Photo of Patricia (Trish) Carter, LIMHP, LCPC, BCN, Counselor
Patricia (Trish) Carter
Counselor, LIMHP, LCPC, BCN
Verified Verified
2 Endorsed
Online Only
Many of my clients come to therapy seeking support when they find themselves overwhelmed or feeling trapped. They express a desire for assistance in coping with issues like anxiety and chronic trauma, as well as cultivating healthier relationships. Each client and couple I work with brings their own unique narrative to the table. I place great importance on understanding how life experiences shape one's self-perception and relationships, and I am dedicated to guiding clients through the journey of personal growth and change.
Many of my clients come to therapy seeking support when they find themselves overwhelmed or feeling trapped. They express a desire for assistance in coping with issues like anxiety and chronic trauma, as well as cultivating healthier relationships. Each client and couple I work with brings their own unique narrative to the table. I place great importance on understanding how life experiences shape one's self-perception and relationships, and I am dedicated to guiding clients through the journey of personal growth and change.
(402) 524-5062 View (402) 524-5062
Photo of Natasha Gartin, MA, LMHP, LPC, Licensed Professional Counselor
Natasha Gartin
Licensed Professional Counselor, MA, LMHP, LPC
Verified Verified
1 Endorsed
Omaha, NE 68114
I enjoy working with older adolescents, young adults, and adults in an individual counseling setting. I am a neurodivergent affirming provider and strive to support each client as an individual based on their unique circumstances and needs. I believe a strong therapeutic relationship is the foundation of a successful counseling experience and enjoy building these relationships with my clients. My goal is to engage you in the process of positive change by establishing the skills needed to manage and heal from life's challenging situations. I work to understand your experiences and empower you to achieve and maintain your goals.
I enjoy working with older adolescents, young adults, and adults in an individual counseling setting. I am a neurodivergent affirming provider and strive to support each client as an individual based on their unique circumstances and needs. I believe a strong therapeutic relationship is the foundation of a successful counseling experience and enjoy building these relationships with my clients. My goal is to engage you in the process of positive change by establishing the skills needed to manage and heal from life's challenging situations. I work to understand your experiences and empower you to achieve and maintain your goals.
(402) 207-9741 View (402) 207-9741
Photo of Kristi Tackett-Newburg, PhD, LIMHP, LPC, Counselor
Kristi Tackett-Newburg
Counselor, PhD, LIMHP, LPC
Verified Verified
4 Endorsed
Omaha, NE 68114
Welcome! Thank you for visiting my profile. I am a licensed independent mental health practitioner and have been working in the psychology field for approximately 16 years. In 2011, I founded Counseling Connections & Associates; a group practice offering mental health, substance abuse, and medication management services. I pride myself on being a passionate and energetic therapist focused on helping clients take steps towards making positive, long-lasting changes in their life. My goal is to assist clients in being able to live up to their fullest potential in a safe and therapeutic environment.
Welcome! Thank you for visiting my profile. I am a licensed independent mental health practitioner and have been working in the psychology field for approximately 16 years. In 2011, I founded Counseling Connections & Associates; a group practice offering mental health, substance abuse, and medication management services. I pride myself on being a passionate and energetic therapist focused on helping clients take steps towards making positive, long-lasting changes in their life. My goal is to assist clients in being able to live up to their fullest potential in a safe and therapeutic environment.
(402) 298-5150 x103 View (402) 298-5150 x103
Photo of Becky Hood-Kjeldgaard - Becky Hood-Kjeldgaard, LIMHP, IADC, LMHC, Licensed Professional Counselor
Becky Hood-Kjeldgaard
Licensed Professional Counselor, LIMHP, IADC, LMHC
Verified Verified
4 Endorsed
Omaha, NE 68114
I have worked as a therapist since 2007, helping individuals with addictions and mental health concerns. I have specialized training in EMDR, Multidimensional Family Therapy, Motivational Interviewing, Substance Use Disorders, Domestic Violence and Trauma. I have worked with individuals at an inpatient level all the way to outpatient/after care level. I have a good understanding on how conflict in the family system can affect the whole environment and work with individuals to have balance and conflict resolution. I work with the client to have individual success and identify those successes so they can be sustainable long term.
