Therapists in 15120

Photo of Christine Cremonni, Licensed Professional Counselor, LPC
Christine Cremonni
Licensed Professional Counselor, LPC
West Homestead, PA 15120
My ideal candidate is struggling with intrusive thoughts and anxiety; they need both a safe space to share their thoughts and emotions, as well as guidance; their goals are to develop a healthier relationship with themself, as well as develop coping skills and tools to manage their mental health concerns better.
My ideal candidate is struggling with intrusive thoughts and anxiety; they need both a safe space to share their thoughts and emotions, as well as guidance; their goals are to develop a healthier relationship with themself, as well as develop coping skills and tools to manage their mental health concerns better.
(412) 634-8639 View (412) 634-8639
Photo of Michelle Perna, Licensed Professional Counselor, LPC
Michelle Perna
Licensed Professional Counselor, LPC
West Homestead, PA 15120
I am experienced in depression, anxiety, stress, trauma, relational conflict, family systems, addiction, criminal justice, anger management, eating disorders/body image, and mood disorders. The ideal client actively wants to explore their behaviors and thinking patterns and identify the underlying causes of these behaviors. In addition, the ideal client will be willing to tackle goals inside & outside therapy sessions. My ideal client would be an individual who is internally and externally motivated to change their life. They show up to sessions on time consistently and make a conscious effort to engage in the therapeutic process.
I am experienced in depression, anxiety, stress, trauma, relational conflict, family systems, addiction, criminal justice, anger management, eating disorders/body image, and mood disorders. The ideal client actively wants to explore their behaviors and thinking patterns and identify the underlying causes of these behaviors. In addition, the ideal client will be willing to tackle goals inside & outside therapy sessions. My ideal client would be an individual who is internally and externally motivated to change their life. They show up to sessions on time consistently and make a conscious effort to engage in the therapeutic process.
(412) 516-3118 View (412) 516-3118
Photo of Joseph Marsh, Licensed Professional Counselor, MA, LPC, NCC
Joseph Marsh
Licensed Professional Counselor, MA, LPC, NCC
1 Endorsed
Online Only
“It’s always best to believe in one’s self, but a little help from others can be a great blessing!” I view each person as the main character in their book of life. Each book contains stories of joy, sadness, exploration, struggle, and most importantly: hope. My goal is to assist in exploring these stories, whether you encounter depression, anxiety, life transitions, relationship issues, intersectional struggles, or self-esteem issues. I am especially sensitive to those impacted by LGBTQ issues, religious minorities, activists, uniformed public servants, and those experiencing depression.
“It’s always best to believe in one’s self, but a little help from others can be a great blessing!” I view each person as the main character in their book of life. Each book contains stories of joy, sadness, exploration, struggle, and most importantly: hope. My goal is to assist in exploring these stories, whether you encounter depression, anxiety, life transitions, relationship issues, intersectional struggles, or self-esteem issues. I am especially sensitive to those impacted by LGBTQ issues, religious minorities, activists, uniformed public servants, and those experiencing depression.
(412) 226-4125 View (412) 226-4125
Photo of Jennifer Candelario, Licensed Professional Counselor, LPC
Jennifer Candelario
Licensed Professional Counselor, LPC
West Homestead, PA 15120
Are you struggling with difficult life transitions, depression, & anxiety? I enjoy working with clients who feel motivated to take that first step of exploring reasons why they are feeling unhappy or dissatisfied with their lives right now. I work with clients who want to gain insight & learn tangible skills that they can practice outside of the therapeutic sessions to change their lives for the better. My role as a Licensed Professional Counselor is to help individuals gain insight and feel empowered to create positive change in their lives. I offer a collaborative approach to create a unique treatment plan tailored to your needs.
Are you struggling with difficult life transitions, depression, & anxiety? I enjoy working with clients who feel motivated to take that first step of exploring reasons why they are feeling unhappy or dissatisfied with their lives right now. I work with clients who want to gain insight & learn tangible skills that they can practice outside of the therapeutic sessions to change their lives for the better. My role as a Licensed Professional Counselor is to help individuals gain insight and feel empowered to create positive change in their lives. I offer a collaborative approach to create a unique treatment plan tailored to your needs.
