Therapists in 40245

Photo of Stephanie Adamkin Delambre, MS, LPP
Stephanie Adamkin Delambre
Verified Verified
Louisville, KY 40245
I wish I had a magic wand and could make all the pain, hurt, trauma & stress, behavior problems, worries, hard days & long nights disappear.  I don't believe my job is to have all the answers for you.  I see my role as being a helper and listener to support you in finding your answers & teaching new skills to help make the process a little easier. We all have hectic lives so the strategies, interventions, & resources we discuss need to be useful & also manageable for you to use in your every day life.  I want you to know that you are not alone & things do and will get better.
I wish I had a magic wand and could make all the pain, hurt, trauma & stress, behavior problems, worries, hard days & long nights disappear.  I don't believe my job is to have all the answers for you.  I see my role as being a helper and listener to support you in finding your answers & teaching new skills to help make the process a little easier. We all have hectic lives so the strategies, interventions, & resources we discuss need to be useful & also manageable for you to use in your every day life.  I want you to know that you are not alone & things do and will get better.
(502) 469-1720 View (502) 469-1720
Photo of Jetona K Smith-Milby - The Traveling Therapist, LLC. , Marriage & Family Therapist, LMFT
The Traveling Therapist, LLC.
Marriage & Family Therapist, LMFT
Louisville, KY 40245
All humans are unique, as are all clients. While there is no way to describe the “ideal” client, I work best with those individuals who place a high value on authenticity, transparency, and honesty. Those three factors are well suited for clients who are goal-driven and aspire true and lasting change. Some areas of rewarding experience have included work with non-traditional family structures, women’s health and wellness, intergenerational trauma healing, adoption and its impact for all involved, and healthy relationship development- to name a few. I assist humans in realizing, trusting, and believing in their truest potential.
All humans are unique, as are all clients. While there is no way to describe the “ideal” client, I work best with those individuals who place a high value on authenticity, transparency, and honesty. Those three factors are well suited for clients who are goal-driven and aspire true and lasting change. Some areas of rewarding experience have included work with non-traditional family structures, women’s health and wellness, intergenerational trauma healing, adoption and its impact for all involved, and healthy relationship development- to name a few. I assist humans in realizing, trusting, and believing in their truest potential.
(270) 232-2175 View (270) 232-2175
Photo of Demetria January, Counselor, MEd, LPCC-S, NCC
Demetria January
Counselor, MEd, LPCC-S, NCC
Louisville, KY 40245
I am a Louisville native and a University of Louisville Alumni. My bachelors degree in Political Science from the University of Louisville in 2017. Then, I received my masters degree in 2020 from Lindsey Wilson College in Human Development, specializing in Clinical Mental Health Counseling. I am currently a PhD-ABD doctoral student at Capella University in Counselor Education and Supervision.
I am a Louisville native and a University of Louisville Alumni. My bachelors degree in Political Science from the University of Louisville in 2017. Then, I received my masters degree in 2020 from Lindsey Wilson College in Human Development, specializing in Clinical Mental Health Counseling. I am currently a PhD-ABD doctoral student at Capella University in Counselor Education and Supervision.
(502) 289-6336 View (502) 289-6336
Photo of Christin Kingery - Lifestrings Mental Health and Well-Being, LLC , Clinical Social Work/Therapist, LCSW
Lifestrings Mental Health and Well-Being, LLC
Clinical Social Work/Therapist, LCSW
4 Endorsed
Louisville, KY 40245
I have experience working with individuals, couples, and families. I have worked in several agency settings and private practice settings which has given me the tools to provide therapy for a diverse range of clients. I strive to always find ways to enhance the therapy tools I have to better serve clients and meeting them where they are at in their journey. I am dedicated to providing high quality, modern mental and relational health care to help individuals, couples, children & adolescents, and creative professionals work through complicated relationships and difficult experiences.
I have experience working with individuals, couples, and families. I have worked in several agency settings and private practice settings which has given me the tools to provide therapy for a diverse range of clients. I strive to always find ways to enhance the therapy tools I have to better serve clients and meeting them where they are at in their journey. I am dedicated to providing high quality, modern mental and relational health care to help individuals, couples, children & adolescents, and creative professionals work through complicated relationships and difficult experiences.
