Therapists in Antioch, TN

Photo of Mark Alan Fuqua, Clinical Social Work/Therapist in Antioch, TN
Mark Alan Fuqua
Clinical Social Work/Therapist, LMSW, ThM, MDiv
Verified Verified
Antioch, TN 37013
Choosing a therapist can be one of the most difficult decisions we ever make. So many to choose from, and questions abound: "Is he qualified?" "You know, she's qualified BUT is she going to know how to help me and my particular situation." One of the most important relationships we can have in life, but, so often, we just arbitrarily choose someone in a listing based on insurance, their hair, or some other arbitrary element. Although I certainly believe intuition plays a role, we But we must do our due diligence in making sure we ask the right questions and seek the right information.
Choosing a therapist can be one of the most difficult decisions we ever make. So many to choose from, and questions abound: "Is he qualified?" "You know, she's qualified BUT is she going to know how to help me and my particular situation." One of the most important relationships we can have in life, but, so often, we just arbitrarily choose someone in a listing based on insurance, their hair, or some other arbitrary element. Although I certainly believe intuition plays a role, we But we must do our due diligence in making sure we ask the right questions and seek the right information.
(629) 205-3404 View (629) 205-3404
Photo of Ronald A Haskins, Pastoral Counselor in Antioch, TN
Ronald A Haskins
Pastoral Counselor, MA, CLC
Verified Verified
Antioch, TN 37013
Many of today's problems are a result of the complicated, fast-paced world in which we live; a world that threatens man's emotional stability. Clients come to counselors looking for hope. Many times they feel desperate, pursuing what seems like their last option. They are looking for someone who is kind and sensitive, but also for someone who knows how to diagnose their problems and help them improve their situation. If this is you, I am your resource. I will never provide my clients a solution that does not give the very best in me.
Many of today's problems are a result of the complicated, fast-paced world in which we live; a world that threatens man's emotional stability. Clients come to counselors looking for hope. Many times they feel desperate, pursuing what seems like their last option. They are looking for someone who is kind and sensitive, but also for someone who knows how to diagnose their problems and help them improve their situation. If this is you, I am your resource. I will never provide my clients a solution that does not give the very best in me.
(615) 671-7423 View (615) 671-7423
Photo of Kaylin R Lauscher, Licensed Professional Counselor in Antioch, TN
Kaylin R Lauscher
Licensed Professional Counselor, LPC, MHSP
Verified Verified
Antioch, TN 37013  (Online Only)
So you're searching for a way to see the change you've longed for? You've come to the right place! Kaylin with Inspirit is a warm, caring, and participatory professional counselor who is ready to help you get to the root of what you're dealing with. If you are looking for deep-seated change, not just symptom management, you can find that here within therapy sessions with Kaylin. Her primary focus is to help ambitious professionals find sustainable solutions through building self-awareness and resilience. In this journey with Kaylin, you will learn, grow, and find self-acceptance.
So you're searching for a way to see the change you've longed for? You've come to the right place! Kaylin with Inspirit is a warm, caring, and participatory professional counselor who is ready to help you get to the root of what you're dealing with. If you are looking for deep-seated change, not just symptom management, you can find that here within therapy sessions with Kaylin. Her primary focus is to help ambitious professionals find sustainable solutions through building self-awareness and resilience. In this journey with Kaylin, you will learn, grow, and find self-acceptance.
(615) 576-3837 View (615) 576-3837
Photo of Shandra Mbanga, Clinical Social Work/Therapist in Antioch, TN
Shandra Mbanga
Clinical Social Work/Therapist, LCSW
Verified Verified
Antioch, TN 37013
Everyone’s journey is unique that is why she prioritizes an individual approach. Shandra is committed to empowering her clients with the tools, training, and knowledge they need to perform optimally in their daily experiences. Through the use of evidence-based strategies, she is able to help her clients with a variety of coping techniques.
Everyone’s journey is unique that is why she prioritizes an individual approach. Shandra is committed to empowering her clients with the tools, training, and knowledge they need to perform optimally in their daily experiences. Through the use of evidence-based strategies, she is able to help her clients with a variety of coping techniques.
(615) 558-5294 View (615) 558-5294
Photo of Andrea N Payne, Clinical Social Work/Therapist in Antioch, TN