(412) 293-0966 View (412) 293-0966
Photo of Taffie Bucci, Clinical Social Work/Therapist, LCSW
Taffie Bucci
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Thanks so much for checking out my profile! Life can be difficult to navigate and sometimes it's hard to ask for help. The decision to identify a therapist is a great start. Therapy may seem scary. However, it need not frighten you. Think of it as a conversation that opens up new thoughts and emotions. Most people find that this type of sharing is best done in partnership with someone who provides unconditional acceptance in an environment that’s calm and comforting. Are you looking for a safe welcoming place where you can just be? Be heard . . . be valued . . . be accepted exactly where you are? I can provide that.
Thanks so much for checking out my profile! Life can be difficult to navigate and sometimes it's hard to ask for help. The decision to identify a therapist is a great start. Therapy may seem scary. However, it need not frighten you. Think of it as a conversation that opens up new thoughts and emotions. Most people find that this type of sharing is best done in partnership with someone who provides unconditional acceptance in an environment that’s calm and comforting. Are you looking for a safe welcoming place where you can just be? Be heard . . . be valued . . . be accepted exactly where you are? I can provide that.
(412) 453-3127 View (412) 453-3127
Photo of Eletta Lee Cameron - Cameron's Counseling & Consulting Srvs., LLC, Clinical Social Work/Therapist, MSW, LCSW, ACSW
Cameron's Counseling & Consulting Srvs., LLC
Clinical Social Work/Therapist, MSW, LCSW, ACSW
Munhall, PA 15120
I provide individual, group/family and couples counseling. I offer consulting services to universities, schools, churches, health centers and organizations on topics related to Mental Health and Wellness in that particular setting. The goal is to help individuals as well as organizations create an environment conducive to optimal mental health and wellness functioning.
I provide individual, group/family and couples counseling. I offer consulting services to universities, schools, churches, health centers and organizations on topics related to Mental Health and Wellness in that particular setting. The goal is to help individuals as well as organizations create an environment conducive to optimal mental health and wellness functioning.
(878) 313-2253 View (878) 313-2253
Photo of Elijah Jackson, Clinical Social Work/Therapist, LCSW
Elijah Jackson
Clinical Social Work/Therapist, LCSW
West Homestead, PA 15120
Are you trying to learn more about yourself and how you can best navigate your world? Are you exploring all parts of your identity and what makes you "you"? I have focused primarily on identity-related challenges, including Gender/Sexuality exploration, Race/Ethnic identity concerns, Religious/Cultural trauma, and Sex/Intimacy issues. I also have experience helping clients navigate issues related to depression, anxiety, and ADHD/Neurodivergent disorders. I'm here to be a collaborative and warm therapist who isn't going to throw a therapy book at them but instead wants someone who sees them as human beings walking through life.
Are you trying to learn more about yourself and how you can best navigate your world? Are you exploring all parts of your identity and what makes you "you"? I have focused primarily on identity-related challenges, including Gender/Sexuality exploration, Race/Ethnic identity concerns, Religious/Cultural trauma, and Sex/Intimacy issues. I also have experience helping clients navigate issues related to depression, anxiety, and ADHD/Neurodivergent disorders. I'm here to be a collaborative and warm therapist who isn't going to throw a therapy book at them but instead wants someone who sees them as human beings walking through life.
(412) 838-3730 View (412) 838-3730
Photo of Ashley Lunt, Licensed Professional Counselor, LPC
Ashley Lunt
Licensed Professional Counselor, LPC
West Homestead, PA 15120
My ideal client is someone who is committed to wanting better for themselves . I provide an open and honest space so my clients feel safe, especially clients who suffer from trauma, depression and anxiety.
My ideal client is someone who is committed to wanting better for themselves . I provide an open and honest space so my clients feel safe, especially clients who suffer from trauma, depression and anxiety.
(412) 307-8913 View (412) 307-8913
Photo of Leah Lashlee, Clinical Social Work/Therapist, MSW, LSW, CPRP
Leah Lashlee
Clinical Social Work/Therapist, MSW, LSW, CPRP
West Homestead, PA 15120
Do you struggle with life transitions, coping with stress, relationship issues, learning how to communicate effectively, etc? Do you want to learn social or coping skills, build self-esteem, or talk through life stressors? Is your goal to gain insight into your emotions/behaviors, learn adaptive coping skills, and communicate effectively with others? My ideal client would be motivated to improve themselves in whichever goal they chose and would strive to meet their fullest potential. The client would be willing to take accountability and acknowledge their behaviors and how they may have affected them, whether good or bad.