I have worked as a therapist since 2007, helping individuals with addictions and mental health concerns. I have specialized training in EMDR, Multidimensional Family Therapy, Motivational Interviewing, Substance Use Disorders, Domestic Violence and Trauma. I have worked with individuals at an inpatient level all the way to outpatient/after care level. I have a good understanding on how conflict in the family system can affect the whole environment and work with individuals to have balance and conflict resolution. I work with the client to have individual success and identify those successes so they can be sustainable long term.
(402) 415-2848 View (402) 415-2848
Photo of Katharine Alford, LCSW, LMHP, Clinical Social Work/Therapist
Katharine Alford
Clinical Social Work/Therapist, LCSW, LMHP
Verified Verified
Omaha, NE 68114
As a social worker, I am dedicated to fostering healthy relationships and enjoy empowering people to utilize their strengths to navigate a challenging world. I believe that by meeting people at their level, affirming their identity, and giving them a voice, I can help them develop the tools they need to overcome obstacles and achieve their goals. I also often work alongside George, my trained therapy dog and loveable golden retriever who provides a calming presence during sessions.
As a social worker, I am dedicated to fostering healthy relationships and enjoy empowering people to utilize their strengths to navigate a challenging world. I believe that by meeting people at their level, affirming their identity, and giving them a voice, I can help them develop the tools they need to overcome obstacles and achieve their goals. I also often work alongside George, my trained therapy dog and loveable golden retriever who provides a calming presence during sessions.
(402) 603-2007 View (402) 603-2007
Photo of Kersten Borer, LIMHP, LADC, CMSW, Clinical Social Work/Therapist
Kersten Borer
Clinical Social Work/Therapist, LIMHP, LADC, CMSW
Verified Verified
1 Endorsed
Omaha, NE 68114
I treat adults and adolescents with addictive behaviors, depression, anxiety, oppositional behaviors, and/or trauma history. I also help to guide family members of those with addictions. I enjoy seeing the progress that people make in all areas of their life when they are able to put aside addictive behaviors, reduce their emotional pain, and genuinely feel better about themselves. I am trained in EMDR (Eye Movement Desensitization and Reprocessing) and have used it to help people heal from trauma and reduce overall anxiety. I also use Dialectical Behavioral Therapy, Motivational Interviewing and Cognitive Behavioral Theory in my approach.
I treat adults and adolescents with addictive behaviors, depression, anxiety, oppositional behaviors, and/or trauma history. I also help to guide family members of those with addictions. I enjoy seeing the progress that people make in all areas of their life when they are able to put aside addictive behaviors, reduce their emotional pain, and genuinely feel better about themselves. I am trained in EMDR (Eye Movement Desensitization and Reprocessing) and have used it to help people heal from trauma and reduce overall anxiety. I also use Dialectical Behavioral Therapy, Motivational Interviewing and Cognitive Behavioral Theory in my approach.
(402) 261-2788 View (402) 261-2788
Photo of Catherine Howard - Catherine Howard, LIMHP, LCSW, LIMHP, LCSW, Clinical Social Work/Therapist
Catherine Howard, LIMHP, LCSW
Clinical Social Work/Therapist, LIMHP, LCSW
Verified Verified
Omaha, NE 68114
I am a licensed independent mental health practitioner (NE) and a licensed independent social worker (IA) with 25+ years of experience working with individuals. I utilize a broad range of therapies, including cognitive behavior, solution-focused, person-centered, and mind-body approaches to support the whole person combining insight with action. I have experience treating anxiety, mood disorders, sleep disorders, sports/performance counseling for athletes, depression, and women’s issues. I provide individual therapy for ages 16 and over.
I am a licensed independent mental health practitioner (NE) and a licensed independent social worker (IA) with 25+ years of experience working with individuals. I utilize a broad range of therapies, including cognitive behavior, solution-focused, person-centered, and mind-body approaches to support the whole person combining insight with action. I have experience treating anxiety, mood disorders, sleep disorders, sports/performance counseling for athletes, depression, and women’s issues. I provide individual therapy for ages 16 and over.
(402) 542-5562 View (402) 542-5562
Photo of Steve Brownrigg - Addiction & Recovery Services, LADC, LIMHP, MS, Counselor
Addiction & Recovery Services
Counselor, LADC, LIMHP, MS
Verified Verified
3 Endorsed
Omaha, NE 68114
