Therapists in 17110

Photo of Bobby Bohr - Neuro Feedback & Counseling Center of Pennsylvania, Pre-Licensed Professional
My ideal client is someone moving through a difficult or confusing season of life—child, teen, or adult—who’s ready for support and real change. I’m especially passionate about helping individuals who are navigating anxiety, depression, identity concerns, trauma, or addiction. Many of my clients come in wanting a safe, nonjudgmental space to make sense of what they’re experiencing, learn healthier ways to cope, and feel more confident in who they are and who they’re becoming. Common goals we work on together include improving emotional regulation, strengthening self-worth, and creating more balanced, meaningful patterns in relation
My ideal client is someone moving through a difficult or confusing season of life—child, teen, or adult—who’s ready for support and real change. I’m especially passionate about helping individuals who are navigating anxiety, depression, identity concerns, trauma, or addiction. Many of my clients come in wanting a safe, nonjudgmental space to make sense of what they’re experiencing, learn healthier ways to cope, and feel more confident in who they are and who they’re becoming. Common goals we work on together include improving emotional regulation, strengthening self-worth, and creating more balanced, meaningful patterns in relation
(717) 294-8752 View (717) 294-8752
Photo of Shannon Ashley Nordt, Pre-Licensed Professional, MS, CMHC
Shannon Ashley Nordt
Pre-Licensed Professional, MS, CMHC
Harrisburg, PA 17110
I specialize in meeting my clients where they are needed and filling their toolbox with tools needed to make it throughout their day. These tools include counseling skills, meditation, mindfulness techniques and coping skills to help them in time of crisis and with everyday situations.
I specialize in meeting my clients where they are needed and filling their toolbox with tools needed to make it throughout their day. These tools include counseling skills, meditation, mindfulness techniques and coping skills to help them in time of crisis and with everyday situations.
(717) 400-6121 View (717) 400-6121
Photo of Matthew Haring, Licensed Professional Counselor, MS, LPC
Matthew Haring
Licensed Professional Counselor, MS, LPC
4 Endorsed
Harrisburg, PA 17110
Compassion is a basic human need that often goes unfulfilled. When we don’t get it from others, it’s no wonder we are our own toughest critic. We refer to ourselves in harsh terms we would likely not use with friends and family. We feel stuck, alone, hopeless. Reaching out for help is hard, but continuing the emotional suffering is even harder. My clients have described me as approachable, compassionate, & non-judgmental. My goal is to help you explore & process unhealthy patterns of thinking and behavior while learning new healthy ways to regulate your emotions, communicate with others, & to stand firm in your decision-making.
Compassion is a basic human need that often goes unfulfilled. When we don’t get it from others, it’s no wonder we are our own toughest critic. We refer to ourselves in harsh terms we would likely not use with friends and family. We feel stuck, alone, hopeless. Reaching out for help is hard, but continuing the emotional suffering is even harder. My clients have described me as approachable, compassionate, & non-judgmental. My goal is to help you explore & process unhealthy patterns of thinking and behavior while learning new healthy ways to regulate your emotions, communicate with others, & to stand firm in your decision-making.
(717) 807-5859 View (717) 807-5859
Photo of Kiana Wilbern, Clinical Social Work/Therapist, MSW, LSW
Kiana Wilbern
Clinical Social Work/Therapist, MSW, LSW
3 Endorsed
Harrisburg, PA 17110
When you help someone, you help everyone. Can I help you? If you are struggling with managing your thoughts, feelings, and/or emotions in your day to day, I can assist you. It’s my goal as your therapist to help YOU be your best version of YOU. Let’s discuss how!
When you help someone, you help everyone. Can I help you? If you are struggling with managing your thoughts, feelings, and/or emotions in your day to day, I can assist you. It’s my goal as your therapist to help YOU be your best version of YOU. Let’s discuss how!
(717) 366-8170 View (717) 366-8170
Photo of Sam Watkins - Systems Therapy LLC, Licensed Professional Counselor, LPC, CATP, CTTP
Systems Therapy LLC
Licensed Professional Counselor, LPC, CATP, CTTP
Harrisburg, PA 17110
Hello! We are a mental health group practice in Harrisburg, PA and are accepting new clients in 2025! We have licensed clinicians and clinicians certified in trauma, DBT, anxiety, and family therapy. We’re here to walk alongside you with compassion and competence. We’re not a big clinic–we’re real people who love what we do and are honored to support others on their path toward healing and self-discovery. We offer a 30 minute initial intake appointment with a $20 deposit with one of our clinicians to ensure a good fit. Reach out via email if you have any questions!
