Photo of Amanda T. Paul, LCSW, CPC - Telehealth Clinician, Clinical Social Work/Therapist in 40299, KY
Amanda T. Paul, LCSW, CPC - Telehealth Clinician
Clinical Social Work/Therapist, LCSW, CPC
Verified Verified
Louisville, KY 40299  (Online Only)
Not accepting new clients
Have you found yourself overwhelmed by the stress and changes of everyday life? Or perhaps you find yourself facing a major transition in life and are unsure of your next steps. Maybe you are finding it difficult to find balance in your life with all of its demands and expectations. You may have even had a negative experience with therapy in the past because you didn't feel heard or understood. Perhaps you are just looking for a supportive ear and a therapist willing to co-journey with you while you determine the right path for you.
Have you found yourself overwhelmed by the stress and changes of everyday life? Or perhaps you find yourself facing a major transition in life and are unsure of your next steps. Maybe you are finding it difficult to find balance in your life with all of its demands and expectations. You may have even had a negative experience with therapy in the past because you didn't feel heard or understood. Perhaps you are just looking for a supportive ear and a therapist willing to co-journey with you while you determine the right path for you.
(502) 586-2902 View (502) 586-2902
Photo of Tessa A Stephens, Clinical Social Work/Therapist in 40299, KY
Tessa A Stephens
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40299
I am a Licensed Clinical Social Worker (LCSW) who has worked with people of all ages and backgrounds. I work with people suffering from the symptoms of depression, anxiety, mood disorders, PTSD, poor self-esteem, grief and loss, family and relationship issues among other things. I have years of experience in working with school-aged children to address school issues and behavioral problems, including those diagnosed with ADHD. I especially enjoy working with neurodivergent clients, although everyone is welcome in my practice!
I am a Licensed Clinical Social Worker (LCSW) who has worked with people of all ages and backgrounds. I work with people suffering from the symptoms of depression, anxiety, mood disorders, PTSD, poor self-esteem, grief and loss, family and relationship issues among other things. I have years of experience in working with school-aged children to address school issues and behavioral problems, including those diagnosed with ADHD. I especially enjoy working with neurodivergent clients, although everyone is welcome in my practice!
(502) 206-0588 View (502) 206-0588
Photo of Karen Westbrooks, Marriage & Family Therapist in 40299, KY
Karen Westbrooks
Marriage & Family Therapist, PhD, LMFT, LPC
Verified Verified
3 Endorsed
Louisville, KY 40299
Even in the 21st century, "having issues" still carries a stigma. Therapists are here to help you make your life better, but we are still not fully understood by the public. I'm guilty of not understanding dentists. I went to the dentist "only when" the pain was so bad I couldn't stand it, or "only when" I had to have a tooth yanked. Only in mid-life, after years of misery, did I understand dentists as being real doctors. Now, I respect the connection between healthy gums and healthy heart and I spare myself the prolonged anguish.
Even in the 21st century, "having issues" still carries a stigma. Therapists are here to help you make your life better, but we are still not fully understood by the public. I'm guilty of not understanding dentists. I went to the dentist "only when" the pain was so bad I couldn't stand it, or "only when" I had to have a tooth yanked. Only in mid-life, after years of misery, did I understand dentists as being real doctors. Now, I respect the connection between healthy gums and healthy heart and I spare myself the prolonged anguish.
(502) 437-3534 View (502) 437-3534
Photo of Katie Esquibel, Art Therapist in 40299, KY
Katie Esquibel
Art Therapist, MA, ATR
Verified Verified
1 Endorsed
Louisville, KY 40299
I am a Licensed Art Therapist Associate who believes in the power of the therapeutic relationship to facilitate change. My therapeutic approach is integrative, using strength based, client-centered, and holistic practices. As an art therapist, clients have the option to engage in art therapy. No experience with art required. The creative process, artwork, and discussion provides an opportunity to integrate fractured pieces of the mind, body, and spirit.
I am a Licensed Art Therapist Associate who believes in the power of the therapeutic relationship to facilitate change. My therapeutic approach is integrative, using strength based, client-centered, and holistic practices. As an art therapist, clients have the option to engage in art therapy. No experience with art required. The creative process, artwork, and discussion provides an opportunity to integrate fractured pieces of the mind, body, and spirit.
(502) 936-6546 View (502) 936-6546
Photo of Charlotte Yang, Marriage & Family Therapist Associate in 40299, KY
