Therapists in 35242

Photo of Marshall Kitron, Pre-Licensed Professional, ALC
Marshall Kitron
Pre-Licensed Professional, ALC
1 Endorsed
Birmingham, AL 35242
Life is full of bumps in the road which we all encounter, such as broken relationships, battling self-doubt, difficulty in changing careers, trouble with communication, needing to break habits/change certain behaviors, working through loneliness, needing to forgive someone or battling anxiety and depression.
Life is full of bumps in the road which we all encounter, such as broken relationships, battling self-doubt, difficulty in changing careers, trouble with communication, needing to break habits/change certain behaviors, working through loneliness, needing to forgive someone or battling anxiety and depression.
(205) 576-1344 View (205) 576-1344
Photo of Jessica D Kuklo, Licensed Professional Counselor, MA, LPC, NBCC
Jessica D Kuklo
Licensed Professional Counselor, MA, LPC, NBCC
Birmingham, AL 35242
I am Jessica D. Kuklo. I have dedicated my practice to be a compassionate therapist specializing in EMDR and CBT for PTSD, depression, trauma, LGBTQ+ life, relationships, recovery, life and social skills and last but not least anxiety. With years of experience in the field, I am deeply committed to helping individuals overcome their personal challenges and I am committed to helping individuals achieve their emotional well-being and achieve personal growth. With a warm and empathetic approach, one of my goals is create and maintain a safe and non-judgmental space for clients to explore their thoughts, feelings, and experiences.
I am Jessica D. Kuklo. I have dedicated my practice to be a compassionate therapist specializing in EMDR and CBT for PTSD, depression, trauma, LGBTQ+ life, relationships, recovery, life and social skills and last but not least anxiety. With years of experience in the field, I am deeply committed to helping individuals overcome their personal challenges and I am committed to helping individuals achieve their emotional well-being and achieve personal growth. With a warm and empathetic approach, one of my goals is create and maintain a safe and non-judgmental space for clients to explore their thoughts, feelings, and experiences.
(205) 900-4132 View (205) 900-4132
Photo of Sara Cook Warner, Licensed Professional Counselor, MA, LPC, BSP
Sara Cook Warner
Licensed Professional Counselor, MA, LPC, BSP
2 Endorsed
Birmingham, AL 35242
There is so much beauty in being honest and vulnerable. As a therapist, it is a privilege to be able to create a safe space for my clients; a space that gives them an opportunity to build awareness and resilience. Seeking therapy does not indicate failure or brokenness, in fact it is an act of strength and an act of responsibility to respect and honor one's self. I specialize in trauma, grief, depression, and anxiety of all ages. I'm a certified Brainspotting therapist and have trainings in EMDR and TF-CBT. I also have received training through IITAP to work specifically with betrayal trauma.
There is so much beauty in being honest and vulnerable. As a therapist, it is a privilege to be able to create a safe space for my clients; a space that gives them an opportunity to build awareness and resilience. Seeking therapy does not indicate failure or brokenness, in fact it is an act of strength and an act of responsibility to respect and honor one's self. I specialize in trauma, grief, depression, and anxiety of all ages. I'm a certified Brainspotting therapist and have trainings in EMDR and TF-CBT. I also have received training through IITAP to work specifically with betrayal trauma.
(205) 662-2888 View (205) 662-2888
Photo of Teresa Prince, Counselor, LPC, CGT, CSAT, CCPS, EMDR
Teresa Prince
Counselor, LPC, CGT, CSAT, CCPS, EMDR
Birmingham, AL 35242
I specialize in betrayal trauma — helping individuals, couples, and families heal from the hurt of infidelity, hidden sexual behavior, and broken trust. As a Certified Sex Addiction Therapist (CSAT) through IITAP and a Certified Clinical Partner Specialist (CCPS) through APSATS, I offer specialized care for both the betrayed and the betraying partner. If you're feeling disconnected, betrayed, or overwhelmed, you're not alone — and you don't have to navigate it alone. I offer a compassionate, structured, and evidence-based path toward healing, repair, and deeper connection.
I specialize in betrayal trauma — helping individuals, couples, and families heal from the hurt of infidelity, hidden sexual behavior, and broken trust. As a Certified Sex Addiction Therapist (CSAT) through IITAP and a Certified Clinical Partner Specialist (CCPS) through APSATS, I offer specialized care for both the betrayed and the betraying partner. If you're feeling disconnected, betrayed, or overwhelmed, you're not alone — and you don't have to navigate it alone. I offer a compassionate, structured, and evidence-based path toward healing, repair, and deeper connection.
