Therapists in 59860

Photo of Mike O'Rourke, Pre-Licensed Professional, SWLC, MSW, MA
Mike O'Rourke
Pre-Licensed Professional, SWLC, MSW, MA
Polson, MT 59860
I work with adults and teenagers dealing with a wide range of life circumstances and mental health concerns. Therapy offers a space to explore that carefully. We examine recurring patterns, assumptions, relational dynamics, and the ways you hold yourself together. The work is conversational, structured, and deliberate.
I work with adults and teenagers dealing with a wide range of life circumstances and mental health concerns. Therapy offers a space to explore that carefully. We examine recurring patterns, assumptions, relational dynamics, and the ways you hold yourself together. The work is conversational, structured, and deliberate.
(406) 470-8267 View (406) 470-8267
Photo of Christy Newell, Clinical Social Work/Therapist, LCSW, LCAS
Christy Newell
Clinical Social Work/Therapist, LCSW, LCAS
Polson, MT 59860
I partner with adults ages 18 through older adulthood as they navigate their unique journeys of healing and growth. I believe healing is not a linear process, but a personal journey shaped by both internal experiences and external life challenges. My role is to walk alongside clients with compassion, curiosity, and respect as they work toward greater clarity, resilience, and wholeness.
I partner with adults ages 18 through older adulthood as they navigate their unique journeys of healing and growth. I believe healing is not a linear process, but a personal journey shaped by both internal experiences and external life challenges. My role is to walk alongside clients with compassion, curiosity, and respect as they work toward greater clarity, resilience, and wholeness.
(406) 578-5903 View (406) 578-5903
Photo of Samuel Ore, Clinical Social Work/Therapist, LCSW
Samuel Ore
Clinical Social Work/Therapist, LCSW
1 Endorsed
Polson, MT 59860
Montanans face unique challenges related to geography, a culture of individualism, intergenerational patterns of trauma, and a changing economy. I’ve spent my career developing evidence-based skills to meet the needs of my neighbors. This starts with building a straightforward relationship as a foundation for work that attends to the needs of our physiology, psychology, spirituality, and our community. Therapy is about cultivating ongoing processes of resilience and everyday I do my best to work myself out of a job.
Montanans face unique challenges related to geography, a culture of individualism, intergenerational patterns of trauma, and a changing economy. I’ve spent my career developing evidence-based skills to meet the needs of my neighbors. This starts with building a straightforward relationship as a foundation for work that attends to the needs of our physiology, psychology, spirituality, and our community. Therapy is about cultivating ongoing processes of resilience and everyday I do my best to work myself out of a job.
(406) 215-4767 View (406) 215-4767
Photo of Dana Hellinger, Counselor, MA, LCPC, LMFT
Dana Hellinger
Counselor, MA, LCPC, LMFT
Polson, MT 59860
Children often struggle with emotions; identifying, expressing and processing their feelings can be very difficult. Anger can rear its ugly head when underneath it may really be a whole bunch of other emotions going on. Some children need to express themselves other than verbally. Play and art therapy techniques, sand tray, and therapeutic games can be used as ways for kids to process emotions without talking or feeling pressured. Children often just need to be heard, given skills, and provided with opportunity for little successes that can increase their self-esteem. Parents are invited to learn valuable tools as well.
Children often struggle with emotions; identifying, expressing and processing their feelings can be very difficult. Anger can rear its ugly head when underneath it may really be a whole bunch of other emotions going on. Some children need to express themselves other than verbally. Play and art therapy techniques, sand tray, and therapeutic games can be used as ways for kids to process emotions without talking or feeling pressured. Children often just need to be heard, given skills, and provided with opportunity for little successes that can increase their self-esteem. Parents are invited to learn valuable tools as well.
(406) 204-3758 View (406) 204-3758
Photo of Abigail Eyre, Clinical Social Work/Therapist, MSW, LCSW
Abigail Eyre
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Polson, MT 59860
As a trauma therapist, I have worked with survivors of all types. Many of my clients are social workers, caregivers, therapists, counselors, parents, and helpers themselves. I have extensive training in Attachment Therapy and Narrative Therapy. My two dogs are usually in session with me. They are older and will leave you with "puppy glitter" (dog hair) on your clothing. I have a lint roller for such occasions. I've been a therapist a long time and if you're going through something and would like support, I understand and am here to help and support you as you work through whats happening and how to make your life work.