Do you struggle with life transitions, coping with stress, relationship issues, learning how to communicate effectively, etc? Do you want to learn social or coping skills, build self-esteem, or talk through life stressors? Is your goal to gain insight into your emotions/behaviors, learn adaptive coping skills, and communicate effectively with others? My ideal client would be motivated to improve themselves in whichever goal they chose and would strive to meet their fullest potential. The client would be willing to take accountability and acknowledge their behaviors and how they may have affected them, whether good or bad.
(412) 981-1761 View (412) 981-1761
Photo of Gary Weiss, Licensed Professional Counselor, MC, LPC, NCC
Gary Weiss
Licensed Professional Counselor, MC, LPC, NCC
6 Endorsed
Online Only
I specialize with adults young and old to help them see how the internal narrative of their life affects how they live today. I am most interested in getting to know each client as an individual, not a “problem” to be fixed. I hold an understanding that people make sense of their world in different ways, and I am sensitive to finding ways to help them to rediscover the healthy parts of themselves that they may have forgotten.
I specialize with adults young and old to help them see how the internal narrative of their life affects how they live today. I am most interested in getting to know each client as an individual, not a “problem” to be fixed. I hold an understanding that people make sense of their world in different ways, and I am sensitive to finding ways to help them to rediscover the healthy parts of themselves that they may have forgotten.
(412) 534-5463 View (412) 534-5463
Photo of Cynthia Rumery, Licensed Professional Counselor, MS
Cynthia Rumery
Licensed Professional Counselor, MS
West Homestead, PA 15120
As a counselor, I have always been aware of the courage and openness a client needs to be able to seek support and engage in counseling services. I also understand how difficult it is to make therapeutic changes in one's life. I am humbled to be privileged to learn about a client's intimate struggles, and I take the depth of that relationship of respect, privacy, boundaries, and expectations very seriously. My ideal client is anyone open to counseling, receiving feedback, and willing to work together on developing action steps towards change and personal growth.
As a counselor, I have always been aware of the courage and openness a client needs to be able to seek support and engage in counseling services. I also understand how difficult it is to make therapeutic changes in one's life. I am humbled to be privileged to learn about a client's intimate struggles, and I take the depth of that relationship of respect, privacy, boundaries, and expectations very seriously. My ideal client is anyone open to counseling, receiving feedback, and willing to work together on developing action steps towards change and personal growth.
(412) 501-4066 View (412) 501-4066
Photo of Kachina Mooney, Licensed Professional Counselor, MA, ATR-BC, LPC
Kachina Mooney
Licensed Professional Counselor, MA, ATR-BC, LPC
1 Endorsed
Munhall, PA 15120
Kachina is a Board Certified Art Therapist working in the Pittsburgh region with those from all walks of life. Kachina is TF-CBT trained and she has most recently worked with immigrant teens from Central/South America, Afghanistan, and across the globe who have been displaced or are migrating to the United States for safety. Kachina has also worked with women and teens who have experienced domestic violence, sexual assault, and are homicide survivors. Being a member of the LGBTQIA+ community, Kachina also focuses her therapeutic work with those from this community who are maneuvering identity, relationship changes, and past trauma.
Kachina is a Board Certified Art Therapist working in the Pittsburgh region with those from all walks of life. Kachina is TF-CBT trained and she has most recently worked with immigrant teens from Central/South America, Afghanistan, and across the globe who have been displaced or are migrating to the United States for safety. Kachina has also worked with women and teens who have experienced domestic violence, sexual assault, and are homicide survivors. Being a member of the LGBTQIA+ community, Kachina also focuses her therapeutic work with those from this community who are maneuvering identity, relationship changes, and past trauma.
(412) 866-2857 View (412) 866-2857
Photo of Melinda Stupar Fedoris, Licensed Professional Counselor, MSEd, NCC, LPC, EMDRIA
Melinda Stupar Fedoris
Licensed Professional Counselor, MSEd, NCC, LPC, EMDRIA
3 Endorsed
Online Only
