Therapists in 49720

Photo of Allyson Foster Leverich - Mirrored Waters Counseling, Clinical Social Work/Therapist, Ph D, LMSW, CAADC, TF-CBT
Mirrored Waters Counseling
Clinical Social Work/Therapist, Ph D, LMSW, CAADC, TF-CBT
Charlevoix, MI 49720
Mirrored Waters Counseling is available to all ages, individuals, and couples who want to resolve the issues that are complicating their lives. Be it depression, anxiety, communication in relationships, the ability to express one's thoughts and feelings or behavioral issues. Each issue can become the catalyst to future problems which can overshadow our lives. We all deserve to live a fulfilling life, one free from the angst we create or endure. Allow yourself to dream of a future where you give yourself permission to be happy.
Mirrored Waters Counseling is available to all ages, individuals, and couples who want to resolve the issues that are complicating their lives. Be it depression, anxiety, communication in relationships, the ability to express one's thoughts and feelings or behavioral issues. Each issue can become the catalyst to future problems which can overshadow our lives. We all deserve to live a fulfilling life, one free from the angst we create or endure. Allow yourself to dream of a future where you give yourself permission to be happy.
(231) 266-0138 View (231) 266-0138
Photo of Jean Moree, Licensed Professional Counselor, LPC, NCC, CCTS-I
Jean Moree
Licensed Professional Counselor, LPC, NCC, CCTS-I
Charlevoix, MI 49720
Find your calm and reclaim your confidence. It can feel overwhelming when past experiences or chronic worry interfere with your daily life, relationships, and sense of self. My approach is holistic, blending evidence-based techniques with deep empathy and respect for your unique story. We’ll work together to build tools for grounding, self-regulation, and resilience. I place strong value on the therapeutic relationship and strive to create a space where you feel genuinely heard, validated, and empowered.
Find your calm and reclaim your confidence. It can feel overwhelming when past experiences or chronic worry interfere with your daily life, relationships, and sense of self. My approach is holistic, blending evidence-based techniques with deep empathy and respect for your unique story. We’ll work together to build tools for grounding, self-regulation, and resilience. I place strong value on the therapeutic relationship and strive to create a space where you feel genuinely heard, validated, and empowered.
(231) 227-8385 View (231) 227-8385
Photo of Thalia M Ferenc, Clinical Social Work/Therapist, MSW, MA, LMSW, DCSW
Thalia M Ferenc
Clinical Social Work/Therapist, MSW, MA, LMSW, DCSW
Charlevoix, MI 49720
Emotions, Behaviors, Relationships ... When they're not right, life becomes a fragile shadow of our hopes and dreams. There can be a better tomorrow with a warm, wise and well-trained therapist, seasoned by long experience and sincerely invested in making a difference in your life. Serving adults, adolescents 14 and over, couples and families, from my private practice located halfway between Charlevoix and Petoskey. I currently provide a choice of in-person or teletherapy. Utilizing an integrative blend of therapy orientations, I tailor treatment to each individual's needs. You are unique. Your therapy should be, too.
Emotions, Behaviors, Relationships ... When they're not right, life becomes a fragile shadow of our hopes and dreams. There can be a better tomorrow with a warm, wise and well-trained therapist, seasoned by long experience and sincerely invested in making a difference in your life. Serving adults, adolescents 14 and over, couples and families, from my private practice located halfway between Charlevoix and Petoskey. I currently provide a choice of in-person or teletherapy. Utilizing an integrative blend of therapy orientations, I tailor treatment to each individual's needs. You are unique. Your therapy should be, too.
(231) 335-3616 View (231) 335-3616
Photo of Dr. Betz King - King and Associates Psychotherapy, Psychologist, PsyD, LP
King and Associates Psychotherapy
Psychologist, PsyD, LP
3 Endorsed
Charlevoix, MI 49720
Top Ten Reasons For Therapy: 10) It's good to talk to someone who accepts you unconditionally. 9) It's cheaper than hitting bottom. 8) It can prevent bad situations from getting worse. 7) It helps correct self-defeating behaviors. 6) It teaches assertiveness, which raises self-esteem. 5)It teaches new ways of thinking. 4) It provides relief. 3)It's not as sappy as it looks on TV. 2) Knowledge is power; knowing the reasons for what bothers you gives you power to change. AND THE NUMBER ONE REASON TO GO TO THERAPY: You deserve to like yourself and your life!
