Photo of Victoria C Rush, LCMHC, NCC, Counselor
Victoria C Rush
Counselor, LCMHC, NCC
Verified Verified
Spring Lake, NC 28390  (Online Only)
Waitlist for new clients
I encourage all of my clients to strive for personal growth and awareness. Don't allow an unhappy and painful past to define who you are. Try to make peace with what you cannot change.
I encourage all of my clients to strive for personal growth and awareness. Don't allow an unhappy and painful past to define who you are. Try to make peace with what you cannot change.
(910) 764-8205 View (910) 764-8205
Lisa A Nunnally
Licensed Professional Counselor, MS, LPC, LCDC
Verified Verified
Spring Lake, NC 28390  (Online Only)
Not accepting new clients
My clients are life long learners, who are seeking to know themselves on a deeper level and are looking for new opportunities through discovery of their strengths. I value humor, sincerity, personal responsibility and empowerment. I have always considered it a privilege to walk with my clients on a journey that leads to greater self knowledge and a more satisfying life. I believe that my job is to assist the client in developing strategies to overcome the barriers in life whether actual or perceived and to allow a clearer vision to the paths ahead. Empowerment is the light on that path.
My clients are life long learners, who are seeking to know themselves on a deeper level and are looking for new opportunities through discovery of their strengths. I value humor, sincerity, personal responsibility and empowerment. I have always considered it a privilege to walk with my clients on a journey that leads to greater self knowledge and a more satisfying life. I believe that my job is to assist the client in developing strategies to overcome the barriers in life whether actual or perceived and to allow a clearer vision to the paths ahead. Empowerment is the light on that path.
(910) 981-1175 View (910) 981-1175
Photo of Brittany McLean, LCMHC, LCAS-A
Brittany McLean
Licensed Clinical Mental Health Counselor, LCMHC, LCAS-A
Verified Verified
1 Endorsed
Spring Lake, NC 28390
I am a Licensed Clinical Mental Health Counselor, and Licensed Clinical Addiction Specialist Associate. I obtained my undergraduate degree in Psychology from Fayetteville State University in 2015 and my Master’s degree in Professional Counseling from The University of Grand Canyon in 2018. I have 4+ years experience and enjoy working with adolescents, young adults, adults, and families, as well as BIPOC, providing individual, group, and family counseling. My counseling orientation is based on Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT). I also use skills from Narrative Therapy and Mindfulness Therapy.
I am a Licensed Clinical Mental Health Counselor, and Licensed Clinical Addiction Specialist Associate. I obtained my undergraduate degree in Psychology from Fayetteville State University in 2015 and my Master’s degree in Professional Counseling from The University of Grand Canyon in 2018. I have 4+ years experience and enjoy working with adolescents, young adults, adults, and families, as well as BIPOC, providing individual, group, and family counseling. My counseling orientation is based on Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT). I also use skills from Narrative Therapy and Mindfulness Therapy.
(910) 981-2637 View (910) 981-2637
Photo of Carolyn Laura Kindred, LCMHCA, MA, NCC, Counselor
Carolyn Laura Kindred
Counselor, LCMHCA, MA, NCC
Verified Verified
1 Endorsed
Spring Lake, NC 28390
I work with individuals, children, adolescents, teens, adults, couples, families, and persons in the LGBTQ+ community! My clinical interests include working with those affected by trauma, personality disorders, Autism, ADHD and other neurodivergent conditions, as my own life is affected by the differences and challenges my daughter’s Autism has introduced us to throughout her life. I have experience in trauma-focused CBT and DBT for those affected by childhood trauma, abuse, and sexual trauma. I also have experience with the foster-care system, single-parent households & blended families.
I work with individuals, children, adolescents, teens, adults, couples, families, and persons in the LGBTQ+ community! My clinical interests include working with those affected by trauma, personality disorders, Autism, ADHD and other neurodivergent conditions, as my own life is affected by the differences and challenges my daughter’s Autism has introduced us to throughout her life. I have experience in trauma-focused CBT and DBT for those affected by childhood trauma, abuse, and sexual trauma. I also have experience with the foster-care system, single-parent households & blended families.
(910) 946-5660 View (910) 946-5660
Photo of Tameka Drew, MSW, LCSW, Clinical Social Work/Therapist