Charlotte Yang
Marriage & Family Therapist Associate, MS
Verified Verified
1 Endorsed
Louisville, KY 40299
I enjoy working with adolescents, adults, couples, and families from all walks of life. I provide support to those who are experiencing a wide range of mental health struggles and life concerns such as anxiety, depression, trauma, relationship issues, attachment issues, and those facing difficult life transitions.
I enjoy working with adolescents, adults, couples, and families from all walks of life. I provide support to those who are experiencing a wide range of mental health struggles and life concerns such as anxiety, depression, trauma, relationship issues, attachment issues, and those facing difficult life transitions.
(502) 586-4448 View (502) 586-4448
Photo of Jonathan Yussman, Counselor in 40299, KY
Jonathan Yussman
Counselor, LPCA, LCADCA, NCC
Verified Verified
Louisville, KY 40299
I strive to provide the highest possible quality mental health care services at affordable rates. I use an eclectic, strength-based approach when working with clients. I take the time to get to know clients very well, and then choose the best approach from therapies such as client-centered, cognitive behavioral, and reality therapy. I believe the relationship between the therapist and client is one of the most important elements in therapy.
I strive to provide the highest possible quality mental health care services at affordable rates. I use an eclectic, strength-based approach when working with clients. I take the time to get to know clients very well, and then choose the best approach from therapies such as client-centered, cognitive behavioral, and reality therapy. I believe the relationship between the therapist and client is one of the most important elements in therapy.
(502) 677-3601 View (502) 677-3601
Photo of Dr. Leslie Jenkins, Psychologist in 40299, KY
Dr. Leslie Jenkins
Psychologist, PhD, NCSP, ABSNP
Verified Verified
6 Endorsed
Louisville, KY 40299
Waitlist for new clients
Have you been dismissed by healthcare or educational systems that can't figure out how to help you? Are you stuck in 'golden handcuffs' at your corporate job? Do you want to feel better - - even when your complaints are ignored, or when providers don't give you a reason/diagnosis for your symptoms? Feeling dehumanized can make the situation feel 100x worse. What you are going through is deeply impactful, so I strive to provide highly personal care that values you as a whole person.
Have you been dismissed by healthcare or educational systems that can't figure out how to help you? Are you stuck in 'golden handcuffs' at your corporate job? Do you want to feel better - - even when your complaints are ignored, or when providers don't give you a reason/diagnosis for your symptoms? Feeling dehumanized can make the situation feel 100x worse. What you are going through is deeply impactful, so I strive to provide highly personal care that values you as a whole person.
(502) 735-1905 View (502) 735-1905
Photo of Emma Henkel, Clinical Social Work/Therapist in 40299, KY
Emma Henkel
Clinical Social Work/Therapist, LCSW, LCADC, CSAT
Verified Verified
Louisville, KY 40299
HelIo! Congratulations on taking the steps to begin your journey to self love and empowerment. My focus involves supporting people as they begin or continue healing from traumatic or adverse life experiences. I believe in creating a collaborative, judgment free zone for people to explore all parts of themselves. Healing can be hard, but I believe in the power of transformation that occurs when people are given a safe space to overcome their obstacles.
HelIo! Congratulations on taking the steps to begin your journey to self love and empowerment. My focus involves supporting people as they begin or continue healing from traumatic or adverse life experiences. I believe in creating a collaborative, judgment free zone for people to explore all parts of themselves. Healing can be hard, but I believe in the power of transformation that occurs when people are given a safe space to overcome their obstacles.
(502) 289-0859 View (502) 289-0859
Photo of Hannah Hartigan, Licensed Professional Clinical Counselor in 40299, KY
Hannah Hartigan
Licensed Professional Clinical Counselor, LPCC
Verified Verified
1 Endorsed
Jeffersontown, KY 40299  (Online Only)
I am a licensed clinical mental health therapist with a clinical career specializing in substance abuse, life transitions, anxiety and depression. I have now transitioned to private practice to work with individuals needing support in their daily lives. I enjoy helping adults face the challenges of work, marriage, and parenthood while also helping them navigate anxiety, depression, stress and substances. I believe in a solution-based approach and helping my patients build skills that they can bring forward into their everyday lives. I look forward to hearing from you soon!
