Therapists in 48603

Photo of Rachel Mellentine, Counselor in 48603, MI
Rachel Mellentine
Counselor, MA, LLPC
Verified
2 Endorsed
Saginaw, MI 48603
Currently accepting new clients. I'm honored to have the opportunity to be a part of your journey to your own healing and growth. I’m passionate about helping people through their life struggles such as anxiety, depression, trauma, life transitions, grief, personal growth, relationship and family problems. If you have been struggling for a while or just starting to find yourself stuck, I take an empathetic and encouraging approach to help guide you through these struggles.
Currently accepting new clients. I'm honored to have the opportunity to be a part of your journey to your own healing and growth. I’m passionate about helping people through their life struggles such as anxiety, depression, trauma, life transitions, grief, personal growth, relationship and family problems. If you have been struggling for a while or just starting to find yourself stuck, I take an empathetic and encouraging approach to help guide you through these struggles.
(989) 455-8037 View (989) 455-8037
Photo of Stacy Athens, Clinical Social Work/Therapist in 48603, MI
Stacy Athens
Clinical Social Work/Therapist, LMSW, RPT
Verified
2 Endorsed
Saginaw, MI 48603
It takes a lot of courage to decide to seek help with something that is bothering you or that is a struggle within your life. I find it to be an honor to work alongside my clients in their own journey of healing. Therapy is different for every single person, and an element I have found important, is to operate as a team together with trust and rapport. As a therapist, I am client centered with a focus on building a safe and trusting relationship with my clients, aiding in the ability to share their thoughts, feelings and experiences. I provide alternative views, and often times will encourage continued work outside of session.
It takes a lot of courage to decide to seek help with something that is bothering you or that is a struggle within your life. I find it to be an honor to work alongside my clients in their own journey of healing. Therapy is different for every single person, and an element I have found important, is to operate as a team together with trust and rapport. As a therapist, I am client centered with a focus on building a safe and trusting relationship with my clients, aiding in the ability to share their thoughts, feelings and experiences. I provide alternative views, and often times will encourage continued work outside of session.
(989) 487-1323 View (989) 487-1323
Photo of Grace Christian Counseling , Clinical Social Work/Therapist in 48603, MI
Grace Christian Counseling
Clinical Social Work/Therapist, LMSW, CAADC
Verified
Saginaw, MI 48603
No matter what the struggle there is help. Relationship difficulties , stress, trauma, and family problems can all throw life out of balance. Let us help you get life back on course.
No matter what the struggle there is help. Relationship difficulties , stress, trauma, and family problems can all throw life out of balance. Let us help you get life back on course.
(989) 704-7561 View (989) 704-7561
Photo of Brittney N Mosqueda, Clinical Social Work/Therapist in 48603, MI
Brittney N Mosqueda
Clinical Social Work/Therapist, LMSW, CAADC, CCTP
Verified
1 Endorsed
Saginaw, MI 48603
As we navigate though our life we experience the high and lows, some easier then others. Days can turn into weeks of ongoing stressors or feeling overwhelmed as if we just can not take on one more thing. This is where Growing Through Change, PLLC can help. Brittney Mosqueda is an LMSW who has earned her CAADC (Certified advanced alcohol and drug counselor) as well. Brittney's mission is to help her client's navigate the growing pains of life. Brittney believes that everyone has the ability to take steps forward to a better tomorrow.
As we navigate though our life we experience the high and lows, some easier then others. Days can turn into weeks of ongoing stressors or feeling overwhelmed as if we just can not take on one more thing. This is where Growing Through Change, PLLC can help. Brittney Mosqueda is an LMSW who has earned her CAADC (Certified advanced alcohol and drug counselor) as well. Brittney's mission is to help her client's navigate the growing pains of life. Brittney believes that everyone has the ability to take steps forward to a better tomorrow.
(989) 656-1226 View (989) 656-1226
Photo of Katherine Arkell, Clinical Social Work/Therapist in 48603, MI
Katherine Arkell
Clinical Social Work/Therapist, LMSW
Verified
1 Endorsed
Saginaw, MI 48603
I am a Licensed Master Social Worker, I work with adolescents and adults. I have over 25 years experience in the mental health field treating a multitude of issues including: anxiety; depression; divorce reaction; blended families; grief and loss; and life stressors/transitions. I am a client centered, strengths-based, solution focused therapist and also utilize expressive therapies including art and sand tray.
