Therapists in 20186

Photo of Kiley Nicholson, Resident in Counseling, MA
Kiley Nicholson
Resident in Counseling, MA
1 Endorsed
Warrenton, VA 20186
Hi everyone! I am a Resident in Counseling in the state of Virginia. I have a passion for helping those who have presenting concerns in mental health including but not limited to depression, anxiety, self-esteem, body image, attention issues, and trauma. I find that I enjoy creating connections with my clients that allows for them to engage in empowerment in sessions. I am excited to continue assisting those in need of care. I also have a passion for integrating my relationship with God and I hope to be able to bring that passion to those I work with.
Hi everyone! I am a Resident in Counseling in the state of Virginia. I have a passion for helping those who have presenting concerns in mental health including but not limited to depression, anxiety, self-esteem, body image, attention issues, and trauma. I find that I enjoy creating connections with my clients that allows for them to engage in empowerment in sessions. I am excited to continue assisting those in need of care. I also have a passion for integrating my relationship with God and I hope to be able to bring that passion to those I work with.
(540) 878-0293 View (540) 878-0293
Photo of Amity Heyborne, Pre-Licensed Professional
Amity Heyborne
Pre-Licensed Professional
1 Endorsed
Warrenton, VA 20186
The things you're searching for help with are not insurmountable.
The things you're searching for help with are not insurmountable.
(571) 518-5378 View (571) 518-5378
Photo of Mary Beth Williams, Clinical Social Work/Therapist, PhD, LCSW, CTS
Mary Beth Williams
Clinical Social Work/Therapist, PhD, LCSW, CTS
Warrenton, VA 20186
Working in the field of post-traumatic stress disorder with clients who have undergone a variety of events directly or indirectly has been both my specialty and my passion. I work with clients between the ages of 6 through seniors. I am the author of many articles and workbooks on trauma (The PTSD Workbook & Life After Trauma: A Workbook for Healing). I work a great deal with veterans of all wars and their families using a variety of techniques (cognitive behavioral therapy, belief challenging, narrative therapy and others.
Working in the field of post-traumatic stress disorder with clients who have undergone a variety of events directly or indirectly has been both my specialty and my passion. I work with clients between the ages of 6 through seniors. I am the author of many articles and workbooks on trauma (The PTSD Workbook & Life After Trauma: A Workbook for Healing). I work a great deal with veterans of all wars and their families using a variety of techniques (cognitive behavioral therapy, belief challenging, narrative therapy and others.
(540) 579-7225 View (540) 579-7225
Photo of Jessica Putnam, Licensed Professional Counselor, LPC, MS
Jessica Putnam
Licensed Professional Counselor, LPC, MS
Warrenton, VA 20186
I believe early relationships have a significant impact on our mental health. My passion for understanding these dynamics led me to practice through the scope of attachment theory, which informs much of my therapeutic approach today.
I believe early relationships have a significant impact on our mental health. My passion for understanding these dynamics led me to practice through the scope of attachment theory, which informs much of my therapeutic approach today.
(540) 212-9805 View (540) 212-9805
Photo of Anne C Luckinbill - Seasons Counseling, PLLC , Licensed Professional Counselor, MS, LPC
Seasons Counseling, PLLC
Licensed Professional Counselor, MS, LPC
Warrenton, VA 20186
Greetings! I am Anne Luckinbill, owner of Seasons Counseling PLLC. Our team of caring therapists are skilled at assessing and diagnosing mental health concerns based on current struggles and earlier experiences. Your concerns about behavior, emotion, personality, and relationships will be treated using Emotionally Focused Therapy, CBT, and other therapeutic approaches. Trauma concerns will be addressed with an understanding that trauma impacts daily function and interactions. Likewise, early relationships and attachment patterns impact our current relationships. We serve children, adolescents, adults, families, and couples.
Greetings! I am Anne Luckinbill, owner of Seasons Counseling PLLC. Our team of caring therapists are skilled at assessing and diagnosing mental health concerns based on current struggles and earlier experiences. Your concerns about behavior, emotion, personality, and relationships will be treated using Emotionally Focused Therapy, CBT, and other therapeutic approaches. Trauma concerns will be addressed with an understanding that trauma impacts daily function and interactions. Likewise, early relationships and attachment patterns impact our current relationships. We serve children, adolescents, adults, families, and couples.
(540) 274-1010 View (540) 274-1010
Photo of Gerry Eitner, PhD
Gerry Eitner
Verified Verified
