Therapists in 19090

Photo of Stacey M. Vinci, Marriage & Family Therapist in 19090, PA
Stacey M. Vinci
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Willow Grove, PA 19090  (Online Only)
*Accepting New Clients 18+ for Telehealth Only* Feeling Stuck and Overwhelmed? It's time to get the support you deserve. I help teens, young adults, and parents navigate the next steps towards living a more healthy, supported, and fulfilling existence- even through all of life's curve balls. I’ll help you create stability and clarity amidst all this chaos, and we will work together on establishing goals and creating an action plan that actually works.
*Accepting New Clients 18+ for Telehealth Only* Feeling Stuck and Overwhelmed? It's time to get the support you deserve. I help teens, young adults, and parents navigate the next steps towards living a more healthy, supported, and fulfilling existence- even through all of life's curve balls. I’ll help you create stability and clarity amidst all this chaos, and we will work together on establishing goals and creating an action plan that actually works.
(267) 989-9113 View (267) 989-9113
Photo of Dana J. Cohen in 19090, PA
Dana J. Cohen
LMFT, MEd
Verified Verified
Willow Grove, PA 19090
Waitlist for new clients
We go to the gym to exercise our physical bodies, so engaging in therapy helps us strengthen our mental health. I am part of a new practice called Insight Psychological Services where we provide an array of services including psychiatric evaluations, medication management, individual, family, couples, and group therapy.
We go to the gym to exercise our physical bodies, so engaging in therapy helps us strengthen our mental health. I am part of a new practice called Insight Psychological Services where we provide an array of services including psychiatric evaluations, medication management, individual, family, couples, and group therapy.
(267) 762-1638 View (267) 762-1638
Photo of Right Direction Counseling, Clinical Social Work/Therapist in 19090, PA
Right Direction Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Willow Grove, PA 19090  (Online Only)
I am a Licensed Clinical Social Worker (LCSW), with over 30 years of experience. I have worked with people who have depression, anxiety, substance abuse disorder, relationship issues and anger management. I also have expertise working with couples with relationship issues.
I am a Licensed Clinical Social Worker (LCSW), with over 30 years of experience. I have worked with people who have depression, anxiety, substance abuse disorder, relationship issues and anger management. I also have expertise working with couples with relationship issues.
(215) 598-6363 View (215) 598-6363
Photo of Anya L Surnitsky- Anxiety And Trauma Specialist, Clinical Social Work/Therapist in 19090, PA
Anya L Surnitsky- Anxiety And Trauma Specialist
Clinical Social Work/Therapist, MSS, LCSW, CCTP II, CDWF
Verified Verified
5 Endorsed
Willow Grove, PA 19090  (Online Only)
Feedback I got recently: "You made me feel supported, heard and seen. There were things only you understood because you truly value and understand mental health and I think everyone could use an outlet like that." Coming to therapy doesn't mean something is wrong with you, or you failed because you couldn't "fix it" yourself. Therapy is more than fixing problems. It's more about connecting the "WHAT" of your life to the "HOW" of feeling better. WHY? To feel content and satisfied, and learning how to make that sustainable. Your well being matters; how you feel when you wake up affects the quality of your life and relationships.
Feedback I got recently: "You made me feel supported, heard and seen. There were things only you understood because you truly value and understand mental health and I think everyone could use an outlet like that." Coming to therapy doesn't mean something is wrong with you, or you failed because you couldn't "fix it" yourself. Therapy is more than fixing problems. It's more about connecting the "WHAT" of your life to the "HOW" of feeling better. WHY? To feel content and satisfied, and learning how to make that sustainable. Your well being matters; how you feel when you wake up affects the quality of your life and relationships.
(215) 337-2201 View (215) 337-2201
Photo of Marianna (Aka Mace) Cooper Drew, Licensed Professional Counselor in 19090, PA
Marianna (Aka Mace) Cooper Drew
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Willow Grove, PA 19090
Mace is a Licensed Professional Counselor and has over 25 years of clinical experience providing therapy to adolescents, adults, families and couples. Mace has experience working with individuals struggling with substance abuse, trauma, anger management, grief and loss, life changes, and difficulties with social and interpersonal relationships. She is passionate about helping individuals become their best selves through inner peace, freedom from suffering and pain, and confidence to make healthy choices.
