Photo of Stacy Hunt - Bucks Recovery Center, PhD, Psychologist
Bucks Recovery Center
Psychologist, PhD
Verified Verified
Levittown, PA 19056
Bucks Recovery Center, a branch of Bucks Support Services, has two locations in Bucks County, PA (Newtown & Buckingham). We are a supportive space for clients in ongoing recovery from substance use, alcoholism, and addiction, featuring: individual, family and group psychotherapy; community-based support groups; and educational outreach. The therapists at Bucks Recovery Center use a "Harm Reduction" model and can support many modalities of recovery treatment.
Bucks Recovery Center, a branch of Bucks Support Services, has two locations in Bucks County, PA (Newtown & Buckingham). We are a supportive space for clients in ongoing recovery from substance use, alcoholism, and addiction, featuring: individual, family and group psychotherapy; community-based support groups; and educational outreach. The therapists at Bucks Recovery Center use a "Harm Reduction" model and can support many modalities of recovery treatment.
(267) 382-4157 View (267) 382-4157
Photo of Christine Toy-Dragoni - Christine ToyDragoni Licensed Therapist, MA, LPC, Licensed Professional Counselor
Christine ToyDragoni Licensed Therapist
Licensed Professional Counselor, MA, LPC
Verified Verified
Levittown, PA 19056
"Each of us is born with the potential to be the best version of ourselves. For most of us, along the way, life can get in the way. Whether it's substances, relationships, anxiety or negative thoughts; we lose our way. We find ourselves muddling through what is meant to be a satisfying and uplifting journey. If you want to discover how to get back to that inborn potential; therapy may be the answer. I won't have all the answers, no one knows you better than you! I will help you uncover the answers that are true for you."
"Each of us is born with the potential to be the best version of ourselves. For most of us, along the way, life can get in the way. Whether it's substances, relationships, anxiety or negative thoughts; we lose our way. We find ourselves muddling through what is meant to be a satisfying and uplifting journey. If you want to discover how to get back to that inborn potential; therapy may be the answer. I won't have all the answers, no one knows you better than you! I will help you uncover the answers that are true for you."
(267) 281-3275 View (267) 281-3275
Photo of Jennifer Davis, MSW, LCSW, QCSW, Clinical Social Work/Therapist
Jennifer Davis
Clinical Social Work/Therapist, MSW, LCSW, QCSW
Verified Verified
Levittown, PA 19056
I have worked in the field of mental health for over 20 years with a variety of age groups and ethnicities. I provide individual therapy. I cover a wide range of therapeutic issues.
I have worked in the field of mental health for over 20 years with a variety of age groups and ethnicities. I provide individual therapy. I cover a wide range of therapeutic issues.
(267) 309-2053 View (267) 309-2053
Photo of Angiemar Morales-Acuna - Healing Source Counseling LLC, MA, LPC, Licensed Professional Counselor
Healing Source Counseling LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Online Only
Hello! My Name is Angiemar Morales-Acuna. I conduct VIRTUAL sessions only! Session availability are Monday-Friday 9am-2pm. My goal is for patients to feel safe at all times in a place where they can genuinely express themselves without fear of judgment. I am here to help you be the person you always visioned yourself to be! I am here to guide you and make sure therapy is not a scary journey but one full of Hope! There is a light at the end of that dark tunnel!
Hello! My Name is Angiemar Morales-Acuna. I conduct VIRTUAL sessions only! Session availability are Monday-Friday 9am-2pm. My goal is for patients to feel safe at all times in a place where they can genuinely express themselves without fear of judgment. I am here to help you be the person you always visioned yourself to be! I am here to guide you and make sure therapy is not a scary journey but one full of Hope! There is a light at the end of that dark tunnel!
