Therapists in 13316

Photo of Janet Prince, Clinical Social Work/Therapist, LCSW
Janet Prince
Clinical Social Work/Therapist, LCSW
Camden, NY 13316
Are you tired of struggling alone? Let me help you find a better way to navigate out of your current situation. I understand that throughout our life experiences we sometimes face pain and struggles that can be difficult to navigate alone. Making the decision to work on ourselves takes courage. Let me help you navigate through your pain to find a brighter future with healing and growth. Together we will develop strategies and goals to reach your highest level of wellness. I look forward to meeting you.
Are you tired of struggling alone? Let me help you find a better way to navigate out of your current situation. I understand that throughout our life experiences we sometimes face pain and struggles that can be difficult to navigate alone. Making the decision to work on ourselves takes courage. Let me help you navigate through your pain to find a brighter future with healing and growth. Together we will develop strategies and goals to reach your highest level of wellness. I look forward to meeting you.
(315) 737-6388 View (315) 737-6388
Photo of Alicia B M Small - Reflections Counseling and Coaching services, Counselor, LMHC-D
Reflections counseling services was created to offer a unique, non- judgmental space where clients and families are able to be themselves My approach includes meeting the clients where they are at in their journey and walking with them on the path of wellness. I specialize in Adolescents and children, PTSD, Trauma, Anxiety, Depression and other mental health issues. Some therapies I use are cognitive behavioral therapy, person centered. If you need help with finding where to go in life, we now offer life coaching with a certified life coach. If you need help transitioning in a career, financial wellness, retirement give us a call.
Reflections counseling services was created to offer a unique, non- judgmental space where clients and families are able to be themselves My approach includes meeting the clients where they are at in their journey and walking with them on the path of wellness. I specialize in Adolescents and children, PTSD, Trauma, Anxiety, Depression and other mental health issues. Some therapies I use are cognitive behavioral therapy, person centered. If you need help with finding where to go in life, we now offer life coaching with a certified life coach. If you need help transitioning in a career, financial wellness, retirement give us a call.
(315) 897-5440 View (315) 897-5440

