Photo of Shawonda Brown Irby - Holistic Counseling & Consulting, PLLC, MA, LPC-S, BC-THP, Licensed Professional Counselor
Holistic Counseling & Consulting, PLLC
Licensed Professional Counselor, MA, LPC-S, BC-THP
Verified Verified
1 Endorsed
Little Rock, AR 72204
My counseling approach focuses on rebuilding individuals and their families through self-discovery, inspiration, and self-actualization. This is achieved by using an integrated perspective, which focus on the mind, body and soul of each client. The purpose is to help clients that have paused on their journey due to life circumstances; seek true identity, learn tools for success, motivate, inspire hope, and embrace the process of self-improvement.
My counseling approach focuses on rebuilding individuals and their families through self-discovery, inspiration, and self-actualization. This is achieved by using an integrated perspective, which focus on the mind, body and soul of each client. The purpose is to help clients that have paused on their journey due to life circumstances; seek true identity, learn tools for success, motivate, inspire hope, and embrace the process of self-improvement.
(501) 881-2156 View (501) 881-2156
Photo of Tenethrea Williams, LPC, Licensed Professional Counselor
Tenethrea Williams
Licensed Professional Counselor, LPC
Verified Verified
Little Rock, AR 72204  (Online Only)
Do you ever just feel stuck? You know you want change but anxiety, depression or life struggles and transitions weigh you down. Do you struggle with imposter syndrome which causes you to not go after your goals. Maybe your relationship is the issue, and you or your partner are having a hard time communicating and getting on the same page. You need a skilled professional to provide a safe environment for you to work through your thoughts and feelings and provide a different perspective as you navigate through these struggles. You want and need psychological and practical skills to help you address these issues .
Do you ever just feel stuck? You know you want change but anxiety, depression or life struggles and transitions weigh you down. Do you struggle with imposter syndrome which causes you to not go after your goals. Maybe your relationship is the issue, and you or your partner are having a hard time communicating and getting on the same page. You need a skilled professional to provide a safe environment for you to work through your thoughts and feelings and provide a different perspective as you navigate through these struggles. You want and need psychological and practical skills to help you address these issues .
(501) 430-4769 View (501) 430-4769
Photo of Kimberly A Robinson, LCSW, Clinical Social Work/Therapist
Kimberly A Robinson
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Little Rock, AR 72204
Are you experiencing pain, sorrow, depression, anxiety, grief, or work/life imbalances? Perhaps you are stressed with the changes occurring every day and would like to share your struggles with someone who is non-judgmental? Or do you just need someone to guide you to see that you, yes YOU, already have the tools you need to grow and blossom into your highest self? I would love to help you embark on this journey via counseling. My name is Kimberly Robinson and I am a Licensed Certified Social Worker located in West Little Rock. I look forward to speaking with you in the future.
Are you experiencing pain, sorrow, depression, anxiety, grief, or work/life imbalances? Perhaps you are stressed with the changes occurring every day and would like to share your struggles with someone who is non-judgmental? Or do you just need someone to guide you to see that you, yes YOU, already have the tools you need to grow and blossom into your highest self? I would love to help you embark on this journey via counseling. My name is Kimberly Robinson and I am a Licensed Certified Social Worker located in West Little Rock. I look forward to speaking with you in the future.
(501) 645-8317 View (501) 645-8317
Photo of Amy Muse, MS, LPC, Licensed Professional Counselor
Amy Muse
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Little Rock, AR 72204
Nobody is immune to life problems and the toll they can take on our mental health. With more than 10 years experience, I provide professional and confidential mental health counseling services to diverse persons. I do not discriminate based on ethnicity, religion, disability, sexual orientation or personal identification and believe that through connection and compassion we can resolve any problem together. Our problems and past experiences do not define us and our future is not yet written. Help is available and you are not alone. Let's work towards building your life the way it was always meant to be: authentic, fulfilling and empowered.
Nobody is immune to life problems and the toll they can take on our mental health. With more than 10 years experience, I provide professional and confidential mental health counseling services to diverse persons. I do not discriminate based on ethnicity, religion, disability, sexual orientation or personal identification and believe that through connection and compassion we can resolve any problem together. Our problems and past experiences do not define us and our future is not yet written. Help is available and you are not alone. Let's work towards building your life the way it was always meant to be: authentic, fulfilling and empowered.
