Therapists in 22001

Photo of Maria E Torres, Clinical Social Work/Therapist, LCSW
Maria E Torres
Clinical Social Work/Therapist, LCSW
3 Endorsed
Serves Area
Welcome/Bienvenidos "Offering bilingual-bicultural services" call for a Consultation. My mission is to support families, couples, and individuals developing healthy relationships. I work collaboratively with you and your family. I will provide practical insights, techniques, and resources, via counseling, education, and support. I also assist those looking to develop or improve skills regarding couple's communication, marital and family relationships, and parenting. I believe the key to overcoming situational barriers to a happy and balanced family life rest inside us all.
Welcome/Bienvenidos "Offering bilingual-bicultural services" call for a Consultation. My mission is to support families, couples, and individuals developing healthy relationships. I work collaboratively with you and your family. I will provide practical insights, techniques, and resources, via counseling, education, and support. I also assist those looking to develop or improve skills regarding couple's communication, marital and family relationships, and parenting. I believe the key to overcoming situational barriers to a happy and balanced family life rest inside us all.
(703) 686-8275 View (703) 686-8275
Photo of Ophelia Boadi - Thriveworks Counseling & Psychiatry McLean, Marriage & Family Therapist
Thriveworks Counseling & Psychiatry McLean
Marriage & Family Therapist
Serves Area
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(571) 570-3295 View (571) 570-3295
Photo of Mackenzie Kost, Clinical Social Work/Therapist, LCSW
Mackenzie Kost
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
I'm a Licensed Clinical Social Worker (LCSW) based in Virginia, dedicated to helping individuals and families navigate life’s challenges with compassion and clarity. I earned my Bachelor of Science in Human Services from Old Dominion University and my Master’s degree in Social Work from Virginia Commonwealth University. With over six years of experience, I worked in a variety of clinical settings, including outpatient care, in-home services, and partial hospitalization programs, supporting children, adolescents, adults, and families.
I'm a Licensed Clinical Social Worker (LCSW) based in Virginia, dedicated to helping individuals and families navigate life’s challenges with compassion and clarity. I earned my Bachelor of Science in Human Services from Old Dominion University and my Master’s degree in Social Work from Virginia Commonwealth University. With over six years of experience, I worked in a variety of clinical settings, including outpatient care, in-home services, and partial hospitalization programs, supporting children, adolescents, adults, and families.
(571) 581-6426 View (571) 581-6426
Photo of Claire Josephine Campos, Clinical Social Work/Therapist, LCSW
Claire Josephine Campos
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
Claire is a licensed clinical social worker in the state of Virginia. She has worked with individuals in residential and private practice settings to address substance use disorders and co-occurring disorders. Claire currently works with adults and adolescents to navigate addiction and mental health obstacles such as depression, anxiety, and trauma.
Claire is a licensed clinical social worker in the state of Virginia. She has worked with individuals in residential and private practice settings to address substance use disorders and co-occurring disorders. Claire currently works with adults and adolescents to navigate addiction and mental health obstacles such as depression, anxiety, and trauma.
(571) 583-6250 View (571) 583-6250
Photo of Lily Wesolowski, Clinical Social Work/Therapist, LCSW
Lily Wesolowski
Clinical Social Work/Therapist, LCSW
Online Only
Welcome! You're in the right place. I am a licensed clinical social worker and psychotherapist with 4 years of experience in both inpatient (residential and partial hospitalization) and outpatient settings. I have experience treating adolescents, adults, families, and couples with various presenting concerns, such as eating and feeding disorders, anxiety, depression, interpersonal relationship concerns/family conflict, self-esteem, and life transitions/adjustment (such as from military service to civilian life, university, marriage, family development, etc.).
Welcome! You're in the right place. I am a licensed clinical social worker and psychotherapist with 4 years of experience in both inpatient (residential and partial hospitalization) and outpatient settings. I have experience treating adolescents, adults, families, and couples with various presenting concerns, such as eating and feeding disorders, anxiety, depression, interpersonal relationship concerns/family conflict, self-esteem, and life transitions/adjustment (such as from military service to civilian life, university, marriage, family development, etc.).
(540) 502-4318 View (540) 502-4318
Photo of Angela Gilbert, Clinical Social Work/Therapist, LCSW
Angela Gilbert
Clinical Social Work/Therapist, LCSW
Online Only
