionate, and nonjudgmental space where individuals can explore their emotions, thoughts, and experiences. Together, we will work towards gaining insight, developing coping skills, and ultimately, achieving a greater sense of well-being and fulfillment in your life while using a patient-centered approach.
Welcome! Taking the first step towards seeking therapy is a courageous decision, and I commend you for considering it. I am dedicated to providing a safe, compassionate, and nonjudgmental space where individuals can explore their emotions, thoughts, and experiences. Together, we will work towards gaining insight, developing coping skills, and ultimately, achieving a greater sense of well-being and fulfillment in your life while using a patient-centered approach.
(631) 515-7868 View (631) 515-7868
Photo of Sandra Estimable, Counselor, LMHC
Sandra Estimable
Counselor, LMHC
Verified Verified
Smithtown, NY 11787
Do you struggle with anxiety/depressive-like symptoms? Do you have changes within your workplace or relationships? You may have goals to improve communication within the workplace and social/ family relationships, develop coping skills such as mindfulness and distress tolerance, and reframe thinking and response effectively within interpersonal settings. Achieving these goals would benefit you by improving self-esteem and attachment issues and obtaining a better quality of life.
Do you struggle with anxiety/depressive-like symptoms? Do you have changes within your workplace or relationships? You may have goals to improve communication within the workplace and social/ family relationships, develop coping skills such as mindfulness and distress tolerance, and reframe thinking and response effectively within interpersonal settings. Achieving these goals would benefit you by improving self-esteem and attachment issues and obtaining a better quality of life.
(631) 735-5765 View (631) 735-5765

See more therapy options for 11940

How does your Therapist compare?

Number of Therapists in 11940

10+

Average cost per session

$150

Therapists in 11940 who prioritize treating:

100% Depression
93% Anxiety
93% Self Esteem
79% Grief
79% Coping Skills
71% Relationship Issues
71% Behavioral Issues

Average years in practice

16 Years

Top 3 insurances accepted

91% Cigna and Evernorth
82% Aetna
73% Oxford

How Therapists in 11940 see their clients

79% In Person and Online
21% Online Only

Gender breakdown

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

How can I find a therapist in 11940?

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.