Therapists in 40601

Photo of Dorothy West - LifeStance Health, Licensed Professional Clinical Counselor , LPCC
LifeStance Health
Licensed Professional Clinical Counselor , LPCC
Frankfort, KY 40601
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(502) 289-6689 View (502) 289-6689
Photo of Dr. Willie Thomas Boddie, Clinical Social Work/Therapist, DSW, LCSW
Dr. Willie Thomas Boddie
Clinical Social Work/Therapist, DSW, LCSW
Frankfort, KY 40601
I appreciate your interest in and visiting the Griffin-Lyons Counseling site. My name is Dr. Willie Boddie, and I have been practicing clinical social work in central Kentucky since 2000. I have also worked with the LBGTQ+ community, particularly in HIV/AIDS prevention and education, addressing associated mental health factors that accompany HIV disease, including trauma-related challenges. I provide trauma-informed mental health care to adults through telehealth and in-person sessions to minimize anxiety and depression symptoms frequently associated with adverse experiences or living with HIV disease. AAT is available.
I appreciate your interest in and visiting the Griffin-Lyons Counseling site. My name is Dr. Willie Boddie, and I have been practicing clinical social work in central Kentucky since 2000. I have also worked with the LBGTQ+ community, particularly in HIV/AIDS prevention and education, addressing associated mental health factors that accompany HIV disease, including trauma-related challenges. I provide trauma-informed mental health care to adults through telehealth and in-person sessions to minimize anxiety and depression symptoms frequently associated with adverse experiences or living with HIV disease. AAT is available.
(502) 519-0522 View (502) 519-0522
Photo of Jessica Purvis, Clinical Social Work/Therapist, MSW, LCSW
Jessica Purvis
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
I am a Licensed Clinical Social Worker in a private practice setting at Lexington Counseling and Psychiatry. I provide individual, couples, and family therapy for children (10yo+), adolescents, and adults. I specialize in working with traumatic events including domestic violence, emotional abuse, neglect, physical abuse, and sexual abuse. I also provide an array of different therapy services including treatment for anxiety, depression, oppositional defiant disorder, personality disorders, etc. My ideal client is an individual motivated for change and willing to do something different!
I am a Licensed Clinical Social Worker in a private practice setting at Lexington Counseling and Psychiatry. I provide individual, couples, and family therapy for children (10yo+), adolescents, and adults. I specialize in working with traumatic events including domestic violence, emotional abuse, neglect, physical abuse, and sexual abuse. I also provide an array of different therapy services including treatment for anxiety, depression, oppositional defiant disorder, personality disorders, etc. My ideal client is an individual motivated for change and willing to do something different!
(502) 305-8765 View (502) 305-8765
Photo of Kurt Montooth, Marriage & Family Therapist
Kurt Montooth
Marriage & Family Therapist
7 Endorsed
Frankfort, KY 40601
Marriage and relationships can be so hard! You signed up for happily ever after, but happiness is missing in your relationship. Maybe you are stuck in an endless cycle of arguing, distance, or pain. Maybe your relationship lacks true intimacy & connection. Through couples counseling you & your partner can stop the negative cycle that is devastating your relationship. You and your partner can learn to understand your own responses to emotions, how you handle them, and how you can share them. You and your partner can learn what you both are really trying to communicate, and experience a secure bond and close connection.
Marriage and relationships can be so hard! You signed up for happily ever after, but happiness is missing in your relationship. Maybe you are stuck in an endless cycle of arguing, distance, or pain. Maybe your relationship lacks true intimacy & connection. Through couples counseling you & your partner can stop the negative cycle that is devastating your relationship. You and your partner can learn to understand your own responses to emotions, how you handle them, and how you can share them. You and your partner can learn what you both are really trying to communicate, and experience a secure bond and close connection.
(502) 237-1018 View (502) 237-1018
Photo of Kasey Anderson, Clinical Social Work/Therapist, MSW, LCSW
Kasey Anderson
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Frankfort, KY 40601