Warrenton, VA 20186
Do you find yourself caught "in a loop" of negative thinking, energy or experiences that is holding you back? My position is that every one of us here on earth has been traumatized to some extent, usually in childhood. And that this momentum keeps playing out in one's life until it is uncovered, so to speak, changed and healed. At that point, you can begin to express the fuller, higher levels of the wonderful advanced Being that you are!
Do you find yourself caught "in a loop" of negative thinking, energy or experiences that is holding you back? My position is that every one of us here on earth has been traumatized to some extent, usually in childhood. And that this momentum keeps playing out in one's life until it is uncovered, so to speak, changed and healed. At that point, you can begin to express the fuller, higher levels of the wonderful advanced Being that you are!
(540) 351-9501 View (540) 351-9501
Photo of Denise Booth, Clinical Social Work/Therapist, LCSW
Denise Booth
Clinical Social Work/Therapist, LCSW
Warrenton, VA 20186
Life can be overwhelming at times, and it's okay to need support. I am a Licensed Clinical Social Worker with over 12 years of experience supporting individuals through life’s challenges. My goal is to create a warm, safe, and non-judgmental space where you feel heard, understood, and empowered to grow. Whether you’re facing anxiety, navigating a life transition, struggling in relationships, or simply feeling stuck, I’m here to walk alongside you in your journey toward healing and self-discovery. We’ll work together to explore your concerns, uncover patterns, and create personalized goals that help you thrive—not just survive.
Life can be overwhelming at times, and it's okay to need support. I am a Licensed Clinical Social Worker with over 12 years of experience supporting individuals through life’s challenges. My goal is to create a warm, safe, and non-judgmental space where you feel heard, understood, and empowered to grow. Whether you’re facing anxiety, navigating a life transition, struggling in relationships, or simply feeling stuck, I’m here to walk alongside you in your journey toward healing and self-discovery. We’ll work together to explore your concerns, uncover patterns, and create personalized goals that help you thrive—not just survive.
(703) 935-4209 View (703) 935-4209
Photo of Jack Jaffe, Psychologist, PsyD
Jack Jaffe
Psychologist, PsyD
Warrenton, VA 20186
Are you facing a life transition, feeling stuck, or trying to make sense of something that no longer fits? I help adults navigating changes in relationships, identity, work, and life stage reconnect with meaning and direction. Therapy with me isn’t about “fixing” you—it’s about better understanding yourself and living in a way that reflects who you are and what matters most. Clients describe me as calm, thoughtful, and genuine. My approach is grounded in existential therapy, which explores choice, meaning, values, and relationships while helping untangle old patterns and open new possibilities.
Are you facing a life transition, feeling stuck, or trying to make sense of something that no longer fits? I help adults navigating changes in relationships, identity, work, and life stage reconnect with meaning and direction. Therapy with me isn’t about “fixing” you—it’s about better understanding yourself and living in a way that reflects who you are and what matters most. Clients describe me as calm, thoughtful, and genuine. My approach is grounded in existential therapy, which explores choice, meaning, values, and relationships while helping untangle old patterns and open new possibilities.
(540) 613-1259 View (540) 613-1259
Photo of Joan Ellen Russo - Blue Sky Counseling PLLC, Clinical Social Work/Therapist, LCSW
Blue Sky Counseling PLLC
Clinical Social Work/Therapist, LCSW
1 Endorsed
Warrenton, VA 20186
I have worked with clients that have severe psychiatric issues, including major depression, anxiety, bipolar disorder and many others disorders in both inpatient and outpatient settings. I enjoy the challenge of working with those that struggle with depression, anxiety issues, panic attacks, lack of self esteem, clients who need help limit setting with others and have difficulty defining themselves rather than others defining them. I also have experience helping clients that are dealing with substance abuse issues in conjunction with an outpatient substance abuse program, providing education, individual/family and group therapy.
I have worked with clients that have severe psychiatric issues, including major depression, anxiety, bipolar disorder and many others disorders in both inpatient and outpatient settings. I enjoy the challenge of working with those that struggle with depression, anxiety issues, panic attacks, lack of self esteem, clients who need help limit setting with others and have difficulty defining themselves rather than others defining them. I also have experience helping clients that are dealing with substance abuse issues in conjunction with an outpatient substance abuse program, providing education, individual/family and group therapy.