More Therapists Nearby

Photo of Jessica Truman, Counselor, MS Ed, LMHC-D, NCC
Jessica Truman
Counselor, MS Ed, LMHC-D, NCC
5 Endorsed
Fayetteville, NY 13066
I am currently taking new clients! I work with individuals, couples & families. Difficulty coping with feelings of anxiety, depression, mood/personality disorders, stress, or interpersonal challenges? While working together we can use techniques to help achieve a greater insight and work through these challenges. My experience includes working with a variety of techniques that include, cognitive behavioral, exposure response prevention, and mindfulness based orientation. I am currently being trained in virtual reality therapy. I have speciality training in ERP for OCD.
I am currently taking new clients! I work with individuals, couples & families. Difficulty coping with feelings of anxiety, depression, mood/personality disorders, stress, or interpersonal challenges? While working together we can use techniques to help achieve a greater insight and work through these challenges. My experience includes working with a variety of techniques that include, cognitive behavioral, exposure response prevention, and mindfulness based orientation. I am currently being trained in virtual reality therapy. I have speciality training in ERP for OCD.
(607) 341-4063 View (607) 341-4063
Photo of Melanie Snyder, Clinical Social Work/Therapist, LCSW
Melanie Snyder
Clinical Social Work/Therapist, LCSW
4 Endorsed
Serves Area
When you are carrying old stuff, day-to-day stress, and the feeling that people don’t really see you, it can wear you down. It is hard to take care of yourself when you do not even know where to start. Therapy gives you a place to slow things down and sort through what feels tangled or heavy. You do not need a plan or a perfect explanation. Just showing up as yourself is enough. We can figure out the rest together and help you feel steadier, more grounded, and more connected to who you are.
When you are carrying old stuff, day-to-day stress, and the feeling that people don’t really see you, it can wear you down. It is hard to take care of yourself when you do not even know where to start. Therapy gives you a place to slow things down and sort through what feels tangled or heavy. You do not need a plan or a perfect explanation. Just showing up as yourself is enough. We can figure out the rest together and help you feel steadier, more grounded, and more connected to who you are.
(518) 327-4417 View (518) 327-4417
Photo of Dr. Ashley J Simons, Counselor, PhD, LMHC-D
Dr. Ashley J Simons
Counselor, PhD, LMHC-D
1 Endorsed
New Hartford, NY 13413
I help individuals self-actualize their potential. The clients I assist are facing transitions in their lives. I understand that the responsibilities of life and psychological blocks can hold us back from reaching our true success. Through humor, creative problem solving, and other methods rooted in mental health counseling interventions I assist individuals in moving from the idea phase to the reality of their success. I understand that life's transitions can be overwhelming, isolating and scary, but I am committed to walking through those moments with my clients and helping them achieve their goals unlocking their unique potential.
I help individuals self-actualize their potential. The clients I assist are facing transitions in their lives. I understand that the responsibilities of life and psychological blocks can hold us back from reaching our true success. Through humor, creative problem solving, and other methods rooted in mental health counseling interventions I assist individuals in moving from the idea phase to the reality of their success. I understand that life's transitions can be overwhelming, isolating and scary, but I am committed to walking through those moments with my clients and helping them achieve their goals unlocking their unique potential.
(315) 988-3027 View (315) 988-3027
Photo of Eileen Donna Loban -The Family Center, Counselor, MS, LMHC
Eileen Donna Loban -The Family Center
Counselor, MS, LMHC
1 Endorsed
Baldwinsville, NY 13027
My belief in the process of therapy is working to truly understand who you are, and allowing your genuine self to thrive. As your therapist, together, we could work through the fears and doubts, the anxieties and feeling trapped in your own mind, the feelings of hopelessness, the anger from knowing you are holding yourself back, or any struggles that you may be living with.
My belief in the process of therapy is working to truly understand who you are, and allowing your genuine self to thrive. As your therapist, together, we could work through the fears and doubts, the anxieties and feeling trapped in your own mind, the feelings of hopelessness, the anger from knowing you are holding yourself back, or any struggles that you may be living with.
(315) 895-1864 View (315) 895-1864
Photo of Kyle P. Cattell, Clinical Social Work/Therapist, LCSW
Kyle P. Cattell
Clinical Social Work/Therapist, LCSW
6 Endorsed
Serves Area
Starting therapy can be tough—especially if you’re used to handling things on your own. But reaching out doesn’t mean you’re broken. It means you’re ready to take an honest look at what’s working, what’s not, and what needs to change. People often come to me for clear guidance, relief from what’s weighing them down, and practical steps forward. I listen without judgment and meet you where you are. Therapy is a place to talk openly, be yourself, and feel heard without pressure. If you’re feeling unsure or just need space to sort things out, I’m here