(205) 272-5642 View (205) 272-5642
Photo of Tal Prince, Counselor, LPC, CSAT, CPTT, EMDR, NCC
Tal Prince
Counselor, LPC, CSAT, CPTT, EMDR, NCC
Birmingham, AL 35242
Are you struggling with sex addiction, or loving someone who is? If you're worn out from the chaos, secrecy, and despair, you are not alone — and there is real hope. As a sex addiction therapist in Birmingham, I help men, betrayed partners, and couples move from isolation to recovery. At Insights Counseling Center, you won't be met with judgment or shame. We understand, because we've been there, and we'll walk with you toward sobriety, healing, and restored relationships.
Are you struggling with sex addiction, or loving someone who is? If you're worn out from the chaos, secrecy, and despair, you are not alone — and there is real hope. As a sex addiction therapist in Birmingham, I help men, betrayed partners, and couples move from isolation to recovery. At Insights Counseling Center, you won't be met with judgment or shame. We understand, because we've been there, and we'll walk with you toward sobriety, healing, and restored relationships.
(205) 390-1699 View (205) 390-1699
Photo of Seth Powell, Counselor, MS, LPC
Seth Powell
Counselor, MS, LPC
Birmingham, AL 35242
Over the course of my life, I've had the privilege to join many people on their journey towards healing and wholeness. One thing I've learned is that no matter what we are facing, we crave to know we can get through it, that we can overcome it, that we can master what holds us back and drags us down. This is my passion. Helping you see that you CAN do hard things and that your past, your struggles, your hurdles, etc do NOT define you. I'm a parent who gets the hard of parenting, a husband who knows the hard of marriage, a survivor who know the hard of remembering the trauma. I work with teens, adults, couples, and families.
Over the course of my life, I've had the privilege to join many people on their journey towards healing and wholeness. One thing I've learned is that no matter what we are facing, we crave to know we can get through it, that we can overcome it, that we can master what holds us back and drags us down. This is my passion. Helping you see that you CAN do hard things and that your past, your struggles, your hurdles, etc do NOT define you. I'm a parent who gets the hard of parenting, a husband who knows the hard of marriage, a survivor who know the hard of remembering the trauma. I work with teens, adults, couples, and families.
(205) 606-4819 View (205) 606-4819
Photo of Danielle Yourgules, Clinical Social Work/Therapist, LICSW
Danielle Yourgules
Clinical Social Work/Therapist, LICSW
3 Endorsed
Birmingham, AL 35242
There's an energy in your body that never seems to settle. This isn't an exciting feeling. This restlessness is daunting. Negative thoughts plague you day and night. Prayer brings you some relief, but it's only a matter of time before the mind takes over once again. You've become reactive. The irritability is exhausting. Your thoughts keep you up at night and the sleeplessness fans the intrusive thoughts into a flame. It's a vicious cycle. You're not the best version of yourself. You're craving tranquility, rest, and contentment for your life. You're ready to find your peace.
There's an energy in your body that never seems to settle. This isn't an exciting feeling. This restlessness is daunting. Negative thoughts plague you day and night. Prayer brings you some relief, but it's only a matter of time before the mind takes over once again. You've become reactive. The irritability is exhausting. Your thoughts keep you up at night and the sleeplessness fans the intrusive thoughts into a flame. It's a vicious cycle. You're not the best version of yourself. You're craving tranquility, rest, and contentment for your life. You're ready to find your peace.
(205) 964-9395 View (205) 964-9395
Photo of JoAnna Howard, Clinical Social Work/Therapist, LICSW
JoAnna Howard
Clinical Social Work/Therapist, LICSW
Birmingham, AL 35242
Life brings constant shifts—some expected, others not. In uncertain times, therapy can offer a steady space to process change, gain clarity, and stay grounded in what truly matters to you.
Life brings constant shifts—some expected, others not. In uncertain times, therapy can offer a steady space to process change, gain clarity, and stay grounded in what truly matters to you.
(205) 740-1021 View (205) 740-1021
Photo of Susan Rohwedder, Licensed Professional Counselor, LPC
Susan Rohwedder
Licensed Professional Counselor, LPC
1 Endorsed
Birmingham, AL 35242
You may be having a hard time. On the outside, you might be functioning well. Getting things done, showing up, holding it together. On the inside, you may feel tense, disconnected, overwhelmed, or quietly unhappy. You may want to feel more relaxed, more present, or more connected in your relationships, but feel unsure where to start or how therapy would even help.