Steve Brownrigg provides outpatient, substance abuse and chemical dependency counseling services to those affected by alcoholism and other addictions. I specialize in treating those clients with who are Dually-Diagnosed, with mental health disorders in addition to addiction issues. I am Certified by EMDRIA in the use of EMDR for Sexual Trauma and other Childhood issues. I also offer couples counseling and co-dependency counseling for significant others. Often, spouses or significant others begin counseling in advance of the alcoholic/addict to work on their own issues and to learn how to effectively deal with their loved one.
Steve Brownrigg provides outpatient, substance abuse and chemical dependency counseling services to those affected by alcoholism and other addictions. I specialize in treating those clients with who are Dually-Diagnosed, with mental health disorders in addition to addiction issues. I am Certified by EMDRIA in the use of EMDR for Sexual Trauma and other Childhood issues. I also offer couples counseling and co-dependency counseling for significant others. Often, spouses or significant others begin counseling in advance of the alcoholic/addict to work on their own issues and to learn how to effectively deal with their loved one.
(402) 318-7118 View (402) 318-7118
Photo of Brandy M Soto, LICSW, LISW, Clinical Social Work/Therapist
Brandy M Soto
Clinical Social Work/Therapist, LICSW, LISW
Verified Verified
Omaha, NE 68114
I am a client-centered and strengths based therapist. I have experience in various programs and settings providing mental health therapy and counseling services to children, adolescents, adults and family systems. Over the years I have worked with individuals seeking support and guidance in a variety of areas; mainly focused in the areas of trauma, anxiety, depression, ADD/ADHD, mood disorders, family dynamics, and social relationships.
I am a client-centered and strengths based therapist. I have experience in various programs and settings providing mental health therapy and counseling services to children, adolescents, adults and family systems. Over the years I have worked with individuals seeking support and guidance in a variety of areas; mainly focused in the areas of trauma, anxiety, depression, ADD/ADHD, mood disorders, family dynamics, and social relationships.
(402) 207-9434 View (402) 207-9434
Photo of Erin Cox, LMHP, LPC, Counselor
Erin Cox
Counselor, LMHP, LPC
Verified Verified
1 Endorsed
Omaha, NE 68114
Whatever challenge, struggle or conflict you are facing, you are not alone. Life has many transitions. Let's work on calming the chaos and healing past hurts so you can become the confident, loving person you were meant to be.
Whatever challenge, struggle or conflict you are facing, you are not alone. Life has many transitions. Let's work on calming the chaos and healing past hurts so you can become the confident, loving person you were meant to be.
(402) 495-0275 View (402) 495-0275
Photo of Peggy Lynn Weich, LIMHP, LPC, Counselor
Peggy Lynn Weich
Counselor, LIMHP, LPC
Verified Verified
Online Only
How often do we remain stuck in the same patterns that result in continued frustration, discouragement, and overwhelm? We may have tried over and over, to stick to a "better lifestyle plan" and yet continue to stay stuck. I see you. I recognize the difficulty in taking steps forward, while still experiencing the doubts and struggles, of living with a mental health condition. I believe we all have the power to heal ourselves. It doesn't matter what struggles we face, our mind and our body intuitively know what is best for us, in our healing journey. If given the chance, it is possible to evolve into that which we were created.
How often do we remain stuck in the same patterns that result in continued frustration, discouragement, and overwhelm? We may have tried over and over, to stick to a "better lifestyle plan" and yet continue to stay stuck. I see you. I recognize the difficulty in taking steps forward, while still experiencing the doubts and struggles, of living with a mental health condition. I believe we all have the power to heal ourselves. It doesn't matter what struggles we face, our mind and our body intuitively know what is best for us, in our healing journey. If given the chance, it is possible to evolve into that which we were created.
(402) 243-6119 View (402) 243-6119
Photo of Tracy L Muller, MS, LIMHP, Counselor
Tracy L Muller
Counselor, MS, LIMHP
Verified Verified
1 Endorsed
Omaha, NE 68114
Not accepting new clients
As a therapist I enjoy working with a variety of groups but particularly enjoy working with women's issues and couples. In my work with couples, I utilize the Gottman Method which includes a thorough assessment process and integrates research-based interventions to support and strengthen the weak areas of your partnership. When working in individual sessions, I use a person-centered and solution focused approach to help individuals discover their strengths and overcome daily challenges. Together, we can approach a treatment plan to meet your needs.