Starting therapy can be tough—especially if you’re used to handling things on your own. But reaching out doesn’t mean you’re broken. It means you’re ready to take an honest look at what’s working, what’s not, and what needs to change. People often come to me for clear guidance, relief from what’s weighing them down, and practical steps forward. I listen without judgment and meet you where you are. Therapy is a place to talk openly, be yourself, and feel heard without pressure. If you’re feeling unsure or just need space to sort things out, I’m here
(631) 430-4282 View (631) 430-4282
Photo of Kate Vulcano, Counselor, LMHC
Kate Vulcano
Counselor, LMHC
1 Endorsed
North Syracuse, NY 13212
Accepting new clients - My ideal client is someone carrying a lot—maybe a caregiver feeling overwhelmed, an older adult navigating major life changes, or a person facing ADHD/ADD, anxiety, depression, grief, or college stress. What they all share is a desire to feel understood, supported, and empowered. They want a safe space where they can finally breathe, speak honestly, and receive tools that truly help.
Accepting new clients - My ideal client is someone carrying a lot—maybe a caregiver feeling overwhelmed, an older adult navigating major life changes, or a person facing ADHD/ADD, anxiety, depression, grief, or college stress. What they all share is a desire to feel understood, supported, and empowered. They want a safe space where they can finally breathe, speak honestly, and receive tools that truly help.
(315) 365-5834 View (315) 365-5834
Photo of Tristan Martin, Marriage & Family Therapist, PhD, LMFT, CST
Tristan Martin
Marriage & Family Therapist, PhD, LMFT, CST
Manlius, NY 13104
Going through a hard time? Therapy can be transformative and meaningful, leading to breakthroughs in processing experiences, emotions, and strengthening insight and coping mechanisms. Collaboratively, through warmth and directness, we can navigate interpersonal and relational issues, creating change that improves well-being.
Going through a hard time? Therapy can be transformative and meaningful, leading to breakthroughs in processing experiences, emotions, and strengthening insight and coping mechanisms. Collaboratively, through warmth and directness, we can navigate interpersonal and relational issues, creating change that improves well-being.
(315) 640-4285 View (315) 640-4285
Photo of Dakota Trejo, Counselor, LMHC
Dakota Trejo
Counselor, LMHC
1 Endorsed
Fayetteville, NY 13066
“There is no greater agony than bearing an untold story inside you.” - Maya Angelou Therapy can be a place to finally tell that story, in your own pace, in your own words, without judgment. I aim to create a space that feels safe and open, where you feel supported in exploring whatever you’re carrying. I strive to meet each person with warmth, curiosity, and compassion. My trainings: Progressive Counting, Accelerated Experiential Dynamic Psychotherapy, Written Exposure Therapy, and Community Reinforcement and Family Training.
“There is no greater agony than bearing an untold story inside you.” - Maya Angelou Therapy can be a place to finally tell that story, in your own pace, in your own words, without judgment. I aim to create a space that feels safe and open, where you feel supported in exploring whatever you’re carrying. I strive to meet each person with warmth, curiosity, and compassion. My trainings: Progressive Counting, Accelerated Experiential Dynamic Psychotherapy, Written Exposure Therapy, and Community Reinforcement and Family Training.
(680) 203-2285 View (680) 203-2285
Photo of Stephanie Baker, Counselor, LMHC, MS
Stephanie Baker
Counselor, LMHC, MS
Syracuse, NY 13203
Has life thrown a curveball at you and/or your family? Or do you continuously struggle with depression and anxiety? Maybe you feel like your life is a viscous cycle of not being able to find what makes you truly happy or constantly critiquing your self-worth. Whatever the circumstances are, you want to improve your overall quality of life and effectively cope with negative life events and/or circumstances. Maybe you have suffered a significant trauma that you would like to process more in-depth or re-build parts of yourself that need to be re-discovered as a result of that trauma.
Has life thrown a curveball at you and/or your family? Or do you continuously struggle with depression and anxiety? Maybe you feel like your life is a viscous cycle of not being able to find what makes you truly happy or constantly critiquing your self-worth. Whatever the circumstances are, you want to improve your overall quality of life and effectively cope with negative life events and/or circumstances. Maybe you have suffered a significant trauma that you would like to process more in-depth or re-build parts of yourself that need to be re-discovered as a result of that trauma.
(315) 629-8441 View (315) 629-8441
Photo of Britton A. Tarris, Marriage & Family Therapist, LCSW, LMFT
Britton A. Tarris
Marriage & Family Therapist, LCSW, LMFT
1 Endorsed
New Hartford, NY 13413
Welcome! Thank you for checking out my page. I hope you will find this information helpful in your search for a potential therapist to meet your needs. I am licensed by the state of New York as a Clinical Social Worker (LCSW) and a Marriage and Family Therapist (LMFT). I completed my graduate education and clinical training in 2018 at Syracuse University. I also hold a B.S. in Business Management from Utica University (formerly known as Utica College). I practice from the theoretical model of family systems that focuses on the client’s experience within the context of their relationships.