(501) 566-4465 View (501) 566-4465
Photo of Candace Nisbett Mccallister, LAC, Counselor
Candace Nisbett Mccallister
Counselor, LAC
Verified Verified
Little Rock, AR 72204
I work with clients who are currently facing major life changes or who have trauma from experiences in their past that are affecting their day to day lives. I am a widow and a single mom, and having walked through hell myself now hold space for others doing the same. The purpose of therapy is to help your nervous system to calm down so that you can move out of the ups and downs of depression and anxiety and into a calmer, more empowered way of living.
I work with clients who are currently facing major life changes or who have trauma from experiences in their past that are affecting their day to day lives. I am a widow and a single mom, and having walked through hell myself now hold space for others doing the same. The purpose of therapy is to help your nervous system to calm down so that you can move out of the ups and downs of depression and anxiety and into a calmer, more empowered way of living.
(501) 669-8516 View (501) 669-8516
Photo of Andre' P Jones, LCSW, Clinical Social Work/Therapist
Andre' P Jones
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Little Rock, AR 72204
Do you feel "stuck"? Are you tired of struggling with, or worse yet, avoiding things that have bothered you for a while? Are there things in your life you cannot seem to get past? Are you ready to be your best you? Is your relationship not where it once was, or where you would like it to be now?
Do you feel "stuck"? Are you tired of struggling with, or worse yet, avoiding things that have bothered you for a while? Are there things in your life you cannot seem to get past? Are you ready to be your best you? Is your relationship not where it once was, or where you would like it to be now?
(501) 456-4025 View (501) 456-4025
Photo of Diana Beltran - Happy Autumn Centro De Empowerment, PLLC, Clinical Social Work/Therapist
Happy Autumn Centro De Empowerment, PLLC
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Little Rock, AR 72204  (Online Only)
Navigating life with OCD and anxiety disorders can be overwhelming, a relentless struggle that many of us know all too well. It's like being trapped in a mind that never stops, a constant whirlwind of 'what if' scenarios that demand our attention. The incessant racing thoughts can leave us feeling paralyzed by fear and distress, creating a daily battle that drains us both mentally and physically. For those of us dealing with disturbing, painful flashbacks of past trauma, this experience can be even more challenging. These intrusive memories can impact our day-to-day lives, making it difficult to engage in meaningful relationships.
Navigating life with OCD and anxiety disorders can be overwhelming, a relentless struggle that many of us know all too well. It's like being trapped in a mind that never stops, a constant whirlwind of 'what if' scenarios that demand our attention. The incessant racing thoughts can leave us feeling paralyzed by fear and distress, creating a daily battle that drains us both mentally and physically. For those of us dealing with disturbing, painful flashbacks of past trauma, this experience can be even more challenging. These intrusive memories can impact our day-to-day lives, making it difficult to engage in meaningful relationships.
(501) 727-4003 View (501) 727-4003
Photo of Nakia D Williams, LCSW, Clinical Social Work/Therapist
Nakia D Williams
Clinical Social Work/Therapist, LCSW
Verified Verified
Little Rock, AR 72204
Have you ever felt like a stranger in your own home or all alone in a room with close family members and friends? It’s normal to feel that way at times, but how you respond is pivotal. It is so easy to lose sight of self care when you are busy caring for others. If you can relate, take proactive measures before those challenges turn into severe medical issues such as major depression, anxiety, anger management issues or grief. Free yourself from psychological bondage.
Have you ever felt like a stranger in your own home or all alone in a room with close family members and friends? It’s normal to feel that way at times, but how you respond is pivotal. It is so easy to lose sight of self care when you are busy caring for others. If you can relate, take proactive measures before those challenges turn into severe medical issues such as major depression, anxiety, anger management issues or grief. Free yourself from psychological bondage.
(501) 267-9059 View (501) 267-9059
Photo of Vanessa Bethell, LCSW, Clinical Social Work/Therapist
Vanessa Bethell
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Little Rock, AR 72204  (Online Only)