Tameka Drew
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Spring Lake, NC 28390  (Online Only)
Throughout life’s journey we all face challenges that bring about uncertainty and frustration: Marital or Parenting issues; Relationship concerns; Depression; Anxiety; Work-life balance issues; Life transitions; Mental/emotional baggage. At times we face these difficulties alone, attempting to remain independent and strong. However, filtering through life alone can lead to burnout. Fortunately, we do not have to manage life’s pressures alone. There is a way that we can work through each concern, cope with our problems in a healthy way, and begin to feel lightweight and free as we continue life's journey.
Throughout life’s journey we all face challenges that bring about uncertainty and frustration: Marital or Parenting issues; Relationship concerns; Depression; Anxiety; Work-life balance issues; Life transitions; Mental/emotional baggage. At times we face these difficulties alone, attempting to remain independent and strong. However, filtering through life alone can lead to burnout. Fortunately, we do not have to manage life’s pressures alone. There is a way that we can work through each concern, cope with our problems in a healthy way, and begin to feel lightweight and free as we continue life's journey.
(910) 720-6428 View (910) 720-6428
Photo of Rosa Howard-Poston, MA, LMHC, LCMHC, NCC, Counselor
Rosa Howard-Poston
Counselor, MA, LMHC, LCMHC, NCC
Verified Verified
Spring Lake, NC 28390
As a bilingual Mental Health Provider, I have the ability to connect with my clients, not only because I understand the field of practice but because I have relatable life experiences. I am here to listen, guide and provide you with the necessary tools so that you can manage any challenges.
As a bilingual Mental Health Provider, I have the ability to connect with my clients, not only because I understand the field of practice but because I have relatable life experiences. I am here to listen, guide and provide you with the necessary tools so that you can manage any challenges.
(910) 565-6775 View (910) 565-6775
Photo of Rashanda J Coachman, MA ed, LCMHC, LCAS
Rashanda J Coachman
Licensed Clinical Mental Health Counselor, MA ed, LCMHC, LCAS
Verified Verified
1 Endorsed
Spring Lake, NC 28390
Hi, I am a licensed clinical mental health counselor and clinical addiction specialist. I am passionate about providing quality mental health care for adolescents and adults ages 13 and older. I have worked in the field for approx. four years and aim to help clients that have experienced substance use concerns, trauma, depression, anxiety, LGBTQ issues, as well as adjustment/transition related concerns and need extra support managing life stressors and daily challenges.
Hi, I am a licensed clinical mental health counselor and clinical addiction specialist. I am passionate about providing quality mental health care for adolescents and adults ages 13 and older. I have worked in the field for approx. four years and aim to help clients that have experienced substance use concerns, trauma, depression, anxiety, LGBTQ issues, as well as adjustment/transition related concerns and need extra support managing life stressors and daily challenges.
(910) 994-4895 View (910) 994-4895
Photo of Desirrae Anderson-Harris, LCSW, Clinical Social Work/Therapist
Desirrae Anderson-Harris
Clinical Social Work/Therapist, LCSW
Verified Verified
Spring Lake, NC 28390  (Online Only)
Desirrae Anderson-Harris is a Licensed Clinical Social Worker with over 11 years of experience as a mental health therapist. She is a proud veteran and graduate of Fayetteville State University Masters of Social Work Program. She holds a dual Masters of Science in Health Care Management. Mrs. Harris is also the proud spouse of a disabled Army veteran. Her specializations include working with children, adolescents, adults, couples, veterans, and military families. During her time as an officer on active duty she worked with diverse patient populations while serving as Deputy Chief of the Intensive Outpatient Program.
Desirrae Anderson-Harris is a Licensed Clinical Social Worker with over 11 years of experience as a mental health therapist. She is a proud veteran and graduate of Fayetteville State University Masters of Social Work Program. She holds a dual Masters of Science in Health Care Management. Mrs. Harris is also the proud spouse of a disabled Army veteran. Her specializations include working with children, adolescents, adults, couples, veterans, and military families. During her time as an officer on active duty she worked with diverse patient populations while serving as Deputy Chief of the Intensive Outpatient Program.
(910) 636-7731 View (910) 636-7731
Photo of John Coleman, LCAS, Drug & Alcohol Counselor