Welcome! Thank you for checking out my page. I hope you will find this information helpful in your search for a potential therapist to meet your needs. I am licensed by the state of New York as a Clinical Social Worker (LCSW) and a Marriage and Family Therapist (LMFT). I completed my graduate education and clinical training in 2018 at Syracuse University. I also hold a B.S. in Business Management from Utica University (formerly known as Utica College). I practice from the theoretical model of family systems that focuses on the client’s experience within the context of their relationships.
(315) 306-3481 View (315) 306-3481
Photo of Douglas Goldschmidt, Clinical Social Work/Therapist, LCSWR, PhD
Douglas Goldschmidt
Clinical Social Work/Therapist, LCSWR, PhD
Fayetteville, NY 13066
I believe that therapy can develop non-judgmental awareness of what we face in the present, of thoughts and feelings that are based on conditioned reactions from our past, and of the ability to then cultivate the inner freedom that allows us to move into a future grounded in experience and directed at a positive and compassionate understanding of ourselves and of others. Developing the ability to be aware is a practice that each client learns and practices according to their needs, interests, and learning styles. There is no ideal client, there is only the commitment to practice awareness and find freedom from the past.
I believe that therapy can develop non-judgmental awareness of what we face in the present, of thoughts and feelings that are based on conditioned reactions from our past, and of the ability to then cultivate the inner freedom that allows us to move into a future grounded in experience and directed at a positive and compassionate understanding of ourselves and of others. Developing the ability to be aware is a practice that each client learns and practices according to their needs, interests, and learning styles. There is no ideal client, there is only the commitment to practice awareness and find freedom from the past.
(315) 805-4194 View (315) 805-4194
Photo of Joe Tristan, Clinical Social Work/Therapist, LCSW
Joe Tristan
Clinical Social Work/Therapist, LCSW
3 Endorsed
Serves Area
I believe one of the bravest things you can do is begin to understand your own story. It is often hard for us to accept help due to society’s belief that we should “handle it” on our own. These unhelpful thinking patterns impact how we interact in our relationships, as well as how we process things as they are happening. I strive to work with clients through the hard times while making the process as enjoyable as possible. We can get caught in bad relationships, trauma cycles, grudges, and anger.
I believe one of the bravest things you can do is begin to understand your own story. It is often hard for us to accept help due to society’s belief that we should “handle it” on our own. These unhelpful thinking patterns impact how we interact in our relationships, as well as how we process things as they are happening. I strive to work with clients through the hard times while making the process as enjoyable as possible. We can get caught in bad relationships, trauma cycles, grudges, and anger.
(607) 275-4488 View (607) 275-4488
Photo of Arshprit Singh Kalhar - Invest In You Mental Health Counseling, Pre-Licensed Professional
Invest In You Mental Health Counseling
Pre-Licensed Professional
Serves Area
Arshprit is an empathic and supportive counselor-in-training, currently pursuing his Master’s degree in Mental Health Counseling at the New York Institute of Technology. He holds a Bachelor of Science degree from Farmingdale State College and brings a strong foundation in human behavior, communication, and critical thinking to his work with clients. Arshprit has gained experience in a mental health clinic that embraced a holistic and team-based approach to care. This experience deepened his commitment to supporting individuals through collaboration, compassion, and respect for each person’s unique journey.
Arshprit is an empathic and supportive counselor-in-training, currently pursuing his Master’s degree in Mental Health Counseling at the New York Institute of Technology. He holds a Bachelor of Science degree from Farmingdale State College and brings a strong foundation in human behavior, communication, and critical thinking to his work with clients. Arshprit has gained experience in a mental health clinic that embraced a holistic and team-based approach to care. This experience deepened his commitment to supporting individuals through collaboration, compassion, and respect for each person’s unique journey.
(516) 259-1882 View (516) 259-1882
Photo of Bridget Quinn, Clinical Social Work/Therapist, LCSW-R
Bridget Quinn
Clinical Social Work/Therapist, LCSW-R
1 Endorsed
Manlius, NY 13104
Accepting in person clients in Baldwinsville in January 2026! I believe everyone is deserving of processing their emotions in a place that is safe, non judgmental and met with compassion and empathy. Working on ourselves is some of the toughest work we can do and the most important. It’s important to allow ourselves grace as we grow through the varying seasons of our lives. This growth happens in children, adolescents and adults and is always evolving. I'm honored to be able to hold space for you or your children to do this work.
Accepting in person clients in Baldwinsville in January 2026! I believe everyone is deserving of processing their emotions in a place that is safe, non judgmental and met with compassion and empathy. Working on ourselves is some of the toughest work we can do and the most important. It’s important to allow ourselves grace as we grow through the varying seasons of our lives. This growth happens in children, adolescents and adults and is always evolving. I'm honored to be able to hold space for you or your children to do this work.
(315) 909-7490 View (315) 909-7490
Photo of Steevy Griffin, Marriage & Family Therapist, LMFT, MS
Steevy Griffin