(502) 205-7023 View (502) 205-7023
Photo of Emily Moran, Psychological Associate, MEd, LPA
Emily Moran
Psychological Associate, MEd, LPA
Louisville, KY 40245
My ideal clients are children and young adults (ages 3–21) who are struggling academically, behaviorally, emotionally, or socially, along with their families who are seeking clarity and guidance.
My ideal clients are children and young adults (ages 3–21) who are struggling academically, behaviorally, emotionally, or socially, along with their families who are seeking clarity and guidance.
(502) 861-6067 View (502) 861-6067
Photo of Whitney Bozarth, Licensed Professional Counselor Associate, LPCA
Whitney Bozarth
Licensed Professional Counselor Associate, LPCA
1 Endorsed
Louisville, KY 40245
You look like you have it together, but inside you feel anxious, overwhelmed, or emotionally numb. You overthink, people-please, and carry responsibility for others while your own needs go unmet. You may feel stuck in shame, guilt, fear, or painful relationship patterns. Some clients are healing from religious/spiritual trauma or leadership pressure. You want internal peace, self-trust, healthy boundaries, and connection that doesn’t require you to always be “okay."
You look like you have it together, but inside you feel anxious, overwhelmed, or emotionally numb. You overthink, people-please, and carry responsibility for others while your own needs go unmet. You may feel stuck in shame, guilt, fear, or painful relationship patterns. Some clients are healing from religious/spiritual trauma or leadership pressure. You want internal peace, self-trust, healthy boundaries, and connection that doesn’t require you to always be “okay."
(502) 317-2855 View (502) 317-2855
Photo of Courtney Morgan, LPCC-S
Courtney Morgan
Verified Verified
3 Endorsed
Louisville, KY 40245
Feeling overwhelmed by relentless self-criticism, anxiety, or the weight of feeling like you're never enough? I am here to support you along your journey of remembering your purpose, releasing unhelpful internal narratives, and reinforcing your inherent value along the way. Reserving an intake session with me is the first, most powerful step on your therapy journey.
Feeling overwhelmed by relentless self-criticism, anxiety, or the weight of feeling like you're never enough? I am here to support you along your journey of remembering your purpose, releasing unhelpful internal narratives, and reinforcing your inherent value along the way. Reserving an intake session with me is the first, most powerful step on your therapy journey.
(502) 677-3249 View (502) 677-3249
Photo of Nicholas Bach - Grace Psychological Services, LLC, PsyD
Grace Psychological Services, LLC
Verified Verified
1 Endorsed
Serves Area
We are psychologists specializing in Couples Counseling (premarital and marital), Individual Counseling, and Christian Counseling. As clinical psychologists, we are committed to the belief that fostering well-being includes paying attention to all parts of the self: physical, emotional, relational, and spiritual. We can help couples rebuild intimacy and repair communication. For individuals, we can assess and provide therapy for anxiety, depression, panic attacks, trauma, relational issues, stress, and many other day-to-day issues. We have a psychiatric provider for med management and a testing psychologist for full psych evals.
We are psychologists specializing in Couples Counseling (premarital and marital), Individual Counseling, and Christian Counseling. As clinical psychologists, we are committed to the belief that fostering well-being includes paying attention to all parts of the self: physical, emotional, relational, and spiritual. We can help couples rebuild intimacy and repair communication. For individuals, we can assess and provide therapy for anxiety, depression, panic attacks, trauma, relational issues, stress, and many other day-to-day issues. We have a psychiatric provider for med management and a testing psychologist for full psych evals.
(502) 513-7428 View (502) 513-7428
Photo of Rachel Kolodziej, Clinical Social Work/Therapist, MSSW, LCSW
Rachel Kolodziej
Clinical Social Work/Therapist, MSSW, LCSW
Serves Area
Rachel Kolodziej is a Licensed Clinical Social Worker (LCSW) & Licensed Marriage and Family Therapist (LMFT) in Indiana and Kentucky who has been practicing since 2015. Rachel graduated from Indiana University, Bloomington in 2011, earning a Bachelor of Arts in Psychology with a minor in Human Development and Family Studies. She continued to pursue higher education at University of Louisville and obtained a Master’s of Science in Social Work with a specialization in Marriage and Family Therapy in 2015.