(540) 351-9573 View (540) 351-9573
Photo of Mackenzie Taylor, Pre-Licensed Professional, RIC, MA
Mackenzie Taylor
Pre-Licensed Professional, RIC, MA
2 Endorsed
Warrenton, VA 20186
Hi, and welcome! I’m Mackenzie. I’m a Resident in Counseling, currently working toward licensure as a Licensed Professional Counselor (LPC). I hold a Master’s degree in Clinical Mental Health Counseling and a Bachelor’s degree in Psychology. I have spent much of my time in the mental health field working with adolescents, teens, and young adults, and I am deeply passionate about the work I do. My approach is warm, collaborative, and client-centered. I often draw from Cognitive Behavioral Therapy (CBT) to help clients better understand their thoughts, emotions, and behaviors, while tailoring sessions to their unique needs and goals.
Hi, and welcome! I’m Mackenzie. I’m a Resident in Counseling, currently working toward licensure as a Licensed Professional Counselor (LPC). I hold a Master’s degree in Clinical Mental Health Counseling and a Bachelor’s degree in Psychology. I have spent much of my time in the mental health field working with adolescents, teens, and young adults, and I am deeply passionate about the work I do. My approach is warm, collaborative, and client-centered. I often draw from Cognitive Behavioral Therapy (CBT) to help clients better understand their thoughts, emotions, and behaviors, while tailoring sessions to their unique needs and goals.
(540) 402-9328 View (540) 402-9328
Photo of Adrienne Gillett, Pre-Licensed Professional, MA
Adrienne Gillett
Pre-Licensed Professional, MA
Warrenton, VA 20186
Does life seem like a lot right now? Do you find yourself thinking negatively about yourself or criticizing your decisions? Have you found yourself replaying events in your mind that caused you to feel stressed, anxious, or depressed? In an open and welcoming environment, my goal is to make you feel comfortable, understood, and secure in this time of distress. I work with all ages to provide tools needed to reach your goals. Together, we will explore what may be causing these distressing emotions and work towards a healthier and brighter future.
Does life seem like a lot right now? Do you find yourself thinking negatively about yourself or criticizing your decisions? Have you found yourself replaying events in your mind that caused you to feel stressed, anxious, or depressed? In an open and welcoming environment, my goal is to make you feel comfortable, understood, and secure in this time of distress. I work with all ages to provide tools needed to reach your goals. Together, we will explore what may be causing these distressing emotions and work towards a healthier and brighter future.
(571) 200-7205 x3 View (571) 200-7205 x3
Photo of Doreen M Nagurny, Licensed Professional Counselor, MS, LPC
Doreen M Nagurny
Licensed Professional Counselor, MS, LPC
Warrenton, VA 20186
Doreen earned her Bachelor's degree in Psychology from Cornell University and her Masters of Science degree in Mental Health Counseling from Divine Mercy University. She is a National Certified counselor and a member of American Counseling Association (ACA) as a licensed professional counselor. Doreen has a broad experience handling a wide spectrum of neurological and psychological conditions. She treats children, teens, adults, and couples presenting with anxiety, depression, adoption, ADHD, trauma, and behavioral and relationship issues. Additionally, she works with adults with memory/dementia challenges and their families.
Doreen earned her Bachelor's degree in Psychology from Cornell University and her Masters of Science degree in Mental Health Counseling from Divine Mercy University. She is a National Certified counselor and a member of American Counseling Association (ACA) as a licensed professional counselor. Doreen has a broad experience handling a wide spectrum of neurological and psychological conditions. She treats children, teens, adults, and couples presenting with anxiety, depression, adoption, ADHD, trauma, and behavioral and relationship issues. Additionally, she works with adults with memory/dementia challenges and their families.
(540) 516-3385 View (540) 516-3385
Photo of Romina Abawi-Wooten, Licensed Professional Counselor, LPC, CSAC, NCC
Romina Abawi-Wooten
Licensed Professional Counselor, LPC, CSAC, NCC
1 Endorsed
Warrenton, VA 20186
Asking for support and help can be difficult, if you struggle with some of these thoughts; “I’ve relapsed and shame is taking over.” “I’m so stressed out I can't function anymore.” “My life is out of control, how did I let it get to this point.” “All my family does is argue with one another.” Sometimes it all seems so overwhelming and impossible. My approach is solution focused with unconditional positive regard. I work in a non-judgmental space to help guide down a purposeful life, living up to your potential.