Hello! We are a mental health group practice in Harrisburg, PA and are accepting new clients in 2025! We have licensed clinicians and clinicians certified in trauma, DBT, anxiety, and family therapy. We’re here to walk alongside you with compassion and competence. We’re not a big clinic–we’re real people who love what we do and are honored to support others on their path toward healing and self-discovery. We offer a 30 minute initial intake appointment with a $20 deposit with one of our clinicians to ensure a good fit. Reach out via email if you have any questions!
(223) 218-2601 View (223) 218-2601
Photo of Lindsay Murray, Pre-Licensed Professional, MA
Lindsay Murray
Pre-Licensed Professional, MA
1 Endorsed
Harrisburg, PA 17110
I’m Lindsay, a friendly face ready to help kids, teens, and adults brighten their paths. I hold a Master of Arts in Counseling with specialized training in trauma from Arcadia University. Through my experience and training, I understand that life can be tough sometimes, and I believe everyone deserves a safe and comfortable space to explore and share their thoughts and feelings.
I’m Lindsay, a friendly face ready to help kids, teens, and adults brighten their paths. I hold a Master of Arts in Counseling with specialized training in trauma from Arcadia University. Through my experience and training, I understand that life can be tough sometimes, and I believe everyone deserves a safe and comfortable space to explore and share their thoughts and feelings.
(717) 259-2787 View (717) 259-2787
Photo of Denise Verchimak, Licensed Professional Counselor, MA, CRC, LPC
Denise Verchimak
Licensed Professional Counselor, MA, CRC, LPC
1 Endorsed
Harrisburg, PA 17110
Hello! My name is Denise Verchimak and I look forward to working with you! Life can pull us down and sometimes we need a little help to re-balance and get back on track. I believe in creating a safe place for you to share your experiences. In sessions with clients, I use a warm, encouraging model of counseling that allows you to share your deepest thoughts and concerns. I have great respect for my clients and am constantly in awe of how much people are balancing in life or how much they are dealing with emotionally. I would like to help you on your journey!
Hello! My name is Denise Verchimak and I look forward to working with you! Life can pull us down and sometimes we need a little help to re-balance and get back on track. I believe in creating a safe place for you to share your experiences. In sessions with clients, I use a warm, encouraging model of counseling that allows you to share your deepest thoughts and concerns. I have great respect for my clients and am constantly in awe of how much people are balancing in life or how much they are dealing with emotionally. I would like to help you on your journey!
(717) 535-8097 View (717) 535-8097
Photo of Taylor Waters - Taylor Waters: Child And Adolescent Therapist, Clinical Social Work/Therapist, MSW, LCSW
Taylor Waters: Child And Adolescent Therapist
Clinical Social Work/Therapist, MSW, LCSW
Harrisburg, PA 17110
My name is Taylor Waters and I am a compassionate and dedicated youth and adolescent therapist committed to guiding young minds through their unique journey. With a background of working with at-risk-youth and a specialization in working with individuals aged 8 to 18, I bring a unique blend of expertise and empathy. My warm and non-judgmental approach creates a safe space where youth and adolescents can explore their thoughts and feelings, fostering trust and open communication.
My name is Taylor Waters and I am a compassionate and dedicated youth and adolescent therapist committed to guiding young minds through their unique journey. With a background of working with at-risk-youth and a specialization in working with individuals aged 8 to 18, I bring a unique blend of expertise and empathy. My warm and non-judgmental approach creates a safe space where youth and adolescents can explore their thoughts and feelings, fostering trust and open communication.
(717) 973-8814 View (717) 973-8814
Photo of Patricia Lovelace, Licensed Professional Counselor, MA, MS, CAADC, LPC
Patricia Lovelace
Licensed Professional Counselor, MA, MS, CAADC, LPC
1 Endorsed
Harrisburg, PA 17110
Are you struggling with addictions, relationships, self-esteem, or other mental health symptoms and conditions? Do you find it difficult to navigate through relationship and emotional difficulties? Are you open to exploring both traditional and alternative therapies to find healing and support? I can provide the assistance you need!
Are you struggling with addictions, relationships, self-esteem, or other mental health symptoms and conditions? Do you find it difficult to navigate through relationship and emotional difficulties? Are you open to exploring both traditional and alternative therapies to find healing and support? I can provide the assistance you need!
