Photo of Amanda Merola, Amanda Merola, LCSW, Clinical Social Work/Therapist
Amanda Merola
Clinical Social Work/Therapist, Amanda Merola, LCSW
Verified Verified
Oakmont, PA 15139  (Online Only)
Hello! My main priority with clients is to create a safe space that is free from judgment or criticism. I help clients explore their emotions, life events and goals in a supportive and collaborative environment. I strive to empower my clients to take an active role in their treatment. I use a CBT focused approach. I enjoy sharing and educating clients on resources and tools to help best support them. I welcome you to contact me via phone or email to setup an initial consultation to determine if we will be a good fit.
Hello! My main priority with clients is to create a safe space that is free from judgment or criticism. I help clients explore their emotions, life events and goals in a supportive and collaborative environment. I strive to empower my clients to take an active role in their treatment. I use a CBT focused approach. I enjoy sharing and educating clients on resources and tools to help best support them. I welcome you to contact me via phone or email to setup an initial consultation to determine if we will be a good fit.
(724) 860-3685 View (724) 860-3685
Photo of Christopher M Parada, MA, LPC, Licensed Professional Counselor
Christopher M Parada
Licensed Professional Counselor, MA, LPC
Verified Verified
Oakmont, PA 15139
Hello and thank you for taking the time to learn a little bit more about my therapy practice. What I can offer you is not just the experience of 21 years in working with various disorders ranging from depression, anxiety, and addictions in different realms with an objective, non-judgemental perspective. This combination will allow us to begin a journey, identifying the thoughts and behaviors that have been weighing on you for so long. My goal is to help you find the unlock to feeling better and living your best life. This is done through deepening the understanding of yourself in a patient, calm and nurturing environment.
Hello and thank you for taking the time to learn a little bit more about my therapy practice. What I can offer you is not just the experience of 21 years in working with various disorders ranging from depression, anxiety, and addictions in different realms with an objective, non-judgemental perspective. This combination will allow us to begin a journey, identifying the thoughts and behaviors that have been weighing on you for so long. My goal is to help you find the unlock to feeling better and living your best life. This is done through deepening the understanding of yourself in a patient, calm and nurturing environment.
(412) 583-7132 View (412) 583-7132
Photo of Dante Mancini, PhD, Psychologist
Dante Mancini
Psychologist, PhD
Verified Verified
3 Endorsed
Oakmont, PA 15139
I am a Pennsylvania and New York licensed clinical psychologist. I believe that every person is different, bringing with him or her a unique set of difficulties, backgrounds, and strengths to my office. Therefore, I like to take an eclectic approach, meaning that I tailor the treatment specifically to the individual patient's needs. There is no "one size fits all" therapy. Of course this is done collaboratively; anything that is done in therapy is at first discussed, and I never proceed unless the patient agrees with the treatment plan.
I am a Pennsylvania and New York licensed clinical psychologist. I believe that every person is different, bringing with him or her a unique set of difficulties, backgrounds, and strengths to my office. Therefore, I like to take an eclectic approach, meaning that I tailor the treatment specifically to the individual patient's needs. There is no "one size fits all" therapy. Of course this is done collaboratively; anything that is done in therapy is at first discussed, and I never proceed unless the patient agrees with the treatment plan.
(412) 265-1314 View (412) 265-1314
Photo of Heather Scheele, LPC, Licensed Professional Counselor
Heather Scheele
Licensed Professional Counselor, LPC
Verified Verified
Oakmont, PA 15139
I believe everyone has the potential to thrive regardless of age, gender, race, ability, diagnosis, or experience, but often life’s challenges deplete the very internal resources we need to flourish. Sometimes we need the support of a trained professional to help navigate the difficult emotions and questions we are left with, especially when they interfere with our daily life or just won't go away. I provide a compassionate and professional environment where clients can safely explore what is holding them back so they heal and move forward.