I am a licensed clinical mental health therapist with a clinical career specializing in substance abuse, life transitions, anxiety and depression. I have now transitioned to private practice to work with individuals needing support in their daily lives. I enjoy helping adults face the challenges of work, marriage, and parenthood while also helping them navigate anxiety, depression, stress and substances. I believe in a solution-based approach and helping my patients build skills that they can bring forward into their everyday lives. I look forward to hearing from you soon!
(502) 427-7649 View (502) 427-7649
Photo of Caitlyn Tumey, Pre-Licensed Professional in 40299, KY
Caitlyn Tumey
Pre-Licensed Professional
Verified Verified
Louisville, KY 40299  (Online Only)
Accepting new clients. I know that finding a counselor can be a scary and daunting task. I work with clients ages fourteen through adulthood dealing with various issues including anxiety, depression and mood instability. Through counseling services I help individuals navigate their independence successfully while maintaining healthy relationships with family members, friends, and themselves.
Accepting new clients. I know that finding a counselor can be a scary and daunting task. I work with clients ages fourteen through adulthood dealing with various issues including anxiety, depression and mood instability. Through counseling services I help individuals navigate their independence successfully while maintaining healthy relationships with family members, friends, and themselves.
(502) 547-0127 View (502) 547-0127
Photo of Stacy Seitz Conley in 40299, KY
Stacy Seitz Conley
MA, LPP
Verified Verified
Louisville, KY 40299
If you have been struggling with emotional difficulties, or if your family has had difficulties adjusting, I have over 20 years of experience helping adults, children, teens, and families who struggle with a variety of emotional and relational problems. In therapy I integrate CBT, ACT, mindfulness, and expressive activities with a client-centered nature infused interpersonal approach. I give regular homework and coach clients to practice skills learned and encourage family involvement to accelerate their therapeutic progress. I assess each individual's biopsychosocialspiritual needs and develop goals addressing their entire being.
If you have been struggling with emotional difficulties, or if your family has had difficulties adjusting, I have over 20 years of experience helping adults, children, teens, and families who struggle with a variety of emotional and relational problems. In therapy I integrate CBT, ACT, mindfulness, and expressive activities with a client-centered nature infused interpersonal approach. I give regular homework and coach clients to practice skills learned and encourage family involvement to accelerate their therapeutic progress. I assess each individual's biopsychosocialspiritual needs and develop goals addressing their entire being.
(502) 610-0157 View (502) 610-0157
Photo of Rebecca L Donaldson Accepting New Clients, Clinical Social Work/Therapist in 40299, KY
Rebecca L Donaldson Accepting New Clients
Clinical Social Work/Therapist, CSW
Verified Verified
1 Endorsed
Louisville, KY 40299
We all need help at times to manage life's challenges. I strive to provide a safe, compassionate, judgment-free space for you to navigate the healing process. I believe in a person's right to live their life as they see fit and in providing individualized treatment to best suit their personal needs and goals. I have experience working with adults, adolescents, children, and families with a diverse range of issues such as depression, anxiety, attachment disorders, mood disorders, personality disorders, adjustment disorders, ADHD, and trauma.
We all need help at times to manage life's challenges. I strive to provide a safe, compassionate, judgment-free space for you to navigate the healing process. I believe in a person's right to live their life as they see fit and in providing individualized treatment to best suit their personal needs and goals. I have experience working with adults, adolescents, children, and families with a diverse range of issues such as depression, anxiety, attachment disorders, mood disorders, personality disorders, adjustment disorders, ADHD, and trauma.
(502) 334-1233 View (502) 334-1233
Photo of Benjamin M Hoffman, Clinical Social Work/Therapist in 40299, KY
Benjamin M Hoffman
Clinical Social Work/Therapist, LCSW, LMFT
Verified Verified
Louisville, KY 40299
Are you tired of feeling like a stranger in your own skin? Ready to reclaim your sense of belonging and control over your life? Let's embark on a journey together towards inner healing and self-discovery. Despite the pandemic of loneliness, anxiety, and depression, finding peace is possible. Whether you're grappling with past traumas, striving to boost your self-esteem, or simply seeking relief from the weight of negative emotions, I am here to guide you through every step of the process.
