Therapists in 70058

Photo of Tonya Michelle Plaisance, Licensed Professional Counselor, MEd, LPC, NCC
Tonya Michelle Plaisance
Licensed Professional Counselor, MEd, LPC, NCC
Harvey, LA 70058
My goal is in helping the client through a creative approach in meeting the individual needs to create positive life changes. The ability to change is embedded in all clients and through the client/counselor relationship the client is able to gain the tools to make positive changes in his or her life in order to live a more happy and serene life. Counseling is the door to creating positive change in anyone who has the willingness to explore the therapeutic process. I work with children, adolescents, and adults.
My goal is in helping the client through a creative approach in meeting the individual needs to create positive life changes. The ability to change is embedded in all clients and through the client/counselor relationship the client is able to gain the tools to make positive changes in his or her life in order to live a more happy and serene life. Counseling is the door to creating positive change in anyone who has the willingness to explore the therapeutic process. I work with children, adolescents, and adults.
(504) 208-2739 View (504) 208-2739
Photo of Christi La Mark, Clinical Social Work/Therapist, LCSW, MPH
Christi La Mark
Clinical Social Work/Therapist, LCSW, MPH
Harvey, LA 70058
Greetings! Everyone faces adversity in life. The good news is that I can support as you navigate through grief, life transitions, and trauma. I would like to work with you as you learn how to display the overcomer that has been buried under the many stressors of life. In Louisiana, we have survived hurricanes and recovery/rebuilding, the effects of the pandemic, and so much more. These experiences teach you how strong and resilient you are yet it can be hard to maintain healthy thoughts, habits and emotions. Daily responsibilities can overwhelm you when there is so much to juggle.
Greetings! Everyone faces adversity in life. The good news is that I can support as you navigate through grief, life transitions, and trauma. I would like to work with you as you learn how to display the overcomer that has been buried under the many stressors of life. In Louisiana, we have survived hurricanes and recovery/rebuilding, the effects of the pandemic, and so much more. These experiences teach you how strong and resilient you are yet it can be hard to maintain healthy thoughts, habits and emotions. Daily responsibilities can overwhelm you when there is so much to juggle.
(504) 414-6645 View (504) 414-6645
Photo of Amirah Iqbal, Licensed Professional Counselor, MA, LPC-S, NCC
Amirah Iqbal
Licensed Professional Counselor, MA, LPC-S, NCC
3 Endorsed
Harvey, LA 70058
Life’s challenges can appear when we least expect them, often leaving us feeling stressed, lost, or disconnected from ourselves. My goal is to support you through those challenges and help you overcome them. Whether you’re navigating a life-altering event, working through trauma, or simply seeking better ways to manage life’s demands, I am committed to helping you find happiness and fulfillment along the way.
Life’s challenges can appear when we least expect them, often leaving us feeling stressed, lost, or disconnected from ourselves. My goal is to support you through those challenges and help you overcome them. Whether you’re navigating a life-altering event, working through trauma, or simply seeking better ways to manage life’s demands, I am committed to helping you find happiness and fulfillment along the way.
(504) 285-7955 View (504) 285-7955
Photo of Carmen N Ward-Lewis - Life Development Center for Adolescents, LLC, Licensed Professional Counselor, BA, MA, LPC-S, NCC
Life Development Center for Adolescents, LLC
Licensed Professional Counselor, BA, MA, LPC-S, NCC
1 Endorsed
Harvey, LA 70058
Is your teenager struggling with issues related to depression, anxiety, trauma, grief, addiction, or major life changes? There comes a time when help is needed from a professional to cope with many of life’s challenges. I am a Licensed Professional Counselor located on the Westbank in Jefferson Parish and I am here to support you and your adolescent on the journey toward healing and self-discovery.
Is your teenager struggling with issues related to depression, anxiety, trauma, grief, addiction, or major life changes? There comes a time when help is needed from a professional to cope with many of life’s challenges. I am a Licensed Professional Counselor located on the Westbank in Jefferson Parish and I am here to support you and your adolescent on the journey toward healing and self-discovery.
(504) 370-0465 View (504) 370-0465
Photo of Jillana (Jill) Vessel-Thompson, Clinical Social Work/Therapist, LCSW
Jillana (Jill) Vessel-Thompson
Clinical Social Work/Therapist, LCSW
1 Endorsed
Harvey, LA 70058