I am a Licensed Master Social Worker, I work with adolescents and adults. I have over 25 years experience in the mental health field treating a multitude of issues including: anxiety; depression; divorce reaction; blended families; grief and loss; and life stressors/transitions. I am a client centered, strengths-based, solution focused therapist and also utilize expressive therapies including art and sand tray.
(989) 584-1996 View (989) 584-1996
Photo of Kate Collins, Clinical Social Work/Therapist in 48603, MI
Kate Collins
Clinical Social Work/Therapist, LMSW, CAADC, CCTP
Verified
Saginaw, MI 48603
Not accepting new clients
You feel like you’re running on fumes. You’re exhausted, overwhelmed, and stressed​. You may feel like there's something wrong with you because you're not able to enjoy life like those around you and are struggling just to get through your day to day activities. Feeling this way can impact every aspect of your life, including romantic relationships, family life, work or school responsibilities, and even your physical health. It may even feel so overwhelming that you have or have considered hurting yourself to find some relief. Carrying the weight of everything going on in your life alone is exhausting.
You feel like you’re running on fumes. You’re exhausted, overwhelmed, and stressed​. You may feel like there's something wrong with you because you're not able to enjoy life like those around you and are struggling just to get through your day to day activities. Feeling this way can impact every aspect of your life, including romantic relationships, family life, work or school responsibilities, and even your physical health. It may even feel so overwhelming that you have or have considered hurting yourself to find some relief. Carrying the weight of everything going on in your life alone is exhausting.
(989) 264-1460 View (989) 264-1460
Photo of Steven Joel Berman, Licensed Professional Counselor in 48603, MI
Steven Joel Berman
Licensed Professional Counselor, LPC, NCC, CAADC, CCTS- I, CFTP
Verified
1 Endorsed
Saginaw, MI 48603  (Online Only)
I am a multi-degreed licensed Professional Counselor (LPC) and Certified Advanced Alcohol and Drug Counselor (CAADC) in Michigan. The goal is to assist my clients in working through issues that negatively affect them in their daily lives. I work with clients who may be struggling with depression or trauma related to their relationships or family. During our initial sessions, we will delve deeply into the issues at hand, and collaborate to create a plan for addressing them in a way that helps you get your life back. Most of my clients see a gradual lifting of symptoms within the first month and sustained improvement afterward.
I am a multi-degreed licensed Professional Counselor (LPC) and Certified Advanced Alcohol and Drug Counselor (CAADC) in Michigan. The goal is to assist my clients in working through issues that negatively affect them in their daily lives. I work with clients who may be struggling with depression or trauma related to their relationships or family. During our initial sessions, we will delve deeply into the issues at hand, and collaborate to create a plan for addressing them in a way that helps you get your life back. Most of my clients see a gradual lifting of symptoms within the first month and sustained improvement afterward.
(734) 849-4997 View (734) 849-4997
Photo of Chey Davis, Clinical Social Work/Therapist in 48603, MI
Chey Davis
Clinical Social Work/Therapist, MA, MSW, LLMSW
Verified
1 Endorsed
Saginaw, MI 48603  (Online Only)
Working specifically with clients on: Sexuality: Kink-informed. Identity: Racial identity formation and stress. LGBTQIA identity formation and stress. Religious trauma and recovery. Academic success: College, Grad school. Work-related stress.
Working specifically with clients on: Sexuality: Kink-informed. Identity: Racial identity formation and stress. LGBTQIA identity formation and stress. Religious trauma and recovery. Academic success: College, Grad school. Work-related stress.
(989) 756-0483 View (989) 756-0483
Photo of Shaun Michael Ryan, Clinical Social Work/Therapist in 48603, MI
Shaun Michael Ryan
Clinical Social Work/Therapist, LMSW
Verified
1 Endorsed
Saginaw, MI 48603
I love working with people who want to work through past trauma and improve their relationships. Together we will heal old patterns, work with their inner child, and support in your current relationships. I became a therapist in 2019, after going to therapy myself and experiencing how much impact it had on my entire life. I live in Michigan with my dog, Chelsea, and enjoy getting outdoors whenever I can.
I love working with people who want to work through past trauma and improve their relationships. Together we will heal old patterns, work with their inner child, and support in your current relationships. I became a therapist in 2019, after going to therapy myself and experiencing how much impact it had on my entire life. I live in Michigan with my dog, Chelsea, and enjoy getting outdoors whenever I can.