Asking for support and help can be difficult, if you struggle with some of these thoughts; “I’ve relapsed and shame is taking over.” “I’m so stressed out I can't function anymore.” “My life is out of control, how did I let it get to this point.” “All my family does is argue with one another.” Sometimes it all seems so overwhelming and impossible. My approach is solution focused with unconditional positive regard. I work in a non-judgmental space to help guide down a purposeful life, living up to your potential.
(757) 993-4153 View (757) 993-4153
Photo of Anna Marie Askin - Center for Holistic Psychotherapy, Licensed Professional Counselor, LPC-S, LMFT-S, EMDR
Center for Holistic Psychotherapy
Licensed Professional Counselor, LPC-S, LMFT-S, EMDR
Warrenton, VA 20186
I hold licenses in both Professional Counseling and Marriage and Family Therapy, I provide individual, couple, and family counseling. I am certified in Grief Counseling, and I am a EMDR Trained Therapist through EMDRIA. Along with trauma informed modalities, I include a variety of evidenced based therapeutic approaches in my practice. I believe in a compassionate approach during the therapeutic process and I am committed in helping each individual connect to their innate core value. I am an approved LPC and LMFT Resident Supervisor.
I hold licenses in both Professional Counseling and Marriage and Family Therapy, I provide individual, couple, and family counseling. I am certified in Grief Counseling, and I am a EMDR Trained Therapist through EMDRIA. Along with trauma informed modalities, I include a variety of evidenced based therapeutic approaches in my practice. I believe in a compassionate approach during the therapeutic process and I am committed in helping each individual connect to their innate core value. I am an approved LPC and LMFT Resident Supervisor.
(540) 684-1365 x1 View (540) 684-1365 x1
Photo of Jeanie Chang, Resident in Counseling, MEd
Jeanie Chang
Resident in Counseling, MEd
Warrenton, VA 20186
Feeling stuck or overwhelmed. A string of broken relationships. Addictions. Just surviving through each day. Life’s stressors or trauma can leave us in these states. But it doesn’t have to stay that way. While there may be seasons in which all we can do is breathe (and that’s okay!), God has created us in His image for so much more. With curiosity and compassion, we can unpack internalized messages you carry from significant people or events in your life, and explore how those beliefs affect your relationships and current day-to-day.
Feeling stuck or overwhelmed. A string of broken relationships. Addictions. Just surviving through each day. Life’s stressors or trauma can leave us in these states. But it doesn’t have to stay that way. While there may be seasons in which all we can do is breathe (and that’s okay!), God has created us in His image for so much more. With curiosity and compassion, we can unpack internalized messages you carry from significant people or events in your life, and explore how those beliefs affect your relationships and current day-to-day.
(540) 413-0054 View (540) 413-0054
Photo of Hannah Rosenbaum, Pre-Licensed Professional, MA
Hannah Rosenbaum
Pre-Licensed Professional, MA
1 Endorsed
Warrenton, VA 20186
Welcome! I'm proud of you for arriving here. Life is not for the faint of heart. It's equally as challenging as it is beautiful - and we must be willing to face our dark, to remember our light. My mission is to support you on your journey towards personal freedom through discovering your True Self, and facilitate the change needed to find deeper fulfillment. I believe in the healing power of connection; of mind, body, spirit and heart - to self and other. I intend to create a feeling of utmost safety through authentic relating for cultivating deeper meaning, purpose, joy & a sense of aliveness.
Welcome! I'm proud of you for arriving here. Life is not for the faint of heart. It's equally as challenging as it is beautiful - and we must be willing to face our dark, to remember our light. My mission is to support you on your journey towards personal freedom through discovering your True Self, and facilitate the change needed to find deeper fulfillment. I believe in the healing power of connection; of mind, body, spirit and heart - to self and other. I intend to create a feeling of utmost safety through authentic relating for cultivating deeper meaning, purpose, joy & a sense of aliveness.
(540) 592-4589 View (540) 592-4589
Photo of Mandy Ferentinos, Licensed Professional Counselor, MS, MA, LPC
Mandy Ferentinos
Licensed Professional Counselor, MS, MA, LPC
Warrenton, VA 20186
As a Licensed Professional Counselor (LPC), I believe that prioritizing mental health is the key to happiness and stability in life. Seeking help can be one of the hardest parts of our journey into self-care, so congratulations on taking that first step! I have been practicing for over 20 years. Most recently, I have enjoyed focusing on serving adults who are struggling with anxiety, depression, shame and guilt issues as well as insecurities within there interpersonal relationships.