Mace is a Licensed Professional Counselor and has over 25 years of clinical experience providing therapy to adolescents, adults, families and couples. Mace has experience working with individuals struggling with substance abuse, trauma, anger management, grief and loss, life changes, and difficulties with social and interpersonal relationships. She is passionate about helping individuals become their best selves through inner peace, freedom from suffering and pain, and confidence to make healthy choices.
(215) 798-5446 View (215) 798-5446
Photo of Ernest Glazer, Clinical Social Work/Therapist in 19090, PA
Ernest Glazer
Clinical Social Work/Therapist, LCSW
Verified Verified
Willow Grove, PA 19090  (Online Only)
Hi, I'm a therapist with over thirty years experience working with individuals, couple, and families and getting mostly positive results. I tend to work with individuals and families with special challenges such as teens and seniors.
Hi, I'm a therapist with over thirty years experience working with individuals, couple, and families and getting mostly positive results. I tend to work with individuals and families with special challenges such as teens and seniors.
(267) 668-1665 View (267) 668-1665
Photo of Dawn Davis Therapy And Supervision, Marriage & Family Therapist in 19090, PA
Dawn Davis Therapy And Supervision
Marriage & Family Therapist, LMFT, CGT, AAMFTAS
Verified Verified
Willow Grove, PA 19090
Whether you are struggling with feeling good about yourself, overwhelm, grief, finding life meaning, unhelpful relationship patterns, or anything else weighing on your mind and heart, I would be honored to navigate your journey with you. No concerns are too big or too small-if it matters to you, it matters to me. I believe therapeutic success involves not getting rid of parts of you that struggle but uncovering your inner strengths to cope and reduce symptoms in healthy ways, in addition to acknowledging accomplishments big or small, and trusting the process, as change may take longer or look different than you may expect.
Whether you are struggling with feeling good about yourself, overwhelm, grief, finding life meaning, unhelpful relationship patterns, or anything else weighing on your mind and heart, I would be honored to navigate your journey with you. No concerns are too big or too small-if it matters to you, it matters to me. I believe therapeutic success involves not getting rid of parts of you that struggle but uncovering your inner strengths to cope and reduce symptoms in healthy ways, in addition to acknowledging accomplishments big or small, and trusting the process, as change may take longer or look different than you may expect.
(717) 937-1544 View (717) 937-1544
Photo of Lifebulb Counseling & Therapy, Licensed Professional Counselor in 19090, PA
Lifebulb Counseling & Therapy
Licensed Professional Counselor, LPC
Verified Verified
Willow Grove, PA 19090
We're confident we can help you achieve your therapy goals. We believe you're best served by a therapist passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to helping 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. Working with us, you'll get results.
We're confident we can help you achieve your therapy goals. We believe you're best served by a therapist passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to helping 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. Working with us, you'll get results.
(267) 715-1867 View (267) 715-1867
Photo of Susan Rachel Span, Clinical Social Work/Therapist in 19090, PA
Susan Rachel Span
Clinical Social Work/Therapist, LSW
Verified Verified
Willow Grove, PA 19090  (Online Only)
With almost 20 years of experience in the field, what I bring to my clients is a warm, unique ability to support them, and hear them in a way that helps them to heal. I believe the relationship that a client has with the therapist is essential to make change, and I pride myself on the positive connections I have with children, adolescents and adults.
With almost 20 years of experience in the field, what I bring to my clients is a warm, unique ability to support them, and hear them in a way that helps them to heal. I believe the relationship that a client has with the therapist is essential to make change, and I pride myself on the positive connections I have with children, adolescents and adults.
(267) 843-8031 View (267) 843-8031
Photo of Amy Andre McNamee PLLC3959 , Psychologist in 19090, PA
Amy Andre McNamee PLLC3959
Psychologist, PsyD
Verified Verified
Willow Grove, PA 19090  (Online Only)
Welcome to Amy Andre McNamee, PLLC. If you are looking for a Pennsylvania-licensed clinical psychologist with extensive training in delivering evidence-based treatments for individuals in a compassionate, yet down-to-earth way, you are in the right place. Whether you are struggling with depression, anxiety, trauma, life stress, insomnia, or other general mental health discomfort, I am here to help.