Are you feeling overwhelmed, stressed, or defeated by life’s challenges? Do relationships with toxic people leave you feeling anxious, emotionally drained, angry, or miserable? Maybe you feel unloved, sad, or lonely and unable to enjoy your life. You could be experiencing persistent worry or stuck in your emotions, and problems may seem unsolvable.
Are you feeling overwhelmed, stressed, or defeated by life’s challenges? Do relationships with toxic people leave you feeling anxious, emotionally drained, angry, or miserable? Maybe you feel unloved, sad, or lonely and unable to enjoy your life. You could be experiencing persistent worry or stuck in your emotions, and problems may seem unsolvable.
(504) 420-3574 View (504) 420-3574
Lagarde Counseling Service, LLC
Marriage & Family Therapist, LMFT
Harvey, LA 70058
I am a licensed professional in the state of Louisiana, possessing twenty+ years of experience in the field. My expertise includes assisting clients in managing stress and anxiety, enhancing motivation, improving self-esteem and confidence, addressing depression, and coping with life transitions. I strive to establish an open and safe environment in which clients can express their thoughts and feelings without the fear of judgment. Seeking a more fulfilling and satisfying life requires considerable courage, particularly in taking the initial steps toward change. I am here to offer support and empower you throughout your journey.
I am a licensed professional in the state of Louisiana, possessing twenty+ years of experience in the field. My expertise includes assisting clients in managing stress and anxiety, enhancing motivation, improving self-esteem and confidence, addressing depression, and coping with life transitions. I strive to establish an open and safe environment in which clients can express their thoughts and feelings without the fear of judgment. Seeking a more fulfilling and satisfying life requires considerable courage, particularly in taking the initial steps toward change. I am here to offer support and empower you throughout your journey.
(504) 336-1864 View (504) 336-1864
Dr. Tiffany Duckworth-Matthews
Licensed Professional Counselor, PhD, LPC-S, NCC, NCSC
Harvey, LA 70058
Our journey through life can often be difficult to manange and navigate. Life can be uncertain at times. Often you may find yourself living day to day, trying to figure out what path you should navigate. As a counselor, I am here to help you navigate through those difficult times in your life. The journey may not be easy, but you are worth the journey! Through your journey, I will assist you in working through the places that are painful for you. It is important to take time to become a healthier you! Therapy is a process! Trust the process! This mountain will pass! Take life one day at at time.
Our journey through life can often be difficult to manange and navigate. Life can be uncertain at times. Often you may find yourself living day to day, trying to figure out what path you should navigate. As a counselor, I am here to help you navigate through those difficult times in your life. The journey may not be easy, but you are worth the journey! Through your journey, I will assist you in working through the places that are painful for you. It is important to take time to become a healthier you! Therapy is a process! Trust the process! This mountain will pass! Take life one day at at time.
(504) 285-2726 View (504) 285-2726
Photo of Stacy Michelle Lewis-Goins, Licensed Professional Counselor, MS, LPC, NCC
Stacy Michelle Lewis-Goins
Licensed Professional Counselor, MS, LPC, NCC
3 Endorsed
Harvey, LA 70058
Do others think you have it all together? But you don’t feel that way? Are you struggling trying to keep it all together? If you are reading this, congratulations! I know it takes a lot of courage to consider counseling...to choose you. You have taken the first step to reauthoring your story. Hi, I’m Stacy, a LPC. I believe therapy should focus on the individual including life transitions, and roles in their family as they read, edit, and write their book of life. My goal is to collaborate with you on your healing journey to help you achieve your goals through encouragement and empowerment as you edit and rewrite your narrative.
Do others think you have it all together? But you don’t feel that way? Are you struggling trying to keep it all together? If you are reading this, congratulations! I know it takes a lot of courage to consider counseling...to choose you. You have taken the first step to reauthoring your story. Hi, I’m Stacy, a LPC. I believe therapy should focus on the individual including life transitions, and roles in their family as they read, edit, and write their book of life. My goal is to collaborate with you on your healing journey to help you achieve your goals through encouragement and empowerment as you edit and rewrite your narrative.
(504) 226-6384 View (504) 226-6384