As a trauma therapist, I have worked with survivors of all types. Many of my clients are social workers, caregivers, therapists, counselors, parents, and helpers themselves. I have extensive training in Attachment Therapy and Narrative Therapy. My two dogs are usually in session with me. They are older and will leave you with "puppy glitter" (dog hair) on your clothing. I have a lint roller for such occasions. I've been a therapist a long time and if you're going through something and would like support, I understand and am here to help and support you as you work through whats happening and how to make your life work.
(406) 631-8687 View (406) 631-8687
Photo of Marissa Mae Ilac, Counselor, LCPC, NCC, CFMHE, CFP
Marissa Mae Ilac
Counselor, LCPC, NCC, CFMHE, CFP
Polson, MT 59860
Life can throw us some difficult challenges and so many struggle with navigating through those challenges. It can sometimes feel like there is no light at the end of the tunnel and it is during these times, we all could use extra support. It also takes courage to reach out for help. I believe that everyone has the strength to get through life's toughest challenges with the right tools and support. That is why I am here to provide a safe, supportive environment, listen to you, and work with you to help find solutions and help you get back to living life.
Life can throw us some difficult challenges and so many struggle with navigating through those challenges. It can sometimes feel like there is no light at the end of the tunnel and it is during these times, we all could use extra support. It also takes courage to reach out for help. I believe that everyone has the strength to get through life's toughest challenges with the right tools and support. That is why I am here to provide a safe, supportive environment, listen to you, and work with you to help find solutions and help you get back to living life.
(406) 225-0746 View (406) 225-0746
Photo of Kristen Zimmermann, Counselor, LCPC
Kristen Zimmermann
Counselor, LCPC
Polson, MT 59860
I am dedicated to creating a supportive space for those seeking growth and healing, particularly from the wounds of trauma. I believe that every individual’s experience is valuable, and I strive to honor the diverse ways in which we navigate our lives. Many of us find ourselves feeling stuck, often due to a lack of the right support to process our experiences. I approach therapy as a collaborative relationship, where we acknowledge your story and work together to make sense of and overcome the challenges you face. To best support each client, I draw from a variety of methods.
I am dedicated to creating a supportive space for those seeking growth and healing, particularly from the wounds of trauma. I believe that every individual’s experience is valuable, and I strive to honor the diverse ways in which we navigate our lives. Many of us find ourselves feeling stuck, often due to a lack of the right support to process our experiences. I approach therapy as a collaborative relationship, where we acknowledge your story and work together to make sense of and overcome the challenges you face. To best support each client, I draw from a variety of methods.
(406) 612-4657 View (406) 612-4657
Photo of Craig Lyle Stevenson, Clinical Social Work/Therapist, LCSW
Craig Lyle Stevenson
Clinical Social Work/Therapist, LCSW
1 Endorsed
Polson, MT 59860
I have 20 plus years working in mental and behavioral health. Many of those years involved research, and documenting mental, emotional and behavioral patterns that have us becoming our own best saboteur. It is the part of us that continually says: we are not good enough, something bad is going to happen, and often cycling through shame and regret. These feelings can induce anxiety, depression, and lead to unhealthy habits. My treatment approach is straight forward, holistic, and rooted in truth. It is grounded in identifying or re-identifying your values, then creating a truth based plan that realigns your path with these values.
I have 20 plus years working in mental and behavioral health. Many of those years involved research, and documenting mental, emotional and behavioral patterns that have us becoming our own best saboteur. It is the part of us that continually says: we are not good enough, something bad is going to happen, and often cycling through shame and regret. These feelings can induce anxiety, depression, and lead to unhealthy habits. My treatment approach is straight forward, holistic, and rooted in truth. It is grounded in identifying or re-identifying your values, then creating a truth based plan that realigns your path with these values.
(406) 510-0521 View (406) 510-0521
Photo of Christopher James Weber, Clinical Social Work/Therapist, LCSW, CMHPP, MSEDU
Christopher James Weber
Clinical Social Work/Therapist, LCSW, CMHPP, MSEDU
1 Endorsed
Polson, MT 59860
