Therapists in 19003

Photo of Christine Nelson, Clinical Social Work/Therapist, LCSW
Christine Nelson
Clinical Social Work/Therapist, LCSW
Ardmore, PA 19003
Do you find yourself on edge, overwhelmed, exhausted, or going through life on autopilot? This is your body communicating distress, which you try to manage on your own, but you continue to remain stuck. This is not your fault. Whether you are experiencing high stress, anxiety, depression, shame, or life after trauma your brain and body want to heal. I work with children, teens, and adults to resolve trauma wounds, effectively manage anxiety and mood, and navigate neurodivergence. We can focus on short term therapy for symptom management or deeper work to address long standing patterns and root issues.
Do you find yourself on edge, overwhelmed, exhausted, or going through life on autopilot? This is your body communicating distress, which you try to manage on your own, but you continue to remain stuck. This is not your fault. Whether you are experiencing high stress, anxiety, depression, shame, or life after trauma your brain and body want to heal. I work with children, teens, and adults to resolve trauma wounds, effectively manage anxiety and mood, and navigate neurodivergence. We can focus on short term therapy for symptom management or deeper work to address long standing patterns and root issues.
(484) 989-7739 View (484) 989-7739
Photo of Michelle Clemmer, Licensed Professional Counselor, LPC, RPT, MEd
Michelle Clemmer
Licensed Professional Counselor, LPC, RPT, MEd
Ardmore, PA 19003
Do you have a child or teenager that you are worried about? Have they exhibited behaviors that are getting them into trouble? Children, like adults, need to learn healthy coping skills to manage the stressors of today's world. Issues such as divorce, loss of a loved one, school and peer pressures can be challenging for families. As a registered play therapist, I work within the context of family therapy to provide a safe space for children to address their deep emotions while providing support and education to parents so they can continue the healing process at home.
Do you have a child or teenager that you are worried about? Have they exhibited behaviors that are getting them into trouble? Children, like adults, need to learn healthy coping skills to manage the stressors of today's world. Issues such as divorce, loss of a loved one, school and peer pressures can be challenging for families. As a registered play therapist, I work within the context of family therapy to provide a safe space for children to address their deep emotions while providing support and education to parents so they can continue the healing process at home.
(484) 572-4577 View (484) 572-4577
Photo of Megan Matusky, Clinical Social Work/Therapist, MSW, LCSW
Megan Matusky
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Ardmore, PA 19003
Are you feeling stuck, overwhelmed, or weighed down by past experiences—despite your best efforts to move forward? Have you been in talk therapy for years but still feel like something hasn’t shifted? You’re not alone. Sometimes insight isn’t enough to bring the deep healing we’re seeking. That’s why I specialize in helping adults heal the roots of trauma so they can finally move forward with clarity, confidence, and peace. I integrate EMDR (Eye Movement Desensitization and Reprocessing) and Internal Family Systems (IFS) therapy; two powerful, research-supported approaches that work together to create lasting change.
Are you feeling stuck, overwhelmed, or weighed down by past experiences—despite your best efforts to move forward? Have you been in talk therapy for years but still feel like something hasn’t shifted? You’re not alone. Sometimes insight isn’t enough to bring the deep healing we’re seeking. That’s why I specialize in helping adults heal the roots of trauma so they can finally move forward with clarity, confidence, and peace. I integrate EMDR (Eye Movement Desensitization and Reprocessing) and Internal Family Systems (IFS) therapy; two powerful, research-supported approaches that work together to create lasting change.
(484) 207-5628 View (484) 207-5628
Photo of Tonia Betancourt, Clinical Social Work/Therapist, MSS, LCSW, RPT-S
Tonia Betancourt
Clinical Social Work/Therapist, MSS, LCSW, RPT-S
Ardmore, PA 19003
We are living in challenging times. Children and parents need support to get through issues such as divorce, loss of a loved one, illness of a family member, school pressures, adolescent conflict, adult children moving back into the home and bullying. Within the context of family therapy, I work with children ages three through the young adult years. I am a trained play therapist and able to help children and adolescents express their feelings and deep emotions. I am able to work, both individually with family members and in family therapy, to support change and growth for the entire family.