I believe everyone has the potential to thrive regardless of age, gender, race, ability, diagnosis, or experience, but often life’s challenges deplete the very internal resources we need to flourish. Sometimes we need the support of a trained professional to help navigate the difficult emotions and questions we are left with, especially when they interfere with our daily life or just won't go away. I provide a compassionate and professional environment where clients can safely explore what is holding them back so they heal and move forward.
(412) 547-8547 View (412) 547-8547
Photo of Shannon Stonebrook, MS, LPC, Licensed Professional Counselor
Shannon Stonebrook
Licensed Professional Counselor, MS, LPC
Verified Verified
5 Endorsed
Oakmont, PA 15139
Waitlist for new clients
Whether you're looking to make significant changes in your life, need some assistance with coping skills, or just need someone kind to talk with and truly hear you, I would be honored to work with you on making positive progress in your life.
Whether you're looking to make significant changes in your life, need some assistance with coping skills, or just need someone kind to talk with and truly hear you, I would be honored to work with you on making positive progress in your life.
(412) 275-6853 View (412) 275-6853
Photo of Kristen Bruce, LPC, Licensed Professional Counselor
Kristen Bruce
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Oakmont, PA 15139
Sometimes life can feel unmanageable and overwhelming. Everyone has been through times that have felt impossible, and it is my goal in therapy to help you to find a way out. I offer a strength-based approach that allows my clients to pull from their most valued characteristics in order to overcome life struggles, build self-esteem, and create an overall feeling of happiness. I believe that everyone has the wisdom to find their own path, but are sometimes distracted by the adversities of life. Therapy is a great opportunity to rediscover yourself and build a better future.
Sometimes life can feel unmanageable and overwhelming. Everyone has been through times that have felt impossible, and it is my goal in therapy to help you to find a way out. I offer a strength-based approach that allows my clients to pull from their most valued characteristics in order to overcome life struggles, build self-esteem, and create an overall feeling of happiness. I believe that everyone has the wisdom to find their own path, but are sometimes distracted by the adversities of life. Therapy is a great opportunity to rediscover yourself and build a better future.
(878) 201-4697 View (878) 201-4697
Photo of Maureen Finnegan Gebler, LCSW, MSW, ACSW, CSAT, CPTT, Clinical Social Work/Therapist
Maureen Finnegan Gebler
Clinical Social Work/Therapist, LCSW, MSW, ACSW, CSAT, CPTT
Verified Verified
Oakmont, PA 15139
"Those who have a 'why' to live, can bear with almost any 'how'."--Victor Frankl I offer a private and confidential space for individuals to join me in removing walls that separate themselves from others. I treat a wide range of issues, including grief, trauma, mood and anxiety disorders, spiritual crises, infidelity, sexual compulsivity behavior and betrayed partner trauma. I provide an atmosphere with no hidden agendas or unspoken intentions. I embrace a non-judgmental approach which facilitates the healing process.
"Those who have a 'why' to live, can bear with almost any 'how'."--Victor Frankl I offer a private and confidential space for individuals to join me in removing walls that separate themselves from others. I treat a wide range of issues, including grief, trauma, mood and anxiety disorders, spiritual crises, infidelity, sexual compulsivity behavior and betrayed partner trauma. I provide an atmosphere with no hidden agendas or unspoken intentions. I embrace a non-judgmental approach which facilitates the healing process.
(412) 906-9238 View (412) 906-9238
Photo of Sharon Young, PhD, Psychologist
Sharon Young
Psychologist, PhD
Verified Verified
Oakmont, PA 15139  (Online Only)
Hello! I am a Clinical Psychologist licensed in Pennsylvania with over twenty years of experience practicing psychotherapy. I earned a doctorate (PhD) in clinical psychology from Georgia State University. I have worked with clients of various ages in a variety of settings. In addition, I have worked with clients experiencing a wide variety of psychological challenges and concerns, including: mood disorders, anxiety disorders; psychotic disorders; attentional difficulties; impulse control and behavioral problems; substance use and misuse problems; and problems associated with significant stress and trauma.
Hello! I am a Clinical Psychologist licensed in Pennsylvania with over twenty years of experience practicing psychotherapy. I earned a doctorate (PhD) in clinical psychology from Georgia State University. I have worked with clients of various ages in a variety of settings. In addition, I have worked with clients experiencing a wide variety of psychological challenges and concerns, including: mood disorders, anxiety disorders; psychotic disorders; attentional difficulties; impulse control and behavioral problems; substance use and misuse problems; and problems associated with significant stress and trauma.