Top Ten Reasons For Therapy: 10) It's good to talk to someone who accepts you unconditionally. 9) It's cheaper than hitting bottom. 8) It can prevent bad situations from getting worse. 7) It helps correct self-defeating behaviors. 6) It teaches assertiveness, which raises self-esteem. 5)It teaches new ways of thinking. 4) It provides relief. 3)It's not as sappy as it looks on TV. 2) Knowledge is power; knowing the reasons for what bothers you gives you power to change. AND THE NUMBER ONE REASON TO GO TO THERAPY: You deserve to like yourself and your life!
(248) 780-1110 View (248) 780-1110
Photo of Kimberly Murphy - Northern Lights Counseling & Consultation, PLLC, Licensed Professional Counselor, MA, LPC, NCC, CAADC
Northern Lights Counseling & Consultation, PLLC
Licensed Professional Counselor, MA, LPC, NCC, CAADC
Serves Area
"Happiness does not depend on what you have or who you are. It solely relies on what you think" (Buddha) The majority of our suffering comes from our thinking. In therapy I use a variety of approaches and techniques to resolve problematic behaviors, beliefs, feelings, relationship issues, and/or somatic responses.
"Happiness does not depend on what you have or who you are. It solely relies on what you think" (Buddha) The majority of our suffering comes from our thinking. In therapy I use a variety of approaches and techniques to resolve problematic behaviors, beliefs, feelings, relationship issues, and/or somatic responses.
(989) 584-1409 View (989) 584-1409
Photo of Katherine Vance, Clinical Social Work/Therapist, LMSW, IMH-II
Katherine Vance
Clinical Social Work/Therapist, LMSW, IMH-II
2 Endorsed
Serves Area
I am a Licensed Clinical Social Worker and life coach practicing in Elk Rapids, MI. I previously practiced in Bloomfield Hills MI before moving to Northern Michigan in 2019. I have experience as an Infant Mental Health Specialist, Child and Adolescent Therapist and Individual/Family Therapist. I received my BA from University of Arkansas in Social Work and Criminal Justice and a MSW from University of Michigan in Therapeutic Practice and Community Organizing. I enjoy working with all individuals to process and explore the concerns that may prohibit them from reaching their potential and living life to its fullest.
I am a Licensed Clinical Social Worker and life coach practicing in Elk Rapids, MI. I previously practiced in Bloomfield Hills MI before moving to Northern Michigan in 2019. I have experience as an Infant Mental Health Specialist, Child and Adolescent Therapist and Individual/Family Therapist. I received my BA from University of Arkansas in Social Work and Criminal Justice and a MSW from University of Michigan in Therapeutic Practice and Community Organizing. I enjoy working with all individuals to process and explore the concerns that may prohibit them from reaching their potential and living life to its fullest.
(947) 208-6971 View (947) 208-6971
Photo of Ann T Holland - Ann Holland Professional Counseling PLLC, Licensed Professional Counselor, LPC, AC,, EMDRIA
Ann Holland Professional Counseling PLLC
Licensed Professional Counselor, LPC, AC,, EMDRIA
2 Endorsed
Serves Area
Professional provider with 40 years experience in the management, organization and outreach services to families in small, state-run and large mental health organizations, substance abuse, EMDR therapy, and behavioral issues. Individual treatment planning, individual, family and group therapy, crisis intervention and cultural sensitivity, internship, supervision and program development. Therapists need counseling too and I can help you! Evidence based practices. Most of all, I possess a great deal of understanding and compassion for how to provide the best possible range of service and advocacy to families in our community.
Professional provider with 40 years experience in the management, organization and outreach services to families in small, state-run and large mental health organizations, substance abuse, EMDR therapy, and behavioral issues. Individual treatment planning, individual, family and group therapy, crisis intervention and cultural sensitivity, internship, supervision and program development. Therapists need counseling too and I can help you! Evidence based practices. Most of all, I possess a great deal of understanding and compassion for how to provide the best possible range of service and advocacy to families in our community.
(231) 276-2399 View (231) 276-2399
Photo of Katrina M Tripp - Sisu Wellness and Counseling, LLC, Clinical Social Work/Therapist, LMSW-C
Sisu Wellness and Counseling, LLC
Clinical Social Work/Therapist, LMSW-C
Serves Area
Hi, I'm Katrina. I have come to believe that we all need to take life “one step at a time”. I provide a safe, non-judgmental space to work through issues and stressors that come up while living life. I will focus on your individual needs and goals, help strengthen existing skills, and explore and develop new cognitive and coping tools. I am open, honest and truly care about helping individuals increase their quality of life. I provide a listening ear, information and education, as well as help in finding, exploring, and utilizing any needed resources.