Welcome to Amy Andre McNamee, PLLC. If you are looking for a Pennsylvania-licensed clinical psychologist with extensive training in delivering evidence-based treatments for individuals in a compassionate, yet down-to-earth way, you are in the right place. Whether you are struggling with depression, anxiety, trauma, life stress, insomnia, or other general mental health discomfort, I am here to help.
(215) 883-4463 View (215) 883-4463
Photo of Cynthia Ryan Otto, Licensed Professional Counselor in 19090, PA
Cynthia Ryan Otto
Licensed Professional Counselor, MS, LPC, CAADC, CIMHP
Verified Verified
1 Endorsed
Willow Grove, PA 19090
I've spent over two decades helping people heal from addictions & other emotional issues. I work with a stellar group of practitioners at Insight Psychological Services. Collaboratively, we offer individual & family therapy, psychiatric evaluations & medication management. I provide a safe, comfortable environment where you can gain personal insight, examine relationships & heal the past. I offer a unique approach to therapy, incorporating decades of professional & personal experience in both psychotherapy & spirituality. I'm a person in long term recovery for over 30 years & have a working knowledge of the 12 steps.
I've spent over two decades helping people heal from addictions & other emotional issues. I work with a stellar group of practitioners at Insight Psychological Services. Collaboratively, we offer individual & family therapy, psychiatric evaluations & medication management. I provide a safe, comfortable environment where you can gain personal insight, examine relationships & heal the past. I offer a unique approach to therapy, incorporating decades of professional & personal experience in both psychotherapy & spirituality. I'm a person in long term recovery for over 30 years & have a working knowledge of the 12 steps.
(267) 878-3070 View (267) 878-3070
Photo of Emily Andrews, Licensed Professional Counselor in 19090, PA
Emily Andrews
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
1 Endorsed
Willow Grove, PA 19090  (Online Only)
Life can be quite overwhelming sometimes. Your stressors and experiences can impact you in so many ways and make it difficult to ask for help. Are you struggling to feel or feel like you are feeling "too" much? Do you have too much on your plate and can't seem to find a path forward? I am here to help. I offer a warm, safe and supportive environment to explore whatever brings you to therapy at this time. We all deserve to be heard and understood. We also crave connection. I work to create a safe and strong alliance with you so that you can freely explore these concerns.
Life can be quite overwhelming sometimes. Your stressors and experiences can impact you in so many ways and make it difficult to ask for help. Are you struggling to feel or feel like you are feeling "too" much? Do you have too much on your plate and can't seem to find a path forward? I am here to help. I offer a warm, safe and supportive environment to explore whatever brings you to therapy at this time. We all deserve to be heard and understood. We also crave connection. I work to create a safe and strong alliance with you so that you can freely explore these concerns.
(267) 323-4737 View (267) 323-4737
Photo of Lealar (Lil) Weldon, Licensed Professional Counselor in 19090, PA
Lealar (Lil) Weldon
Licensed Professional Counselor, MA, LPC, RPT-S, CCPT, LPCMH
Verified Verified
Willow Grove, PA 19090  (Online Only)
Is your child experiencing a decline in academics, increased anxiety or struggle with controlling their anger? With over 20 years of experience, I am equipped to handle these challenges and give you the tools to help your child be the best version of themselves. I incorporate sand tray, an expressive therapy with children or adults to create scenes of miniature worlds that reflect a person's inner thoughts, struggles and issues. I assist children & parents by teaching them coping skills, ways to improve their decision making and better navigate their lives. . We work with couples on early marital adjustment and conflict containment
Is your child experiencing a decline in academics, increased anxiety or struggle with controlling their anger? With over 20 years of experience, I am equipped to handle these challenges and give you the tools to help your child be the best version of themselves. I incorporate sand tray, an expressive therapy with children or adults to create scenes of miniature worlds that reflect a person's inner thoughts, struggles and issues. I assist children & parents by teaching them coping skills, ways to improve their decision making and better navigate their lives. . We work with couples on early marital adjustment and conflict containment