Immediate Openings Available. Healing has its greatest chance of success when paired with a strong, compassionate, and nonjudgmental therapeutic relationship. If you prefer the spaciousness of a session to allow for deeper internal exploration and understanding within the safety of your own pace, then I would be honored to hold that space for you. Support is vital towards change and healing and your therapist should be an important part of that. My approach is collaborative, which means I walk alongside you in your therapeutic journey and follow the natural curiosity of us both to find the path of healing that works for you.
Immediate Openings Available. Healing has its greatest chance of success when paired with a strong, compassionate, and nonjudgmental therapeutic relationship. If you prefer the spaciousness of a session to allow for deeper internal exploration and understanding within the safety of your own pace, then I would be honored to hold that space for you. Support is vital towards change and healing and your therapist should be an important part of that. My approach is collaborative, which means I walk alongside you in your therapeutic journey and follow the natural curiosity of us both to find the path of healing that works for you.
(501) 365-2849 View (501) 365-2849
Photo of Brian S Canfield - Dr. Brian S. Canfield, LMFT, EdD, LPC, LMFT, Marriage & Family Therapist
Dr. Brian S. Canfield, LMFT
Marriage & Family Therapist, EdD, LPC, LMFT
Verified Verified
1 Endorsed
Little Rock, AR 72204
My practice specializes in marriage counseling and couple therapy. I also work with individuals on a wide-range of mental health, career transition, substance use, and life transition issues. I have worked with more than 2,800 couples in my career, addressing relationship concerns and finding solutions to chronic dissatisfaction, infidelity, poor communication, intimacy problems, and family conflict. For persons who are uncertain about remaining in their marriage, "discernment counseling" is available to help an ambivalent spouse gain clarity about their relationship commitment and options for bringing about needed change.
My practice specializes in marriage counseling and couple therapy. I also work with individuals on a wide-range of mental health, career transition, substance use, and life transition issues. I have worked with more than 2,800 couples in my career, addressing relationship concerns and finding solutions to chronic dissatisfaction, infidelity, poor communication, intimacy problems, and family conflict. For persons who are uncertain about remaining in their marriage, "discernment counseling" is available to help an ambivalent spouse gain clarity about their relationship commitment and options for bringing about needed change.
(318) 608-4318 View (318) 608-4318
Photo of Charles Cole, LPC, Licensed Professional Counselor
Charles Cole
Licensed Professional Counselor, LPC
Verified Verified
Little Rock, AR 72204
My focus is to help individuals and families achieve the stability and the level of functioning that they desire through helping decrease symptoms and strengthen relationships with others. I am a strong believer in the power of the counselor and client relationship. The counseling relationship provides a safe environment, free from judgment, which allows a person to address challenges from the past or present with the ability to write a new ending. Through the counseling relationship an individual can become empowered to overcome any challenge by reaching a healthy point of self-acceptance.
My focus is to help individuals and families achieve the stability and the level of functioning that they desire through helping decrease symptoms and strengthen relationships with others. I am a strong believer in the power of the counselor and client relationship. The counseling relationship provides a safe environment, free from judgment, which allows a person to address challenges from the past or present with the ability to write a new ending. Through the counseling relationship an individual can become empowered to overcome any challenge by reaching a healthy point of self-acceptance.
(501) 214-6404 View (501) 214-6404
Photo of Nikki Thornton, LCSW, Clinical Social Work/Therapist
Nikki Thornton
Clinical Social Work/Therapist, LCSW
Verified Verified
Little Rock, AR 72204
I am a Licensed Clinical Social Worker who is passionate about developing others. I am a graduate of the University of Arkansas Fayettevile where I received a Masters of Social Work. I have been a Mental Health Professional for over 20 years. I am affectionately known as “Ms. Nikki” because of my authentic relational approaches to therapy. I believe that each client possesses the inner strength to succeed when given the right tools. I would love an opportunity to work with you and help you maintain a healthy growing mindset. Contact me today.
I am a Licensed Clinical Social Worker who is passionate about developing others. I am a graduate of the University of Arkansas Fayettevile where I received a Masters of Social Work. I have been a Mental Health Professional for over 20 years. I am affectionately known as “Ms. Nikki” because of my authentic relational approaches to therapy. I believe that each client possesses the inner strength to succeed when given the right tools. I would love an opportunity to work with you and help you maintain a healthy growing mindset. Contact me today.