We are living in challenging times. Children and parents need support to get through issues such as divorce, loss of a loved one, illness of a family member, school pressures, adolescent conflict, adult children moving back into the home and bullying. Within the context of family therapy, I work with children ages three through the young adult years. I am a trained play therapist and able to help children and adolescents express their feelings and deep emotions. I am able to work, both individually with family members and in family therapy, to support change and growth for the entire family.
(484) 577-2376 View (484) 577-2376
Photo of Michele M Marsh, Psychologist, PhD, CST, CST-S
Michele M Marsh
Psychologist, PhD, CST, CST-S
3 Endorsed
Ardmore, PA 19003
I am dedicated to helping each individual, couple or family find the keys to a happier and more satisfying life. To this end, I make a special effort to understand each person's dilemmas and what it would take to help them increase their experiences of joy and pleasure in their personal lives, one moment at a time. As the sources of pain emerge in therapy, I include each person's needs in the search for steps forward. My practice includes many individuals and couples who suffer from depression, anxiety, relationship distress, sexual dissatisfaction and the effects of past trauma.
I am dedicated to helping each individual, couple or family find the keys to a happier and more satisfying life. To this end, I make a special effort to understand each person's dilemmas and what it would take to help them increase their experiences of joy and pleasure in their personal lives, one moment at a time. As the sources of pain emerge in therapy, I include each person's needs in the search for steps forward. My practice includes many individuals and couples who suffer from depression, anxiety, relationship distress, sexual dissatisfaction and the effects of past trauma.
(267) 419-6419 View (267) 419-6419
Photo of Emily Earley, Clinical Social Work/Therapist, LCSW
Emily Earley
Clinical Social Work/Therapist, LCSW
1 Endorsed
Ardmore, PA 19003
Hi, my name is Emily, and I am a LCSW at Calm Mind Therapy. I specialize in working with children and adolescents, and have experience providing counseling services in the school environment. I am also an EMDR trained therapist and specialize in working with individuals impacted by trauma. I am committed to providing a safe and affirming space for my clients to process, problem-solve, heal, and grow. My goal is to form a supportive and trusting relationship with each client, where they feel empowered to share their deepest struggles. I consider it an honor to walk alongside my clients during difficult seasons.
Hi, my name is Emily, and I am a LCSW at Calm Mind Therapy. I specialize in working with children and adolescents, and have experience providing counseling services in the school environment. I am also an EMDR trained therapist and specialize in working with individuals impacted by trauma. I am committed to providing a safe and affirming space for my clients to process, problem-solve, heal, and grow. My goal is to form a supportive and trusting relationship with each client, where they feel empowered to share their deepest struggles. I consider it an honor to walk alongside my clients during difficult seasons.
(484) 882-0705 View (484) 882-0705
Photo of Allison Rapp - Anxiety and Depression Solutions, Counselor, MS, LPC
Anxiety and Depression Solutions
Counselor, MS, LPC
1 Endorsed
Ardmore, PA 19003
Sometimes people get stuck in patterns that make life feel unsatisfying and empty. Are you feeling sad, angry, worried, or struggling with life balance in general? Perhaps you are struggling with processing current events in our world, relationship issues, parenting issues, or have a painful past event that you can't seem to let go. Therapy allows you the space to understand how your past and present thoughts and experiences create the unhealthy patterns that become ingrained.
Sometimes people get stuck in patterns that make life feel unsatisfying and empty. Are you feeling sad, angry, worried, or struggling with life balance in general? Perhaps you are struggling with processing current events in our world, relationship issues, parenting issues, or have a painful past event that you can't seem to let go. Therapy allows you the space to understand how your past and present thoughts and experiences create the unhealthy patterns that become ingrained.
(443) 341-9205 View (443) 341-9205
Photo of Margot Burke - Milestones Psychology and Wellness, Psychologist, PsyD
Milestones Psychology and Wellness
Psychologist, PsyD
1 Endorsed
Ardmore, PA 19003
At Milestones Psychology and Wellness, we strive to help children and families develop new skills and confidence to reach their fullest potential. Our treatment is grounded in relationship based methods to foster meaningful connections to peers, parents and the community. Our cutting edge therapeutic interventions are based on the most up to date science of the developing brain.