I am a Licensed Clinical Social Worker in the Commonwealth of Virginia. I have 11 years of experience working with adults experiencing anxiety and depression. I am passionate about helping clients and their families with both situational and chronic issues of depression, anxiety, social/relational dynamics, job burnout, chronic illness and life transitions. I ascribe to a holistic approach, integrating modalities that address mind, body, and spirit. I view the therapy session as a valuable time of self-discovery, healing, and growth. My therapy style is relaxed, supportive, and focused.
I am a Licensed Clinical Social Worker in the Commonwealth of Virginia. I have 11 years of experience working with adults experiencing anxiety and depression. I am passionate about helping clients and their families with both situational and chronic issues of depression, anxiety, social/relational dynamics, job burnout, chronic illness and life transitions. I ascribe to a holistic approach, integrating modalities that address mind, body, and spirit. I view the therapy session as a valuable time of self-discovery, healing, and growth. My therapy style is relaxed, supportive, and focused.
(571) 540-9229 View (571) 540-9229
Photo of Ina Thompson, Licensed Professional Counselor
Ina Thompson
Licensed Professional Counselor
Online Only
Hello, I am a Licensed Professional Counselor (LPC) in Virginia, USA with over 23 years of professional work experience. I have helped clients with various mental health and/or life struggles related to depression, anxiety, coping with trauma/abuse, stress, anger and impulse control problems, grief, aging, difficulties adjusting, low self-esteem, attention deficits, relational/marital problems, substance abuse issues, parenting challenges, Military/ Veterans issues, care taker fatigue/burn out, and Gender dysphoria and LGBTQ issues.
Hello, I am a Licensed Professional Counselor (LPC) in Virginia, USA with over 23 years of professional work experience. I have helped clients with various mental health and/or life struggles related to depression, anxiety, coping with trauma/abuse, stress, anger and impulse control problems, grief, aging, difficulties adjusting, low self-esteem, attention deficits, relational/marital problems, substance abuse issues, parenting challenges, Military/ Veterans issues, care taker fatigue/burn out, and Gender dysphoria and LGBTQ issues.
(571) 556-8635 View (571) 556-8635
Photo of Jessica Schrote, Licensed Clinical Professional Counselor, LPC
Jessica Schrote
Licensed Clinical Professional Counselor, LPC
Online Only
I am a Licensed Clinical Professional Counselor with 12 years of experience helping people navigate life’s changes. Grounded in both my professional expertise and a deep sense of empathy, I strive to bring warmth, understanding, and genuine care into my work. I specialize in supporting individuals through the process of navigating life’s changes and transitions. To include anxiety, depression, relationships and/or marital concerns, stress management, and grief/loss.
I am a Licensed Clinical Professional Counselor with 12 years of experience helping people navigate life’s changes. Grounded in both my professional expertise and a deep sense of empathy, I strive to bring warmth, understanding, and genuine care into my work. I specialize in supporting individuals through the process of navigating life’s changes and transitions. To include anxiety, depression, relationships and/or marital concerns, stress management, and grief/loss.
(571) 546-3776 View (571) 546-3776
Photo of Stephen Thomas, Licensed Professional Counselor, LPC
Stephen Thomas
Licensed Professional Counselor, LPC
Online Only
Hi, my name is Stephen As a Christian do you ever feel like you are letting God down, or like you are not being faithful enough because you have real-life problems? Problems In your relationship, emotionally, behaviorally, or even with substance abuse. Is it hard to be kind to yourself? I help individuals manage their anxiety, depression, or burnout by addressing the needs of your body, mind, and spirit using the bible. I integrate current counseling theories with sound biblical principles to help develop a stronger relationship with God, and a stronger you.
Hi, my name is Stephen As a Christian do you ever feel like you are letting God down, or like you are not being faithful enough because you have real-life problems? Problems In your relationship, emotionally, behaviorally, or even with substance abuse. Is it hard to be kind to yourself? I help individuals manage their anxiety, depression, or burnout by addressing the needs of your body, mind, and spirit using the bible. I integrate current counseling theories with sound biblical principles to help develop a stronger relationship with God, and a stronger you.
(540) 873-7416 View (540) 873-7416
Photo of Jillian Burkley, Clinical Social Work/Therapist, LCSW
Jillian Burkley
Clinical Social Work/Therapist, LCSW
Online Only
I'm Dr. Jillian Burkley, a Licensed Clinical Social Worker with 14 years of experience specializing in young adults, mid-career lifelong learners, and adolescent and family mental health. I work with you and your families as you navigate anxiety, trauma, neurodiversity, and identity challenges. My approach blends evidence-based interventions with cultural humility and a deep understanding of developmental needs. I create brave space , affirming spaces where you feel truly understood.
I'm Dr. Jillian Burkley, a Licensed Clinical Social Worker with 14 years of experience specializing in young adults, mid-career lifelong learners, and adolescent and family mental health. I work with you and your families as you navigate anxiety, trauma, neurodiversity, and identity challenges. My approach blends evidence-based interventions with cultural humility and a deep understanding of developmental needs. I create brave space , affirming spaces where you feel truly understood.