(870) 493-7510 View (870) 493-7510
Photo of Briana Lewis, MS, LPC, Counselor
Briana Lewis
Counselor, MS, LPC
Verified Verified
2 Endorsed
Little Rock, AR 72204
Are you looking for a place to help you explore healing? Have you gotten to a place that you feel like you may need guidance to help you keep going? Are you burdened with depression, anxiety, grief, low-self esteem, or even life transitions? Most of all, have you come to understand that you are HUMAN and you just need a person that you can lean on for help?
Are you looking for a place to help you explore healing? Have you gotten to a place that you feel like you may need guidance to help you keep going? Are you burdened with depression, anxiety, grief, low-self esteem, or even life transitions? Most of all, have you come to understand that you are HUMAN and you just need a person that you can lean on for help?
(501) 506-3255 View (501) 506-3255
Photo of Katherine L Stokes, MSW, LCSW, Clinical Social Work/Therapist
Katherine L Stokes
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Little Rock, AR 72204
Are you ready to be open? Open to change, to trying new things, to having new experiences and to having a healthy mind and body? Are you aware? Aware of how you talk to yourself, aware of the story you tell yourself and others about who you are? Are you ready to be focused on your present and not regretting the past or being anxious about the future? Are you ready to be engaged with the process of identifying who and what you value in life and make decisions that move you toward your values? You can do hard things and move towards those values even when it's difficult!
Are you ready to be open? Open to change, to trying new things, to having new experiences and to having a healthy mind and body? Are you aware? Aware of how you talk to yourself, aware of the story you tell yourself and others about who you are? Are you ready to be focused on your present and not regretting the past or being anxious about the future? Are you ready to be engaged with the process of identifying who and what you value in life and make decisions that move you toward your values? You can do hard things and move towards those values even when it's difficult!
(501) 214-8944 View (501) 214-8944
Photo of LaEartha Soko, LPC, Licensed Professional Counselor
LaEartha Soko
Licensed Professional Counselor, LPC
Verified Verified
Little Rock, AR 72204
I am an LPC with over 10 years of experience in mental health counseling. I have worked in outpatient sectors with various populations in the capacity of individual, couple, and family therapy. I have experience with individuals struggling with depression, anxiety, schizophrenia, PTSD, ADHD, family/relational conflict, suicide, and grief. I utilized a Person-Centered approach that encompasses a holistic, team-oriented, and integrative modality of treatment that best fits the needs of my clients. I am here to be a guide in your journey to being the best version of yourself. Let’s foster your healing together.
I am an LPC with over 10 years of experience in mental health counseling. I have worked in outpatient sectors with various populations in the capacity of individual, couple, and family therapy. I have experience with individuals struggling with depression, anxiety, schizophrenia, PTSD, ADHD, family/relational conflict, suicide, and grief. I utilized a Person-Centered approach that encompasses a holistic, team-oriented, and integrative modality of treatment that best fits the needs of my clients. I am here to be a guide in your journey to being the best version of yourself. Let’s foster your healing together.
(501) 356-4968 View (501) 356-4968
Photo of Shane Baskins, LPC, Licensed Professional Counselor
Shane Baskins
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Little Rock, AR 72204
Life can be challenging at times and you may want to make changes. It can be difficult to reach out or even know where to start sometimes. You are not alone and do not have to face the things you are going through by yourself. I am here to listen, understand, and work with you. By helping you address the struggles and pain you are dealing with, learning skills that cater to your strengths, and identifying what gives your life meaning and purpose, the process of healing can have lasting and life changing benefits. I utilize a holistic approach to help with finding what works for you, your relationships, or your family.
Life can be challenging at times and you may want to make changes. It can be difficult to reach out or even know where to start sometimes. You are not alone and do not have to face the things you are going through by yourself. I am here to listen, understand, and work with you. By helping you address the struggles and pain you are dealing with, learning skills that cater to your strengths, and identifying what gives your life meaning and purpose, the process of healing can have lasting and life changing benefits. I utilize a holistic approach to help with finding what works for you, your relationships, or your family.