At Milestones Psychology and Wellness, we strive to help children and families develop new skills and confidence to reach their fullest potential. Our treatment is grounded in relationship based methods to foster meaningful connections to peers, parents and the community. Our cutting edge therapeutic interventions are based on the most up to date science of the developing brain.
(215) 883-4161 View (215) 883-4161
Photo of Josh Clemmons, Licensed Professional Counselor, LPC
Josh Clemmons
Licensed Professional Counselor, LPC
Ardmore, PA 19003
I have helped a wide variety of clients, and have utilized a breadth of counseling techniques including cognitive-behavioral therapy, existential therapy, and group therapy. I specialize in men's mental health and hold a special respect for the unique needs of such clients and the methods that work best for them. I seek to create a space in which all people can find the emotional safety and freedom to process their experience, heal past traumas, and live a better life.
I have helped a wide variety of clients, and have utilized a breadth of counseling techniques including cognitive-behavioral therapy, existential therapy, and group therapy. I specialize in men's mental health and hold a special respect for the unique needs of such clients and the methods that work best for them. I seek to create a space in which all people can find the emotional safety and freedom to process their experience, heal past traumas, and live a better life.
(610) 890-9384 View (610) 890-9384
Photo of Miriam Fife, Clinical Social Work/Therapist, EdD, MSS, LCSW
Miriam Fife
Clinical Social Work/Therapist, EdD, MSS, LCSW
1 Endorsed
Ardmore, PA 19003
When unexpected changes, relationship difficulties, and new or long-standing challenges feel hard to manage, finding a therapist who is the right fit can be a powerful investment in your well-being. As a therapist, I start from a place of empathy and understanding. I work in partnership with you to create a safe place where you can speak openly, find ways to cope with difficulties, and foster growth. My approach is collaborative - we work together on your goals, whether addressing patterns that no longer serve you, building relationships and improving communication, or finding new ways to build your agency and empowerment.
When unexpected changes, relationship difficulties, and new or long-standing challenges feel hard to manage, finding a therapist who is the right fit can be a powerful investment in your well-being. As a therapist, I start from a place of empathy and understanding. I work in partnership with you to create a safe place where you can speak openly, find ways to cope with difficulties, and foster growth. My approach is collaborative - we work together on your goals, whether addressing patterns that no longer serve you, building relationships and improving communication, or finding new ways to build your agency and empowerment.
(484) 779-9202 View (484) 779-9202
Photo of Susan Lankin-Watts, Clinical Social Work/Therapist, LCSW
Susan Lankin-Watts
Clinical Social Work/Therapist, LCSW
2 Endorsed
Ardmore, PA 19003
Trauma brings waves of fear and emptiness, clouds thinking, and makes everyday life feel heavy. Sleep shifts, it's impossible to focus, and even small tasks become exhausting. Connections with others feel fragile, your body holds tension without reason, and coping appears in unhealthy ways like withdrawal, numbing, or compulsive habits. The painful memories that resurface at the least expected times are affecting your relationships. Hiding inside yourself has become a way to live because you want everything to go away, even yourself. Something needs to change, but you just don't know where to even start.
Trauma brings waves of fear and emptiness, clouds thinking, and makes everyday life feel heavy. Sleep shifts, it's impossible to focus, and even small tasks become exhausting. Connections with others feel fragile, your body holds tension without reason, and coping appears in unhealthy ways like withdrawal, numbing, or compulsive habits. The painful memories that resurface at the least expected times are affecting your relationships. Hiding inside yourself has become a way to live because you want everything to go away, even yourself. Something needs to change, but you just don't know where to even start.
(610) 615-7157 View (610) 615-7157
Photo of Jaime Zuckerman - The Z Group, Psychologist, PsyD
The Z Group
Psychologist, PsyD
Ardmore, PA 19003
Feel out of control or stuck in your life? Can't stop worrying? Carrying heavy sadness? We can help. The Z Group specializes in the treatment of adults dealing with anxiety, depression, and complex relationship issues. These difficulties, along with life's everyday stressors, can greatly impact your ability to enjoy life, connect with loved ones. Through therapy you will learn behavior strategies and emotional coping skills needed to achieve your goals, helping you to live a more fulfilled life. Update: Our therapists are now able to see patients nationwide. (some state exclusions apply.)