(571) 571-1195 View (571) 571-1195
Photo of Carlita Coley, Licensed Professional Counselor, LPC
Carlita Coley
Licensed Professional Counselor, LPC
Online Only
As a neurodivergent Black woman living with a chronic illness and mother of three adult children, two of whom identify with the LGBTQ+ commmunity, I am always interested in the deeper question people carry about their lives. Many of the individuals I work with are thoughtful, capable people who have spent years showing up for others, meeting expectations, and doing what seemed like the responsible thing to do. At some point, though, many begin to notice a quiet sense that something no longer fits.
As a neurodivergent Black woman living with a chronic illness and mother of three adult children, two of whom identify with the LGBTQ+ commmunity, I am always interested in the deeper question people carry about their lives. Many of the individuals I work with are thoughtful, capable people who have spent years showing up for others, meeting expectations, and doing what seemed like the responsible thing to do. At some point, though, many begin to notice a quiet sense that something no longer fits.
(804) 494-4348 View (804) 494-4348
Photo of Shauna Frantz, Licensed Professional Counselor, LPC
Shauna Frantz
Licensed Professional Counselor, LPC
Online Only
As a clinician, I'm passionate about integrating the seen with the unseen. Understanding and working with the root issues. Helping you open into more of who you can be. I offer a warm, compassionate place for you to allow (or learn to allow) yourself to be cared for and supported. Embodied, experiential, and present: I work with techniques such as felt sensing and interoception, Accelerated Experiential Dynamic Psychotherapy (AEDP), Internal Family Systems (IFS)-informed, Energy Psychology, and Emotion Freedom Technique (EFT) tapping, to help you access, understand, and release emotions and stuckness and trauma.
As a clinician, I'm passionate about integrating the seen with the unseen. Understanding and working with the root issues. Helping you open into more of who you can be. I offer a warm, compassionate place for you to allow (or learn to allow) yourself to be cared for and supported. Embodied, experiential, and present: I work with techniques such as felt sensing and interoception, Accelerated Experiential Dynamic Psychotherapy (AEDP), Internal Family Systems (IFS)-informed, Energy Psychology, and Emotion Freedom Technique (EFT) tapping, to help you access, understand, and release emotions and stuckness and trauma.
(540) 782-3872 View (540) 782-3872
Photo of Bevin Sanborn, Clinical Social Work/Therapist, MSW, LCSW
Bevin Sanborn
Clinical Social Work/Therapist, MSW, LCSW
Online Only
I help clients treat therapy like a waypoint—a safe pause on a longer journey. If you’re feeling overwhelmed, stuck, or unsure of your next step, our work together can be a place to reflect and move forward at a pace that feels right for you. My approach is collaborative and nonjudgmental, focusing on helping you feel truly seen, supported, and understood as you navigate life’s challenges. If you’re ready for a space to pause, re-orient, and find a new way forward, I’d be honored to be part of your journey. Reach out to schedule a consultation or first session so we can see whether we’re a good fit.
I help clients treat therapy like a waypoint—a safe pause on a longer journey. If you’re feeling overwhelmed, stuck, or unsure of your next step, our work together can be a place to reflect and move forward at a pace that feels right for you. My approach is collaborative and nonjudgmental, focusing on helping you feel truly seen, supported, and understood as you navigate life’s challenges. If you’re ready for a space to pause, re-orient, and find a new way forward, I’d be honored to be part of your journey. Reach out to schedule a consultation or first session so we can see whether we’re a good fit.
(571) 202-6835 View (571) 202-6835
Photo of McKenna Sharpe, Clinical Social Work/Therapist, LCSW
McKenna Sharpe
Clinical Social Work/Therapist, LCSW
Online Only
Welcome to the start of your healing journey! I am McKenna Sharpe, a Licensed Clinical Social Worker dedicated to guiding you through this transformative process. With extensive experience counseling teenagers and young adults, I specialize in addressing complex trauma, mental health such as depression or anxiety, Commercial Sexual Exploitation, crisis intervention, and behavioral challenges. My approach integrates trauma-informed care, faith-based counseling, and holistic treatment modalities, grounded in the belief that love is the most powerful treatment.
Welcome to the start of your healing journey! I am McKenna Sharpe, a Licensed Clinical Social Worker dedicated to guiding you through this transformative process. With extensive experience counseling teenagers and young adults, I specialize in addressing complex trauma, mental health such as depression or anxiety, Commercial Sexual Exploitation, crisis intervention, and behavioral challenges. My approach integrates trauma-informed care, faith-based counseling, and holistic treatment modalities, grounded in the belief that love is the most powerful treatment.
(571) 609-3036 View (571) 609-3036