(717) 837-3572 View (717) 837-3572
Photo of Diana Brown, Psychologist, PsyD
Diana Brown
Psychologist, PsyD
3 Endorsed
Harrisburg, PA 17110
Life is stressful enough and that can be made worse when you don't have the right person to talk with. It is often hard to gain clarity and find the right direction for yourself when stress, anxiety, depression, hurtful life factors and indecisiveness cloud your view. The good news is that I get that! I have a strong empathetic therapeutic style and I strive to create a warm, relaxing environment that is still conducive to the urgency you may need. I am highly trained in Cognitive Behavior Therapy (CBT), Family Systems, Emotion Focused Therapy (EFT), and Positive Psychology.
Life is stressful enough and that can be made worse when you don't have the right person to talk with. It is often hard to gain clarity and find the right direction for yourself when stress, anxiety, depression, hurtful life factors and indecisiveness cloud your view. The good news is that I get that! I have a strong empathetic therapeutic style and I strive to create a warm, relaxing environment that is still conducive to the urgency you may need. I am highly trained in Cognitive Behavior Therapy (CBT), Family Systems, Emotion Focused Therapy (EFT), and Positive Psychology.
(717) 904-7854 View (717) 904-7854
Photo of Caanen Churukha, Clinical Social Work/Therapist, LCSW
Caanen Churukha
Clinical Social Work/Therapist, LCSW
Harrisburg, PA 17110
Hello there! My name is Caanen and I'm a mental health therapist with Four Cups Counseling and Consulting. We specialize in trauma, personality disorders, and a wide range of mental health challenges for individuals of all ages. We help people who feel overwhelmed, lost, or unsure of themselves learn how to understand their feelings and respond in calmer, healthier ways. In our work together, we take small steps to build a steadier sense of self, improve communication, and create more stable and caring connections with others. We offer a safe, caring place to talk, learn about your feelings, and build healthier habits.
Hello there! My name is Caanen and I'm a mental health therapist with Four Cups Counseling and Consulting. We specialize in trauma, personality disorders, and a wide range of mental health challenges for individuals of all ages. We help people who feel overwhelmed, lost, or unsure of themselves learn how to understand their feelings and respond in calmer, healthier ways. In our work together, we take small steps to build a steadier sense of self, improve communication, and create more stable and caring connections with others. We offer a safe, caring place to talk, learn about your feelings, and build healthier habits.
(717) 759-7537 View (717) 759-7537
Photo of Amanda Levison, Licensed Professional Counselor, MS, LMHC, LPC
Amanda Levison
Licensed Professional Counselor, MS, LMHC, LPC
9 Endorsed
Harrisburg, PA 17110
Life can get a little overwhelming at times. Whether it's stress at work, problems at home, or you just haven't been feeling like yourself; therapy can help. I help by engaging with individuals and families by providing guidance and support through active listening and communication to overcome obstacles, utilizing calming techniques and guided imagery through Neurofeedback to alleviate symptoms related to health and behavior conditions. It also improves focus, attention, and memory by training your brain to maximize achievement, performance, and productivity.
Life can get a little overwhelming at times. Whether it's stress at work, problems at home, or you just haven't been feeling like yourself; therapy can help. I help by engaging with individuals and families by providing guidance and support through active listening and communication to overcome obstacles, utilizing calming techniques and guided imagery through Neurofeedback to alleviate symptoms related to health and behavior conditions. It also improves focus, attention, and memory by training your brain to maximize achievement, performance, and productivity.
(717) 977-4017 View (717) 977-4017
Photo of Kendra Kwiatkowski, Licensed Professional Counselor, LPC
Kendra Kwiatkowski
Licensed Professional Counselor, LPC
2 Endorsed
Harrisburg, PA 17110
If you’re looking for a therapist who’s real with you; someone who leads with honesty, compassion, and curiosity (and isn’t afraid to gently call you out when something’s not working) then we might be a good fit. Whether you’re an adolescent, teen or young adult trying to make sense of life, trying to understand anxiety or a parent carrying the weight of everyone else’s needs on your shoulders, I see you. It’s exhausting trying to hold it all together, but you don’t have to do it alone.