Andrea N Payne
Clinical Social Work/Therapist, LCSW
Verified Verified
Antioch, TN 37013
Hello, my name is Nicole Payne, and I am a Licensed Clinical Social Worker based out of Nashville, Tennessee. I am licensed to work with clients both in Tennessee and Texas. I utilize an eclectic approach of therapies to help my clients meet their goals. I work primarily with adults in individual therapy who are struggling with anxiety, life transitions, stress, trauma, chronic medical conditions and those struggling with compassion fatigue. I enjoy working with individuals to help them see the strength that they have inside of themselves to overcome any obstacle they are facing.
Hello, my name is Nicole Payne, and I am a Licensed Clinical Social Worker based out of Nashville, Tennessee. I am licensed to work with clients both in Tennessee and Texas. I utilize an eclectic approach of therapies to help my clients meet their goals. I work primarily with adults in individual therapy who are struggling with anxiety, life transitions, stress, trauma, chronic medical conditions and those struggling with compassion fatigue. I enjoy working with individuals to help them see the strength that they have inside of themselves to overcome any obstacle they are facing.
(615) 880-9088 View (615) 880-9088
Photo of Virginia Spini, Clinical Social Work/Therapist in Antioch, TN
Virginia Spini
Clinical Social Work/Therapist, LCSW
Verified Verified
Antioch, TN 37013
Hello, I'm Virginia! I am a licensed Clinical Social Worker based in Nashville, TN. I've been working with those facing very stressful life changes for some time and are finding anxiety in their daily life increasing. I specialized in working with geriatric populations first responders and the military. I've worked in Tele-mental Health service for 3 years and have been clinically licensed since 2010. I served 13 years in the military, so I am comfortable with those who have served and those who support those who are and have served. I focus on creating a safe place for you to achieve your best self.
Hello, I'm Virginia! I am a licensed Clinical Social Worker based in Nashville, TN. I've been working with those facing very stressful life changes for some time and are finding anxiety in their daily life increasing. I specialized in working with geriatric populations first responders and the military. I've worked in Tele-mental Health service for 3 years and have been clinically licensed since 2010. I served 13 years in the military, so I am comfortable with those who have served and those who support those who are and have served. I focus on creating a safe place for you to achieve your best self.
(629) 300-4944 View (629) 300-4944
Photo of Charles E. Boyd, Counselor in Antioch, TN
Charles E. Boyd
Counselor, MA, LPC, MHSP, NCC
Verified Verified
Antioch, TN 37013  (Online Only)
ALL ARE WELCOME, NONE ARE JUDGED.I am a faith based, solution focused therapist. Faith based because great journeys begin with a single step of faith. Solution focused, because focusing on what has not worked, does not work. My ideal client is one seeking positive growth inter-personally and spiritually. I meet you where you are and strive to empower and encourage you through the growth process, to get where you want to be.
ALL ARE WELCOME, NONE ARE JUDGED.I am a faith based, solution focused therapist. Faith based because great journeys begin with a single step of faith. Solution focused, because focusing on what has not worked, does not work. My ideal client is one seeking positive growth inter-personally and spiritually. I meet you where you are and strive to empower and encourage you through the growth process, to get where you want to be.
(615) 745-1138 View (615) 745-1138
Photo of Tittle-Pennic Grief Counseling and Consulting, LLC, Licensed Professional Counselor in Antioch, TN
Tittle-Pennic Grief Counseling and Consulting, LLC
Licensed Professional Counselor, LPC, MHSP
Verified Verified
Antioch, TN 37013
Statements and questions that you maybe asking: "Am I going crazy?-I need to get it together, why can I get it together? Nobody understands me. I am angry! I do not have anyone to talk to. I have been SO busy taking care of everyone else. I Forgot about me! My pastor doesn't get it. I am tired of crying. I feel so alone in my family and marriage. I am failing as a student, parent, lover..I do know who I am anymore. If these statements and questions sound familiar, let me help guide you through the grief, loss and bereavement journey.
Statements and questions that you maybe asking: "Am I going crazy?-I need to get it together, why can I get it together? Nobody understands me. I am angry! I do not have anyone to talk to. I have been SO busy taking care of everyone else. I Forgot about me! My pastor doesn't get it. I am tired of crying. I feel so alone in my family and marriage. I am failing as a student, parent, lover..I do know who I am anymore. If these statements and questions sound familiar, let me help guide you through the grief, loss and bereavement journey.