The scope of my practice encompasses treating those who experience Anxiety, Negative Beliefs about Self (worth, responsibility, power, choice, etc), Trauma, Body Image and Diet Culture, Life Stress, and Grief. Life can sometimes take hold of us and we feel like we have lost our grasp. I work to help those get a better hold on things again. My focus is on helping you find ways to heal and feel whole again. We often have a lot of unpacking we have to do to heal and feel lighter to move forward. I like to intertwine humor into the treatment experience. I focus on treating the individual.
The scope of my practice encompasses treating those who experience Anxiety, Negative Beliefs about Self (worth, responsibility, power, choice, etc), Trauma, Body Image and Diet Culture, Life Stress, and Grief. Life can sometimes take hold of us and we feel like we have lost our grasp. I work to help those get a better hold on things again. My focus is on helping you find ways to heal and feel whole again. We often have a lot of unpacking we have to do to heal and feel lighter to move forward. I like to intertwine humor into the treatment experience. I focus on treating the individual.
(412) 754-7758 View (412) 754-7758
Photo of Tara Sullivan-Butrica, Clinical Social Work/Therapist, LCSW
Tara Sullivan-Butrica
Clinical Social Work/Therapist, LCSW
West Homestead, PA 15120
Are you feeling overwhelmed by anxiety, depression, or mood swings? It can be incredibly challenging to manage emotions, especially when you’re unsure where to start. If you’re struggling with negative thinking or need help with committing to growth & healing, you’re not alone. As an LCSW specializing in anxiety, depression, and mood disorders, I’m here to help you navigate these difficult emotions and start your journey toward healing and self-discovery. I also offer TMS Therapy, providing an effective, medication-free option for treating depression.
Are you feeling overwhelmed by anxiety, depression, or mood swings? It can be incredibly challenging to manage emotions, especially when you’re unsure where to start. If you’re struggling with negative thinking or need help with committing to growth & healing, you’re not alone. As an LCSW specializing in anxiety, depression, and mood disorders, I’m here to help you navigate these difficult emotions and start your journey toward healing and self-discovery. I also offer TMS Therapy, providing an effective, medication-free option for treating depression.
(724) 835-5586 View (724) 835-5586
Photo of Katie Whitney - Steel Valley Wellness Group, Licensed Professional Counselor, LPC
Steel Valley Wellness Group
Licensed Professional Counselor, LPC
Munhall, PA 15120
The licensed professional counselors of Steel Valley Wellness Group are experienced with adults, adolescents, children and couples. We address causes of anger, irritability, anxiety, fear, sadness, depression and hopelessness, and help to identify the factors that perpetuate these problems.
The licensed professional counselors of Steel Valley Wellness Group are experienced with adults, adolescents, children and couples. We address causes of anger, irritability, anxiety, fear, sadness, depression and hopelessness, and help to identify the factors that perpetuate these problems.
(412) 866-2912 View (412) 866-2912
Photo of Michael J. Connelly, Licensed Professional Counselor, MEd, LPC, CFC, CCDP, NCC
Michael J. Connelly
Licensed Professional Counselor, MEd, LPC, CFC, CCDP, NCC
Online Only
Most of the important things in the world have been accomplished by people who have kept on trying when there seemed to be no hope at all. This is a quote by Dale Carnegie. It is what II truly believe to be true. Hope is always present even when you can't see it. I pride myself in helping others see the hope and courage they have inside of them.
Most of the important things in the world have been accomplished by people who have kept on trying when there seemed to be no hope at all. This is a quote by Dale Carnegie. It is what II truly believe to be true. Hope is always present even when you can't see it. I pride myself in helping others see the hope and courage they have inside of them.
(412) 226-4823 View (412) 226-4823
Photo of Andrew Oostdyk, Clinical Social Work/Therapist, LSW
Andrew Oostdyk
Clinical Social Work/Therapist, LSW
West Homestead, PA 15120
My ideal client is one with motivation for self-care, openness to change, and a desire to learn more about themselves and others. My ideal population consists of adults with a mental health diagnosis of anxiety, depression, PTSD, substance use disorder, and other increasingly complex diagnoses. However, I am also devoted to assisting those seeking help without a defined diagnosis and who are beginning therapy without a clear vision of treatment needs. I welcome working with anyone who may benefit from my skillset who is dealing with life’s many challenges and searching for a clearer definition and understanding of their stressors.
My ideal client is one with motivation for self-care, openness to change, and a desire to learn more about themselves and others. My ideal population consists of adults with a mental health diagnosis of anxiety, depression, PTSD, substance use disorder, and other increasingly complex diagnoses. However, I am also devoted to assisting those seeking help without a defined diagnosis and who are beginning therapy without a clear vision of treatment needs. I welcome working with anyone who may benefit from my skillset who is dealing with life’s many challenges and searching for a clearer definition and understanding of their stressors.