(989) 287-7271 View (989) 287-7271
Photo of Lauren Krzyzaniak, Licensed Professional Counselor in 48603, MI
Lauren Krzyzaniak
Licensed Professional Counselor, LPC, LMHC
Verified
Saginaw, MI 48603  (Online Only)
Postpartum anxiety, depression, and birth trauma leaves us feeling broken, crazy, and like bad parents. You're tired of feeling like you're barely holding it together. Maybe you're a first time mom who can't sleep when your baby's asleep because something terrible will happen. Maybe you've been pregnant before and didn't realize how much that experience impacted you until you couldn't enjoy your next pregnancy. Either way, you're ready for relief. You're ready to feel more connected to yourself and your family. You're ready to be the kind of parent you've always wanted to be.
Postpartum anxiety, depression, and birth trauma leaves us feeling broken, crazy, and like bad parents. You're tired of feeling like you're barely holding it together. Maybe you're a first time mom who can't sleep when your baby's asleep because something terrible will happen. Maybe you've been pregnant before and didn't realize how much that experience impacted you until you couldn't enjoy your next pregnancy. Either way, you're ready for relief. You're ready to feel more connected to yourself and your family. You're ready to be the kind of parent you've always wanted to be.
(989) 625-9324 View (989) 625-9324
Photo of Debra S McCaleb Maxon, Counselor in 48603, MI
Debra S McCaleb Maxon
Counselor, LLC,CCT, CCTP, MS, MS
Verified
1 Endorsed
Saginaw, MI 48603
Ideal clients are ANYONE who struggle with substance use, trauma, anxiety, stress, depression, domestic violence, self-harm, self-esteem, eating disorders, strained relationships, and who have a desire to improve their lives. I have experience and welcome working with clients of all ages, ethnicities, religious beliefs, and sexual orientations (LGBTQ). Through therapy, clients can learn how to identify stressors and develop coping skills to address these issues. Along the way, we’ll set goals to help you achieve the life you desire.
Ideal clients are ANYONE who struggle with substance use, trauma, anxiety, stress, depression, domestic violence, self-harm, self-esteem, eating disorders, strained relationships, and who have a desire to improve their lives. I have experience and welcome working with clients of all ages, ethnicities, religious beliefs, and sexual orientations (LGBTQ). Through therapy, clients can learn how to identify stressors and develop coping skills to address these issues. Along the way, we’ll set goals to help you achieve the life you desire.
(989) 843-3323 View (989) 843-3323
Photo of Brian Birdwell, Clinical Social Work/Therapist in 48603, MI
Brian Birdwell
Clinical Social Work/Therapist, LMSW, C-DBT, QMHP, CMHP
Verified
2 Endorsed
Saginaw, MI 48603  (Online Only)
Hello, and welcome! I truly believe in the potential to improve your current situation, and I am prepared to help you get to where you want to be. If you’re experiencing low self-esteem, chronic sadness, excessive worrying, unrelenting crises, intense or unstable relationships, fear of abandonment, negative self-image, recurring suicidal ideations, self-harming behaviors, intense mood swings, or anger problems; then please know that you are not alone and that I understand compassionately. I’m here to validate your experiences, but also teach you practical skills and strategies to cope effectively with these challenges.
Hello, and welcome! I truly believe in the potential to improve your current situation, and I am prepared to help you get to where you want to be. If you’re experiencing low self-esteem, chronic sadness, excessive worrying, unrelenting crises, intense or unstable relationships, fear of abandonment, negative self-image, recurring suicidal ideations, self-harming behaviors, intense mood swings, or anger problems; then please know that you are not alone and that I understand compassionately. I’m here to validate your experiences, but also teach you practical skills and strategies to cope effectively with these challenges.
(989) 659-5937 View (989) 659-5937
Photo of Megan Morell, Clinical Social Work/Therapist in 48603, MI
Megan Morell
Clinical Social Work/Therapist, LMSW, CMHP, TF-CBT
Verified
2 Endorsed
Saginaw, MI 48603  (Online Only)
Welcome, I am glad you are here! A majority of my clinical experience has been centered around children and families within a wide range of backgrounds. Whether it be anxiety, depression, mood concerns, trauma, school stressors, behavioral issues or other problem areas, my intention is to be the fuel that helps ignite the therapeutic process. I believe that life circumstances, environmental factors and genetics can all play a part in a person’s life. If you are looking to address things that are interfering with your life, I can help! Therapy should never be a punishment and is a powerful process that together, we will persevere.