(615) 375-0508 x37013 View (615) 375-0508 x37013
Photo of Chasity Norris, Licensed Professional Counselor in Antioch, TN
Chasity Norris
Licensed Professional Counselor, LPC
Verified Verified
Antioch, TN 37013
Hi There! My name is Chasity Norris, MA, LPC-MHSP-S, LMHC, MPA. I am a Licensed Therapist in the states of TN and MA. I firmly believe your better tomorrows can start today. If you are struggling with feeling "sucked into the stuckness", overwhelmed with the stress of balancing family and work, needing support while confirming your gender identity and sexuality, intimacy and sexual difficulties, or attempting to work through the lingering effects of previous trauma and/or abuse, then I would be honored to sit with you and listen to your story.
Hi There! My name is Chasity Norris, MA, LPC-MHSP-S, LMHC, MPA. I am a Licensed Therapist in the states of TN and MA. I firmly believe your better tomorrows can start today. If you are struggling with feeling "sucked into the stuckness", overwhelmed with the stress of balancing family and work, needing support while confirming your gender identity and sexuality, intimacy and sexual difficulties, or attempting to work through the lingering effects of previous trauma and/or abuse, then I would be honored to sit with you and listen to your story.
(615) 237-7694 View (615) 237-7694
Photo of Mary Bufford, Clinical Social Work/Therapist in Antioch, TN
Mary Bufford
Clinical Social Work/Therapist, LCSW
Verified Verified
Antioch, TN 37013
Hi, my name is Mary, I’m a licensed Clinical Social Worker in Tennessee working with clients through telehealth services. Life should be about “doing more of what makes you happy”. I’m here to help you to a path of healing, empowerment, and getting back to being you. I’ve worked over 15 plus years helping individuals regain a sense of awareness in their life, with practical life strategies, with emphasis on the body and mind.
Hi, my name is Mary, I’m a licensed Clinical Social Worker in Tennessee working with clients through telehealth services. Life should be about “doing more of what makes you happy”. I’m here to help you to a path of healing, empowerment, and getting back to being you. I’ve worked over 15 plus years helping individuals regain a sense of awareness in their life, with practical life strategies, with emphasis on the body and mind.
(629) 205-4676 View (629) 205-4676
Photo of Kimberly Rogers, Clinical Social Work/Therapist in Antioch, TN
Kimberly Rogers
Clinical Social Work/Therapist, LCSW
Verified Verified
Antioch, TN 37013
Hello, Thank You for browsing my profile. I am Kimberly Rogers, a Licensed Clinical Social Worker (LCSW) with a master's degree in social work with over 10 years of experience working with various agencies and organizations as a therapist to meet your needs. I look forward to building a great connection and providing excellent service to help you meet your goals of becoming the best version of yourself as you progress in each session.
Hello, Thank You for browsing my profile. I am Kimberly Rogers, a Licensed Clinical Social Worker (LCSW) with a master's degree in social work with over 10 years of experience working with various agencies and organizations as a therapist to meet your needs. I look forward to building a great connection and providing excellent service to help you meet your goals of becoming the best version of yourself as you progress in each session.
(615) 908-3814 View (615) 908-3814
Photo of Regina Rosario, Licensed Professional Counselor in Antioch, TN
Regina Rosario
Licensed Professional Counselor, MHSP, NCC, MA
Verified Verified
Antioch, TN 37013
Are you someone who's navigating complex emotional challenges and identity issues? You might be dealing with anxiety, depression, or struggling to understand yourself. I work with individuals, couples, and families aged 13 and up, providing guidance and validation as they confront these issues. Overall, my ideal clients want to improve their mental health, deepen their self-understanding and relationships, and find peace and fulfillment. They seek a therapist who specializes in addressing their concerns with empathy, cultural sensitivity, and expertise.
Are you someone who's navigating complex emotional challenges and identity issues? You might be dealing with anxiety, depression, or struggling to understand yourself. I work with individuals, couples, and families aged 13 and up, providing guidance and validation as they confront these issues. Overall, my ideal clients want to improve their mental health, deepen their self-understanding and relationships, and find peace and fulfillment. They seek a therapist who specializes in addressing their concerns with empathy, cultural sensitivity, and expertise.
(615) 228-2381 View (615) 228-2381
Photo of Jeremy Pitzer, Clinical Social Work/Therapist in Antioch, TN
Jeremy Pitzer
Clinical Social Work/Therapist, LCSW