Feel out of control or stuck in your life? Can't stop worrying? Carrying heavy sadness? We can help. The Z Group specializes in the treatment of adults dealing with anxiety, depression, and complex relationship issues. These difficulties, along with life's everyday stressors, can greatly impact your ability to enjoy life, connect with loved ones. Through therapy you will learn behavior strategies and emotional coping skills needed to achieve your goals, helping you to live a more fulfilled life. Update: Our therapists are now able to see patients nationwide. (some state exclusions apply.)
(610) 628-1463 View (610) 628-1463
Photo of Barbara Haines, Clinical Social Work/Therapist, LCSW
Barbara Haines
Clinical Social Work/Therapist, LCSW
Ardmore, PA 19003
I enjoy working with clients of all ages who want to address symptoms of mental and behavioral health problems.
I enjoy working with clients of all ages who want to address symptoms of mental and behavioral health problems.
(610) 598-6144 View (610) 598-6144
Photo of Jessica Avart, Psychologist, PsyD
Jessica Avart
Psychologist, PsyD
1 Endorsed
Ardmore, PA 19003
Dr. Jessica Avart is a licensed clinical psychologist specializing in evidenced-based strategies including Cognitive Behavioral Therapy (CBT) for individuals with depression, anxiety, relationship difficulties, and life transitions. Dr. Avart also specializes in parenting behaviors, helping parents to develop and maintain effective strategies and boundaries within their family dynamics. With over a decade of experience, Dr. Avart has established herself as a compassionate and skilled professional in the field of mental health across a wide range of clients, including children, families, and adults.
Dr. Jessica Avart is a licensed clinical psychologist specializing in evidenced-based strategies including Cognitive Behavioral Therapy (CBT) for individuals with depression, anxiety, relationship difficulties, and life transitions. Dr. Avart also specializes in parenting behaviors, helping parents to develop and maintain effective strategies and boundaries within their family dynamics. With over a decade of experience, Dr. Avart has established herself as a compassionate and skilled professional in the field of mental health across a wide range of clients, including children, families, and adults.
(215) 874-0440 View (215) 874-0440
Photo of Dr. Raquel Emdur, Psychologist, PsyD, LPC, MT-BC
Dr. Raquel Emdur
Psychologist, PsyD, LPC, MT-BC
Ardmore, PA 19003
Dr. Raquel Emdur is licensed clinical psychologist, board certified music therapist and licensed professional counselor with training in integrative psychology, humanistic/existential, cognitive behavioral and psychodynamic/psychoanalytic approaches. We can explore your dreams together. I offer EMDR and MARI-Mandala therapeutic assessments. My colleagues and I offer therapy both in our Ardmore office as well as virtually and are pleased to work with adolescents and adults from diverse backgrounds.
Dr. Raquel Emdur is licensed clinical psychologist, board certified music therapist and licensed professional counselor with training in integrative psychology, humanistic/existential, cognitive behavioral and psychodynamic/psychoanalytic approaches. We can explore your dreams together. I offer EMDR and MARI-Mandala therapeutic assessments. My colleagues and I offer therapy both in our Ardmore office as well as virtually and are pleased to work with adolescents and adults from diverse backgrounds.
(484) 497-0955 View (484) 497-0955
Photo of Hannah North, Licensed Professional Counselor, MS
Hannah North
Licensed Professional Counselor, MS
Ardmore, PA 19003
My approach to therapy is holistic, engaging and centered around highlighting my client’s strengths so that these can be harnessed to help them reach their goals. I am an EMDR certified therapist and integrate psychodynamic and behaviorally oriented approaches into my work. I specialize in treating simple and complex trauma, anxiety, ADHD, mood disorders, and relational issues. I also have training in mindfulness based stress reduction, and have a particular interest in helping women navigate life transitions, challenges in intimate relationships/dating, and their journey with pregnancy and parenthood.
My approach to therapy is holistic, engaging and centered around highlighting my client’s strengths so that these can be harnessed to help them reach their goals. I am an EMDR certified therapist and integrate psychodynamic and behaviorally oriented approaches into my work. I specialize in treating simple and complex trauma, anxiety, ADHD, mood disorders, and relational issues. I also have training in mindfulness based stress reduction, and have a particular interest in helping women navigate life transitions, challenges in intimate relationships/dating, and their journey with pregnancy and parenthood.
(215) 650-8496 View (215) 650-8496
Photo of Chandler Sydnor, Clinical Social Work/Therapist, MSW, LCSW
Chandler Sydnor
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Ardmore, PA 19003