Rachel Kolodziej is a Licensed Clinical Social Worker (LCSW) & Licensed Marriage and Family Therapist (LMFT) in Indiana and Kentucky who has been practicing since 2015. Rachel graduated from Indiana University, Bloomington in 2011, earning a Bachelor of Arts in Psychology with a minor in Human Development and Family Studies. She continued to pursue higher education at University of Louisville and obtained a Master’s of Science in Social Work with a specialization in Marriage and Family Therapy in 2015.
(502) 706-4844 View (502) 706-4844
Photo of Jonathan Bauman, Psychologist, PsyD
Jonathan Bauman
Psychologist, PsyD
Serves Area
Is your child experiencing high levels of anxiety or have a phobia? Do they obsess about things and engage in compulsions in an effort to gain temporary relief? Do they obsess about actions being morally right or wrong? Are they anxious about speaking in front of others or afraid of performance situations? Do they worry more often than not? Do they have trouble separating from their parents? Have they been diagnosed with OCD, panic, separation anxiety disorder, social anxiety disorder or generalized anxiety disorder? If so, I can assist you. Visit www.kycards.com for more information.
Is your child experiencing high levels of anxiety or have a phobia? Do they obsess about things and engage in compulsions in an effort to gain temporary relief? Do they obsess about actions being morally right or wrong? Are they anxious about speaking in front of others or afraid of performance situations? Do they worry more often than not? Do they have trouble separating from their parents? Have they been diagnosed with OCD, panic, separation anxiety disorder, social anxiety disorder or generalized anxiety disorder? If so, I can assist you. Visit www.kycards.com for more information.
(502) 236-9076 View (502) 236-9076
Photo of William Butler, Licensed Professional Clinical Counselor, MA, LPCC
William Butler
Licensed Professional Clinical Counselor, MA, LPCC
Serves Area
Billy Butler is a Licensed Professional Clinical Counselor in Kentucky who has been practicing since 2017. He has a Master of Arts in Clinical Mental Health Counseling from Marymount University in Arlington, VA. Billy values the therapeutic relationship and strives to cultivate a safe, warm, and accepting space for clients to experience growth and transformation. Through a holistic approach to therapy, Billy meets clients where they are and develops personalized therapy goals that empower the client to make desired positive change in their lives.
Billy Butler is a Licensed Professional Clinical Counselor in Kentucky who has been practicing since 2017. He has a Master of Arts in Clinical Mental Health Counseling from Marymount University in Arlington, VA. Billy values the therapeutic relationship and strives to cultivate a safe, warm, and accepting space for clients to experience growth and transformation. Through a holistic approach to therapy, Billy meets clients where they are and develops personalized therapy goals that empower the client to make desired positive change in their lives.
(502) 289-6788 View (502) 289-6788
Photo of Robert Sevier, Clinical Social Work/Therapist, MSSW, LCSW
Robert Sevier
Clinical Social Work/Therapist, MSSW, LCSW
Serves Area
Dustin Sevier, LCSW, provides compassionate mental health care to individuals in Kentucky, offering both in-person and telehealth services. Whether you have a busy schedule or prefer the comfort of virtual sessions, Dustin tailors his approach to meet your unique needs. He believes in a person-centered philosophy, ensuring that your treatment focuses on the issues that matter most to you, helping you achieve your goals in an efficient and supportive manner.
Dustin Sevier, LCSW, provides compassionate mental health care to individuals in Kentucky, offering both in-person and telehealth services. Whether you have a busy schedule or prefer the comfort of virtual sessions, Dustin tailors his approach to meet your unique needs. He believes in a person-centered philosophy, ensuring that your treatment focuses on the issues that matter most to you, helping you achieve your goals in an efficient and supportive manner.
(502) 362-3616 View (502) 362-3616
Photo of Lydia Rubino Aldridge, Marriage & Family Therapist Associate, MAMFT
Lydia Rubino Aldridge
Marriage & Family Therapist Associate, MAMFT
1 Endorsed
Serves Area
I’m excited to welcome new clients! If you’re looking for a safe space to be heard and understood, I’m here to help you navigate life’s challenges and find hope and meaning. I am passionate about supporting individuals, couples and families through significant life transitions, including pregnancy, the postpartum phase, and the complexities of trauma, loss and grief. The perinatal period can bring profound changes and challenges that affect not only individuals’ mental health but also family dynamics. Issues such as anxiety, depression, and relationship strain are common, and can disrupt our ability to enjoy meaningful connections.