Hi, I'm Katrina. I have come to believe that we all need to take life “one step at a time”. I provide a safe, non-judgmental space to work through issues and stressors that come up while living life. I will focus on your individual needs and goals, help strengthen existing skills, and explore and develop new cognitive and coping tools. I am open, honest and truly care about helping individuals increase their quality of life. I provide a listening ear, information and education, as well as help in finding, exploring, and utilizing any needed resources.
(231) 244-1608 View (231) 244-1608
Photo of Cathryn J Schuil, LPC, ACS, CAADC
Cathryn J Schuil
Verified Verified
1 Endorsed
Serves Area
Ms. Schuil offers professional counseling services for individuals, families, and couples who seek emotional equilibrium during life's inevitable changes and challenges.
Ms. Schuil offers professional counseling services for individuals, families, and couples who seek emotional equilibrium during life's inevitable changes and challenges.
(231) 760-8938 View (231) 760-8938
Photo of Ginger Fricke, Clinical Social Work/Therapist, LMSW, CAADC
Ginger Fricke
Clinical Social Work/Therapist, LMSW, CAADC
Serves Area
I provide counseling for individuals and families facing a wide range of challenges, including addiction, anxiety, depression, grief, relationship difficulties, and significant life transitions. I understand that seeking support often comes at a time when life feels overwhelming or uncertain, and my priority is to offer a compassionate, steady place to work through these challenges. Together we explore what brought you here and what you're hoping to change. Your goals - whether they involve healing from loss, breaking unhealthy patterns, or navigating a difficult transition - will guide the direction of our sessions.
I provide counseling for individuals and families facing a wide range of challenges, including addiction, anxiety, depression, grief, relationship difficulties, and significant life transitions. I understand that seeking support often comes at a time when life feels overwhelming or uncertain, and my priority is to offer a compassionate, steady place to work through these challenges. Together we explore what brought you here and what you're hoping to change. Your goals - whether they involve healing from loss, breaking unhealthy patterns, or navigating a difficult transition - will guide the direction of our sessions.
(231) 681-8357 View (231) 681-8357
Photo of Frank Langer, Psychologist, MSW, PhD
Frank Langer
Psychologist, MSW, PhD
Serves Area
I am a psychologist with nearly forty years' experience as a therapist. Trained as a general practitioner in rural mental health, I see people with a wide range of issues -- anxiety, depression, fears, phobias, procrastination, underachievement, chronic pain, anger management, attention disorders, and frustration in close relationships. If you decide to come in, the first appointment will focus on clarifying your goals and thinking about ways to move toward them. You are invited to a safe, respectful, supportive place where we can understand your situation and work together to improve it.
I am a psychologist with nearly forty years' experience as a therapist. Trained as a general practitioner in rural mental health, I see people with a wide range of issues -- anxiety, depression, fears, phobias, procrastination, underachievement, chronic pain, anger management, attention disorders, and frustration in close relationships. If you decide to come in, the first appointment will focus on clarifying your goals and thinking about ways to move toward them. You are invited to a safe, respectful, supportive place where we can understand your situation and work together to improve it.
(231) 480-4309 View (231) 480-4309
Photo of John Lockard - Lockard Counseling Services, Counselor, MA, LPC, CAADC
Lockard Counseling Services
Counselor, MA, LPC, CAADC
1 Endorsed
Serves Area
We will explore your current situation/presenting problem(s) in the initial session(s) to define your counseling goals. Then we will develop a plan to work toward those goals as we identify your strengths, any obstacles you might encounter along the way, and how you will know when those goals have been attained. I am confident that you will reach your desired healing and growth in this collaborative process. After achieving your goal(s) we may decide to set more goals or you may choose to end your counseling for now.
We will explore your current situation/presenting problem(s) in the initial session(s) to define your counseling goals. Then we will develop a plan to work toward those goals as we identify your strengths, any obstacles you might encounter along the way, and how you will know when those goals have been attained. I am confident that you will reach your desired healing and growth in this collaborative process. After achieving your goal(s) we may decide to set more goals or you may choose to end your counseling for now.
(231) 225-4402 View (231) 225-4402
Photo of Sherry Guthrie, Counselor, MS, LPC, MITS