Hey there! Taking the first step toward therapy isn’t easy, and I want you to know—I see you. Living with ADHD (and everything that comes with it—anxiety, overwhelm, self-doubt) can feel like running a race with no finish line. But you don’t have to do it alone. I specialize in working with adults with ADHD who struggle with focus, motivation, emotional regulation, and self-worth. My approach is person-centered, strengths-based, and practical. Together, we’ll build strategies that actually work for you—whether that means tackling procrastination, managing relationships, or quieting that inner critic.
Hey there! Taking the first step toward therapy isn’t easy, and I want you to know—I see you. Living with ADHD (and everything that comes with it—anxiety, overwhelm, self-doubt) can feel like running a race with no finish line. But you don’t have to do it alone. I specialize in working with adults with ADHD who struggle with focus, motivation, emotional regulation, and self-worth. My approach is person-centered, strengths-based, and practical. Together, we’ll build strategies that actually work for you—whether that means tackling procrastination, managing relationships, or quieting that inner critic.
(502) 209-7656 View (502) 209-7656
Photo of John Thacker, Counselor, MRC, LPCC-S
John Thacker
Counselor, MRC, LPCC-S
5 Endorsed
Frankfort, KY 40601
People come to therapy because they want to feel better. It might be relationship problems or anxiety/depression, but whatever the reason, life has become uncomfortable or painful. Most people want more understanding of themselves and their situation. That being said, change is what we all seek in therapy. Making your life work better is the goal. I focus on altering self-defeating ways, gaining perspective, and increasing insight that leads to change. The result is an improved quality of life.
People come to therapy because they want to feel better. It might be relationship problems or anxiety/depression, but whatever the reason, life has become uncomfortable or painful. Most people want more understanding of themselves and their situation. That being said, change is what we all seek in therapy. Making your life work better is the goal. I focus on altering self-defeating ways, gaining perspective, and increasing insight that leads to change. The result is an improved quality of life.
(502) 812-1903 View (502) 812-1903
Photo of Melanie Jarmon, Licensed Professional Clinical Counselor
Melanie Jarmon
Licensed Professional Clinical Counselor
Online Only
I strive to provide mental telehealth counseling services to help promote individual growth and positive mental health. I understand that each client I work with is a unique individual influenced by his, her or their culture, family, values, beliefs, and personal identity. I strive to honor and respect the uniqueness of each person I treat. I seek to decrease mental health suffering in clients, while I seek to promote a positive sense of self and self-esteem. I seek to lessen the experience of anxiety and worry which can inhibit one’s enjoyment of life, while I seek to help clients nurture and discover ways to enjoy and make the mos
I strive to provide mental telehealth counseling services to help promote individual growth and positive mental health. I understand that each client I work with is a unique individual influenced by his, her or their culture, family, values, beliefs, and personal identity. I strive to honor and respect the uniqueness of each person I treat. I seek to decrease mental health suffering in clients, while I seek to promote a positive sense of self and self-esteem. I seek to lessen the experience of anxiety and worry which can inhibit one’s enjoyment of life, while I seek to help clients nurture and discover ways to enjoy and make the mos
(502) 362-4226 View (502) 362-4226
Photo of Iliannexis- Alexis Williams-Hall, Counselor, LPCA
Iliannexis- Alexis Williams-Hall
Counselor, LPCA
2 Endorsed
Frankfort, KY 40601
You’re a parent who’s exhausted, overwhelmed, and maybe even feeling a bit lost. You’ve tried everything to help your child navigate their challenges—whether it’s autism, ADHD, behavioral issues at school, or intense emotional struggles. You want to see them thrive, to feel connected, and to know they’re understood. But right now, it might feel like you’re just barely keeping your head above water. You’re searching for someone who not only has the expertise but who also understands what you’re going through—someone who can offer real support, tailored strategies, and compassionate care for both you and your child.
You’re a parent who’s exhausted, overwhelmed, and maybe even feeling a bit lost. You’ve tried everything to help your child navigate their challenges—whether it’s autism, ADHD, behavioral issues at school, or intense emotional struggles. You want to see them thrive, to feel connected, and to know they’re understood. But right now, it might feel like you’re just barely keeping your head above water. You’re searching for someone who not only has the expertise but who also understands what you’re going through—someone who can offer real support, tailored strategies, and compassionate care for both you and your child.