I’m excited to welcome new clients! If you’re looking for a safe space to be heard and understood, I’m here to help you navigate life’s challenges and find hope and meaning. I am passionate about supporting individuals, couples and families through significant life transitions, including pregnancy, the postpartum phase, and the complexities of trauma, loss and grief. The perinatal period can bring profound changes and challenges that affect not only individuals’ mental health but also family dynamics. Issues such as anxiety, depression, and relationship strain are common, and can disrupt our ability to enjoy meaningful connections.
(502) 362-1537 View (502) 362-1537
Photo of Nicole Palmer, Licensed Professional Clinical Counselor, MS, LPCC
Nicole Palmer
Licensed Professional Clinical Counselor, MS, LPCC
Serves Area
Nicole Palmer is a licensed professional clinical counselor, licensed clinical alcohol and drug counselor and mental health integrative medicine certified provider who has worked in the field of mental health and addictions for more than 15 years. She received her master’s degree in mental health counseling at Walden University. She has worked in residential, inpatient and outpatient care with adults in individual and group counseling settings.
Nicole Palmer is a licensed professional clinical counselor, licensed clinical alcohol and drug counselor and mental health integrative medicine certified provider who has worked in the field of mental health and addictions for more than 15 years. She received her master’s degree in mental health counseling at Walden University. She has worked in residential, inpatient and outpatient care with adults in individual and group counseling settings.
(502) 369-0151 View (502) 369-0151
Photo of George W Cook, Clinical Social Work/Therapist, LCSW, LCPC
George W Cook
Clinical Social Work/Therapist, LCSW, LCPC
1 Endorsed
Serves Area
These current times are difficult for so many of us. Talking with family and friends, in addition to noting my own reactions, highlights this statement over and over again. The present American experience has been shrink wrapped on top of what may be ongoing personal challenges or experiences from your past. This has created a complex mix of stress, confusion, fear, and anxiety at varying degrees. I am committed to collaborating with you by providing a safe and compassionate space to process, identify resources, and support you through your unique experience.
These current times are difficult for so many of us. Talking with family and friends, in addition to noting my own reactions, highlights this statement over and over again. The present American experience has been shrink wrapped on top of what may be ongoing personal challenges or experiences from your past. This has created a complex mix of stress, confusion, fear, and anxiety at varying degrees. I am committed to collaborating with you by providing a safe and compassionate space to process, identify resources, and support you through your unique experience.
(217) 669-3906 View (217) 669-3906
Photo of Tabitha Overstreet, Clinical Social Work/Therapist, MSW, LCSW
Tabitha Overstreet
Clinical Social Work/Therapist, MSW, LCSW
Serves Area
Tabitha works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Tabitha believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, She partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
Tabitha works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Tabitha believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, She partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
(502) 335-4957 View (502) 335-4957
Photo of Becky Antle, Marriage & Family Therapist, PhD, MSSW, LMFT
Becky Antle
Marriage & Family Therapist, PhD, MSSW, LMFT
Serves Area
Providing in person and telehealth options for sessions. Special rates available for new clients and those experiencing financial hardship. I work with individuals, couples, and families with relationship and mental health issues. I have 28 years of experience in areas such as depression, anxiety, trauma, parenting issues, coping with divorce, relationship conflict/decision making, interpersonal violence, and childhood disorders. I also have extensive experience with at-risk youth, psychoeducational programs across multiple topics including mental health, relationship issues, substance use, LGBTQ needs, trauma, and others.
Providing in person and telehealth options for sessions. Special rates available for new clients and those experiencing financial hardship. I work with individuals, couples, and families with relationship and mental health issues. I have 28 years of experience in areas such as depression, anxiety, trauma, parenting issues, coping with divorce, relationship conflict/decision making, interpersonal violence, and childhood disorders. I also have extensive experience with at-risk youth, psychoeducational programs across multiple topics including mental health, relationship issues, substance use, LGBTQ needs, trauma, and others.