Photo of Renée Reynolds, Clinical Social Work/Therapist, LCSW, BACS
Renée Reynolds
Clinical Social Work/Therapist, LCSW, BACS
Harvey, LA 70058
Are you stressed, overwhelmed, or feel like you have nothing left to give? Do you appear bold and confident on the outside, but feel uncertain and uneasy on the inside? You may have even noticed that simple everyday tasks have become a burden, and you are not connecting with others; you are simply feeling stuck in life. No matter what your biggest struggle is right now, you can overcome it!
Are you stressed, overwhelmed, or feel like you have nothing left to give? Do you appear bold and confident on the outside, but feel uncertain and uneasy on the inside? You may have even noticed that simple everyday tasks have become a burden, and you are not connecting with others; you are simply feeling stuck in life. No matter what your biggest struggle is right now, you can overcome it!
(504) 420-6355 View (504) 420-6355
Photo of Dr. Gloria M. Lanoux, Licensed Professional Counselor, PhD, D-MFT, LPC, NCC, LPN
Dr. Gloria M. Lanoux
Licensed Professional Counselor, PhD, D-MFT, LPC, NCC, LPN
Serves Area
I have the knowledge, wisdom, experience and professionalism to help you with your problems. Ask yourself what will it take to lessen the pain you are experiencing. I can help! Now, ask yourself what makes you feel alive, content and happy? Recognize that working together we can change your desires into realities. I approach psycho-therapeutic counseling in a holistic fashion. I have great successes in assisting patients to cope with anxiety and depression, the traumas of abuse, teen-age cutters, divorce, death/loss, self-injury and debilitating physical injuries. My style of psychotherapy is more than just emotional support.
I have the knowledge, wisdom, experience and professionalism to help you with your problems. Ask yourself what will it take to lessen the pain you are experiencing. I can help! Now, ask yourself what makes you feel alive, content and happy? Recognize that working together we can change your desires into realities. I approach psycho-therapeutic counseling in a holistic fashion. I have great successes in assisting patients to cope with anxiety and depression, the traumas of abuse, teen-age cutters, divorce, death/loss, self-injury and debilitating physical injuries. My style of psychotherapy is more than just emotional support.
(504) 667-5775 View (504) 667-5775
Photo of Jannette Sturm-Mexic - CARE Institute Inc., LMFT, LPC
CARE Institute Inc.
Verified Verified
Serves Area
CARE Institute offers various programs including FREE and low-cost teletherapy. Our clinicians approach therapy from a holistic systems perspective to assist clients with learning skills to address life challenges. Clinicians at CARE offer a wide range of expertise to assist clients. Our licensed clinicians are marriage and family therapists (LMFT/PLMFT), professional mental health counselors (LPC/PLPC), and Registered Play Therapists. Our CARE for Y'ALL teletherapy program clinicians are marriage & family therapy graduate students from nationally accredited MFT programs.
CARE Institute offers various programs including FREE and low-cost teletherapy. Our clinicians approach therapy from a holistic systems perspective to assist clients with learning skills to address life challenges. Clinicians at CARE offer a wide range of expertise to assist clients. Our licensed clinicians are marriage and family therapists (LMFT/PLMFT), professional mental health counselors (LPC/PLPC), and Registered Play Therapists. Our CARE for Y'ALL teletherapy program clinicians are marriage & family therapy graduate students from nationally accredited MFT programs.
(504) 384-2178 View (504) 384-2178
Photo of Dr. Victoria Rodriguez, Licensed Professional Counselor, PhD, LPC, CCTP, NCC
Dr. Victoria Rodriguez
Licensed Professional Counselor, PhD, LPC, CCTP, NCC
8 Endorsed
Serves Area
As a medical trauma / chronic illness specialist, let me know if this feels familiar: Sometimes it feels like your illness runs your life. Each morning, you wake up wondering if it will be a “bad day" or a "good day" knowing that your body will make that decision. You might have migraines, stomach issues, and even chronic pain. Maybe you’re overwhelmed with managing a chronic illness, organizing doctor’s appointments, and tracking symptoms. You feel embarrassed at the thought of feeling bad when you go out - so you just don't go out.
As a medical trauma / chronic illness specialist, let me know if this feels familiar: Sometimes it feels like your illness runs your life. Each morning, you wake up wondering if it will be a “bad day" or a "good day" knowing that your body will make that decision. You might have migraines, stomach issues, and even chronic pain. Maybe you’re overwhelmed with managing a chronic illness, organizing doctor’s appointments, and tracking symptoms. You feel embarrassed at the thought of feeling bad when you go out - so you just don't go out.