Sherry Guthrie
Counselor, MS, LPC, MITS
Serves Area
I work with individuals who wish to live a full and rewarding life regardless of past experiences or current challenges. My clients have a range of issues which may include, but are not limited to, depression, anxiety, recent or remote trauma, childhood maltreatment, family dysfunction, women's issues, distortions of thought, or grief and loss. I use a variety of carefully chosen modalities to assist clients in reaching their personal goals. Such modalities might include CBT, traditional talk therapy, relaxation, biofeedback, pyschodynamic interpretation, assessment measures, and reading or writing material.
I work with individuals who wish to live a full and rewarding life regardless of past experiences or current challenges. My clients have a range of issues which may include, but are not limited to, depression, anxiety, recent or remote trauma, childhood maltreatment, family dysfunction, women's issues, distortions of thought, or grief and loss. I use a variety of carefully chosen modalities to assist clients in reaching their personal goals. Such modalities might include CBT, traditional talk therapy, relaxation, biofeedback, pyschodynamic interpretation, assessment measures, and reading or writing material.
(231) 389-1047 View (231) 389-1047
Photo of Naomi Casement, Clinical Social Work/Therapist, LMSW, CAADC, CSAT
Naomi Casement
Clinical Social Work/Therapist, LMSW, CAADC, CSAT
2 Endorsed
Serves Area
At times life brings challenging experiences that feel too large to overcome. The results are exhaustion and feeling lost from emotional upset with no solution in sight. Are you someone who is carrying the struggle of trauma, betrayal, conflicts in your relationship? Do you battle the struggles of out of control sex/porn behaviors, alcohol/drug issues, depression/anxiety? Know that you do not have to silently carry these burdens alone. Humans are resilient and the answers are within. You can prevail. I welcome you to a safe, non-judgmental place to begin your transformation, as you discover what lie's within you.
At times life brings challenging experiences that feel too large to overcome. The results are exhaustion and feeling lost from emotional upset with no solution in sight. Are you someone who is carrying the struggle of trauma, betrayal, conflicts in your relationship? Do you battle the struggles of out of control sex/porn behaviors, alcohol/drug issues, depression/anxiety? Know that you do not have to silently carry these burdens alone. Humans are resilient and the answers are within. You can prevail. I welcome you to a safe, non-judgmental place to begin your transformation, as you discover what lie's within you.
(231) 487-6046 View (231) 487-6046
Photo of Brendan O'Donnel, Clinical Social Work/Therapist, LMSW
Brendan O'Donnel
Clinical Social Work/Therapist, LMSW
3 Endorsed
Serves Area
Are you are experiencing anxiety or depression? Are you distressed in your relationships or with your gender identity or sexual function? Are you in grief, confronting mortality, and managing a complex medical illness or disability? Have you lost what it feels like to be yourself?
Are you are experiencing anxiety or depression? Are you distressed in your relationships or with your gender identity or sexual function? Are you in grief, confronting mortality, and managing a complex medical illness or disability? Have you lost what it feels like to be yourself?
(231) 442-0898 View (231) 442-0898
Photo of Sabrina Spearman - Second Chance Counseling Center, Clinical Social Work/Therapist, LCSW
Second Chance Counseling Center
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
At Second Chance Counseling Center, we strive to accommodate every client. We are a group of professionals here to meet your needs with our unique combination of skills. Our clinicians have been trained in various modalities to treat trauma, relationship issues, depression, grief, anxiety, and many other disorders. This allows each of our clinicians to focus on you in your treatment. Let us help guide you in your journey.
At Second Chance Counseling Center, we strive to accommodate every client. We are a group of professionals here to meet your needs with our unique combination of skills. Our clinicians have been trained in various modalities to treat trauma, relationship issues, depression, grief, anxiety, and many other disorders. This allows each of our clinicians to focus on you in your treatment. Let us help guide you in your journey.
(231) 227-9203 View (231) 227-9203
Photo of Esther Brill - Solis Psychotherapy LLC, Clinical Social Work/Therapist, MSW, LCSW
Solis Psychotherapy LLC
Clinical Social Work/Therapist, MSW, LCSW
Serves Area
Living with anxiety and depression can make it difficult to get through the day. You matter and our goal is to help you navigate life stressors and gain a better understanding of yourself. Therapy is NOT just talking, it's also about learning ways to take charge of your life and improve your circumstances. It's about practicing skills to improve your ability to communicate needs, regulate emotions, and tolerate distress.