(267) 281-1898 View (267) 281-1898
Photo of John C Becker Jr, Licensed Professional Counselor in 19090, PA
John C Becker Jr
Licensed Professional Counselor, LPC, CAADC, CEAP, CTR, SAP
Verified Verified
1 Endorsed
Willow Grove, PA 19090
I have spent the last 12 years helping individuals with both mental health and substance abuse issues. The foundation of my counseling style is built on establishing mutual trust and respect. In my practice, I utilize a range of evidence-based approaches that include Cognitive Behavioral Therapy, Motivational Interviewing and Solution Focused Brief Therapy, to help my clients reach their identified goals.
I have spent the last 12 years helping individuals with both mental health and substance abuse issues. The foundation of my counseling style is built on establishing mutual trust and respect. In my practice, I utilize a range of evidence-based approaches that include Cognitive Behavioral Therapy, Motivational Interviewing and Solution Focused Brief Therapy, to help my clients reach their identified goals.
(215) 874-3873 View (215) 874-3873
Photo of Rowan Gillian Moore, Clinical Social Work/Therapist in 19090, PA
Rowan Gillian Moore
Clinical Social Work/Therapist, LCSW
Verified Verified
Willow Grove, PA 19090
Congratulations on taking the first step towards achieving your full potential. My name is Rowan Moore and I have over 18 years of clinical experience in in-patient, partial day programs and outpatient settings. My experience with individual, family and marital therapy can be an asset to you. I provide online and phone counseling if you are unable to come to the office.
Congratulations on taking the first step towards achieving your full potential. My name is Rowan Moore and I have over 18 years of clinical experience in in-patient, partial day programs and outpatient settings. My experience with individual, family and marital therapy can be an asset to you. I provide online and phone counseling if you are unable to come to the office.
(267) 314-8151 View (267) 314-8151
Photo of Paul VanAntwerp, Licensed Professional Counselor in 19090, PA
Paul VanAntwerp
Licensed Professional Counselor, MA, LPC
Verified Verified
Willow Grove, PA 19090
Paul VanAntwerp is a Licensed Professional Counselor who has almost 15 years of experience providing therapy and counseling to children, adolescents, adults, families and couples. Paul has experience in both inpatient and outpatient settings working with individuals with significant mental illness, trauma, mood disorders and difficulty with social and interpersonal relationships. His practice integrates a non-judgmental, client centered focus with an emphasis on using evidence based practices (CBT, DBT) and solution-focused therapy techniques to treat a wide variety of disorders and mental health issues
Paul VanAntwerp is a Licensed Professional Counselor who has almost 15 years of experience providing therapy and counseling to children, adolescents, adults, families and couples. Paul has experience in both inpatient and outpatient settings working with individuals with significant mental illness, trauma, mood disorders and difficulty with social and interpersonal relationships. His practice integrates a non-judgmental, client centered focus with an emphasis on using evidence based practices (CBT, DBT) and solution-focused therapy techniques to treat a wide variety of disorders and mental health issues
(267) 961-7110 View (267) 961-7110
Photo of Cierra Andrews, Clinical Social Work/Therapist in 19090, PA
Cierra Andrews
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Willow Grove, PA 19090  (Online Only)
I have over 10 years of experience working with individuals who have experienced anxiety, depression, mood symptoms & past traumas. Often times, you may fear being vulnerable. We are taught that if you are vulnerable, it is a sign of weakness, & you will end up hurt somehow. But what if I told you sometimes vulnerability is needed to heal! Through vulnerability, a person can take back the power that was once taken from them. It allows a safe and open space for one to express their thoughts, emotions & feelings & share past traumas or current life stressors in a nonjudgmental space that will help build resiliency and courage.
I have over 10 years of experience working with individuals who have experienced anxiety, depression, mood symptoms & past traumas. Often times, you may fear being vulnerable. We are taught that if you are vulnerable, it is a sign of weakness, & you will end up hurt somehow. But what if I told you sometimes vulnerability is needed to heal! Through vulnerability, a person can take back the power that was once taken from them. It allows a safe and open space for one to express their thoughts, emotions & feelings & share past traumas or current life stressors in a nonjudgmental space that will help build resiliency and courage.