(215) 398-4057 View (215) 398-4057
Photo of Karly Pulcinella, MSEd, LPC, Licensed Professional Counselor
Karly Pulcinella
Licensed Professional Counselor, MSEd, LPC
Verified Verified
Online Only
Are you struggling to balance all of your competing priorities? Are you experiencing a time of change or life transition? Are you feeling "stuck" or unsure of yourself? These scenarios are not only common, but a natural part of our imperfect lives while navigating today's world. I believe that everyone can benefit from a non-judgmental, safe space to process thoughts, feelings & emotions out loud. I also believe in the power of transparency & humor, so clients can feel comfortable to be themselves. Therapy should not be a space that you feel nervous about, rather one you look forward to and leave feeling less "heavy."
Are you struggling to balance all of your competing priorities? Are you experiencing a time of change or life transition? Are you feeling "stuck" or unsure of yourself? These scenarios are not only common, but a natural part of our imperfect lives while navigating today's world. I believe that everyone can benefit from a non-judgmental, safe space to process thoughts, feelings & emotions out loud. I also believe in the power of transparency & humor, so clients can feel comfortable to be themselves. Therapy should not be a space that you feel nervous about, rather one you look forward to and leave feeling less "heavy."
(484) 673-6980 View (484) 673-6980
Photo of Alyssa Earlen, MA, LAPC, NCC
Alyssa Earlen
Associate Professional Counselor, MA, LAPC, NCC
Verified Verified
Levittown, PA 19056
I specialize in working with children, adolescents, & young adults experiencing emotional dysregulation, low self-esteem, anxiety & stress, disordered eating/eating disorders, body image issues, & other mental health concerns. I have experience providing individual counseling in a private practice setting. I often draw concepts from motivational interviewing, CBT, solution-focused therapy, DBT, & ACT, but will always meet clients where they are. I assist clients in recognizing their personal strengths to utilize during hardships.
I specialize in working with children, adolescents, & young adults experiencing emotional dysregulation, low self-esteem, anxiety & stress, disordered eating/eating disorders, body image issues, & other mental health concerns. I have experience providing individual counseling in a private practice setting. I often draw concepts from motivational interviewing, CBT, solution-focused therapy, DBT, & ACT, but will always meet clients where they are. I assist clients in recognizing their personal strengths to utilize during hardships.
(267) 656-7212 View (267) 656-7212
Photo of Michele Suarez, LPC, MS, NCC, Counselor
Michele Suarez
Counselor, LPC, MS, NCC
Verified Verified
2 Endorsed
Levittown, PA 19056
Do you find yourself experiencing anxiety, perfectionism, or have a low self-view? Are you currently struggling with depression, or going through grief and loss? Maybe you want to grow in your relationships, like in your communication or setting boundaries. Or do you find yourself struggling with motivation and focus and feel like you just need the right tools to get on track and moving throughout your day. These are areas that I'm passionate about and would be excited in helping you reach your goals.
Do you find yourself experiencing anxiety, perfectionism, or have a low self-view? Are you currently struggling with depression, or going through grief and loss? Maybe you want to grow in your relationships, like in your communication or setting boundaries. Or do you find yourself struggling with motivation and focus and feel like you just need the right tools to get on track and moving throughout your day. These are areas that I'm passionate about and would be excited in helping you reach your goals.
(833) 305-8090 View (833) 305-8090