Living with anxiety and depression can make it difficult to get through the day. You matter and our goal is to help you navigate life stressors and gain a better understanding of yourself. Therapy is NOT just talking, it's also about learning ways to take charge of your life and improve your circumstances. It's about practicing skills to improve your ability to communicate needs, regulate emotions, and tolerate distress.
(231) 201-3120 View (231) 201-3120
Photo of Kelly D. Daunter, Psychologist, PsyD
Kelly D. Daunter
Psychologist, PsyD
Serves Area
I provide therapy with individuals, couples, and families surrounding a variety of issues including but not limited to communication and relationship dynamics, stress management, depression, anxiety, and anger as well as grief and loss, substance use, eating disorders, and educational and occupational challenges. Being present with a client in his or her journey through life is my greatest honor and I strive to meet my clients where they are at the time and help them take steps towards their goals in achieving health, happiness, and overall life fulfillment.
I provide therapy with individuals, couples, and families surrounding a variety of issues including but not limited to communication and relationship dynamics, stress management, depression, anxiety, and anger as well as grief and loss, substance use, eating disorders, and educational and occupational challenges. Being present with a client in his or her journey through life is my greatest honor and I strive to meet my clients where they are at the time and help them take steps towards their goals in achieving health, happiness, and overall life fulfillment.
(231) 570-8186 View (231) 570-8186
Photo of Brenda Ennis, Clinical Social Work/Therapist, LMSW, BCD
Brenda Ennis
Clinical Social Work/Therapist, LMSW, BCD
Serves Area
My practice is built upon the belief in the resilience of the human spirit. Humans are remarkably skilled at learning how to adapt to overwhelming stress. "Survival" necessitates a disconnect from our body, heart and mind. Allowing narratives to unfold, within a safe relational dyad, can invite a journey back to the Self within. While I have a special interest, and heart for, working with those who have been deeply hurt, I also welcome couples who are struggling to live in harmony with one another or those who want to rekindle a "passion" for living life together in real, authentic partnership.
My practice is built upon the belief in the resilience of the human spirit. Humans are remarkably skilled at learning how to adapt to overwhelming stress. "Survival" necessitates a disconnect from our body, heart and mind. Allowing narratives to unfold, within a safe relational dyad, can invite a journey back to the Self within. While I have a special interest, and heart for, working with those who have been deeply hurt, I also welcome couples who are struggling to live in harmony with one another or those who want to rekindle a "passion" for living life together in real, authentic partnership.
(231) 916-9327 View (231) 916-9327
Photo of Laura Boss, Master Social Worker, LLMSW
Laura Boss
Master Social Worker, LLMSW
Serves Area
I enjoy working with a broad range of clients from children to adults who are affected by trauma, grief and loss, anxiety, and mood disorders. Based on my personal and professional experience, I truly believe that with the right care, growth and healing are possible. I use client-centered therapy to empower my clients to take an active role in their care. Using EMDR, CBT, and DBT therapeutic modalities, clients have the opportunity to heal, gain insight, and develop new skills and coping mechanisms.
I enjoy working with a broad range of clients from children to adults who are affected by trauma, grief and loss, anxiety, and mood disorders. Based on my personal and professional experience, I truly believe that with the right care, growth and healing are possible. I use client-centered therapy to empower my clients to take an active role in their care. Using EMDR, CBT, and DBT therapeutic modalities, clients have the opportunity to heal, gain insight, and develop new skills and coping mechanisms.
(231) 227-9457 View (231) 227-9457

How does your Therapist compare?

Number of Therapists in 49720

30+

Average cost per session

$150

Therapists in 49720 who prioritize treating:

100% Anxiety
100% Social Anxiety
100% Health Anxiety
100% Driving Anxiety
94% Depression
84% Relationship Issues
84% Stress

Average years in practice

23 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
70% Priority Health
67% Aetna

How Therapists in 49720 see their clients

77% In Person and Online
23% Online Only

Gender breakdown

87% Female
10% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 49720?

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.