(412) 561-9961 View (412) 561-9961
Photo of Keri Mason - Keri Mason, LCSW, LCSW, MSW, Clinical Social Work/Therapist
Keri Mason, LCSW
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
3 Endorsed
Oakmont, PA 15139
Change. Who says it is easy? Change can be challenging, frustrating and REWARDING! Thanks for taking the first step on your journey to meaningful transition. Keri Mason is equipped to walk with you through your journey and help you achieve tranquility and stability in your life. I am skilled at treating anxiety, depression, life transitions and other issues throughout the lifespan. I help family members work through concerns they might have when dealing with a loved one with emotional or substance abuse concerns as well as handling end of life decisions. We will work together to find solutions that are practical and easily applied.
Change. Who says it is easy? Change can be challenging, frustrating and REWARDING! Thanks for taking the first step on your journey to meaningful transition. Keri Mason is equipped to walk with you through your journey and help you achieve tranquility and stability in your life. I am skilled at treating anxiety, depression, life transitions and other issues throughout the lifespan. I help family members work through concerns they might have when dealing with a loved one with emotional or substance abuse concerns as well as handling end of life decisions. We will work together to find solutions that are practical and easily applied.
(724) 705-0056 View (724) 705-0056
Photo of Tiffany Leonard, PsyD, Psychologist
Tiffany Leonard
Psychologist, PsyD
Verified Verified
1 Endorsed
Oakmont, PA 15139  (Online Only)
Not accepting new clients
Life is constantly changing. Transitions are often rewarding, yet change can create distress, upsetting your closest relationships, turn daily functioning into a struggle, or have you feeling physically ill. I specialize in working with adults & young adults managing life transitions & interpersonal conflicts (partner, coworker, peer). I would like to join with you on your journey to regaining a sense of control over your life. Other special interests include issues related to: young adulthood, college, career change or conflict, family of origin conflict/(how growing up impacted your choices today), & codependency.
Life is constantly changing. Transitions are often rewarding, yet change can create distress, upsetting your closest relationships, turn daily functioning into a struggle, or have you feeling physically ill. I specialize in working with adults & young adults managing life transitions & interpersonal conflicts (partner, coworker, peer). I would like to join with you on your journey to regaining a sense of control over your life. Other special interests include issues related to: young adulthood, college, career change or conflict, family of origin conflict/(how growing up impacted your choices today), & codependency.
(412) 407-4182 View (412) 407-4182
Photo of Kathleen Fawcett, LPC, NCC, Licensed Professional Counselor
Kathleen Fawcett
Licensed Professional Counselor, LPC, NCC
Verified Verified
Oakmont, PA 15139
Not accepting new clients
Are you feeling overwhelmed by the demands of day-to-day living, a major change or event, difficulties in a relationship, dwelling on the past, or worrying about the future? Let's talk.
Are you feeling overwhelmed by the demands of day-to-day living, a major change or event, difficulties in a relationship, dwelling on the past, or worrying about the future? Let's talk.
(878) 203-1906 View (878) 203-1906
Photo of Marci L Sturgeon-Rusiewicz - InnerBalance Psychotherapy, MS, NCC, LPC, Licensed Professional Counselor
InnerBalance Psychotherapy
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Oakmont, PA 15139
Waitlist for new clients
I am pleased to offer both individual and couple’s counseling services in a private practice setting. My training as a therapist involves psychodynamic and psychoanalytic theory and my approach with clients is process oriented, integrative and individual. Areas of specialty are grief and loss as well as women’s health including fertility issues among others. I have extensive experience in helping transition age (14-18) and adult clients through partnering with them and encouraging an understanding of unique feelings, personality traits and life situations to achieve greater insight toward overall health, wellness, and stability.
I am pleased to offer both individual and couple’s counseling services in a private practice setting. My training as a therapist involves psychodynamic and psychoanalytic theory and my approach with clients is process oriented, integrative and individual. Areas of specialty are grief and loss as well as women’s health including fertility issues among others. I have extensive experience in helping transition age (14-18) and adult clients through partnering with them and encouraging an understanding of unique feelings, personality traits and life situations to achieve greater insight toward overall health, wellness, and stability.