Welcome, I am glad you are here! A majority of my clinical experience has been centered around children and families within a wide range of backgrounds. Whether it be anxiety, depression, mood concerns, trauma, school stressors, behavioral issues or other problem areas, my intention is to be the fuel that helps ignite the therapeutic process. I believe that life circumstances, environmental factors and genetics can all play a part in a person’s life. If you are looking to address things that are interfering with your life, I can help! Therapy should never be a punishment and is a powerful process that together, we will persevere.
(989) 455-7582 View (989) 455-7582
Photo of Ashley Bartlett, Clinical Social Work/Therapist in 48603, MI
Ashley Bartlett
Clinical Social Work/Therapist, LMSW, CAADC
Verified
Saginaw, MI 48603  (Online Only)
Hi, I’m Ashley! My goal as a therapist is to help you find balance and personal growth in your healing journey from a holistic and strength-based perspective. I believe that each client is the expert of their own life, experiences, and needs. It is a priority to me to create a space for clients to feel empowered to share their story, discover their strengths, and make positive and meaningful changes in their lives. I provide non-judgmental and empathic counseling services to help you through the process of change. It is important to me that you feel safe and supported.
Hi, I’m Ashley! My goal as a therapist is to help you find balance and personal growth in your healing journey from a holistic and strength-based perspective. I believe that each client is the expert of their own life, experiences, and needs. It is a priority to me to create a space for clients to feel empowered to share their story, discover their strengths, and make positive and meaningful changes in their lives. I provide non-judgmental and empathic counseling services to help you through the process of change. It is important to me that you feel safe and supported.
(810) 442-8443 View (810) 442-8443
Photo of Tracey M Allan, Psychologist in 48603, MI
Tracey M Allan
Psychologist, PhD
Verified
Saginaw, MI 48603
I use a variety of therapeutic approaches to help individuals with depression, anxiety, and relationship problems and those going through a divorce or struggling with custody issues. I also work with individuals on the autism spectrum.
I use a variety of therapeutic approaches to help individuals with depression, anxiety, and relationship problems and those going through a divorce or struggling with custody issues. I also work with individuals on the autism spectrum.
(989) 787-3353 View (989) 787-3353
Photo of Artichoke Heart Counseling, Counselor in 48603, MI
Artichoke Heart Counseling
Counselor, MA, LPC
Verified
1 Endorsed
Saginaw, MI 48603
I am a Licensed Professional Counselor. I serve individuals and couples. I work with a variety of emotional and behavioral issues affecting people across the lifespan: therapy for depression and anxiety, post-partum depression, parenting support, psycho-education, counseling for stress reduction/stress management, career counseling, behavioral interventions, etc. I personalize each treatment approach to the individual client's situation in a comfortable and supportive atmosphere. I also have specialized training in issues of Domestic Violence, Sexual Assault, Depression, Anxiety, PTSD, as well as Borderline Personality Disorder.
I am a Licensed Professional Counselor. I serve individuals and couples. I work with a variety of emotional and behavioral issues affecting people across the lifespan: therapy for depression and anxiety, post-partum depression, parenting support, psycho-education, counseling for stress reduction/stress management, career counseling, behavioral interventions, etc. I personalize each treatment approach to the individual client's situation in a comfortable and supportive atmosphere. I also have specialized training in issues of Domestic Violence, Sexual Assault, Depression, Anxiety, PTSD, as well as Borderline Personality Disorder.
(989) 625-1159 View (989) 625-1159
Photo of Amy Lemke, Clinical Social Work/Therapist in 48603, MI
Amy Lemke
Clinical Social Work/Therapist, LMSW, CAADC
Verified
2 Endorsed
Saginaw, MI 48603
I have been providing outpatient treatment to children, adults, and families in the Tri-Cities and Thumb area of Michigan for 20 years. I have experience in treating both mental health and substance abuse issues as well as co-occurring disorders. I have experience in treating depressive and other mood disorders, anxiety disorders including generalized anxiety, specific phobias, and PTSD, and relationship issues. I also have extensive training in treating perinatal mood disorders, including post-partum depression. and working with domestic abuse survivors.