Verified Verified
Antioch, TN 37013
Hello! My name is Jeremy Pitzer, and I am a Licensed Clinical Social Worker and have been practicing in a variety of settings for 20 years. I enjoy working with clients and families of all ages, to build upon skills and resilience that will serve them in their treatment journey. I have extensive experience treating trauma, mood disorders, self-harm/suicidal thinking, anxiety and addiction. During my first year of college as a Business major, I took a Sociology class and immediately fell in love. I changed my major to Social Work and never looked back.
Hello! My name is Jeremy Pitzer, and I am a Licensed Clinical Social Worker and have been practicing in a variety of settings for 20 years. I enjoy working with clients and families of all ages, to build upon skills and resilience that will serve them in their treatment journey. I have extensive experience treating trauma, mood disorders, self-harm/suicidal thinking, anxiety and addiction. During my first year of college as a Business major, I took a Sociology class and immediately fell in love. I changed my major to Social Work and never looked back.
(615) 395-6873 View (615) 395-6873
Photo of Jami Ivey, Clinical Social Work/Therapist in Antioch, TN
Jami Ivey
Clinical Social Work/Therapist, LCSW
Verified Verified
Antioch, TN 37013
My name is Jami Ivey, and I am a Licensed Clinical Social Worker in Tennessee and Kentucky. I have 30 years of experience in the field and over 22 years as an LCSW. I work with all ages with various issues. I work with each client on individual issues helping them reach treatment goals. I see people with various issues such as, but not limited to depression, anxiety, bipolar disorder, ADHD, chronic pain, trauma, life changes, behavior issues, adjustment disorder, and parenting issues.
My name is Jami Ivey, and I am a Licensed Clinical Social Worker in Tennessee and Kentucky. I have 30 years of experience in the field and over 22 years as an LCSW. I work with all ages with various issues. I work with each client on individual issues helping them reach treatment goals. I see people with various issues such as, but not limited to depression, anxiety, bipolar disorder, ADHD, chronic pain, trauma, life changes, behavior issues, adjustment disorder, and parenting issues.
(629) 276-4912 View (629) 276-4912
Photo of Solace Therapy, Marriage & Family Therapist in Antioch, TN
Solace Therapy
Marriage & Family Therapist, LMFT, LPSC
Verified Verified
2 Endorsed
Antioch, TN 37013  (Online Only)
Life is a journey that often consists of this constant and intricate dance between our desire to be at peace with who we are now, while becoming our ideal selves. Productivity culture can often contribute to our living in an internally anxious space that leads to a poor sense of self and creates urgency around evolving and growing. Not only can this dissonance make it difficult to enjoy the ride, but it can also negatively influence our relationships with others as we struggle to navigate the nuances of this journey. How can these desires live harmoniously? How do we find peace within ourselves and in our relationships with others?
Life is a journey that often consists of this constant and intricate dance between our desire to be at peace with who we are now, while becoming our ideal selves. Productivity culture can often contribute to our living in an internally anxious space that leads to a poor sense of self and creates urgency around evolving and growing. Not only can this dissonance make it difficult to enjoy the ride, but it can also negatively influence our relationships with others as we struggle to navigate the nuances of this journey. How can these desires live harmoniously? How do we find peace within ourselves and in our relationships with others?
(615) 560-9371 View (615) 560-9371
Photo of Stephanie Stavinoga, Counselor in Antioch, TN
Stephanie Stavinoga
Counselor, LMHC
Verified Verified
Antioch, TN 37013
Hello! My name is Stephanie Stavinoga and I am a Licensed Professional Counselor in Tennessee. Life can be really challenging at times. My approach to therapy is warm and compassionate. I have a very eclectic approach to therapy, as everyone is very different. I specialize in working with individuals that are neurodivergent, are experiencing anxiety, or are simply looking to make healthy changes in their lives. As a therapist, I have worked very hard at creating a practice that invites all individuals, wherever they are at in life.
Hello! My name is Stephanie Stavinoga and I am a Licensed Professional Counselor in Tennessee. Life can be really challenging at times. My approach to therapy is warm and compassionate. I have a very eclectic approach to therapy, as everyone is very different. I specialize in working with individuals that are neurodivergent, are experiencing anxiety, or are simply looking to make healthy changes in their lives. As a therapist, I have worked very hard at creating a practice that invites all individuals, wherever they are at in life.