My goals are to help you as you navigate the changes in life, work on decreasing anxieties in your life and improving your quality of life. I offer solution focused client centered therapy to meet you where you are and walk together towards your goals. I look forward to working with you on this journey.
My goals are to help you as you navigate the changes in life, work on decreasing anxieties in your life and improving your quality of life. I offer solution focused client centered therapy to meet you where you are and walk together towards your goals. I look forward to working with you on this journey.
(406) 521-7724 View (406) 521-7724
Photo of Rachel Edington, Licensed Professional Counselor, PCLC
Rachel Edington
Licensed Professional Counselor, PCLC
2 Endorsed
Polson, MT 59860
Are you struggling with chronic pain or unexplained symptoms? Have doctors been stumped—or told you to “just live with it”? Maybe you’ve tried countless treatments without lasting relief, or had an injury but pain persists long after healing. Whether it’s chronic pain, health anxiety, or other persistent symptoms, there is hope. You can learn effective tools to retrain your brain, unlearn pain, and create new neural pathways—leading to greatly reduced or even eliminated symptoms so you can reclaim your life.
Are you struggling with chronic pain or unexplained symptoms? Have doctors been stumped—or told you to “just live with it”? Maybe you’ve tried countless treatments without lasting relief, or had an injury but pain persists long after healing. Whether it’s chronic pain, health anxiety, or other persistent symptoms, there is hope. You can learn effective tools to retrain your brain, unlearn pain, and create new neural pathways—leading to greatly reduced or even eliminated symptoms so you can reclaim your life.
(406) 296-5663 View (406) 296-5663
Photo of Julie Anna Dalrymple, Clinical Social Work/Therapist, MSW, LCSW
Julie Anna Dalrymple
Clinical Social Work/Therapist, MSW, LCSW
Polson, MT 59860
Provision of Mental Health Services to Children and their families, providing crisis care and integrating trauma through utilization of case specific intervention strategies. Specializing in assessing, diagnosing, and treating Clients utilizing DSM-5-TR and correlating with ICD-10 codes. Proven successful in developing and running a program targeting high risk youth with SED diagnoses. Capable of conducting performance audits to meet quality standards and implement evidence-based mental health best practice procedures.
Provision of Mental Health Services to Children and their families, providing crisis care and integrating trauma through utilization of case specific intervention strategies. Specializing in assessing, diagnosing, and treating Clients utilizing DSM-5-TR and correlating with ICD-10 codes. Proven successful in developing and running a program targeting high risk youth with SED diagnoses. Capable of conducting performance audits to meet quality standards and implement evidence-based mental health best practice procedures.
(406) 641-1283 View (406) 641-1283
Photo of Katy Thomas, Licensed Clinical Professional Counselor, MA, LCPC
Katy Thomas
Licensed Clinical Professional Counselor, MA, LCPC
1 Endorsed
Polson, MT 59860
Providing in-person therapy in Polson and telehealth all over Montana! With over ten years of experience working in the mental health field in Montana, I can help you to navigate challenges by empowering you with the tools you need to live as your authentic self. I emphasize the importance of mindfulness, communication and connection while addressing internal feelings of shame, anxiety and other areas that may be causing your distress. Together, we will identify and explore obstacles and set goals to help you to work towards positive, lifelong changes!
Providing in-person therapy in Polson and telehealth all over Montana! With over ten years of experience working in the mental health field in Montana, I can help you to navigate challenges by empowering you with the tools you need to live as your authentic self. I emphasize the importance of mindfulness, communication and connection while addressing internal feelings of shame, anxiety and other areas that may be causing your distress. Together, we will identify and explore obstacles and set goals to help you to work towards positive, lifelong changes!
(406) 641-1534 View (406) 641-1534
Photo of Shasta Baum-Strait, Counselor, LCPC
Shasta Baum-Strait
Counselor, LCPC
Polson, MT 59860
Have you been to therapy before and it didn’t work for you? You don't feel seen or heard? Are you looking for a therapist to connect to and are comfortable with? I work with those who never found the “right fit” for therapy. My clients routinely struggle with anxiety, unresolved trauma or low mood. They have continuing challenges growing up that leaves deep wounds—self-doubt, anxiety, and a constant feeling of not being enough. You may feel anxious in relationships facing strained family attachments, overly responsible for others, or unsure of who you really are. But you don’t have to keep living in that pattern.