(412) 896-0621 View (412) 896-0621
Photo of Colin O'Grady, MEd, LPC, Licensed Professional Counselor
Colin O'Grady
Licensed Professional Counselor, MEd, LPC
Verified Verified
Oakmont, PA 15139
****Teletherapy Available****Hello and nice to meet you. I look forward to supporting your journey of problem solving, gaining insight and living a fuller life. Are your family members practicing "unhealthy" communication habits? Is your child, adolescent or college age student struggling in school? If so, counseling may be an option. I am a former School Counselor for 12 years, so I am well versed in a variety of school related issues such as academic and career counseling and personal or social difficulties.
****Teletherapy Available****Hello and nice to meet you. I look forward to supporting your journey of problem solving, gaining insight and living a fuller life. Are your family members practicing "unhealthy" communication habits? Is your child, adolescent or college age student struggling in school? If so, counseling may be an option. I am a former School Counselor for 12 years, so I am well versed in a variety of school related issues such as academic and career counseling and personal or social difficulties.
(724) 620-4909 View (724) 620-4909
Photo of Sarah Caligiuri, LPC, NCC, Licensed Professional Counselor
Sarah Caligiuri
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Oakmont, PA 15139
I am Licensed Professional Counselor with over 15 years of experience working with adults, adolescents, and children with depression, anxiety, and trying to navigate life transitions. I believe to move forward in life, especially through difficult times, one has to find the balance between acceptance and change. My goal in therapy is to aid you through your journey and help you to remove the feeling of being "stuck". My aims is to work with you in a collaborative and genuine manner. My approach is influenced by being trained in Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Mindfulness Based Stress Reduction.
I am Licensed Professional Counselor with over 15 years of experience working with adults, adolescents, and children with depression, anxiety, and trying to navigate life transitions. I believe to move forward in life, especially through difficult times, one has to find the balance between acceptance and change. My goal in therapy is to aid you through your journey and help you to remove the feeling of being "stuck". My aims is to work with you in a collaborative and genuine manner. My approach is influenced by being trained in Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Mindfulness Based Stress Reduction.
(412) 564-4445 View (412) 564-4445
Photo of Carol Moran, MA, NCC, LPC, Licensed Professional Counselor
Carol Moran
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Oakmont, PA 15139  (Online Only)
Not accepting new clients
I believe that, despite our differences, we all want the same thing in life....to be happy. We have our own definitions of what that means, but many common elements appear across the spectrum. I love being able to guide the process of discovery with my clients, to help identify where their attention is best spent. I believe we all have the innate wisdom to make sound decisions for ourselves but sometimes are too close to the situation to be able to trust our instincts. I see therapy as an opportunity to explore options, and ask new challenging questions.
I believe that, despite our differences, we all want the same thing in life....to be happy. We have our own definitions of what that means, but many common elements appear across the spectrum. I love being able to guide the process of discovery with my clients, to help identify where their attention is best spent. I believe we all have the innate wisdom to make sound decisions for ourselves but sometimes are too close to the situation to be able to trust our instincts. I see therapy as an opportunity to explore options, and ask new challenging questions.
(412) 453-4189 View (412) 453-4189
Photo of Alicia Bisaha, MA, NCC, LPC, Licensed Professional Counselor
Alicia Bisaha
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Oakmont, PA 15139
Is depression or anxiety keeping you from fully enjoying your life? Would you like to improve your relationships with family, friends, or others? Do you feel stressed or stuck? People seek therapy for many different reasons. Whatever the reason, it should be a life enhancing experience. I have assisted many individuals and families with these and other life issues and would like to help you!