More Therapists Nearby

Photo of Christine Shaw, MA, LPC, Licensed Professional Counselor
Christine Shaw
Licensed Professional Counselor, MA, LPC
Verified Verified
I help adults, couples, and late teens in addressing trauma recovery, interpersonal & communication challenges, conflict, grief, loss, phase of life adjustments, and areas relating to stress, sexuality, career, faith, and roadblocks to success. I incorporate experiential and somatically-oriented modalities along with cognitive and skill-based approaches. I trained in Emotionally Focused Therapy for couples, and utilize the Prepare-Enrich assessment with those discerning engagement or preparing for marriage. For those seeking career direction, exercises are used to hone self-knowledge, strategic focus, and steps toward a good fit.
I help adults, couples, and late teens in addressing trauma recovery, interpersonal & communication challenges, conflict, grief, loss, phase of life adjustments, and areas relating to stress, sexuality, career, faith, and roadblocks to success. I incorporate experiential and somatically-oriented modalities along with cognitive and skill-based approaches. I trained in Emotionally Focused Therapy for couples, and utilize the Prepare-Enrich assessment with those discerning engagement or preparing for marriage. For those seeking career direction, exercises are used to hone self-knowledge, strategic focus, and steps toward a good fit.
(484) 271-0650 View (484) 271-0650
Photo of Scott Abrams, PhD, Psychologist
Scott Abrams
Psychologist, PhD
Verified Verified
Doylestown, PA 18901
Moods or anxiety can feel overwhelming, and cause problems in personal relationships, work, or social life. Anger or anxiety can bubble up or creep in without a clear reason. At times emotional changes can feel like a roller coaster. For many, there are things they've never told anyone, but that linger in their mind. For some people, these issues have come up recently, and others have been grappling for a lifetime. Does any or all of this seem to apply to you or someone close to you? Need to talk about it?
Moods or anxiety can feel overwhelming, and cause problems in personal relationships, work, or social life. Anger or anxiety can bubble up or creep in without a clear reason. At times emotional changes can feel like a roller coaster. For many, there are things they've never told anyone, but that linger in their mind. For some people, these issues have come up recently, and others have been grappling for a lifetime. Does any or all of this seem to apply to you or someone close to you? Need to talk about it?
(408) 660-3125 View (408) 660-3125
Photo of Madison Krull, MA, Pre-Licensed Professional
Madison Krull
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Online Only
INSTANT availability for Aetna and self-pay clients! Weekend morning appointments available! As your therapist, I recognize thoughts, feelings and emotions as a complex and natural part of the human experience. When we are able to respond to and understand these experiences as such, it is possible to become mindfully present, focused, and to cultivate healthy relationships. In our work together, I will help you explore the many parts of yourself and identify necessary tools to navigate life’s circumstances.
INSTANT availability for Aetna and self-pay clients! Weekend morning appointments available! As your therapist, I recognize thoughts, feelings and emotions as a complex and natural part of the human experience. When we are able to respond to and understand these experiences as such, it is possible to become mindfully present, focused, and to cultivate healthy relationships. In our work together, I will help you explore the many parts of yourself and identify necessary tools to navigate life’s circumstances.
(412) 910-2994 View (412) 910-2994
Photo of Lexi Windsor, LCPC
Lexi Windsor
Licensed Clinical Professional Counselor, LCPC
Verified Verified
1 Endorsed
Online Only
Hey there! My name is Lexi, and I am a Licensed Clinical Professional Counselor (LCPC) in Maryland and Pennsylvania. I have immediate availability for telehealth sessions, and could be a good fit for those looking to work through trauma (relational, single-incident, or complex), their relationship with food and body, or those needing general support through the qualms of late-stage capitalism.
Hey there! My name is Lexi, and I am a Licensed Clinical Professional Counselor (LCPC) in Maryland and Pennsylvania. I have immediate availability for telehealth sessions, and could be a good fit for those looking to work through trauma (relational, single-incident, or complex), their relationship with food and body, or those needing general support through the qualms of late-stage capitalism.
(240) 358-4241 View (240) 358-4241
Photo of Ann B Spooner, MSS, LSW, Clinical Social Work/Therapist
Ann B Spooner
Clinical Social Work/Therapist, MSS, LSW
Verified Verified
Wayne, PA 19087
As a therapist specializing in empowering survivors of sexual abuse, navigating depression and anxiety, assisting with life transitions, and supporting blended families, I create a safe space for clients to reclaim their agency. I use trauma-informed techniques, CBT, mindfulness, and emotion-focused therapy to foster resilience. With open communication and boundaries, I help blended families thrive. Faith-based counseling is available upon request. I'm committed to holistic care, guiding clients with compassion on their journey to healing and transformation