(502) 323-4591 View (502) 323-4591
Photo of Stacey Hurst, Licensed Professional Clinical Counselor, MA, LPCC
Stacey Hurst
Licensed Professional Clinical Counselor, MA, LPCC
Frankfort, KY 40601
Stacey Hurst, LPCC, is licensed in the state of Kentucky as a professional clinical counselor providing individual therapy to adults. She earned her licensure in 2003 and has dedicated over two decades to supporting individuals through a wide range of mental health concerns, including substance use, depression, anxiety, adjustment disorders, and personality disorders. Stacey draws from evidence-based approaches such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing, and Mindfulness techniques. Her work is rooted in a trauma-informed and client-centered framework, supporting individuals as they develop insight a
Stacey Hurst, LPCC, is licensed in the state of Kentucky as a professional clinical counselor providing individual therapy to adults. She earned her licensure in 2003 and has dedicated over two decades to supporting individuals through a wide range of mental health concerns, including substance use, depression, anxiety, adjustment disorders, and personality disorders. Stacey draws from evidence-based approaches such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing, and Mindfulness techniques. Her work is rooted in a trauma-informed and client-centered framework, supporting individuals as they develop insight a
(502) 535-2703 View (502) 535-2703
Photo of Laura Marie Best, Clinical Social Work/Therapist, MSW, LCSW
Laura Marie Best
Clinical Social Work/Therapist, MSW, LCSW
4 Endorsed
Frankfort, KY 40601
I have been working as a counselor since 1999 in various clinical settings. I have experience and enjoy working with children, adolescents, adults, and families.
I have been working as a counselor since 1999 in various clinical settings. I have experience and enjoy working with children, adolescents, adults, and families.
(859) 759-0226 View (859) 759-0226
Photo of Megan Ashby, Licensed Professional Clinical Counselor, MEd, LPCC-S
Megan Ashby
Licensed Professional Clinical Counselor, MEd, LPCC-S
2 Endorsed
Frankfort, KY 40601
I enjoy working with children, adolescents, adults, couples, and families treating a variety of life's problems. I am committed to providing a safe, supportive, and judgment free environment for all of my clients. As a counselor I use a variety of techniques and work to increase my clients coping skills, communication skills, and ability to deal with life's full variety of problems. I work from and focus on evidenced based treatments to provide clients with the best treatment possible to sustain their long term mental health.
I enjoy working with children, adolescents, adults, couples, and families treating a variety of life's problems. I am committed to providing a safe, supportive, and judgment free environment for all of my clients. As a counselor I use a variety of techniques and work to increase my clients coping skills, communication skills, and ability to deal with life's full variety of problems. I work from and focus on evidenced based treatments to provide clients with the best treatment possible to sustain their long term mental health.
(859) 353-4505 View (859) 353-4505
Photo of Mallory Hamm, Counselor, LPCC, NCC
Mallory Hamm
Counselor, LPCC, NCC
Frankfort, KY 40601
First and foremost, I utilize standard concepts of therapy including active listening and unconditional positive regard in order to build comfort and a positive relationship from the first meeting. In subsequent sessions, I may utilize cognitive behavioral therapy and solution focused therapy concepts to assist clients in beginning to take control of their thought processes and to feel better quickly.
First and foremost, I utilize standard concepts of therapy including active listening and unconditional positive regard in order to build comfort and a positive relationship from the first meeting. In subsequent sessions, I may utilize cognitive behavioral therapy and solution focused therapy concepts to assist clients in beginning to take control of their thought processes and to feel better quickly.
(502) 610-5936 View (502) 610-5936
Photo of Philip Arndt, LPCA
Philip Arndt
Verified Verified
3 Endorsed
Frankfort, KY 40601
Hello, I am Philip Arndt and I am a licensed professional counselor associate. My role as a counselor is to try my best to understand your world, your emotions, parts of self, and what your goals are for counseling. I aim to provide the same level of professional care and compassion to everyone that seeks out my services regardless of who you are. I specialize in working with teens and adults, LGBTQIA+, religious trauma, anxiety, and depression.