As a therapist I enjoy working with a variety of groups but particularly enjoy working with women's issues and couples. In my work with couples, I utilize the Gottman Method which includes a thorough assessment process and integrates research-based interventions to support and strengthen the weak areas of your partnership. When working in individual sessions, I use a person-centered and solution focused approach to help individuals discover their strengths and overcome daily challenges. Together, we can approach a treatment plan to meet your needs.
(402) 243-6511 View (402) 243-6511
Photo of Lacy Urbanski, MS, LIMHP, Counselor
Lacy Urbanski
Counselor, MS, LIMHP
Verified Verified
Omaha, NE 68114
**ACCEPTING NEW CLIENTS** http://firesidecounselors.com/ Hello! I enjoy helping individuals, couples, and families with tackling life’s challenges and struggles. I have experience working with clients of all ages, from five years of age to our experienced senior population.
**ACCEPTING NEW CLIENTS** http://firesidecounselors.com/ Hello! I enjoy helping individuals, couples, and families with tackling life’s challenges and struggles. I have experience working with clients of all ages, from five years of age to our experienced senior population.
(402) 509-1782 View (402) 509-1782
Photo of Nichole Goebel, MS, LIMHP, NCC, Counselor
Nichole Goebel
Counselor, MS, LIMHP, NCC
Verified Verified
1 Endorsed
Omaha, NE 68114
Waitlist for new clients
Only accepting clients ages 19 and up. Do you ever feel like breaking down? Do you ever feel out of place? Like somehow you just don’t belong, and no one understands you? Thanks for the great intro pop punk band Simple Plan. But seriously, have you ever felt any of these things? I know I have. It is hard to have all these sucky feelings and have no one to turn to for support. Unfortunately, many people out there will say “Depressed? Isn’t that just a fancy word for feeling bummed out?”, which I am sure makes you want to scream. That is where I come in!
Only accepting clients ages 19 and up. Do you ever feel like breaking down? Do you ever feel out of place? Like somehow you just don’t belong, and no one understands you? Thanks for the great intro pop punk band Simple Plan. But seriously, have you ever felt any of these things? I know I have. It is hard to have all these sucky feelings and have no one to turn to for support. Unfortunately, many people out there will say “Depressed? Isn’t that just a fancy word for feeling bummed out?”, which I am sure makes you want to scream. That is where I come in!
(402) 698-3615 View (402) 698-3615
Photo of Gregory Tvrdik, MS, LIMHP, CPC, Counselor
Gregory Tvrdik
Counselor, MS, LIMHP, CPC
Verified Verified
Omaha, NE 68114
I work with Men and Women when Anger, Fear or Depression is the only feeling they seem to recognize. It's my aim to help people who know all about Conflict, but too little about Conflict Resolution. I provide Relationship and Individual Coaching for teenagers as they navigate through the complex feelings of being pulled between family, friends and themselves. I work with adolescents and adults struggling against ADHD and for those whose ADHD and ADD has blossomed into Anxiety, OCD, Depression of Addictions. Together, I work with Couples, Families and Teenagers helping them with the Relationships and Communication Process.
I work with Men and Women when Anger, Fear or Depression is the only feeling they seem to recognize. It's my aim to help people who know all about Conflict, but too little about Conflict Resolution. I provide Relationship and Individual Coaching for teenagers as they navigate through the complex feelings of being pulled between family, friends and themselves. I work with adolescents and adults struggling against ADHD and for those whose ADHD and ADD has blossomed into Anxiety, OCD, Depression of Addictions. Together, I work with Couples, Families and Teenagers helping them with the Relationships and Communication Process.
(402) 318-7002 View (402) 318-7002
Photo of Gretchen Bjerke, MS, LPCC, LIMHP
Gretchen Bjerke
Independent Mental Health Practitioner, MS, LPCC, LIMHP
Verified Verified
Omaha, NE 68114
Hello! I offer specialized mental health counseling for police, fire, EMS, and medical personnel. With a unique understanding of the challenges faced by those in high-stress, trauma-exposed professions, I provide targeted, evidence-based interventions to address trauma, depression, anxiety, and relationship difficulties.
Hello! I offer specialized mental health counseling for police, fire, EMS, and medical personnel. With a unique understanding of the challenges faced by those in high-stress, trauma-exposed professions, I provide targeted, evidence-based interventions to address trauma, depression, anxiety, and relationship difficulties.