As a therapist specializing in empowering survivors of sexual abuse, navigating depression and anxiety, assisting with life transitions, and supporting blended families, I create a safe space for clients to reclaim their agency. I use trauma-informed techniques, CBT, mindfulness, and emotion-focused therapy to foster resilience. With open communication and boundaries, I help blended families thrive. Faith-based counseling is available upon request. I'm committed to holistic care, guiding clients with compassion on their journey to healing and transformation
(215) 883-4884 View (215) 883-4884
Photo of Sarah Burgess, LPC, Licensed Professional Counselor
Sarah Burgess
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19102
Sarah Burgess, LPC Sarah Burgess is a Licensed Professional Counselor and Board-Certified Art Therapist in Pennsylvania who has been practicing since 2021. Sarah offers a safe, non-judgmental, and authentic space to explore patterns of behavior and examine feelings while developing creative solutions and enduring habits of self-awareness and growth. Integrating features of Person-Centered Therapy, Sensorimotor Psychotherapy, DBT, Art Therapy, and Mindfulness-Based Practices, Sarah collaborates with individuals experiencing transition, grief, loss, anxiety, depression, anger, trauma, and neurodiversity.
Sarah Burgess, LPC Sarah Burgess is a Licensed Professional Counselor and Board-Certified Art Therapist in Pennsylvania who has been practicing since 2021. Sarah offers a safe, non-judgmental, and authentic space to explore patterns of behavior and examine feelings while developing creative solutions and enduring habits of self-awareness and growth. Integrating features of Person-Centered Therapy, Sensorimotor Psychotherapy, DBT, Art Therapy, and Mindfulness-Based Practices, Sarah collaborates with individuals experiencing transition, grief, loss, anxiety, depression, anger, trauma, and neurodiversity.
(484) 292-2612 View (484) 292-2612
Photo of Ilona Naroditskiy, MA, LPC, Licensed Professional Counselor
Ilona Naroditskiy
Licensed Professional Counselor, MA, LPC
Verified Verified
13 Endorsed
Holland, PA 18966
Being a parent is not easy and it's OK to reach out for help when your child's behavior is a bigger challenge than you ever expected. As a child and family counselor I enjoy helping families with children with developmental, emotional and behavioral concerns. I will work with your family to help you find effective parenting solutions, achieve better communication, and re-discover the joy of being around each other. I also provide mental health counseling and support to young adults transitioning to adulthood and aging out of the special education system.
Being a parent is not easy and it's OK to reach out for help when your child's behavior is a bigger challenge than you ever expected. As a child and family counselor I enjoy helping families with children with developmental, emotional and behavioral concerns. I will work with your family to help you find effective parenting solutions, achieve better communication, and re-discover the joy of being around each other. I also provide mental health counseling and support to young adults transitioning to adulthood and aging out of the special education system.
(267) 270-5527 View (267) 270-5527
Photo of Maya McKenzie, LCSW, Clinical Social Work/Therapist
Maya McKenzie
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I hope that you will leave our sessions feeling heard, affirmed, and with tools to move forward. I am a strong advocate for all of my clients, and especially hope to serve those who may face marginalization in society and in mental health care, specifically fat people, LGBTQ+ people, and survivors of trauma. I believe that you are an expert in your own experience and seek to learn from and with you during our time together. My therapeutic style brings together a diverse set of therapeutic knowledge and tools in order to uniquely meet your needs.
I hope that you will leave our sessions feeling heard, affirmed, and with tools to move forward. I am a strong advocate for all of my clients, and especially hope to serve those who may face marginalization in society and in mental health care, specifically fat people, LGBTQ+ people, and survivors of trauma. I believe that you are an expert in your own experience and seek to learn from and with you during our time together. My therapeutic style brings together a diverse set of therapeutic knowledge and tools in order to uniquely meet your needs.
(646) 212-1728 View (646) 212-1728
Photo of Emily Kranzley Killar - Emily Kranzley Killar, Psy.D., PsyD, Psychologist
Emily Kranzley Killar, Psy.D.
Psychologist, PsyD
Verified Verified
Blue Bell, PA 19422
Waitlist for new clients
As a licensed psychologist since 2001, I provide neuropsychological, psychoeducational, and psychological evaluation of Children, Adolescents, & Adults. I believe a collaborative, therapeutic approach to assessment enables me to provide my clients answers to the questions they have about their abilities, diagnosis, and treatment. Areas of expertise and interest include: School Psychology, Learning Disabilities, ADHD, Autism Spectrum Disorder, Neuropsychiatric Conditions, Post-Concussion, School Admissions Testing, and Standardized Testing Accommodations. Consultation services available. Coming Soon: Executive Functions Coaching.
As a licensed psychologist since 2001, I provide neuropsychological, psychoeducational, and psychological evaluation of Children, Adolescents, & Adults. I believe a collaborative, therapeutic approach to assessment enables me to provide my clients answers to the questions they have about their abilities, diagnosis, and treatment. Areas of expertise and interest include: School Psychology, Learning Disabilities, ADHD, Autism Spectrum Disorder, Neuropsychiatric Conditions, Post-Concussion, School Admissions Testing, and Standardized Testing Accommodations. Consultation services available. Coming Soon: Executive Functions Coaching.