John Coleman
Drug & Alcohol Counselor, LCAS
Verified Verified
Spring Lake, NC 28390
My name is John Coleman Jr. I am a native of Statesboro, GA that moved to North Carolina in 2002. I played football while receiving my bachelor’s degree from Shaw University in Raleigh, NC. That’s where I met my beautiful wife. I am a man of God, husband, father, son and friend. I have 4 kids, 3 daughters, and 1 son. I enjoy spending time with my family, traveling, and drag racing. I started working in the mental health field in my sophomore year in college (2003) with adults and children. My love and passion for others motivated me to get my masters in licensed professional counseling at Grand Canyon University.
My name is John Coleman Jr. I am a native of Statesboro, GA that moved to North Carolina in 2002. I played football while receiving my bachelor’s degree from Shaw University in Raleigh, NC. That’s where I met my beautiful wife. I am a man of God, husband, father, son and friend. I have 4 kids, 3 daughters, and 1 son. I enjoy spending time with my family, traveling, and drag racing. I started working in the mental health field in my sophomore year in college (2003) with adults and children. My love and passion for others motivated me to get my masters in licensed professional counseling at Grand Canyon University.
(910) 994-5130 View (910) 994-5130
Photo of Chauntel Marie Summers, PhD, LPC, NCC, Counselor
Chauntel Marie Summers
Counselor, PhD, LPC, NCC
Verified Verified
Spring Lake, NC 28390
When you feel like your world is falling apart, your heart is broken or you're overwhelmed by life, the last thing you want to do is wait for someone to find time in their schedule to fit you in. Appointments are available within the week for most clients. Telehealth sessions are available anytime, day or night, either by phone or a HIPAA-compliant video platform. In-person visits are available in my Spring Lake and Sanford offices. Your concerns will be addressed in a manner that is friendly and comfortable, and suited specifically to your needs. Call me directly at 472-234-1688 to schedule an intake appointment.
When you feel like your world is falling apart, your heart is broken or you're overwhelmed by life, the last thing you want to do is wait for someone to find time in their schedule to fit you in. Appointments are available within the week for most clients. Telehealth sessions are available anytime, day or night, either by phone or a HIPAA-compliant video platform. In-person visits are available in my Spring Lake and Sanford offices. Your concerns will be addressed in a manner that is friendly and comfortable, and suited specifically to your needs. Call me directly at 472-234-1688 to schedule an intake appointment.
(910) 765-8841 View (910) 765-8841
Photo of Karen Jeannette, PhD, LCMHC, LPC, NCC, Counselor
Karen Jeannette
Counselor, PhD, LCMHC, LPC, NCC
Verified Verified
1 Endorsed
Spring Lake, NC 28390  (Online Only)
Waitlist for new clients
Are you searching for a non-judgmental and inclusive setting for therapy? Do you seek to understand the reasoning behind behaviors as you strive to be your authentic self? Are you struggling to cope with recent loss as you move through everyday life? I am a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina and a Licensed Professional Counselor (LPC) in Virginia. I received my M.A. in School Counseling in 2007 and my Ph.D. in Counselor Education and Supervision in August 2023. I use evidence-based practices and current research to provide the best possible treatments for my clients.
Are you searching for a non-judgmental and inclusive setting for therapy? Do you seek to understand the reasoning behind behaviors as you strive to be your authentic self? Are you struggling to cope with recent loss as you move through everyday life? I am a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina and a Licensed Professional Counselor (LPC) in Virginia. I received my M.A. in School Counseling in 2007 and my Ph.D. in Counselor Education and Supervision in August 2023. I use evidence-based practices and current research to provide the best possible treatments for my clients.
(984) 342-3554 View (984) 342-3554
Photo of Amber Kennedy, MA, LCMHCS, Licensed Professional Counselor
Amber Kennedy
Licensed Professional Counselor, MA, LCMHCS
Verified Verified
Spring Lake, NC 28390
I know that making the decision to contact a therapist can be difficult for some and my goal is to make the time spent as welcoming as possible.
I know that making the decision to contact a therapist can be difficult for some and my goal is to make the time spent as welcoming as possible.
(910) 339-9375 View (910) 339-9375
Photo of Sherman Boone, LCSW, Clinical Social Work/Therapist
Sherman Boone
Clinical Social Work/Therapist, LCSW
Verified Verified