(985) 509-8938 View (985) 509-8938
Photo of Jocelyn Roberts - Ariah Therapy-Jocelyn Roberts, Clinical Social Work/Therapist, MBA, LCSW
Ariah Therapy-Jocelyn Roberts
Clinical Social Work/Therapist, MBA, LCSW
1 Endorsed
Serves Area
As a Licensed Clinical Social Worker (LCSW), I specialize in creating a safe, supportive environment where individuals can navigate life’s complexities with greater clarity and confidence. Whether you’re managing stress, facing transitions, seeking help with trauma recovery, or wanting to deepen self-awareness, I’m here to support you in a way that feels compassionate, non-judgmental, and tailored to your unique goals.
As a Licensed Clinical Social Worker (LCSW), I specialize in creating a safe, supportive environment where individuals can navigate life’s complexities with greater clarity and confidence. Whether you’re managing stress, facing transitions, seeking help with trauma recovery, or wanting to deepen self-awareness, I’m here to support you in a way that feels compassionate, non-judgmental, and tailored to your unique goals.
(504) 882-0639 View (504) 882-0639
Photo of Mary A. Hall - New Day, New Beginning,Therapy & Wellness Services, Licensed Professional Counselor, MA, LPC
New Day, New Beginning,Therapy & Wellness Services
Licensed Professional Counselor, MA, LPC
Serves Area
Hello! I’m Mary Hall, a compassionate therapist dedicated to supporting your journey toward better emotional, mental, and relational health. With a rich background in diverse therapeutic techniques such as Cognitive Behavior Therapy (CBT) and Brief Solution Focus, I tailor my approach to fit the unique needs of each individual, couple, or family I work with.
Hello! I’m Mary Hall, a compassionate therapist dedicated to supporting your journey toward better emotional, mental, and relational health. With a rich background in diverse therapeutic techniques such as Cognitive Behavior Therapy (CBT) and Brief Solution Focus, I tailor my approach to fit the unique needs of each individual, couple, or family I work with.
(504) 222-1064 View (504) 222-1064
Photo of Alisha Francis, Licensed Professional Counselor, MA, LPC-S
Alisha Francis
Licensed Professional Counselor, MA, LPC-S
1 Endorsed
Serves Area
I specialize in working with families, single mothers, pre-marital counseling, (certified as a S.Y.B.M.I.S. (Saving Your Marriage Before It Starts) assessor, adolescents issues, and anyone dealing with grief and loss.
I specialize in working with families, single mothers, pre-marital counseling, (certified as a S.Y.B.M.I.S. (Saving Your Marriage Before It Starts) assessor, adolescents issues, and anyone dealing with grief and loss.
(504) 502-0658 View (504) 502-0658
Photo of Tishlinn Sims-Fountain - Sims Social Services, Licensed Professional Counselor, MA, MBA, LPC-S
Sims Social Services
Licensed Professional Counselor, MA, MBA, LPC-S
Serves Area
Are you struggling with a range of mental health issues, such as anxiety, depression, trauma, relationship problems, and behavioral challenges. Are you be dealing with specific issues like low self-esteem, chronic stress, or difficulty managing emotions. Our outpatient counseling program is here to support you on your journey towards healing and well-being. Are you struggling with suicidal & non suicidal self injury, drug dependence, Opiate use, Eating disorder, Emotional Dysregulation, Impulsivity, Anger, Interpersonal Aggression, & Trauma; We use Comprehensive DBT to treat these symptoms.
Are you struggling with a range of mental health issues, such as anxiety, depression, trauma, relationship problems, and behavioral challenges. Are you be dealing with specific issues like low self-esteem, chronic stress, or difficulty managing emotions. Our outpatient counseling program is here to support you on your journey towards healing and well-being. Are you struggling with suicidal & non suicidal self injury, drug dependence, Opiate use, Eating disorder, Emotional Dysregulation, Impulsivity, Anger, Interpersonal Aggression, & Trauma; We use Comprehensive DBT to treat these symptoms.
(504) 384-7616 View (504) 384-7616
Photo of Phyllis Jackson, Licensed Professional Counselor, MA, LPC
Phyllis Jackson
Licensed Professional Counselor, MA, LPC
3 Endorsed
Serves Area
Life gets hard and we ALL go through it. People sometimes find themselves in a rut and need help digging themselves out. Finding understanding, empathy, and support during those difficult times can be tough. I am passionate about helping others heal, grow, and reach their goals in a safe space without judgment. Whether you’re navigating relationship struggles or healing from trauma, I’m here to help. Find the support you need with me at Healing and Harmony Counseling and Wellness. You are not alone!