(502) 503-4279 View (502) 503-4279
Photo of Dr. Olivia Hilchey, PhD
Dr. Olivia Hilchey
Verified Verified
2 Endorsed
Serves Area
It’s my passion to help individuals and couples improve their quality of life and achieve greater emotional well-being. I specialize in assisting couples with marital problems and individuals experiencing depression, anxiety, or life stressors. As a clinical psychologist, I provide evidence-based therapy and psychological testing for diagnostic, behavioral, and educational purposes. For individuals, I use CBT to develop coping skills and support personal growth. For couples, I’m trained in the Gottman Method to strengthen communication, enhance intimacy, and prevent divorce, helping relationships thrive in a healthy, lasting way.
It’s my passion to help individuals and couples improve their quality of life and achieve greater emotional well-being. I specialize in assisting couples with marital problems and individuals experiencing depression, anxiety, or life stressors. As a clinical psychologist, I provide evidence-based therapy and psychological testing for diagnostic, behavioral, and educational purposes. For individuals, I use CBT to develop coping skills and support personal growth. For couples, I’m trained in the Gottman Method to strengthen communication, enhance intimacy, and prevent divorce, helping relationships thrive in a healthy, lasting way.
(502) 273-0291 View (502) 273-0291
Photo of Janie Hewitt, Marriage & Family Therapist, MSEd, MMFT, LMFT
Janie Hewitt
Marriage & Family Therapist, MSEd, MMFT, LMFT
Serves Area
I'm a marriage and family therapist, licensed in Kentucky and Indiana, who is dedicated to fostering a supportive therapeutic space for individuals and couples. With expertise in addressing trauma, grief, depression, anxiety, infidelity, and mood issues, I employ a collaborative approach by viewing you as the expert in your own life. Through evidence-based techniques, I tailor our sessions to meet your unique needs, guiding you towards your desired destination. My philosophy centers on respect, empathy, and empowerment, creating a non-judgmental environment for open exploration.
I'm a marriage and family therapist, licensed in Kentucky and Indiana, who is dedicated to fostering a supportive therapeutic space for individuals and couples. With expertise in addressing trauma, grief, depression, anxiety, infidelity, and mood issues, I employ a collaborative approach by viewing you as the expert in your own life. Through evidence-based techniques, I tailor our sessions to meet your unique needs, guiding you towards your desired destination. My philosophy centers on respect, empathy, and empowerment, creating a non-judgmental environment for open exploration.
(502) 743-4305 View (502) 743-4305
Photo of Dr. Jamie Brodarick, Marriage & Family Therapist, PhD, LMFT
Dr. Jamie Brodarick
Marriage & Family Therapist, PhD, LMFT
5 Endorsed
Serves Area
For over 15 years, I have helped clients improve their most important relationships. I have found that when we experience conflict, communication challenges, a lack of emotional/physical intimacy, or have unmet needs, we can struggle to feel complete. Whether I am working with an individual client, a couple, or an entire family system, I can support you in strengthening your intimate relationships. I specialize in maternal mental health (infertility, pregnancy, and postpartum), premarital and marital counseling, parent-child interactions, and extended family (in-laws, siblings, and family of origin) dynamics.
For over 15 years, I have helped clients improve their most important relationships. I have found that when we experience conflict, communication challenges, a lack of emotional/physical intimacy, or have unmet needs, we can struggle to feel complete. Whether I am working with an individual client, a couple, or an entire family system, I can support you in strengthening your intimate relationships. I specialize in maternal mental health (infertility, pregnancy, and postpartum), premarital and marital counseling, parent-child interactions, and extended family (in-laws, siblings, and family of origin) dynamics.
(502) 236-5075 View (502) 236-5075

See more therapy options for 40245

How does your Therapist compare?

Number of Therapists in 40245

70+

Average cost per session

$135

Therapists in 40245 who prioritize treating:

95% Anxiety
92% Depression
71% Trauma and PTSD
63% Self Esteem
62% Relationship Issues
59% Coping Skills
59% Stress

Average years in practice

13 Years

Top 3 insurances accepted

84% Aetna
66% Cigna and Evernorth
59% BlueCross and BlueShield

How Therapists in 40245 see their clients

63% In Person and Online
37% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 40245?

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.