Are you tired of feeling like a stranger in your own skin? Ready to reclaim your sense of belonging and control over your life? Let's embark on a journey together towards inner healing and self-discovery. Despite the pandemic of loneliness, anxiety, and depression, finding peace is possible. Whether you're grappling with past traumas, striving to boost your self-esteem, or simply seeking relief from the weight of negative emotions, I am here to guide you through every step of the process.
(502) 383-0237 View (502) 383-0237
Photo of Kandace Barkham, Clinical Social Work/Therapist in 40299, KY
Kandace Barkham
Clinical Social Work/Therapist, LCSW, LCADCA, TCM
Verified Verified
Louisville, KY 40299  (Online Only)
I am a licensed LCSW/LCAC/LCADCA in Kentucky/Indiana with 7 years of clinical work experience and over 5 years of working with various populations. I attended Bellarmine University with a concentration in Psychology. I have a BSW and an MSSW from The Kent School of Social Work. I have experience in helping clients heal through stress, anxiety, substance abuse, childhood/lifetime trauma, PTSD, borderline personality, depression, self-esteem, family conflict, sexual dysfunction, professional career stress, and anger management.
I am a licensed LCSW/LCAC/LCADCA in Kentucky/Indiana with 7 years of clinical work experience and over 5 years of working with various populations. I attended Bellarmine University with a concentration in Psychology. I have a BSW and an MSSW from The Kent School of Social Work. I have experience in helping clients heal through stress, anxiety, substance abuse, childhood/lifetime trauma, PTSD, borderline personality, depression, self-esteem, family conflict, sexual dysfunction, professional career stress, and anger management.
(859) 681-8636 View (859) 681-8636
Photo of Ann D Minch, Clinical Social Work/Therapist in 40299, KY
Ann D Minch
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Louisville, KY 40299
With over 25 yrs. of counseling experience I can help you create a new chapter to your life story. Do you feel "stuck", repeating patterns that get in the way of you having the life you want? Do you battle with depression, anxiety or low self-worth or are compulsive behaviors interfering with you achieving your goals? Do you struggle with family relationships or getting over childhood issues? Are you an adult or teen with ADHD & need help developing strategies to be successful? Do you have unresolved trauma?
With over 25 yrs. of counseling experience I can help you create a new chapter to your life story. Do you feel "stuck", repeating patterns that get in the way of you having the life you want? Do you battle with depression, anxiety or low self-worth or are compulsive behaviors interfering with you achieving your goals? Do you struggle with family relationships or getting over childhood issues? Are you an adult or teen with ADHD & need help developing strategies to be successful? Do you have unresolved trauma?
(502) 858-8694 View (502) 858-8694
Photo of Chanel Watkins, Marriage & Family Therapist Associate in 40299, KY
Chanel Watkins
Marriage & Family Therapist Associate, MFTA, CSW
Verified Verified
Louisville, KY 40299
When working with clients, I ensure a practice that is deeply rooted in empowering and guiding clients towards change, restoration, and growth. I encourage a collaborative, judgement-free space for individuals to explore all parts of themselves. I utilize holistic trauma-focused treatments and integrate evidence-based clinical modalities (DBT, CBT, EFT etc). I work to destigmatize mental health in all communities, and assist all in becoming the healthiest and happiest versions of themselves.
When working with clients, I ensure a practice that is deeply rooted in empowering and guiding clients towards change, restoration, and growth. I encourage a collaborative, judgement-free space for individuals to explore all parts of themselves. I utilize holistic trauma-focused treatments and integrate evidence-based clinical modalities (DBT, CBT, EFT etc). I work to destigmatize mental health in all communities, and assist all in becoming the healthiest and happiest versions of themselves.
(502) 738-1453 View (502) 738-1453
Photo of Deborah Richard, Licensed Professional Clinical Counselor in 40299, KY
Deborah Richard
Licensed Professional Clinical Counselor, PhD, LPC
Verified Verified
Louisville, KY 40299
Finding the right therapist is extremely important. The strength of client-therapist bond privides the positive and accepting atmosphere in which issues of mind/spirit/body may be addressed. By exploring and addressing the roots of current problems, resolution and healing can be manifested in the client's life. My focus for each client is to maximize their potential. I take a conversational-collaborative and eclectic approach as I work with clients with various issues. My clients set goals and leave therapy with the skills they need. Sessions usually occur weekly in an effort to maintain a constructive intensity toward self-awareness and restoration.