I have been providing outpatient treatment to children, adults, and families in the Tri-Cities and Thumb area of Michigan for 20 years. I have experience in treating both mental health and substance abuse issues as well as co-occurring disorders. I have experience in treating depressive and other mood disorders, anxiety disorders including generalized anxiety, specific phobias, and PTSD, and relationship issues. I also have extensive training in treating perinatal mood disorders, including post-partum depression. and working with domestic abuse survivors.
(989) 945-0095 View (989) 945-0095
Photo of Still Water Professional Counseling, Licensed Professional Counselor in 48603, MI
Still Water Professional Counseling
Licensed Professional Counselor, LPC, CSAT, EMDR
Verified
Saginaw, MI 48603
Waitlist for new clients
We counsel individuals struggling with depression, anxiety, PTSD, and abuse backgrounds, and we are trained in EMDR, a leading research-based treatment for trauma. We also specialize in marriage counseling and treat couples from a pro-marriage perspective, utilizing Emotionally Focused Therapy (EFT) to help couples identify their negative cycle of relating and restore their emotional connection. We have specialized training in the treatment of sexual addiction, with focus on both the addict and partner.
We counsel individuals struggling with depression, anxiety, PTSD, and abuse backgrounds, and we are trained in EMDR, a leading research-based treatment for trauma. We also specialize in marriage counseling and treat couples from a pro-marriage perspective, utilizing Emotionally Focused Therapy (EFT) to help couples identify their negative cycle of relating and restore their emotional connection. We have specialized training in the treatment of sexual addiction, with focus on both the addict and partner.
(989) 832-0191 View (989) 832-0191
Photo of Margie Bach, Clinical Social Work/Therapist in 48603, MI
Margie Bach
Clinical Social Work/Therapist, LMSW
Verified
Saginaw, MI 48603
Beginning the counseling journey is a brave and affirming investment in yourself. I am here to support you in your journey and help guide you towards your goals whatever they may be. Therapy is a safe place for healing and growth that requires a collaborative relationship that is honest, non-judgmental, and authentic. Discovering a life full of meaning can feel overwhelming. I believe that therapy is a place to create a space to appreciate who we are, reflect on past experiences, be mindful of present circumstances and discover where you want to be.
Beginning the counseling journey is a brave and affirming investment in yourself. I am here to support you in your journey and help guide you towards your goals whatever they may be. Therapy is a safe place for healing and growth that requires a collaborative relationship that is honest, non-judgmental, and authentic. Discovering a life full of meaning can feel overwhelming. I believe that therapy is a place to create a space to appreciate who we are, reflect on past experiences, be mindful of present circumstances and discover where you want to be.
(989) 373-7480 View (989) 373-7480
Photo of Katie S Estelle, Clinical Social Work/Therapist in 48603, MI
Katie S Estelle
Clinical Social Work/Therapist, LMSW
Verified
Saginaw, MI 48603
Do you feel overwhelmed by anxiety that interferes with your daily life? Are you tired of feeling lost and stressed all the time? If so, I'm here to empower you to do something about it. I'm Katie, and I'm a therapist who specializes in helping individuals overcome anxiety and regain control of their lives. As an anxiety specialist, I am committed to helping individuals overcome their fears and reclaim their lives. I understand that anxiety can be overwhelming, and I believe that with the right tools and support, anyone can learn to manage their symptoms and thrive.
Do you feel overwhelmed by anxiety that interferes with your daily life? Are you tired of feeling lost and stressed all the time? If so, I'm here to empower you to do something about it. I'm Katie, and I'm a therapist who specializes in helping individuals overcome anxiety and regain control of their lives. As an anxiety specialist, I am committed to helping individuals overcome their fears and reclaim their lives. I understand that anxiety can be overwhelming, and I believe that with the right tools and support, anyone can learn to manage their symptoms and thrive.
(989) 625-4620 View (989) 625-4620

See more therapy options for 48603

How does your Therapist compare?

Number of Therapists in 48603

40+

Average cost per session

$140

Therapists in 48603 who prioritize treating:

90% Depression
90% Anxiety
80% Trauma and PTSD
78% Relationship Issues
73% Coping Skills
73% Self Esteem
70% Stress

Average years in practice

9 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
70% Blue Care Network
59% Aetna

How Therapists in 48603 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

84% Female
16% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 48603?

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.