(267) 263-7512 View (267) 263-7512
Photo of Nicholas G DeMaria, MS, LPC, NCC, Licensed Professional Counselor
Nicholas G DeMaria
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Villanova, PA 19085
Do you feel like you need to take a closer look at your life? Maybe something doesn't feel quite right, and you're looking for guidance to identify and overcome that challenge. Therapy with me is a process which involves examining your feelings and experiences to illuminate a path to a better quality of life. Getting the help you need through therapy can be courageous and empowering. It would be my privilege to help light the way forward for you.
Do you feel like you need to take a closer look at your life? Maybe something doesn't feel quite right, and you're looking for guidance to identify and overcome that challenge. Therapy with me is a process which involves examining your feelings and experiences to illuminate a path to a better quality of life. Getting the help you need through therapy can be courageous and empowering. It would be my privilege to help light the way forward for you.
(610) 600-6461 View (610) 600-6461
Photo of Blair Currie Mead, MA, LPC, Licensed Professional Counselor
Blair Currie Mead
Licensed Professional Counselor, MA, LPC
Verified Verified
Online Only
Do you feel overwhelmed these days, finding yourself caught in a cycle of stress? Does the caretaking always fall to you? Are you also grappling with depression and anxiety in reaction to either a past trauma and/or burnout? My name is Blair Mead, and I'm a licensed professional counselor in Pennsylvania. I work with children, adolescents, and women who are experiencing what I like to call "multiple-role fatigue". I have experience in treating depression, anxiety, and I work with my clients using various evidence-based, trauma-informed treatment modalities, including EMDR.
Do you feel overwhelmed these days, finding yourself caught in a cycle of stress? Does the caretaking always fall to you? Are you also grappling with depression and anxiety in reaction to either a past trauma and/or burnout? My name is Blair Mead, and I'm a licensed professional counselor in Pennsylvania. I work with children, adolescents, and women who are experiencing what I like to call "multiple-role fatigue". I have experience in treating depression, anxiety, and I work with my clients using various evidence-based, trauma-informed treatment modalities, including EMDR.
(814) 801-3799 View (814) 801-3799
Photo of Johnnie Marie Berry, LCSW, MDiv, Clinical Social Work/Therapist
Johnnie Marie Berry
Clinical Social Work/Therapist, LCSW, MDiv
Verified Verified
Online Only
ACC (Acceptance and Commitment towards Change) LLC takes a holistic approach to helping individuals with mental health & behavioral concerns (currently through telehealth). My goal is to empower and assist individuals, families, and groups heal through the process of change. Currently working towards certification in EMDR.
ACC (Acceptance and Commitment towards Change) LLC takes a holistic approach to helping individuals with mental health & behavioral concerns (currently through telehealth). My goal is to empower and assist individuals, families, and groups heal through the process of change. Currently working towards certification in EMDR.
(215) 201-4654 View (215) 201-4654
Photo of Aditi Kahn, LSW, Clinical Social Work/Therapist
Aditi Kahn
Clinical Social Work/Therapist, LSW
Verified Verified
Philadelphia, PA 19103
My educational background in human rights & social justice has equipped me with skills to work with a diverse range of clients. I derived great satisfaction from assisting women who were facing challenges related to domestic violence or marital issues. My ideal clients are women who need to be reminded of their strength & value in this world. My approach involves empowering women through assertiveness training & connecting them with community resources to aid them towards independence. I help them recognize & develop their inner strengths, equipping them with tools to manage & overcome problems independently.
My educational background in human rights & social justice has equipped me with skills to work with a diverse range of clients. I derived great satisfaction from assisting women who were facing challenges related to domestic violence or marital issues. My ideal clients are women who need to be reminded of their strength & value in this world. My approach involves empowering women through assertiveness training & connecting them with community resources to aid them towards independence. I help them recognize & develop their inner strengths, equipping them with tools to manage & overcome problems independently.
(267) 507-0914 View (267) 507-0914

See more therapy options for 19056

How does your Therapist compare?

Number of Therapists in 19056

< 10

Therapists in 19056 who prioritize treating:

100% Anxiety
100% Coping Skills
86% Relationship Issues
86% Depression
86% Self Esteem
86% Stress
71% Peer Relationships

Average years in practice

12 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Highmark

How Therapists in 19056 see their clients

72% In Person and Online
28% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 19056?

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.