Have you been to therapy before and it didn’t work for you? You don't feel seen or heard? Are you looking for a therapist to connect to and are comfortable with? I work with those who never found the “right fit” for therapy. My clients routinely struggle with anxiety, unresolved trauma or low mood. They have continuing challenges growing up that leaves deep wounds—self-doubt, anxiety, and a constant feeling of not being enough. You may feel anxious in relationships facing strained family attachments, overly responsible for others, or unsure of who you really are. But you don’t have to keep living in that pattern.
(406) 306-1447 View (406) 306-1447
Photo of Katherine M Rucci Morrison, Marriage & Family Therapist, MA, MFT
Katherine M Rucci Morrison
Marriage & Family Therapist, MA, MFT
Polson, MT 59860
My primary interest is helping individuals reduce and heal from trauma symptoms, especially developmental trauma. The approaches I use include Eye Movement Desensitization and Reprocessing (EMDR) and Deep Brain Reorienting (DBR) as well as other trauma-informed care. I also may provide Neurofeedback training to assist in anxiety reduction and mood and attention stabilization. If you are struggling with sleep difficulties, panic attacks, flashbacks, and social fears, there is hope in obtaining effective treatment.
My primary interest is helping individuals reduce and heal from trauma symptoms, especially developmental trauma. The approaches I use include Eye Movement Desensitization and Reprocessing (EMDR) and Deep Brain Reorienting (DBR) as well as other trauma-informed care. I also may provide Neurofeedback training to assist in anxiety reduction and mood and attention stabilization. If you are struggling with sleep difficulties, panic attacks, flashbacks, and social fears, there is hope in obtaining effective treatment.
(406) 709-5793 View (406) 709-5793
Photo of Natasha Gregg, Counselor, MA, LCPC, MBA, BSP
Natasha Gregg
Counselor, MA, LCPC, MBA, BSP
2 Endorsed
Polson, MT 59860
I specialize in helping adolescents and adults in finding their own inner purpose, strength, and wisdom. Often, this requires peeling back the layers of old habits, wounds, and ways of being in the world that are resulting in distress, anxiety, depression, and feelings of dissatisfaction. By helping to heal the old wounds, there is more space to experience joy and contentment while also discovering what matters the most to you. One on one sessions can take a variety of forms including more traditional talk therapy; using different art mediums; or getting out of the office for a walk.
I specialize in helping adolescents and adults in finding their own inner purpose, strength, and wisdom. Often, this requires peeling back the layers of old habits, wounds, and ways of being in the world that are resulting in distress, anxiety, depression, and feelings of dissatisfaction. By helping to heal the old wounds, there is more space to experience joy and contentment while also discovering what matters the most to you. One on one sessions can take a variety of forms including more traditional talk therapy; using different art mediums; or getting out of the office for a walk.
(360) 220-3627 View (360) 220-3627
Photo of Leigh Allen, Clinical Social Work/Therapist, LCSW
Leigh Allen
Clinical Social Work/Therapist, LCSW
Polson, MT 59860
Many people who find me are thoughtful, self-aware, and capable, yet feel anxious, disconnected or stuck in patterns that no longer fit. They may have tried therapy or self-work before and sense there is still something unresolved. I work with adults and teens who want to move beyond symptom management and understand the deeper patterns shaping their emotions, relationships, and nervous system. My approach is collaborative, grounded and paced with care, with an emphasis on safety, regulation and integration.
Many people who find me are thoughtful, self-aware, and capable, yet feel anxious, disconnected or stuck in patterns that no longer fit. They may have tried therapy or self-work before and sense there is still something unresolved. I work with adults and teens who want to move beyond symptom management and understand the deeper patterns shaping their emotions, relationships, and nervous system. My approach is collaborative, grounded and paced with care, with an emphasis on safety, regulation and integration.
(406) 607-8216 View (406) 607-8216
Photo of Treasa Glinnwater, Clinical Social Work/Therapist, MSW, LCSW
Treasa Glinnwater
Clinical Social Work/Therapist, MSW, LCSW
Polson, MT 59860
You are taking a courageous step to begin therapy. You may be suffering from depression, anxiety, addiction and recovery, sexual issues, self-limiting beliefs, low self esteem, trouble with relationships, endless stress. I have much experience treating these problems and can provide a safe space for you to better understand yourself and begin creating meaningful changes.