(402) 848-4424 View (402) 848-4424
Photo of Laura Pryor, LIMHP, LPC, Counselor
Laura Pryor
Counselor, LIMHP, LPC
Verified Verified
1 Endorsed
Omaha, NE 68114
I best help those grow who are willing to reflect, take accountability, and initiate change. My areas of specialty include: Trauma & PTSD, Generational Trauma, Attachment Wounds, Narcissistic Abuse, and Personality Conflict.
I best help those grow who are willing to reflect, take accountability, and initiate change. My areas of specialty include: Trauma & PTSD, Generational Trauma, Attachment Wounds, Narcissistic Abuse, and Personality Conflict.
(402) 620-6838 View (402) 620-6838
Photo of Carrie Gobel, LIMHP, LCSW, Clinical Social Work/Therapist
Carrie Gobel
Clinical Social Work/Therapist, LIMHP, LCSW
Verified Verified
3 Endorsed
Omaha, NE 68114
Waitlist for new clients
I enjoy serving adults and adolescents and working collaboratively with individuals and families to improve emotional health and overall well-being. My role is to gain a true understanding of each client's goals and challenges and assist in growth and healing. I use a client-centered approach with each individual and draw on various treatment modalities to address obstacles to change. I am skilled in the use of psychodynamic therapy, brainspotting, eye movement desensitization and reprocessing (EMDR), trauma-focused cognitive behavioral therapy, sand tray therapy, and other treatment models.
I enjoy serving adults and adolescents and working collaboratively with individuals and families to improve emotional health and overall well-being. My role is to gain a true understanding of each client's goals and challenges and assist in growth and healing. I use a client-centered approach with each individual and draw on various treatment modalities to address obstacles to change. I am skilled in the use of psychodynamic therapy, brainspotting, eye movement desensitization and reprocessing (EMDR), trauma-focused cognitive behavioral therapy, sand tray therapy, and other treatment models.
(531) 208-0861 View (531) 208-0861
Photo of Audrey Dworak, MA, PLMHP
Audrey Dworak
MA, PLMHP
Verified Verified
Omaha, NE 68114
Hi there! I’m Audrey Dworak, a dedicated and compassionate therapist on a mission to create a space where hope and healing come together. Armed with a Master’s degree in clinical psychology I specialize in helping children, adolescents, and adults navigate the complexities of life. With a deep passion for understanding and assisting young minds, I have experience providing effective therapy for individuals facing various challenges. My experience extends to working with those who have endured trauma, struggle with depression, anxiety, ADHD, and behavioral concerns. Let's confront life's adversities together!
Hi there! I’m Audrey Dworak, a dedicated and compassionate therapist on a mission to create a space where hope and healing come together. Armed with a Master’s degree in clinical psychology I specialize in helping children, adolescents, and adults navigate the complexities of life. With a deep passion for understanding and assisting young minds, I have experience providing effective therapy for individuals facing various challenges. My experience extends to working with those who have endured trauma, struggle with depression, anxiety, ADHD, and behavioral concerns. Let's confront life's adversities together!
(402) 869-6886 View (402) 869-6886
Photo of Lisa Terwilleger, MS, LIMHP, LPC, NCC, Counselor
Lisa Terwilleger
Counselor, MS, LIMHP, LPC, NCC
Verified Verified
Omaha, NE 68114
Difficulties in life, environmental influences and other predisposing factors can contribute to unhealthy emotional states. They can leave us feeling depressed, overwhelmed, helpless and struggling to find positive solutions. If you are experiencing any of these feelings or are having problems in your relationships know that you are not alone and help is available.
Difficulties in life, environmental influences and other predisposing factors can contribute to unhealthy emotional states. They can leave us feeling depressed, overwhelmed, helpless and struggling to find positive solutions. If you are experiencing any of these feelings or are having problems in your relationships know that you are not alone and help is available.
(402) 885-4826 View (402) 885-4826
1

See more therapy options for 68114

How does your Therapist compare?

Number of Therapists in 68114

100+

Average cost per session

$150

Therapists in 68114 who prioritize treating:

91% Anxiety
90% Depression
77% Relationship Issues
77% Trauma and PTSD
72% Self Esteem
68% Coping Skills
64% Grief

Average years in practice

11 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
74% Aetna
67% UnitedHealthcare UHC | UBH

How Therapists in 68114 see their clients

93% In Person and Online
7% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 68114?

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.