If you’re looking for a therapist who’s real with you; someone who leads with honesty, compassion, and curiosity (and isn’t afraid to gently call you out when something’s not working) then we might be a good fit. Whether you’re an adolescent, teen or young adult trying to make sense of life, trying to understand anxiety or a parent carrying the weight of everyone else’s needs on your shoulders, I see you. It’s exhausting trying to hold it all together, but you don’t have to do it alone.
(717) 423-1402 View (717) 423-1402
Photo of Marlyn Toledo, Pre-Licensed Professional
Marlyn Toledo
Pre-Licensed Professional
1 Endorsed
Harrisburg, PA 17110
Life can pull you in so many directions, leaving you uncertain of where to focus. Whether you're at a career crossroads, juggling personal challenges, or craving a deeper sense of purpose, you're not alone. Together, we can discover what's holding you back, determine what truly matters, and build a path forward that brings more fulfillment, confidence, and joy.
Life can pull you in so many directions, leaving you uncertain of where to focus. Whether you're at a career crossroads, juggling personal challenges, or craving a deeper sense of purpose, you're not alone. Together, we can discover what's holding you back, determine what truly matters, and build a path forward that brings more fulfillment, confidence, and joy.
(717) 905-0377 View (717) 905-0377
Photo of Duronn Stern - Collaborative Mental Wellness, Clinical Social Work/Therapist, MSW, LCSW
Collaborative Mental Wellness
Clinical Social Work/Therapist, MSW, LCSW
3 Endorsed
Harrisburg, PA 17110
My name is Duronn Stern and I am the owner of Collaborative Mental Wellness. I know dealing with life can be difficult. Creating a pathway towards change to improve your life sometimes requires help without the fear of being judged. Allow me to collaborate with you a trustworthy, confidential, and therapeutic alliance. Together we can navigate issues and/or concerns that prevent you from fully thriving. Whether it be an obstacle you are currently facing, or past trauma, together we can do the work to help reposition you to reach your full potential. I know how important it is to be heard, understood, and accepted.
My name is Duronn Stern and I am the owner of Collaborative Mental Wellness. I know dealing with life can be difficult. Creating a pathway towards change to improve your life sometimes requires help without the fear of being judged. Allow me to collaborate with you a trustworthy, confidential, and therapeutic alliance. Together we can navigate issues and/or concerns that prevent you from fully thriving. Whether it be an obstacle you are currently facing, or past trauma, together we can do the work to help reposition you to reach your full potential. I know how important it is to be heard, understood, and accepted.
(717) 219-5349 View (717) 219-5349
Photo of Maria T Myers, Clinical Social Work/Therapist, LCSW
Maria T Myers
Clinical Social Work/Therapist, LCSW
3 Endorsed
Harrisburg, PA 17110
Stuck in a cycle of stress? Worry? Sadness? Trauma? Difficult relationships? People pleasing? While change can be hard and scary to think about, staying stuck in a painful spot can be harder. Deciding to explore therapy is a wonderful first step. Together we will work on ways to moving you from that difficult place, to where you want to be. Anxiety, stress, trauma, attachment issues and neurodivergence areas I am trained and experienced with and enjoy working with. Couples feeling disconnected or unheard are also areas of expertise, learning new skills together can shift the focus and open up new possibilities together.
Stuck in a cycle of stress? Worry? Sadness? Trauma? Difficult relationships? People pleasing? While change can be hard and scary to think about, staying stuck in a painful spot can be harder. Deciding to explore therapy is a wonderful first step. Together we will work on ways to moving you from that difficult place, to where you want to be. Anxiety, stress, trauma, attachment issues and neurodivergence areas I am trained and experienced with and enjoy working with. Couples feeling disconnected or unheard are also areas of expertise, learning new skills together can shift the focus and open up new possibilities together.
(717) 484-9059 View (717) 484-9059
Photo of Diane Michelle Edmond - Diane Edmond Therapy and LPC Supervsion, Licensed Professional Counselor, MS, LPC, CAADC
Diane Edmond Therapy and LPC Supervsion
Licensed Professional Counselor, MS, LPC, CAADC
2 Endorsed
Harrisburg, PA 17110
Are you struggling with depression, anxiety or bipolar disorder? Are you coping with the aftermath of trauma, abuse or effects of active military experience? Are you or a family member using drugs or alcohol to self-medicate? My clinical experience includes over 25 years in the field working in a variety of settings including inpatient and outpatient substance abuse, outpatient mental health , and working with children in foster care. I have an eclectic approach with a emphasis on cognitive therapy. I have an advanced certification in addictions and extensive work with trauma including EMDR.