You may be having a hard time. On the outside, you might be functioning well. Getting things done, showing up, holding it together. On the inside, you may feel tense, disconnected, overwhelmed, or quietly unhappy. You may want to feel more relaxed, more present, or more connected in your relationships, but feel unsure where to start or how therapy would even help.
(205) 736-2465 View (205) 736-2465
Photo of Neely Haynes, Counselor, MEd, LPC, NCC, SPT®
Neely Haynes
Counselor, MEd, LPC, NCC, SPT®
1 Endorsed
Birmingham, AL 35242
I see clients with needs involving emotional and mental pain that come from a variety of different pathways, including but not limited to, anxiety, depression, grief/loss, and trauma. I look to provide the client with evidenced based practices and interventions to allow the client, caregiver, and I to collaborate and determine the best pathway to growth. I see clients ranging in ages, from 3 to adulthood, and I work with relational problems, including families, divorce, blending families, and couples. I start with a Client Centered approach and integrate modalities as necessary to best serve my clients.
I see clients with needs involving emotional and mental pain that come from a variety of different pathways, including but not limited to, anxiety, depression, grief/loss, and trauma. I look to provide the client with evidenced based practices and interventions to allow the client, caregiver, and I to collaborate and determine the best pathway to growth. I see clients ranging in ages, from 3 to adulthood, and I work with relational problems, including families, divorce, blending families, and couples. I start with a Client Centered approach and integrate modalities as necessary to best serve my clients.
(938) 238-5864 View (938) 238-5864
Photo of Donna Sisson, Licensed Professional Counselor, LPC, EMDR
Donna Sisson
Licensed Professional Counselor, LPC, EMDR
1 Endorsed
Birmingham, AL 35242
Life can be challenging. At one time or another, we all confront a problem we don't want to face alone. Often, it's a dilemma in which our usual solutions don't work, and we can't seem to come up with new strategies that do.
Life can be challenging. At one time or another, we all confront a problem we don't want to face alone. Often, it's a dilemma in which our usual solutions don't work, and we can't seem to come up with new strategies that do.
(205) 351-0323 View (205) 351-0323
Photo of Madison Craft, Clinical Social Work/Therapist, LICSW
Madison Craft
Clinical Social Work/Therapist, LICSW
Birmingham, AL 35242
Hi, I'm Madison Craft- a Licensed Independent Clinical Social Worker (LICSW), a dedicated mom of three, and a passionate advocate for adolescents and their parents. I specialize in helping teens and young professionals navigate challenges like anxiety, self esteem, depression, academic stress, and identity exploration. Drawing from both professional expertise and the hands on experiences of parenting, I understand how overwhelming these years can be- for your child and for you. I create a safe, nonjudgmental space where every voice is heard, understood, and valued.
Hi, I'm Madison Craft- a Licensed Independent Clinical Social Worker (LICSW), a dedicated mom of three, and a passionate advocate for adolescents and their parents. I specialize in helping teens and young professionals navigate challenges like anxiety, self esteem, depression, academic stress, and identity exploration. Drawing from both professional expertise and the hands on experiences of parenting, I understand how overwhelming these years can be- for your child and for you. I create a safe, nonjudgmental space where every voice is heard, understood, and valued.
(205) 728-1910 View (205) 728-1910
Photo of Ruth M Ceneus - Counseling God's Way LLC/Rev. Ruth Ceneus, Licensed Professional Counselor, MA, LPCTC, LPC
Counseling God's Way LLC/Rev. Ruth Ceneus
Licensed Professional Counselor, MA, LPCTC, LPC
Birmingham, AL 35242
Do you feel trapped? Have you found yourself awakened at night? Let me guess; you’re not satisfied in life. Your surrounding threatens your faith & your relationship with the Lord Jesus? Do you often have disagreements with your loved ones? Are holding on to emotions thatyou can’t express? Are you looking for directions? I am a listener, compassionate believer in Jesus Christ, fully committed to helping individuals, family, & heterosexual couples who want to live a happy & free union. I can help you & your spouse solve most problems you are facing. Let’s run to Jesus together. He has answers in His blueprint for every issue we face.