As a Licensed Professional Counselor (LPC), I believe that prioritizing mental health is the key to happiness and stability in life. Seeking help can be one of the hardest parts of our journey into self-care, so congratulations on taking that first step! I have been practicing for over 20 years. Most recently, I have enjoyed focusing on serving adults who are struggling with anxiety, depression, shame and guilt issues as well as insecurities within there interpersonal relationships.
(540) 530-3620 View (540) 530-3620
Photo of Stephanie Speidel - Genesis Mental Health Inc, Licensed Professional Counselor, LPC, CCATP, NCC
Genesis Mental Health Inc
Licensed Professional Counselor, LPC, CCATP, NCC
Warrenton, VA 20186
Finding the right therapist is a lot like dating. Are you swiping through the profiles on psychology today and feeling that everyone blends together to the point of where you don't remember who is who? Or are you drained from calling around and finding that nobody is taking on new clients? We hear it all the time and we get it. At Genesis Mental Health Inc, we brought together a team of diverse clinicians across Northern Virginia in terms of gender and ethnicity that understand life situations that have brought you to this point.
Finding the right therapist is a lot like dating. Are you swiping through the profiles on psychology today and feeling that everyone blends together to the point of where you don't remember who is who? Or are you drained from calling around and finding that nobody is taking on new clients? We hear it all the time and we get it. At Genesis Mental Health Inc, we brought together a team of diverse clinicians across Northern Virginia in terms of gender and ethnicity that understand life situations that have brought you to this point.
(540) 802-5984 View (540) 802-5984
Photo of Karen M David, Licensed Professional Counselor, MEd, LPC
Karen M David
Licensed Professional Counselor, MEd, LPC
Warrenton, VA 20186
Hi, Thanks for taking this courageous step. Individuals struggle from time to time with mental health concerns, grief, trauma, and are searching for healing. You may be feeling anxious, sad, alone, lost, grieving or unsure of what to do. I am ready to help you. I believe within you is the answers to moving forward. I am EMDR trained and provide person centered, trauma-focused therapy. I am passionate about helping you to process the challenges you are facing.
Hi, Thanks for taking this courageous step. Individuals struggle from time to time with mental health concerns, grief, trauma, and are searching for healing. You may be feeling anxious, sad, alone, lost, grieving or unsure of what to do. I am ready to help you. I believe within you is the answers to moving forward. I am EMDR trained and provide person centered, trauma-focused therapy. I am passionate about helping you to process the challenges you are facing.
(571) 520-4433 View (571) 520-4433
Photo of Julie Criner, Licensed Professional Counselor, LPC, CEDS
Julie Criner
Licensed Professional Counselor, LPC, CEDS
3 Endorsed
Warrenton, VA 20186
I am a Certified Eating Disorder Specialist with fifteen years of experience working with individuals who struggle with all types of eating disorders. I have held leadership positions at eating disorder specific residential and intensive outpatient levels of care over the course of my career. I have a down to earth personality that allows my clients to feel comfortable opening up and sharing their experiences. I enjoy working with the entire family in order to improve communication, provide education about the recovery process, and enhance support within the family.
I am a Certified Eating Disorder Specialist with fifteen years of experience working with individuals who struggle with all types of eating disorders. I have held leadership positions at eating disorder specific residential and intensive outpatient levels of care over the course of my career. I have a down to earth personality that allows my clients to feel comfortable opening up and sharing their experiences. I enjoy working with the entire family in order to improve communication, provide education about the recovery process, and enhance support within the family.
(571) 229-5446 View (571) 229-5446

See more therapy options for 20186

How does your Therapist compare?

Number of Therapists in 20186

100+

Average cost per session

$150

Therapists in 20186 who prioritize treating:

92% Anxiety
91% Depression
78% Self Esteem
76% Relationship Issues
74% Trauma and PTSD
68% Stress
66% Family Conflict

Average years in practice

12 Years

Top 3 insurances accepted

87% Anthem
83% BlueCross and BlueShield
64% UnitedHealthcare UHC | UBH

How Therapists in 20186 see their clients

77% In Person and Online
23% Online Only

Gender breakdown

89% Female
11% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 20186?

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.