Life gets hard and we ALL go through it. People sometimes find themselves in a rut and need help digging themselves out. Finding understanding, empathy, and support during those difficult times can be tough. I am passionate about helping others heal, grow, and reach their goals in a safe space without judgment. Whether you’re navigating relationship struggles or healing from trauma, I’m here to help. Find the support you need with me at Healing and Harmony Counseling and Wellness. You are not alone!
(504) 547-6553 View (504) 547-6553
Photo of Dr. Stephanie B. Lester Haywood, Licensed Professional Counselor, PhD, LPC-S, NCC
Dr. Stephanie B. Lester Haywood
Licensed Professional Counselor, PhD, LPC-S, NCC
1 Endorsed
Serves Area
I opened Center For Therapeutic Change, LLC., to help clients learn the skills required to maximize the overall joy in their lives. I truly believe everyone wants better for themselves and their families, they just feel stuck now and then in the process. If you want a counselor who will walk with you every step of the way, I'm your girl. Call me now, so the healing can begin.
I opened Center For Therapeutic Change, LLC., to help clients learn the skills required to maximize the overall joy in their lives. I truly believe everyone wants better for themselves and their families, they just feel stuck now and then in the process. If you want a counselor who will walk with you every step of the way, I'm your girl. Call me now, so the healing can begin.
(504) 784-6498 View (504) 784-6498
Photo of Baraka Perez, Psychologist, PhD, MP
Baraka Perez
Psychologist, PhD, MP
2 Endorsed
Serves Area
Untapped potential can prevent us from reaching our full potential. Do you have what it takes to succeed, but due to low self-confidence, lack of support, or mood issues can’t seem to achieve your maximum potential? Are you in a relationship that is not thriving due to communication snags? Is your child finding it difficult to perform in school due to distractibility, learning differences, or poor behavior choices? You want a skilled professional who comes highly recommended by physicians, therapists, and educators. You want individualized care. You want exceptional service. I can offer you these, and much more, with confidence.
Untapped potential can prevent us from reaching our full potential. Do you have what it takes to succeed, but due to low self-confidence, lack of support, or mood issues can’t seem to achieve your maximum potential? Are you in a relationship that is not thriving due to communication snags? Is your child finding it difficult to perform in school due to distractibility, learning differences, or poor behavior choices? You want a skilled professional who comes highly recommended by physicians, therapists, and educators. You want individualized care. You want exceptional service. I can offer you these, and much more, with confidence.
(504) 233-6757 View (504) 233-6757
Photo of Kimberly Marie Collins, Clinical Social Work/Therapist, LCSW
Kimberly Marie Collins
Clinical Social Work/Therapist, LCSW
Serves Area
I am a Licensed Clinical Therapist in private practice. By far, we are destined to change. I am seeking clients who are ready to build something new in order to change something old. I am ready to help you jump start your life transformation. With utilizing various evidence based practices, I will be able to help you refocus and reconnect with yourself despite life adversities. Another successful key part to my approach is helping clients build resilience in the face of a problem. My goal is to meet clients where they and provide tools to help them on a positive path to growth and wellbeing.
I am a Licensed Clinical Therapist in private practice. By far, we are destined to change. I am seeking clients who are ready to build something new in order to change something old. I am ready to help you jump start your life transformation. With utilizing various evidence based practices, I will be able to help you refocus and reconnect with yourself despite life adversities. Another successful key part to my approach is helping clients build resilience in the face of a problem. My goal is to meet clients where they and provide tools to help them on a positive path to growth and wellbeing.
(504) 608-0796 View (504) 608-0796

See more therapy options for 70058

How does your Therapist compare?

Number of Therapists in 70058

30+

Average cost per session

$125

Therapists in 70058 who prioritize treating:

90% Anxiety
87% Self Esteem
83% Stress
80% Depression
77% Grief
77% Coping Skills
73% Relationship Issues

Average years in practice

11 Years

Top 3 insurances accepted

74% BlueCross and BlueShield
68% Aetna
68% UnitedHealthcare UHC | UBH

How Therapists in 70058 see their clients

77% In Person and Online
23% Online Only

Gender breakdown

97% Female
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 70058?

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.