Do you feel trapped? Have you found yourself awakened at night? Let me guess; you’re not satisfied in life. Your surrounding threatens your faith & your relationship with the Lord Jesus? Do you often have disagreements with your loved ones? Are holding on to emotions thatyou can’t express? Are you looking for directions? I am a listener, compassionate believer in Jesus Christ, fully committed to helping individuals, family, & heterosexual couples who want to live a happy & free union. I can help you & your spouse solve most problems you are facing. Let’s run to Jesus together. He has answers in His blueprint for every issue we face.
(205) 224-0695 View (205) 224-0695
Photo of Nicholas M. Safford, Counselor, MS, ALC, NCC
Nicholas M. Safford
Counselor, MS, ALC, NCC
5 Endorsed
Birmingham, AL 35242
Past trauma can leave you feeling stuck, anxious, and completely drained. If you feel like you are constantly just 'handling' your day-to-day distress, let’s look for a better way forward. We cannot change what happened to you, but we can change how it impacts you today. Together, we will work toward a lighter, less overwhelming relationship with your past memories so you can finally feel safe in the present.
Past trauma can leave you feeling stuck, anxious, and completely drained. If you feel like you are constantly just 'handling' your day-to-day distress, let’s look for a better way forward. We cannot change what happened to you, but we can change how it impacts you today. Together, we will work toward a lighter, less overwhelming relationship with your past memories so you can finally feel safe in the present.
(205) 772-4123 View (205) 772-4123
Photo of April L Coleman, Licensed Professional Counselor, MA, LPC, NCC
April L Coleman
Licensed Professional Counselor, MA, LPC, NCC
Birmingham, AL 35242
Mental Health concerns are public health concerns. Your mental wellbeing is just as important as your physical health. We all go through things and you don't have to go through those things alone. As a Therapist, I would like to be considered an additional support system for you. I would like to help you navigate and process your concerns and or issues; while providing you the tools you need for your toolbox- on your continued path to growth. Let's Talk!
Mental Health concerns are public health concerns. Your mental wellbeing is just as important as your physical health. We all go through things and you don't have to go through those things alone. As a Therapist, I would like to be considered an additional support system for you. I would like to help you navigate and process your concerns and or issues; while providing you the tools you need for your toolbox- on your continued path to growth. Let's Talk!
(205) 270-5175 View (205) 270-5175
Photo of Reggie Ardale Parker Sr. - Parker Counseling and Consulting, LLC, Licensed Professional Counselor, MS, LPC, NCC
Parker Counseling and Consulting, LLC
Licensed Professional Counselor, MS, LPC, NCC
2 Endorsed
Birmingham, AL 35242
Life is filled with challenges, and at some point, most people experience adversity—whether it's anxiety, depression, grief, relationship difficulties, job loss, trauma, or struggles with self-esteem. When the coping strategies that once worked are no longer providing relief, seeking support can be an important step toward healing and growth. My goal is to provide a safe, supportive environment where you can explore your concerns, develop new perspectives, and build the tools needed to move forward with confidence. I specialize in helping individuals, couples, and families navigate grief, loss, trauma, and life transitions. Whether
Life is filled with challenges, and at some point, most people experience adversity—whether it's anxiety, depression, grief, relationship difficulties, job loss, trauma, or struggles with self-esteem. When the coping strategies that once worked are no longer providing relief, seeking support can be an important step toward healing and growth. My goal is to provide a safe, supportive environment where you can explore your concerns, develop new perspectives, and build the tools needed to move forward with confidence. I specialize in helping individuals, couples, and families navigate grief, loss, trauma, and life transitions. Whether
(205) 289-3717 View (205) 289-3717
Photo of Cecelia A Watts, Licensed Professional Counselor, LPC
Cecelia A Watts
Licensed Professional Counselor, LPC
Vestavia Hills, AL 35242
I see adults, adolescents, pre-teens, couples and families who come to counseling with a variety of issues they want to explore. Some of these areas of concern include depression, anxiety, trauma, eating disorders, emotional, physical and sexual abuse, substance abuse, relationships, and grief. Some clients may want to reduce or eliminate negative effects of the issues they face. Others may want to change unhealthy habits or create healthier ones. And other clients may want to recover from trauma or abuse and find more positive ways of coping.