(267) 435-2467 View (267) 435-2467
Photo of Gabrielle Larin, Marriage & Family Therapist in 19090, PA
Gabrielle Larin
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Willow Grove, PA 19090  (Online Only)
As a therapist specializing in helping adults and young adults, I assist clients in overcoming challenges related to depression, anxiety, and low self-esteem. My commitment is to help you discover your self-worth and empower you to build confidence independently. I guide you in uncovering the true feelings behind anxiety, enabling effective coping strategies for the future. Identifying the root cause is the first step toward positive and lasting changes. I'm dedicated to uncovering underlying issues that hinder progress, setting the stage for a healthier future.
As a therapist specializing in helping adults and young adults, I assist clients in overcoming challenges related to depression, anxiety, and low self-esteem. My commitment is to help you discover your self-worth and empower you to build confidence independently. I guide you in uncovering the true feelings behind anxiety, enabling effective coping strategies for the future. Identifying the root cause is the first step toward positive and lasting changes. I'm dedicated to uncovering underlying issues that hinder progress, setting the stage for a healthier future.
(215) 607-2978 View (215) 607-2978
Photo of Joseph Devlin, Drug & Alcohol Counselor in 19090, PA
Joseph Devlin
Drug & Alcohol Counselor, MA, CAADC, MAC
Verified Verified
Willow Grove, PA 19090
Families in addiction, are you questioning if change is possible? Are you trapped in isolation, feeling helpless and without a way forward? Have your attempts at solutions left you frustrated? I want to share a powerful reality: Hope exists, and you no longer need to tiptoe in fear of the future. With over 20 years of experience, I know the importance of creating collaborative and personalized plans to conquer any challenge you face. Whether it's addictions, thoughts, emotions, or behaviors, together we will uncover your path to reclaim the freedom that is rightfully yours.
Families in addiction, are you questioning if change is possible? Are you trapped in isolation, feeling helpless and without a way forward? Have your attempts at solutions left you frustrated? I want to share a powerful reality: Hope exists, and you no longer need to tiptoe in fear of the future. With over 20 years of experience, I know the importance of creating collaborative and personalized plans to conquer any challenge you face. Whether it's addictions, thoughts, emotions, or behaviors, together we will uncover your path to reclaim the freedom that is rightfully yours.
(267) 668-0751 View (267) 668-0751
Photo of Lucas Bernardo, Licensed Professional Counselor in 19090, PA
Lucas Bernardo
Licensed Professional Counselor, MEd, MS, LPC
Verified Verified
Willow Grove, PA 19090  (Online Only)
Not accepting new clients
Welcome! You have now taken the first step in seeking out support and I know this may not have been easy. Finding time for self-care is so important, but often is first to go. Do you feel weighed down with general life stress, anxiety, depression, difficult life transitions, work issues, low self-esteem, relationship stress, LGBTQ+ specific stress or even coming into a new awareness of your gender/sexual identity? Have you found yourself struggling to focus on the present, having your past or future concerns pulling you in opposite directions? Perhaps you want to learn how to work with situations you face instead of fighting them.
Welcome! You have now taken the first step in seeking out support and I know this may not have been easy. Finding time for self-care is so important, but often is first to go. Do you feel weighed down with general life stress, anxiety, depression, difficult life transitions, work issues, low self-esteem, relationship stress, LGBTQ+ specific stress or even coming into a new awareness of your gender/sexual identity? Have you found yourself struggling to focus on the present, having your past or future concerns pulling you in opposite directions? Perhaps you want to learn how to work with situations you face instead of fighting them.
(484) 416-8037 View (484) 416-8037

How does your Therapist compare?

Number of Therapists in 19090

90+

Average cost per session

$130

Therapists in 19090 who prioritize treating:

92% Anxiety
89% Depression
78% Relationship Issues
75% Self Esteem
69% Trauma and PTSD
69% Coping Skills
69% Stress

Average years in practice

14 Years

Top 3 insurances accepted

84% Aetna
68% UnitedHealthcare UHC | UBH
68% Highmark

How Therapists in 19090 see their clients

62% In Person and Online
38% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in 19090?

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.