Spring Lake, NC 28390  (Online Only)
I have been a practicing psychotherapist for over 20 years. I have had the opportunity to work within very unique and challenging clinical settings, including within a school, within a psychiatric center, within a residential campus and for the past decade within my current outpatient practice. The aforementioned settings have afforded a wealth of empirically based mental health insight and training, while also allowing efforts to gather invaluable clinical experiences working with adults and adolescents, dealing with mental health issues ranging from anxiety, depression, Bipolar Disorder and various other personality disorders.
I have been a practicing psychotherapist for over 20 years. I have had the opportunity to work within very unique and challenging clinical settings, including within a school, within a psychiatric center, within a residential campus and for the past decade within my current outpatient practice. The aforementioned settings have afforded a wealth of empirically based mental health insight and training, while also allowing efforts to gather invaluable clinical experiences working with adults and adolescents, dealing with mental health issues ranging from anxiety, depression, Bipolar Disorder and various other personality disorders.
(336) 891-3699 View (336) 891-3699
Photo of Anne Malena, LCSW, Clinical Social Work/Therapist
Anne Malena
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Spring Lake, NC 28390  (Online Only)
www.checkyourpeace.com
www.checkyourpeace.com
(207) 707-6795 View (207) 707-6795
Photo of Elizabeth Caldwell - Clinical Counseling and Consulting Services, PLLC, LCSW, LCASA, CSOTP, TFCBT, NCCPE, Clinical Social Work/Therapist
Clinical Counseling and Consulting Services, PLLC
Clinical Social Work/Therapist, LCSW, LCASA, CSOTP, TFCBT, NCCPE
Verified Verified
1 Endorsed
Spring Lake, NC 28390
Clinical Counseling and Consulting Services, PLLC (CCCS) is a counseling and consulting agency dedicated to clinician development and mental health treatment. Although CCCS specializes in treatment for sex offenders, individuals with problematic sexualized behavior, and victims of trauma, the agency also provides specialized outpatient therapy, employee assistance services, and services for individuals suffering from addiction. Parenting education classes are also available to assist parents with managing and coping with their children and/or adolescent behavioral deficits, addictions, and/or mental health disorder(s).
Clinical Counseling and Consulting Services, PLLC (CCCS) is a counseling and consulting agency dedicated to clinician development and mental health treatment. Although CCCS specializes in treatment for sex offenders, individuals with problematic sexualized behavior, and victims of trauma, the agency also provides specialized outpatient therapy, employee assistance services, and services for individuals suffering from addiction. Parenting education classes are also available to assist parents with managing and coping with their children and/or adolescent behavioral deficits, addictions, and/or mental health disorder(s).
(910) 401-2998 View (910) 401-2998
Photo of Verna Dority - Carolina Counseling Services - Cameron, NC, MSW, LCSW, Clinical Social Work/Therapist
Carolina Counseling Services - Cameron, NC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Spring Lake, NC 28390
There can be a lot of obstacles to living the life you want, therapy can help. We have appointments available with independently contracted therapists who enjoy working with couples, adults, teens and children. We contract with experienced, licensed clinicians that can help you work through what may be holding you back.
There can be a lot of obstacles to living the life you want, therapy can help. We have appointments available with independently contracted therapists who enjoy working with couples, adults, teens and children. We contract with experienced, licensed clinicians that can help you work through what may be holding you back.
(910) 716-8006 View (910) 716-8006
Photo of Deangela Gee - CrossBeam Centers, LCMHC-S, LCSW, LCAS, FNP
CrossBeam Centers
Licensed Clinical Mental Health Counselor, LCMHC-S, LCSW, LCAS, FNP
Verified Verified
4 Endorsed
Spring Lake, NC 28390
By definition a crossbeam is a "beam that spans from one support to another". At CrossBeam Centers, we are a client focused multi-specialty team providing comprehensive Counseling and Psychotherapy services that will give you the beam needed to support you through the nuances of life. Our dedicated team of Coaches, Counselors, Social Workers and Therapists are passionate about providing compassionate care that address the client's whole life...mind, body, spirit and relationship. As a LCMHC Supervisor, we offer support and guidance to Graduate Students and newly licensed professionals.