I see adults, adolescents, pre-teens, couples and families who come to counseling with a variety of issues they want to explore. Some of these areas of concern include depression, anxiety, trauma, eating disorders, emotional, physical and sexual abuse, substance abuse, relationships, and grief. Some clients may want to reduce or eliminate negative effects of the issues they face. Others may want to change unhealthy habits or create healthier ones. And other clients may want to recover from trauma or abuse and find more positive ways of coping.
(205) 883-9517 View (205) 883-9517
Photo of Graham Warren, Counselor, MA, ALC, NCC
Graham Warren
Counselor, MA, ALC, NCC
2 Endorsed
Birmingham, AL 35242
Your head hits the pillow, but as the world drifts off to sleep you are wide awake wondering why your heart is still racing, your mind is stuck in overdrive, and danger feels like it is around every corner. Anxiety colors your world but it need not rule or ruin your life! You feel it in your body as restlessness, heightened sensitivity to your surroundings, or that panicky too-much-coffee feeling. You feel it in your mind as racing thoughts you can’t turn off, worst-case scenario planning, and constant evaluation of every conversation you’ve had or decision you’ve made in the past three days…or three months…or since you were six.
Your head hits the pillow, but as the world drifts off to sleep you are wide awake wondering why your heart is still racing, your mind is stuck in overdrive, and danger feels like it is around every corner. Anxiety colors your world but it need not rule or ruin your life! You feel it in your body as restlessness, heightened sensitivity to your surroundings, or that panicky too-much-coffee feeling. You feel it in your mind as racing thoughts you can’t turn off, worst-case scenario planning, and constant evaluation of every conversation you’ve had or decision you’ve made in the past three days…or three months…or since you were six.
(205) 479-8800 View (205) 479-8800
Photo of Sarah McCain, Marriage & Family Therapist Associate, MDiv, MS, LMFT
Sarah McCain
Marriage & Family Therapist Associate, MDiv, MS, LMFT
1 Endorsed
Birmingham, AL 35242
I am grateful for the opportunity to walk alongside children, adults, couples, and families as they move toward understanding, healing, and connection. Though everyone deserves a deep sense of love and belonging, sometimes the ways we have learned to protect ourselves create barriers to experiencing these basic human needs. If you would like to heal your relationship with yourself and with those around you, I'm here to help.
I am grateful for the opportunity to walk alongside children, adults, couples, and families as they move toward understanding, healing, and connection. Though everyone deserves a deep sense of love and belonging, sometimes the ways we have learned to protect ourselves create barriers to experiencing these basic human needs. If you would like to heal your relationship with yourself and with those around you, I'm here to help.
(659) 222-2312 View (659) 222-2312
Photo of Shawne M Sisk, Marriage & Family Therapist, MEd, LPC-S, LMFT-S, NCC
Shawne M Sisk
Marriage & Family Therapist, MEd, LPC-S, LMFT-S, NCC
4 Endorsed
Birmingham, AL 35242
Life can be hard! If you are struggling with challenges such as: marriage or relationship issues, infidelity, anxiety, depression, divorce, job loss, or low self-esteem maybe it is time to do something different. If your current efforts to deal with relationships, emotions, and life's challenges just aren't working, it is probably time to get some help. Maybe you're unsure if counseling really works. Counseling is no "magic pill" that instantly fixes your problems! However, it does help many people change, heal, and improve their quality of life.
Life can be hard! If you are struggling with challenges such as: marriage or relationship issues, infidelity, anxiety, depression, divorce, job loss, or low self-esteem maybe it is time to do something different. If your current efforts to deal with relationships, emotions, and life's challenges just aren't working, it is probably time to get some help. Maybe you're unsure if counseling really works. Counseling is no "magic pill" that instantly fixes your problems! However, it does help many people change, heal, and improve their quality of life.
(205) 713-8734 View (205) 713-8734

See more therapy options for 35242

How does your Therapist compare?

Number of Therapists in 35242

100+

Average cost per session

$140

Therapists in 35242 who prioritize treating:

93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
86% Depression
77% Relationship Issues
74% Relationship Anxiety

Average years in practice

10 Years

Top 3 insurances accepted

91% BlueCross and BlueShield
51% Cigna and Evernorth
49% Aetna

How Therapists in 35242 see their clients

76% In Person and Online
24% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 35242?

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.