(501) 214-7793 View (501) 214-7793
Photo of Charlanda R Ford, LPC, Counselor
Charlanda R Ford
Counselor, LPC
Verified Verified
Little Rock, AR 72204
In today's climate of uncertainty, my mission is to help clients work through stress, anxiety, depression and adjustment issues. While simultaneously learning to cope with life struggles and becoming resilient overcomers to achieve overall wellbeing. My therapeutic approach is holistic, CBT and person-centered. I provide non-judgmental unconditional positive regard for all. I've been a Christian for many years and honor people’s faith in counseling services as well.
In today's climate of uncertainty, my mission is to help clients work through stress, anxiety, depression and adjustment issues. While simultaneously learning to cope with life struggles and becoming resilient overcomers to achieve overall wellbeing. My therapeutic approach is holistic, CBT and person-centered. I provide non-judgmental unconditional positive regard for all. I've been a Christian for many years and honor people’s faith in counseling services as well.
(501) 322-6972 View (501) 322-6972
Photo of Jayla Robinson, LPC-S, LPC, MA, Licensed Professional Counselor
Jayla Robinson
Licensed Professional Counselor, LPC-S, LPC, MA
Verified Verified
Little Rock, AR 72204  (Online Only)
I can think of no greater responsibility than keeping someone’s secrets or any greater joy than holding someone’s hand while they do the difficult work of changing their lives. I became a therapist because I believe in our ability to CHANGE. The ability to change is one of our greatest gifts and abilities, but in life sometimes we get STUCK. Stuck in bad relationships, stuck in dead-end jobs, or stuck in patterns of behavior that keep us miserable and defeated. My job and my joy is to help you get UN-stuck.
I can think of no greater responsibility than keeping someone’s secrets or any greater joy than holding someone’s hand while they do the difficult work of changing their lives. I became a therapist because I believe in our ability to CHANGE. The ability to change is one of our greatest gifts and abilities, but in life sometimes we get STUCK. Stuck in bad relationships, stuck in dead-end jobs, or stuck in patterns of behavior that keep us miserable and defeated. My job and my joy is to help you get UN-stuck.
(501) 298-1067 View (501) 298-1067
Photo of Angela Harmon, LPC, Licensed Professional Counselor
Angela Harmon
Licensed Professional Counselor, LPC
Verified Verified
Little Rock, AR 72204
I believe that each person who comes into my office truly matters and their unique story is important. I have a passion for joining alongside those experiencing the impacts of anxiety, depression, traumatic events, and self-esteem issues with an intention of working to empower them to discover their inner strength and compassion for their own authentic self.
I believe that each person who comes into my office truly matters and their unique story is important. I have a passion for joining alongside those experiencing the impacts of anxiety, depression, traumatic events, and self-esteem issues with an intention of working to empower them to discover their inner strength and compassion for their own authentic self.
(501) 594-4736 View (501) 594-4736
Photo of Tara V DeJohn, PhD, LCSW, Clinical Social Work/Therapist
Tara V DeJohn
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
2 Endorsed
Little Rock, AR 72204
Waitlist for new clients
Do you usually feel like you don't belong, don't fit in, or worry about being good enough, doing well enough, etc? Do you have a complex trauma history? Are you fighting through treatment for a chronic/catastrophic illness or caring for someone who is? Do you experience shame and/or guilt despite the evidence that you're doing/have done the best you can? I welcome the privilege to walk alongside you towards healing and wholeness, towards deconstructing society's pressures that block healing.
Do you usually feel like you don't belong, don't fit in, or worry about being good enough, doing well enough, etc? Do you have a complex trauma history? Are you fighting through treatment for a chronic/catastrophic illness or caring for someone who is? Do you experience shame and/or guilt despite the evidence that you're doing/have done the best you can? I welcome the privilege to walk alongside you towards healing and wholeness, towards deconstructing society's pressures that block healing.
(501) 600-2630 View (501) 600-2630
1

See more therapy options for 72204

How does your Therapist compare?

Number of Therapists in 72204

20+

Average cost per session

$150

Therapists in 72204 who prioritize treating:

92% Depression
92% Anxiety
81% Self Esteem
77% Relationship Issues
77% Coping Skills
77% Stress
73% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

75% BlueCross and BlueShield
70% Ambetter
65% UnitedHealthcare UHC | UBH

How Therapists in 72204 see their clients

81% In Person and Online
19% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 72204?

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.