More Therapists Nearby

Photo of Gregory Adams, Licensed Professional Counselor, LPC, LSATP
Gregory Adams
Licensed Professional Counselor, LPC, LSATP
6 Endorsed
Oakton, VA 22124
Are you struggling in your relationship, separation, divorce, or with a co-parent? Have things become more difficult for you, and you're not exactly sure how or why? Are you concerned about how the strain involved might be affecting your children? Such situations are all too common, and many otherwise effective and more-than-competent people are left wondering if they're doing everything possible, or even just enough, to meet the needs of everyone in their family. Being a parent can be difficult for anyone, and problems in relationships between parents and loved ones make it even harder.
Are you struggling in your relationship, separation, divorce, or with a co-parent? Have things become more difficult for you, and you're not exactly sure how or why? Are you concerned about how the strain involved might be affecting your children? Such situations are all too common, and many otherwise effective and more-than-competent people are left wondering if they're doing everything possible, or even just enough, to meet the needs of everyone in their family. Being a parent can be difficult for anyone, and problems in relationships between parents and loved ones make it even harder.
(571) 766-0633 View (571) 766-0633
Photo of Dan Campbell, Clinical Social Work/Therapist, LCSW
Dan Campbell
Clinical Social Work/Therapist, LCSW
1 Endorsed
Fairfax, VA 22030
Depression, Anxiety, Autism, ADHD, and Learning Disabilities take a toll on relationships and your ability to live a fulfilling life. If you or a loved one have challenges related to any of these issues, I'm dedicated to helping you and your family reduce stress, solve problems, enhance relationships, and create a life worth living. I create a safe place where you can tell your story and engage with me in finding skills that help and solutions that fit. While helping families, I will also communicate with schools and other professionals to create a team that works.
Depression, Anxiety, Autism, ADHD, and Learning Disabilities take a toll on relationships and your ability to live a fulfilling life. If you or a loved one have challenges related to any of these issues, I'm dedicated to helping you and your family reduce stress, solve problems, enhance relationships, and create a life worth living. I create a safe place where you can tell your story and engage with me in finding skills that help and solutions that fit. While helping families, I will also communicate with schools and other professionals to create a team that works.
(703) 691-5326 View (703) 691-5326
Photo of Julie O'Brien, Clinical Social Work/Therapist, LCSW
Julie O'Brien
Clinical Social Work/Therapist, LCSW
2 Endorsed
Falls Church, VA 22041
I bring my authentic self to our therapeutic relationship and encourage you to do the same as we collaborate to identify and work towards your desired goals. I take a person-centered approach drawing from a range of frameworks including motivational interviewing, structural family therapy, narrative therapy, cognitive-behavioral therapy, and somatic work. I look forward to connecting with you!
I bring my authentic self to our therapeutic relationship and encourage you to do the same as we collaborate to identify and work towards your desired goals. I take a person-centered approach drawing from a range of frameworks including motivational interviewing, structural family therapy, narrative therapy, cognitive-behavioral therapy, and somatic work. I look forward to connecting with you!
(571) 489-7380 View (571) 489-7380
Photo of Sunnie Chu, Pre-Licensed Professional, MEd, CTP
Sunnie Chu
Pre-Licensed Professional, MEd, CTP
1 Endorsed
Fairfax, VA 22030