You are taking a courageous step to begin therapy. You may be suffering from depression, anxiety, addiction and recovery, sexual issues, self-limiting beliefs, low self esteem, trouble with relationships, endless stress. I have much experience treating these problems and can provide a safe space for you to better understand yourself and begin creating meaningful changes.
(406) 708-8459 View (406) 708-8459
Photo of David Bennett Stube, Counselor, PhD, LCC
David Bennett Stube
Counselor, PhD, LCC
1 Endorsed
Serves Area
I counsel people and families. I have 4 specialty areas, (1) trauma recovery, including PTSD and loss, (2) couples, (3) emotions like anxiety, anger, depression, and (4) children and teens. (1) When dealing with trauma, grief and heartbreak, I encourage adults to heal again to be lovers with a heart of a warrior, see www.youtube.com/watch?v=IjdICFdnkhE (2) I counsel couples by myself or with my wife, Julie Ann Nardi, LCC--a couple counseling couples. See gardencitycouples.com. (3) emotional healing brings about new ways of thinking and acting (CBT). (4) Play, art, family, and music are for great ways for kids.
I counsel people and families. I have 4 specialty areas, (1) trauma recovery, including PTSD and loss, (2) couples, (3) emotions like anxiety, anger, depression, and (4) children and teens. (1) When dealing with trauma, grief and heartbreak, I encourage adults to heal again to be lovers with a heart of a warrior, see www.youtube.com/watch?v=IjdICFdnkhE (2) I counsel couples by myself or with my wife, Julie Ann Nardi, LCC--a couple counseling couples. See gardencitycouples.com. (3) emotional healing brings about new ways of thinking and acting (CBT). (4) Play, art, family, and music are for great ways for kids.
(406) 578-1930 View (406) 578-1930
Photo of Leah Ore, Clinical Social Work/Therapist, MSW, LCSW
Leah Ore
Clinical Social Work/Therapist, MSW, LCSW
6 Endorsed
Serves Area
I practice from an intersectional feminist, LGBTQIA2S+ affirming, Anti-Racist lens. I specialize in perinatal mental health, and transgender care. I work with teens, and adults who may have experienced trauma. I use a variety of creative, intuitive, client-centered techniques to work through individual issues. I take a strengths based approach, guiding individuals to embrace and honor themselves. I use relational-attachment techniques to build trust, safety, and security that clients can take from our sessions into their lives and other relationships.
I practice from an intersectional feminist, LGBTQIA2S+ affirming, Anti-Racist lens. I specialize in perinatal mental health, and transgender care. I work with teens, and adults who may have experienced trauma. I use a variety of creative, intuitive, client-centered techniques to work through individual issues. I take a strengths based approach, guiding individuals to embrace and honor themselves. I use relational-attachment techniques to build trust, safety, and security that clients can take from our sessions into their lives and other relationships.
(406) 732-2635 View (406) 732-2635
Photo of Julie Ann Nardi, Counselor, LCC
Julie Ann Nardi
Counselor, LCC
Serves Area
Julie is one of the most insightful, caring counselors showing keen insight into matters of love, affairs, childhood sexual abuse, with a big-hearted approach to heal emotional and physical scars of childhood and victimization. With couples, Julie encourages loving with abandon from a position of personal strength and solid self. She relies as much on 34 years marriage as she does on system interventions and textbook solutions. She is also talented counseling those with issues stemming from chronic diseases like diabetes, MS, and other auto-immune conditions. Julie loves counseling women ready to use kindhearted assertiveness.
Julie is one of the most insightful, caring counselors showing keen insight into matters of love, affairs, childhood sexual abuse, with a big-hearted approach to heal emotional and physical scars of childhood and victimization. With couples, Julie encourages loving with abandon from a position of personal strength and solid self. She relies as much on 34 years marriage as she does on system interventions and textbook solutions. She is also talented counseling those with issues stemming from chronic diseases like diabetes, MS, and other auto-immune conditions. Julie loves counseling women ready to use kindhearted assertiveness.
(406) 205-3337 View (406) 205-3337

See more therapy options for 59860

How does your Therapist compare?

Number of Therapists in 59860

40+

Average cost per session

$175

Therapists in 59860 who prioritize treating:

98% Anxiety
90% Depression
78% Trauma and PTSD
76% Relationship Issues
73% Stress
68% Self Esteem
63% Grief

Average years in practice

13 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
90% Allegiance
74% PacificSource

How Therapists in 59860 see their clients

83% In Person and Online
17% Online Only

Gender breakdown

73% Female
25% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 59860?

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.