Are you feeling lost, disconnected, or overwhelmed in your relationships or in life as a whole? Do you find yourself paralyzed by anxiety, shame, or hurt? Are trauma, grief, loss, or life circumstances making it hard to achieve your goals or connect with your partner? Whether you're navigating personal struggles or facing challenges in your relationship, I’m here to help you and your partner find understanding and healing. I work with both individuals and couples to strengthen connections, improve communication, and overcome obstacles together. You don't have to face these challenges alone—let's work through them together.
Are you feeling lost, disconnected, or overwhelmed in your relationships or in life as a whole? Do you find yourself paralyzed by anxiety, shame, or hurt? Are trauma, grief, loss, or life circumstances making it hard to achieve your goals or connect with your partner? Whether you're navigating personal struggles or facing challenges in your relationship, I’m here to help you and your partner find understanding and healing. I work with both individuals and couples to strengthen connections, improve communication, and overcome obstacles together. You don't have to face these challenges alone—let's work through them together.
(484) 989-9773 View (484) 989-9773
Photo of Elizabeth Scheirer - Liz Scheirer Therapy Services, Marriage & Family Therapist, MA, LMFT
Liz Scheirer Therapy Services
Marriage & Family Therapist, MA, LMFT
Ardmore, PA 19003
If you’re a parent of an adolescent struggling with mental health, know that you don’t have to manage these struggles alone. Feeling helpless about not knowing another way to deal with your child’s presenting problems is difficult. But I'm here to tell you that there is no “wrong” way to parent your child with mental health challenges. I can help both you and your beloved adolescent connect, build resiliency, and manage developmental challenges. We’ll work on communication and improving interactions between you and your child, and I will support you in making informed decisions about your adolescent’s mental health.
If you’re a parent of an adolescent struggling with mental health, know that you don’t have to manage these struggles alone. Feeling helpless about not knowing another way to deal with your child’s presenting problems is difficult. But I'm here to tell you that there is no “wrong” way to parent your child with mental health challenges. I can help both you and your beloved adolescent connect, build resiliency, and manage developmental challenges. We’ll work on communication and improving interactions between you and your child, and I will support you in making informed decisions about your adolescent’s mental health.
(484) 989-9469 View (484) 989-9469
Photo of Mary Elizabeth Mulligan, Licensed Associate Professional Counselor, MEd, LAPC
Mary Elizabeth Mulligan
Licensed Associate Professional Counselor, MEd, LAPC
Ardmore, PA 19003
I am a Licensed Associate Professional Counselor (LAPC) dedicated to helping individuals navigate their emotional and psychological challenges. My approach is compassionate and client-centered, encouraging clients to take the lead in their healing journey. I am committed to creating a safe and supportive environment where clients can explore their thoughts, feelings, and behaviors. I earned my Master’s in Counseling from Temple University, where I developed a strong foundation in various therapeutic modalities.
I am a Licensed Associate Professional Counselor (LAPC) dedicated to helping individuals navigate their emotional and psychological challenges. My approach is compassionate and client-centered, encouraging clients to take the lead in their healing journey. I am committed to creating a safe and supportive environment where clients can explore their thoughts, feelings, and behaviors. I earned my Master’s in Counseling from Temple University, where I developed a strong foundation in various therapeutic modalities.
(484) 240-4987 View (484) 240-4987
Photo of Rachel Millan, Counselor, MS, LPC
Rachel Millan
Counselor, MS, LPC
2 Endorsed
Ardmore, PA 19003
Hello! My name is Rachel, and I’m a Licensed Professional Counselor at Calm Mind Therapy. I work with children, teens, and adults as they navigate identity, emotions, relationships, and all the changes that come with different stages of life.
Hello! My name is Rachel, and I’m a Licensed Professional Counselor at Calm Mind Therapy. I work with children, teens, and adults as they navigate identity, emotions, relationships, and all the changes that come with different stages of life.
(484) 559-7749 View (484) 559-7749

See more therapy options for 19003

How does your Therapist compare?

Number of Therapists in 19003

200+

Average cost per session

$165

Therapists in 19003 who prioritize treating:

93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
87% Depression
81% Relationship Issues
76% Self Esteem

Average years in practice

13 Years

Top 3 insurances accepted

77% Aetna
57% Highmark
47% Cigna and Evernorth

How Therapists in 19003 see their clients

70% In Person and Online
30% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 19003?

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.