Is depression or anxiety keeping you from fully enjoying your life? Would you like to improve your relationships with family, friends, or others? Do you feel stressed or stuck? People seek therapy for many different reasons. Whatever the reason, it should be a life enhancing experience. I have assisted many individuals and families with these and other life issues and would like to help you!
(412) 228-0727 View (412) 228-0727
Photo of Bonnie Lou Ricard, MEd, NCC, LPC, Licensed Professional Counselor
Bonnie Lou Ricard
Licensed Professional Counselor, MEd, NCC, LPC
Verified Verified
3 Endorsed
Oakmont, PA 15139
Bonnie Ricard is a Licensed Professional Counselor in Pennsylvania and certified by the National Board of Counseling. Her undergraduate work was completed at Kent State University and she received her Masters in Counseling from the University of Pittsburgh. She has more than two decades of experience in the counseling profession with a focus on relational issues, life transitions, emotional distress, grief, crises and trauma. She has also done significant work in the field of substance use and its far reaching implications on individuals and families.
Bonnie Ricard is a Licensed Professional Counselor in Pennsylvania and certified by the National Board of Counseling. Her undergraduate work was completed at Kent State University and she received her Masters in Counseling from the University of Pittsburgh. She has more than two decades of experience in the counseling profession with a focus on relational issues, life transitions, emotional distress, grief, crises and trauma. She has also done significant work in the field of substance use and its far reaching implications on individuals and families.
(412) 564-4138 View (412) 564-4138
Photo of Anita Herbulock - Adapt Counseling Services LLC, LCSW, Clinical Social Work/Therapist
Adapt Counseling Services LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Oakmont, PA 15139  (Online Only)
What would feeling better look like? There is a path to better living and you do not have to walk alone. Anxiety, depression, grief, substance use, or relational problems may have taken you off of that path. Together, we will explore strategies that will allow you to get to the root causes of your struggles, and reestablish meaningful connections.
What would feeling better look like? There is a path to better living and you do not have to walk alone. Anxiety, depression, grief, substance use, or relational problems may have taken you off of that path. Together, we will explore strategies that will allow you to get to the root causes of your struggles, and reestablish meaningful connections.
(724) 213-7524 View (724) 213-7524
Photo of Kesha Jackson - Counseling With Confidence, LLC, LPC, NBCC, MS, Licensed Professional Counselor
Counseling With Confidence, LLC
Licensed Professional Counselor, LPC, NBCC, MS
Verified Verified
Oakmont, PA 15139  (Online Only)
Kesha is a culturally competent licensed mental health therapist in Western PA and understands the mental health processes of clients from different economic backgrounds. During her counseling/coaching sessions she begins by building trust and rapport with her clients because it is important for the client to believe that they have a voice in maintaining their health. Kesha works intensely with clients utilizing mindfulness techniques to enhance inner strengths and abilities to increase their levels of self - esteem.
Kesha is a culturally competent licensed mental health therapist in Western PA and understands the mental health processes of clients from different economic backgrounds. During her counseling/coaching sessions she begins by building trust and rapport with her clients because it is important for the client to believe that they have a voice in maintaining their health. Kesha works intensely with clients utilizing mindfulness techniques to enhance inner strengths and abilities to increase their levels of self - esteem.
(412) 668-1218 View (412) 668-1218
Photo of Jennifer Constanos - Lifebulb Counseling & Therapy, LCSW, Clinical Social Work/Therapist
Lifebulb Counseling & Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Oakmont, PA 15139
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
(412) 838-4560 View (412) 838-4560
1

See more therapy options for 15139

How does your Therapist compare?

Number of Therapists in 15139

20+

Average cost per session

$125

Therapists in 15139 who prioritize treating:

100% Depression
100% Anxiety
88% Coping Skills
80% Self Esteem
76% Relationship Issues
72% Grief
68% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

96% Highmark
75% University of Pittsburgh Medical Center (UPMC) Hea
67% Aetna

How Therapists in 15139 see their clients

76% In Person and Online
24% Online Only

Gender breakdown

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

How can I find a therapist in 15139?

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.