Hello, I am Philip Arndt and I am a licensed professional counselor associate. My role as a counselor is to try my best to understand your world, your emotions, parts of self, and what your goals are for counseling. I aim to provide the same level of professional care and compassion to everyone that seeks out my services regardless of who you are. I specialize in working with teens and adults, LGBTQIA+, religious trauma, anxiety, and depression.
(859) 484-8979 View (859) 484-8979
Photo of Rebecca Whitley, Clinical Social Work/Therapist, MSW, LCSW
Rebecca Whitley
Clinical Social Work/Therapist, MSW, LCSW
Frankfort, KY 40601
Rebecca Whitley, LCSW, is a compassionate therapist dedicated to supporting individuals on their mental health journeys across Kentucky. She offers a client-centered approach, fostering a safe, non-judgmental environment where clients can share their stories and find the tools to heal. Guided by the core values of social work service, integrity, dignity, social justice, and competence Rebecca helps clients navigate challenges while prioritizing the importance of human relationships. Specializing in treating anxiety, depression, grief, and PTSD/trauma, Rebecca brings a wealth of expertise as a Certified Clinical Trauma Professional
Rebecca Whitley, LCSW, is a compassionate therapist dedicated to supporting individuals on their mental health journeys across Kentucky. She offers a client-centered approach, fostering a safe, non-judgmental environment where clients can share their stories and find the tools to heal. Guided by the core values of social work service, integrity, dignity, social justice, and competence Rebecca helps clients navigate challenges while prioritizing the importance of human relationships. Specializing in treating anxiety, depression, grief, and PTSD/trauma, Rebecca brings a wealth of expertise as a Certified Clinical Trauma Professional
(502) 383-0997 View (502) 383-0997
Photo of Carol Proctor, Licensed Professional Clinical Counselor, LPCC
Carol Proctor
Licensed Professional Clinical Counselor, LPCC
Online Only
We all need to experience acceptance and love, a place of rest. In this type of environment we can heal wounds, grow in our strengths and establish boundaries with self and others.
We all need to experience acceptance and love, a place of rest. In this type of environment we can heal wounds, grow in our strengths and establish boundaries with self and others.
(502) 743-4296 View (502) 743-4296
Photo of Erin Hager, Marriage & Family Therapist, LMFT, LCADC
Erin Hager
Marriage & Family Therapist, LMFT, LCADC
1 Endorsed
Frankfort, KY 40601
Hello! My name is Erin Hager. Welcome to a space dedicated to your personal journey of healing and transformation. As a Licensed Marriage and Family Therapist and Licensed Clinical Alcohol and Drug Counselor in Kentucky, I am here to support you through every step of your path towards wellness. Whether you are grappling with relationship challenges, navigating substance use concerns, have a loved one who struggles with some type of addiction, or seeking to understand and overcome deep-seated emotional struggles or trauma, know that you are not alone.
Hello! My name is Erin Hager. Welcome to a space dedicated to your personal journey of healing and transformation. As a Licensed Marriage and Family Therapist and Licensed Clinical Alcohol and Drug Counselor in Kentucky, I am here to support you through every step of your path towards wellness. Whether you are grappling with relationship challenges, navigating substance use concerns, have a loved one who struggles with some type of addiction, or seeking to understand and overcome deep-seated emotional struggles or trauma, know that you are not alone.
(502) 430-3737 View (502) 430-3737
Photo of Elizabeth Grace Lueking, Clinical Social Work/Therapist, LCSW
Elizabeth Grace Lueking
Clinical Social Work/Therapist, LCSW
1 Endorsed
Frankfort, KY 40601
I am a Licensed Clinical Social Worker, a Certified Clinical Trauma Professional, and a Master of Divinity Degree. I have guided many clients with issues of anxiety, depression, relationships, and addiction. I treat everyone with respect, sensitivity, and compassion. I provide a holistic, strength-based, and solutions-oriented approach to help others and believe that no obstacle is too great to overcome. It takes courage to seek a more fulfilling and happier life and to take the first steps towards change. I look forward to working with you!
I am a Licensed Clinical Social Worker, a Certified Clinical Trauma Professional, and a Master of Divinity Degree. I have guided many clients with issues of anxiety, depression, relationships, and addiction. I treat everyone with respect, sensitivity, and compassion. I provide a holistic, strength-based, and solutions-oriented approach to help others and believe that no obstacle is too great to overcome. It takes courage to seek a more fulfilling and happier life and to take the first steps towards change. I look forward to working with you!