Finding the right therapist is extremely important. The strength of client-therapist bond privides the positive and accepting atmosphere in which issues of mind/spirit/body may be addressed. By exploring and addressing the roots of current problems, resolution and healing can be manifested in the client's life. My focus for each client is to maximize their potential. I take a conversational-collaborative and eclectic approach as I work with clients with various issues. My clients set goals and leave therapy with the skills they need. Sessions usually occur weekly in an effort to maintain a constructive intensity toward self-awareness and restoration.
(502) 871-4121 View (502) 871-4121
Photo of William C Green, Clinical Social Work/Therapist in 40299, KY
William C Green
Clinical Social Work/Therapist, MDiv, LCSW, AAMFT
Verified Verified
Louisville, KY 40299
Life can be stressful and throw us curves, from job to relationships to children to parent/elder care to grief and loss. Using the client's special/ unique skills, I work collaboratively to solve existing problems. With over 25 years of experience, I especially enjoy working with families and couples of all ages. I also work with Domestic Violence perpetrators and victims, with the goal of the perpetrator becoming a nonviolent, respectful partner and/or parent.
Life can be stressful and throw us curves, from job to relationships to children to parent/elder care to grief and loss. Using the client's special/ unique skills, I work collaboratively to solve existing problems. With over 25 years of experience, I especially enjoy working with families and couples of all ages. I also work with Domestic Violence perpetrators and victims, with the goal of the perpetrator becoming a nonviolent, respectful partner and/or parent.
(502) 466-3161 View (502) 466-3161
Photo of Molly Ann Halpin, Marriage & Family Therapist in 40299, KY
Molly Ann Halpin
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
1 Endorsed
Louisville, KY 40299  (Online Only)
My clients come from all walks of life, whether preteens navigating difficulties at school or elders reflecting on their journeys and accepting their life as a whole. Clients and I collaborate to establish tailored treatment plans that appropriately fit their needs in this season of difficulty. I work with clients individually, with their spouses, parents, or children to most effectively create sustainable change. Clients attend weekly or biweekly sessions, reviewing their challenges from previous weeks as we continue on their journey to gracefully accepting their selves now and fearlessly discovering who they're created to be.
My clients come from all walks of life, whether preteens navigating difficulties at school or elders reflecting on their journeys and accepting their life as a whole. Clients and I collaborate to establish tailored treatment plans that appropriately fit their needs in this season of difficulty. I work with clients individually, with their spouses, parents, or children to most effectively create sustainable change. Clients attend weekly or biweekly sessions, reviewing their challenges from previous weeks as we continue on their journey to gracefully accepting their selves now and fearlessly discovering who they're created to be.
(502) 383-5919 View (502) 383-5919
Photo of Jason Sandquist, Clinical Social Work/Therapist in 40299, KY
Jason Sandquist
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40299
I am a Christian therapist, though I have no difficulties working with clients of all beliefs. I am comfortable meeting with individuals and families, and I'm comfortable meeting with children and/or adults. I believe in the power of healing and restoration. I believe in hope and change. I believe life has meaning and we can find it. I believe in strong individuals, couples, and families who can learn to live life in honesty and contentment. I also know that working through life's issues/obstacles takes time and I want to help you on your journey towards wholeness and fulfillment.
I am a Christian therapist, though I have no difficulties working with clients of all beliefs. I am comfortable meeting with individuals and families, and I'm comfortable meeting with children and/or adults. I believe in the power of healing and restoration. I believe in hope and change. I believe life has meaning and we can find it. I believe in strong individuals, couples, and families who can learn to live life in honesty and contentment. I also know that working through life's issues/obstacles takes time and I want to help you on your journey towards wholeness and fulfillment.
(502) 252-1943 View (502) 252-1943

How does your Therapist compare?

Number of Therapists in 40299

60+

Average cost per session

$120

Therapists in 40299 who prioritize treating:

94% Anxiety
90% Relationship Issues
84% Depression
75% Trauma and PTSD
72% Coping Skills
72% Self Esteem
71% Family Conflict

Average years in practice

14 Years

Top 3 insurances accepted

81% Anthem | Elevance
79% Humana
69% BlueCross and BlueShield

How Therapists in 40299 see their clients

81% In Person and Online
19% Online Only

Gender breakdown

82% Female
18% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 40299?

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.