(615) 805-6927 View (615) 805-6927
Photo of Rebecca Fout, Clinical Social Work/Therapist in Antioch, TN
Rebecca Fout
Clinical Social Work/Therapist, LCSW
Verified Verified
Antioch, TN 37013
Hello! My name is Rebecca Fout. I am a Licensed Clinical Social Worker with over ten years of experience in mental health. My clinical focus is helping adolescents and adults with trauma, depression, anxiety, and interpersonal conflicts. I believe in a strength focused, whole person approach and prioritize meeting individuals where they are at on their personal journeys.
Hello! My name is Rebecca Fout. I am a Licensed Clinical Social Worker with over ten years of experience in mental health. My clinical focus is helping adolescents and adults with trauma, depression, anxiety, and interpersonal conflicts. I believe in a strength focused, whole person approach and prioritize meeting individuals where they are at on their personal journeys.
(615) 492-2352 View (615) 492-2352
Photo of Christopher Nickson, Pre-Licensed Professional in Antioch, TN
Christopher Nickson
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Antioch, TN 37013  (Online Only)
Not accepting new clients
Sometimes, it seems there isn't anyone to call. No friend can articulate a plausible explanation, alternative, or direction for what you are experiencing. The loneliness you feel on the inside, no matter how many people are around you daily, leads you to feel isolated even when you are a part of the crowd. Even when you do try to express, it is difficult for you to open up as the depths of your distress make you consider and reconsider how much you should share. You feel like you cannot come up with the answer and you're tired. All you desire is perspective and progress. All you want is to feel adequate, competent, and accomplished.
Sometimes, it seems there isn't anyone to call. No friend can articulate a plausible explanation, alternative, or direction for what you are experiencing. The loneliness you feel on the inside, no matter how many people are around you daily, leads you to feel isolated even when you are a part of the crowd. Even when you do try to express, it is difficult for you to open up as the depths of your distress make you consider and reconsider how much you should share. You feel like you cannot come up with the answer and you're tired. All you desire is perspective and progress. All you want is to feel adequate, competent, and accomplished.
(615) 471-6156 View (615) 471-6156
Photo of AB Counseling in Antioch, TN
AB Counseling
LPC, MHSP
Verified Verified
Antioch, TN 37013
Not accepting new clients
Therapy is like any other relationship based upon having good boundaries, understanding, and mutual respect.
Therapy is like any other relationship based upon having good boundaries, understanding, and mutual respect.
View
Photo of Amy Cole, Licensed Professional Counselor in Antioch, TN
Amy Cole
Licensed Professional Counselor, MS, LPC, MHSP, S
Verified Verified
Antioch, TN 37013
Why does everyone else seem happier than me?" "I should be further along than I am." "I'm so frustrated!" Sometimes these are our thoughts-no judgment from me! I understand these challenges. Whether related to stress, anxiety, depression, grief, life transitions, or overall life satisfaction, you're not alone. It's a normal part of life. I'm committed to helping you identify solutions and a plan to facilitate hope, authenticity, and happiness. I want you to find meaning and direction for your life. I provide openness for you to express your concerns and see the obstacles that may be keeping you from a happier, more fulfilling life.
Why does everyone else seem happier than me?" "I should be further along than I am." "I'm so frustrated!" Sometimes these are our thoughts-no judgment from me! I understand these challenges. Whether related to stress, anxiety, depression, grief, life transitions, or overall life satisfaction, you're not alone. It's a normal part of life. I'm committed to helping you identify solutions and a plan to facilitate hope, authenticity, and happiness. I want you to find meaning and direction for your life. I provide openness for you to express your concerns and see the obstacles that may be keeping you from a happier, more fulfilling life.
(615) 640-3729 View (615) 640-3729

How does your Therapist compare?

Number of Therapists in Antioch, TN

90+

Average cost per session

$125

Therapists in Antioch, TN who prioritize treating:

94% Anxiety
90% Depression
78% Grief
78% Self Esteem
76% Coping Skills
76% Stress
75% Relationship Issues

Average years in practice

9 Years

Top 3 insurances accepted

90% Cigna and Evernorth
87% Aetna
85% UnitedHealthcare UHC | UBH

How Therapists in Antioch, TN see their clients

80% In Person and Online
20% Online Only

Gender breakdown

74% Female
24% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Antioch?

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.