Marriage & Family Therapist, LMFT, MS
3 Endorsed
Serves Area
Therapy can be a gentle place to begin again—especially when life feels heavy, relationships feel strained, or familiar patterns no longer serve you. My work is guided by the belief that healing happens when we allow ourselves to grow, shed, and renew. I offer a warm, compassionate, and nonjudgmental space to explore attachment, practice self-compassion, and strengthen your relationship with yourself and others. As a former corporate professional turned licensed therapist, I understand burnout, reinvention, and the vulnerability it takes to start fresh and choose yourself. You don’t have to navigate this alone.
Therapy can be a gentle place to begin again—especially when life feels heavy, relationships feel strained, or familiar patterns no longer serve you. My work is guided by the belief that healing happens when we allow ourselves to grow, shed, and renew. I offer a warm, compassionate, and nonjudgmental space to explore attachment, practice self-compassion, and strengthen your relationship with yourself and others. As a former corporate professional turned licensed therapist, I understand burnout, reinvention, and the vulnerability it takes to start fresh and choose yourself. You don’t have to navigate this alone.
(929) 207-7543 View (929) 207-7543
Photo of Kirsten Linnea Bonnell - Anahata Mental Health Counseling, PLLC, Counselor, LMHC
Anahata Mental Health Counseling, PLLC
Counselor, LMHC
4 Endorsed
Manlius, NY 13104
Accepting clients for 2026! I work with entrepreneurs, creatives, spiritual and high performing adults/teens/couples with neurodivergence, a trauma history and relationship challenges. We find the relationship patterns that don't serve you. Many of my clients are low/ no contact with family of origin. If talk therapy hasn't helped you fulfill your goals then my approaches might. I offer intensive therapy sessions which are helpful because clients can do a lot of processing in a short time. This is a great option for busy people or someone who has had a disruption. I help parents who have neurodivergent children feel supported.
Accepting clients for 2026! I work with entrepreneurs, creatives, spiritual and high performing adults/teens/couples with neurodivergence, a trauma history and relationship challenges. We find the relationship patterns that don't serve you. Many of my clients are low/ no contact with family of origin. If talk therapy hasn't helped you fulfill your goals then my approaches might. I offer intensive therapy sessions which are helpful because clients can do a lot of processing in a short time. This is a great option for busy people or someone who has had a disruption. I help parents who have neurodivergent children feel supported.
(315) 288-7087 View (315) 288-7087
Photo of Denise Calcagnino, Clinical Social Work/Therapist, LCSW-R, CASAC
Denise Calcagnino
Clinical Social Work/Therapist, LCSW-R, CASAC
North Syracuse, NY 13212
I'm interested in helping you improve your quality of life. Through identifying patterns of thinking and behavior that bring about negative emotions & keep you stuck, I will assist you in developing the skills you'll need to better manage your problems and to accomplish your goals. I believe that a sound mind requires a sound body. My work includes attention to overall health, nutrition and exercise.
I'm interested in helping you improve your quality of life. Through identifying patterns of thinking and behavior that bring about negative emotions & keep you stuck, I will assist you in developing the skills you'll need to better manage your problems and to accomplish your goals. I believe that a sound mind requires a sound body. My work includes attention to overall health, nutrition and exercise.
(315) 412-1017 View (315) 412-1017
Photo of Anthony Hueber, Clinical Social Work/Therapist, LCSW-R
Anthony Hueber
Clinical Social Work/Therapist, LCSW-R
6 Endorsed
Liverpool, NY 13088
Are you feeling scared, sad or stuck but don’t know why? Relationships falling apart because you've been feeling detached, isolated, or numb? Having a hard time taking care of yourself outside of work or school? Overwhelmed and confused by the major changes going on in your life? I'd like to help! I know what it's like to be faced with making changes happen - from both sides of the therapy relationship...believe me, I get it! Opening up and really facing our problems can be scary! You don't have to do this alone! Together we can figure out what you really need and what really matters to you right now so you can stop struggling.
Are you feeling scared, sad or stuck but don’t know why? Relationships falling apart because you've been feeling detached, isolated, or numb? Having a hard time taking care of yourself outside of work or school? Overwhelmed and confused by the major changes going on in your life? I'd like to help! I know what it's like to be faced with making changes happen - from both sides of the therapy relationship...believe me, I get it! Opening up and really facing our problems can be scary! You don't have to do this alone! Together we can figure out what you really need and what really matters to you right now so you can stop struggling.
(315) 220-0343 View (315) 220-0343

See more therapy options for 13316

How does your Therapist compare?

Number of Therapists in 13316

< 10

Therapists in 13316 who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Grief
100% Anger Management
100% Coping Skills
100% Self Esteem

Average years in practice

12 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% UnitedHealthcare UHC | UBH

How Therapists in 13316 see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 13316?

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.