Sunnie Chu, M.Ed., Licensed Resident in Counseling has experience working with individuals 18 years and older in private practice and hospital outpatient setting. Sunnie is empathetic, attuned, and passionate about helping couples and individuals understand themselves and their lives in a deeper way. This may include revisiting past childhood experiences and other encounters that have been impactful to one’s life. This process may involve examining tendencies, habits, and patterns in their relationships, daily functioning, and overall well-being.
Sunnie Chu, M.Ed., Licensed Resident in Counseling has experience working with individuals 18 years and older in private practice and hospital outpatient setting. Sunnie is empathetic, attuned, and passionate about helping couples and individuals understand themselves and their lives in a deeper way. This may include revisiting past childhood experiences and other encounters that have been impactful to one’s life. This process may involve examining tendencies, habits, and patterns in their relationships, daily functioning, and overall well-being.
(571) 462-2114 x412 View (571) 462-2114 x412
Photo of Aminah Mellion - Mahogany Counseling and Consulting Services, Clinical Social Work/Therapist, LCSW, MSW
Mahogany Counseling and Consulting Services
Clinical Social Work/Therapist, LCSW, MSW
3 Endorsed
McLean, VA 22102
I'm Aminah and I’ve practiced as a licensed clinician for over 20 years. I’m passionate about working with children and adults and deeply committed to empowering my clients to reach their goals. I have worked in public and private school settings as a clinician and an administrator, serving students from kindergarten through high school. I have expertise helping families navigate mental health concerns that impact a child's schooling and relationships. I use a holistic and collaborative approach that incorporates the diverse cultural backgrounds of my clients. I've had great success working with neurodivergent clients and trauma.
I'm Aminah and I’ve practiced as a licensed clinician for over 20 years. I’m passionate about working with children and adults and deeply committed to empowering my clients to reach their goals. I have worked in public and private school settings as a clinician and an administrator, serving students from kindergarten through high school. I have expertise helping families navigate mental health concerns that impact a child's schooling and relationships. I use a holistic and collaborative approach that incorporates the diverse cultural backgrounds of my clients. I've had great success working with neurodivergent clients and trauma.
(703) 936-9151 View (703) 936-9151
Photo of Samantha Ceccio, Resident in Counseling
Samantha Ceccio
Resident in Counseling
Warrenton, VA 20186
Hi! I believe in working collaboratively with clients to help them build a more fulfilling and meaningful life. Whether you're experiencing life transitions, managing difficult emotions, navigating relationships, wanting to build your self value or experiencing challenges, I am here to support you every step of the way.
Hi! I believe in working collaboratively with clients to help them build a more fulfilling and meaningful life. Whether you're experiencing life transitions, managing difficult emotions, navigating relationships, wanting to build your self value or experiencing challenges, I am here to support you every step of the way.
(540) 559-5220 x5 View (540) 559-5220 x5

See more therapy options for 22001

How does your Therapist compare?

Number of Therapists in 22001

10+

Average cost per session

$120

Therapists in 22001 who prioritize treating:

100% Anxiety
71% Depression
64% Trauma and PTSD
50% Grief
43% ADHD
43% Anger Management
43% Self Esteem

Average years in practice

18 Years

Top 3 insurances accepted

86% Anthem
64% Aetna
64% Cigna and Evernorth

How Therapists in 22001 see their clients

71% Online Only
29% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 22001?

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.