Are you struggling with depression, anxiety or bipolar disorder? Are you coping with the aftermath of trauma, abuse or effects of active military experience? Are you or a family member using drugs or alcohol to self-medicate? My clinical experience includes over 25 years in the field working in a variety of settings including inpatient and outpatient substance abuse, outpatient mental health , and working with children in foster care. I have an eclectic approach with a emphasis on cognitive therapy. I have an advanced certification in addictions and extensive work with trauma including EMDR.
(717) 454-2377 View (717) 454-2377
Photo of Jess Fox Huss, Licensed Professional Counselor, LPC, CCTP
Jess Fox Huss
Licensed Professional Counselor, LPC, CCTP
3 Endorsed
Harrisburg, PA 17110
Hi, I'm Jess, a licensed professional counselor. Adulting sometimes is rough, high school can be difficult, and just going through any life changes can be hard. If you are looking for help with coping skills, processing life's events, or a non-biased listener, I am here to work with you. I specialize in family therapy and work with couples, families, and individuals on a range of issues. Send me an email or give me a call to see if we would be a good fit to help you work towards your goals! Whether you are more comfortable meeting in the office or online, I am available Monday through Thursday.
Hi, I'm Jess, a licensed professional counselor. Adulting sometimes is rough, high school can be difficult, and just going through any life changes can be hard. If you are looking for help with coping skills, processing life's events, or a non-biased listener, I am here to work with you. I specialize in family therapy and work with couples, families, and individuals on a range of issues. Send me an email or give me a call to see if we would be a good fit to help you work towards your goals! Whether you are more comfortable meeting in the office or online, I am available Monday through Thursday.
(223) 215-4473 View (223) 215-4473
Photo of Jennifer Ray, Clinical Social Work/Therapist, LSW
Jennifer Ray
Clinical Social Work/Therapist, LSW
Harrisburg, PA 17110
Life can feel heavy when parts of you are pulling in different directions. Maybe one part wants change while another feels scared, or a critical voice keeps showing up. That can leave you feeling stuck, anxious, or worn out. I work with children, teens, and young adults who want a space to slow down and listen to what is happening inside. In therapy, every part of you is welcome. Together, we can bring curiosity and compassion to your story so you feel less alone and more connected to yourself.
Life can feel heavy when parts of you are pulling in different directions. Maybe one part wants change while another feels scared, or a critical voice keeps showing up. That can leave you feeling stuck, anxious, or worn out. I work with children, teens, and young adults who want a space to slow down and listen to what is happening inside. In therapy, every part of you is welcome. Together, we can bring curiosity and compassion to your story so you feel less alone and more connected to yourself.
(717) 535-8687 View (717) 535-8687
Photo of Jessica Myers-Adams, Clinical Social Work/Therapist, LCSW
Jessica Myers-Adams
Clinical Social Work/Therapist, LCSW
3 Endorsed
Harrisburg, PA 17110
I clients who feel overwhelmed, disconnected, or stuck show up with more clarity, confidence, and calm—especially in their relationships and day-to-day life. My approach blends practical tools with deep emotional work, using IFS-informed therapy and, when desired, spiritual coaching. Whether you're navigating stress, setting boundaries, or healing old patterns, I create a space where your growth, faith, and voice are all welcome.
I clients who feel overwhelmed, disconnected, or stuck show up with more clarity, confidence, and calm—especially in their relationships and day-to-day life. My approach blends practical tools with deep emotional work, using IFS-informed therapy and, when desired, spiritual coaching. Whether you're navigating stress, setting boundaries, or healing old patterns, I create a space where your growth, faith, and voice are all welcome.
(717) 340-9301 View (717) 340-9301

See more therapy options for 17110

How does your Therapist compare?

Number of Therapists in 17110

90+

Average cost per session

$135

Therapists in 17110 who prioritize treating:

93% Anxiety
88% Depression
71% Trauma and PTSD
61% Self Esteem
60% Relationship Issues
59% Grief
58% Stress

Average years in practice

12 Years

Top 3 insurances accepted

82% Aetna
76% Highmark
66% Cigna and Evernorth

How Therapists in 17110 see their clients

66% In Person and Online
34% Online Only

Gender breakdown

72% Female
28% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 17110?

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.