By definition a crossbeam is a "beam that spans from one support to another". At CrossBeam Centers, we are a client focused multi-specialty team providing comprehensive Counseling and Psychotherapy services that will give you the beam needed to support you through the nuances of life. Our dedicated team of Coaches, Counselors, Social Workers and Therapists are passionate about providing compassionate care that address the client's whole life...mind, body, spirit and relationship. As a LCMHC Supervisor, we offer support and guidance to Graduate Students and newly licensed professionals.
(910) 387-1432 View (910) 387-1432
Photo of Rose Thomas, MA, LPC, LCAS, Licensed Professional Counselor
Rose Thomas
Licensed Professional Counselor, MA, LPC, LCAS
Verified Verified
Spring Lake, NC 28390
I have immediate openings and I welcome the opportunity to assist you in resolving your life's challenges and concerns. I am happy to provide counseling services to children, adolescents, adults, families and couples. I specialize in working with people struggling through any type of difficulties where it be childhood trauma, PTSD, depression, anxiety, panic, unanticipated life events, family and marital problems and substance use.
I have immediate openings and I welcome the opportunity to assist you in resolving your life's challenges and concerns. I am happy to provide counseling services to children, adolescents, adults, families and couples. I specialize in working with people struggling through any type of difficulties where it be childhood trauma, PTSD, depression, anxiety, panic, unanticipated life events, family and marital problems and substance use.
(910) 716-8006 View (910) 716-8006
Photo of Imani N Johnson, MS, MSW, LCSW, LCAS, Clinical Social Work/Therapist
Imani N Johnson
Clinical Social Work/Therapist, MS, MSW, LCSW, LCAS
Verified Verified
1 Endorsed
Spring Lake, NC 28390
With approximately 14 years of combined, prior experience as a Qualified Professional (QP) and Family Case Manager in both the Georgia and North Carolina systems of Mental Health and Human Services, I've had the privilege of working with adults, children, families, and groups with compassion and professionalism. Since 2012, I've served as a Licensed Clinical Social Worker providing in-home, office, and community-based therapy.
With approximately 14 years of combined, prior experience as a Qualified Professional (QP) and Family Case Manager in both the Georgia and North Carolina systems of Mental Health and Human Services, I've had the privilege of working with adults, children, families, and groups with compassion and professionalism. Since 2012, I've served as a Licensed Clinical Social Worker providing in-home, office, and community-based therapy.
(910) 247-4721 View (910) 247-4721
Photo of Asa K Stoltz, LMFT, RYT, Marriage & Family Therapist
Asa K Stoltz
Marriage & Family Therapist, LMFT, RYT
Verified Verified
Spring Lake, NC 28390
I AM CURRENTLY NOT ABLE TO ACCEPT NEW CLIENTS. As a Licensed Marriage and Family Therapist, Registered Yoga Teacher with a certification in Trauma-Focused CBT, I am passionate about combining traditional therapy theories/techniques with experiential and holistic methods such as meditation, mindfulness and mind-body awareness to better serve client's or family's needs (upon request). I have 15 + years of experience from outpatient- and in home settings, private practice, foster care-systems, juvenile justice/court and am also familiar with working with military families.
I AM CURRENTLY NOT ABLE TO ACCEPT NEW CLIENTS. As a Licensed Marriage and Family Therapist, Registered Yoga Teacher with a certification in Trauma-Focused CBT, I am passionate about combining traditional therapy theories/techniques with experiential and holistic methods such as meditation, mindfulness and mind-body awareness to better serve client's or family's needs (upon request). I have 15 + years of experience from outpatient- and in home settings, private practice, foster care-systems, juvenile justice/court and am also familiar with working with military families.
(910) 684-5084 View (910) 684-5084
1

See more therapy options for 28390

How does your Therapist compare?

Number of Therapists in 28390

30+

Average cost per session

$117

Therapists in 28390 who prioritize treating:

92% Depression
92% Anxiety
78% Trauma and PTSD
73% Self Esteem
70% Stress
68% Relationship Issues
68% Grief

Average years in practice

12 Years

Top 3 insurances accepted

81% BlueCross and BlueShield
71% Aetna
61% Cigna and Evernorth

How Therapists in 28390 see their clients

63% In Person and Online
37% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 28390?

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.