(502) 427-1618 View (502) 427-1618
Photo of Shannon Johnson, Clinical Social Work/Therapist, LCSW
Shannon Johnson
Clinical Social Work/Therapist, LCSW
Frankfort, KY 40601
Shannon Johnson is a Licensed Clinical Social Worker. She earned her bachelor's degree from Campbellsville University and her Master of Social Work degree from the University of Kentucky. She has over 14 years of experience in outpatient, in-home, and school-based settings. She works with children, adolescents, families, and adults. She is trained in Parent-Child Interaction Therapy, mindfulness practices, and Cognitive-Behavioral Therapy. Her treatment areas include attention deficit hyperactivity disorder (ADHD), anger management, anxiety, mood disorders, trauma, teen substance abuse, self-harming, and stress from life events.
Shannon Johnson is a Licensed Clinical Social Worker. She earned her bachelor's degree from Campbellsville University and her Master of Social Work degree from the University of Kentucky. She has over 14 years of experience in outpatient, in-home, and school-based settings. She works with children, adolescents, families, and adults. She is trained in Parent-Child Interaction Therapy, mindfulness practices, and Cognitive-Behavioral Therapy. Her treatment areas include attention deficit hyperactivity disorder (ADHD), anger management, anxiety, mood disorders, trauma, teen substance abuse, self-harming, and stress from life events.
(502) 628-4193 View (502) 628-4193
Photo of William Back, Counselor, LPCC
William Back
Counselor, LPCC
Frankfort, KY 40601
William David Back earned his master's degree in education and his bachelor's degree in Psychology from University of Kentucky. He has over 9 years of experience in inpatient and outpatient settings. His specialty areas include anxiety disorders, bipolar disorder, depression, obsessive-compulsive disorder (OCD), seasonal affective disorder and substance use. He has training in and utilizes eye movement desensitization and reprocessing (EMDR), cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT). He sees adolescents and adults for individual, couples and family therapy.
William David Back earned his master's degree in education and his bachelor's degree in Psychology from University of Kentucky. He has over 9 years of experience in inpatient and outpatient settings. His specialty areas include anxiety disorders, bipolar disorder, depression, obsessive-compulsive disorder (OCD), seasonal affective disorder and substance use. He has training in and utilizes eye movement desensitization and reprocessing (EMDR), cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT). He sees adolescents and adults for individual, couples and family therapy.
(502) 680-8693 View (502) 680-8693
Photo of Dorothy West, Licensed Professional Clinical Counselor, LPCC
Dorothy West
Licensed Professional Clinical Counselor, LPCC
Frankfort, KY 40601
Dorothy "Holli" West is a licensed professional clinical counselor. She completed her master's degree in mental health and rehabilitation counseling, graduate work and her bachelor's degree in sociology at the University of South Florida. She has more than 25 years of experience in various inpatient and outpatient settings. She has advanced training in trauma informed care and resolution, eye movement desensitization and reprocessing (EMDR) for the treatment of trauma, the treatment of substance abuse and dependence, cognitive behavioral therapy (CBT), and mindfulness practices for mental and emotional wellbeing.
Dorothy "Holli" West is a licensed professional clinical counselor. She completed her master's degree in mental health and rehabilitation counseling, graduate work and her bachelor's degree in sociology at the University of South Florida. She has more than 25 years of experience in various inpatient and outpatient settings. She has advanced training in trauma informed care and resolution, eye movement desensitization and reprocessing (EMDR) for the treatment of trauma, the treatment of substance abuse and dependence, cognitive behavioral therapy (CBT), and mindfulness practices for mental and emotional wellbeing.
(502) 317-0724 View (502) 317-0724

See more therapy options for 40601

How does your Therapist compare?

Number of Therapists in 40601

100+

Average cost per session

$100

Therapists in 40601 who prioritize treating:

94% Anxiety
87% Depression
69% Trauma and PTSD
66% Stress
58% Coping Skills
57% Grief
56% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

97% Aetna
94% UnitedHealthcare UHC | UBH
92% Cigna and Evernorth

How Therapists in 40601 see their clients

63% Online Only
37% In Person and Online

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 40601?

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.