(412) 743-8910 View (412) 743-8910
Photo of Kathleen D Hays, Licensed Professional Counselor, BA, MS, CCTP, NCC, LPC
Kathleen D Hays
Licensed Professional Counselor, BA, MS, CCTP, NCC, LPC
2 Endorsed
Munhall, PA 15120
Waitlist for new clients
When stress, trauma, mental health disorders and life crises become too much to handle, we owe it to ourselves and to those we care about to get help. I provide hope and healing to individuals, couples and families through professional counseling and informative educational programs. Clients are empowered to achieve spiritual, emotional and physical well-being. I can help you to gain the skills to process through painful challenges and live a healthy, fulfilling life. I am committed to helping you become your best self!
When stress, trauma, mental health disorders and life crises become too much to handle, we owe it to ourselves and to those we care about to get help. I provide hope and healing to individuals, couples and families through professional counseling and informative educational programs. Clients are empowered to achieve spiritual, emotional and physical well-being. I can help you to gain the skills to process through painful challenges and live a healthy, fulfilling life. I am committed to helping you become your best self!
(412) 743-9894 View (412) 743-9894
Photo of Krystal Gibbs, Licensed Professional Counselor, MA, LPC
Krystal Gibbs
Licensed Professional Counselor, MA, LPC
Online Only
To live is to suffer; to survive is to find meaning in the suffering (Neitzsche).  We would never be able to experience our joy had we not of grown through our pain. GROWTH is the key component of findings ones true self.  Be it feelings of anxiety, depression, or symptoms of PTSD, you CAN and WILL grow to be a better version of you when you take this journey of wellness. Exploration of ones self and mental toughness are key components to living a healthy and fulfilling life. Sometimes our past experiences, generational patterns, or our current thought patterns prohibit us from achieving greatness. I have over 15 years of experience
To live is to suffer; to survive is to find meaning in the suffering (Neitzsche).  We would never be able to experience our joy had we not of grown through our pain. GROWTH is the key component of findings ones true self.  Be it feelings of anxiety, depression, or symptoms of PTSD, you CAN and WILL grow to be a better version of you when you take this journey of wellness. Exploration of ones self and mental toughness are key components to living a healthy and fulfilling life. Sometimes our past experiences, generational patterns, or our current thought patterns prohibit us from achieving greatness. I have over 15 years of experience
(412) 360-8586 View (412) 360-8586
Photo of Sarah Sprenkle, Licensed Professional Counselor, MS, LPC, NIT
Sarah Sprenkle
Licensed Professional Counselor, MS, LPC, NIT
West Homestead, PA 15120
Do you feel disconnected from yourself and your feelings, possibly due to trauma? Do you lack understanding of the cause & need education on how the brain responds to trauma? Do you have relational issues or anger management struggles that lead to addictive behaviors? Do you struggle with self-worth issues and feel tired, frustrated, and confused? In therapy, you will learn to identify trauma responses, build tolerance for difficult or uncomfortable feelings, & utilize various coping skills & grounding techniques. Gain confidence, take risks to address complex issues & learn how to create healthy boundaries for relationships.
Do you feel disconnected from yourself and your feelings, possibly due to trauma? Do you lack understanding of the cause & need education on how the brain responds to trauma? Do you have relational issues or anger management struggles that lead to addictive behaviors? Do you struggle with self-worth issues and feel tired, frustrated, and confused? In therapy, you will learn to identify trauma responses, build tolerance for difficult or uncomfortable feelings, & utilize various coping skills & grounding techniques. Gain confidence, take risks to address complex issues & learn how to create healthy boundaries for relationships.
(412) 830-7615 View (412) 830-7615

See more therapy options for 15120

How does your Therapist compare?

Number of Therapists in 15120

40+

Average cost per session

$125

Therapists in 15120 who prioritize treating:

93% Anxiety
88% Depression
80% Relationship Issues
80% Trauma and PTSD
75% Self Esteem
70% Grief
65% Stress

Average years in practice

8 Years

Top 3 insurances accepted

93% Cigna and Evernorth
85% Aetna
80% Optum

How Therapists in 15120 see their clients

65% In Person and Online
35% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 15120?

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.