Therapists in 72918

Photo of Kispert Elizabeth Shawn - Shawn Kispert, Licensed Professional Counselor, MS, LPC, CMAT, CSAT, EMDR
Shawn Kispert
Licensed Professional Counselor, MS, LPC, CMAT, CSAT, EMDR
1 Endorsed
Serves Area
People truthfully want to be heard. Clients want to know you're listening, validating and joining in their story. Each time a new client comes into my office, I am fully aware they are nervous and do not trust me. It is my job to share enough of myself with you, giving you the necessary comfortable space to feel free to begin to heal. I listen, I listen but when you are anxious or nervous, I ask easy but directive questions. You CAN do this, whatever is stopping you from living the life you want. Together, listening, talking, laughing, crying, sometimes having a bit of chocolate along the way! Come on in....you got this!
People truthfully want to be heard. Clients want to know you're listening, validating and joining in their story. Each time a new client comes into my office, I am fully aware they are nervous and do not trust me. It is my job to share enough of myself with you, giving you the necessary comfortable space to feel free to begin to heal. I listen, I listen but when you are anxious or nervous, I ask easy but directive questions. You CAN do this, whatever is stopping you from living the life you want. Together, listening, talking, laughing, crying, sometimes having a bit of chocolate along the way! Come on in....you got this!
(479) 763-3620 View (479) 763-3620

More Therapists Nearby

Photo of Shawnda Wear, Counselor, MS, LPC
Shawnda Wear
Counselor, MS, LPC
2 Endorsed
Fort Smith, AR 72903
Life can leave us feeling confused, overwhelmed, disconnected, and full of emotions that we may not understand. You may find yourself struggling with trauma, acceptance, anxiety, depression, worry, fear, grief, and/or shame. You may remember a time when things didn't feel this way, and you're ready for some relief. You're ready to learn ways to diminish unwanted feelings and symptoms. You're ready to face your problems and work through them. Most of all, you're ready to improve your quality of life and live beyond your struggles and worries.
Life can leave us feeling confused, overwhelmed, disconnected, and full of emotions that we may not understand. You may find yourself struggling with trauma, acceptance, anxiety, depression, worry, fear, grief, and/or shame. You may remember a time when things didn't feel this way, and you're ready for some relief. You're ready to learn ways to diminish unwanted feelings and symptoms. You're ready to face your problems and work through them. Most of all, you're ready to improve your quality of life and live beyond your struggles and worries.
(479) 323-2519 View (479) 323-2519
Photo of Lee Walton, Licensed Professional Counselor, MA, LPC
Lee Walton
Licensed Professional Counselor, MA, LPC
1 Endorsed
Serves Area
I can help you explore the sources of suffering that lead to understanding and acceptance which evolve toward a greater authentically lived life. As your counselor, my goal is to help you uncover repressed, misplaced potential to lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life today. By applying complementary therapeutic approaches, we will unearth long-standing negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
I can help you explore the sources of suffering that lead to understanding and acceptance which evolve toward a greater authentically lived life. As your counselor, my goal is to help you uncover repressed, misplaced potential to lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life today. By applying complementary therapeutic approaches, we will unearth long-standing negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
(479) 443-5575 View (479) 443-5575
Photo of Julianne Passen, Licensed Professional Counselor, PhD, LPC
Julianne Passen
Licensed Professional Counselor, PhD, LPC
Fort Smith, AR 72903
Painful experiences can leave us feeling completely alone. Sometimes we just need someone to meet us where we are to find a way to move forward. Healthy relationships can be difficult to navigate, especially when there is a lifetime of hurt getting in the way. I want to help you create healthy, fulfilling, nourishing connections with those you care about. Along with anxiety and depression, I am passionate about working with those who have dealt with trauma.
Painful experiences can leave us feeling completely alone. Sometimes we just need someone to meet us where we are to find a way to move forward. Healthy relationships can be difficult to navigate, especially when there is a lifetime of hurt getting in the way. I want to help you create healthy, fulfilling, nourishing connections with those you care about. Along with anxiety and depression, I am passionate about working with those who have dealt with trauma.
(479) 668-0750 View (479) 668-0750
Photo of Amanda Siddons, Clinical Social Work/Therapist, MS, LCSW
Amanda Siddons
Clinical Social Work/Therapist, MS, LCSW
Greenwood, AR 72936
Taking the first step toward therapy can feel overwhelming, but you do not have to figure everything out on your own. I strive to provide a warm, respectful, and nonjudgmental space where clients can feel heard, supported, and encouraged as they work through life’s challenges.
Taking the first step toward therapy can feel overwhelming, but you do not have to figure everything out on your own. I strive to provide a warm, respectful, and nonjudgmental space where clients can feel heard, supported, and encouraged as they work through life’s challenges.
(479) 324-3369 View (479) 324-3369
Photo of Diane D Bynum - Lumina Behavioral Health, Licensed Professional Counselor, LPC-TH, LADAC, ADC CSD
Lumina Behavioral Health
Licensed Professional Counselor, LPC-TH, LADAC, ADC CSD
Van Buren, AR 72956
Lumina Behavioral Health in Van Buren, AR. serve men 18 years old and above in a residential setting for substance abuse and co-occurring disorders. Lumina serves both men and women 18 years or older in day treatment services such as partial hospitalization or intensive outpatient at the Van Buren location. Outpatient services either in person or tele/health is offered for mental health services. Insurances are accepted.
Lumina Behavioral Health in Van Buren, AR. serve men 18 years old and above in a residential setting for substance abuse and co-occurring disorders. Lumina serves both men and women 18 years or older in day treatment services such as partial hospitalization or intensive outpatient at the Van Buren location. Outpatient services either in person or tele/health is offered for mental health services. Insurances are accepted.
(479) 349-4906 View (479) 349-4906
Photo of Pablo Albuja, Licensed Professional Counselor, MS, LPC, CCTP, EMDR, TF-CBT
Pablo Albuja
Licensed Professional Counselor, MS, LPC, CCTP, EMDR, TF-CBT
2 Endorsed
Fort Smith, AR 72916
Science has shown that mental health issues might not be only genetic, but also the result of current of past adverse experiences, causing unwanted symptoms to appear. As human beings we need connection with others and psychotherapy might be a powerful tool to help heal emotional wounds. ESPAÑOL: Ciencia ha demostrado que trastornos de salud mental no solo pueden ser genéticos pero también el resultado de experiencias adversas presentes o del pasado, causando sintomas no deseados. Como seres humanos necesitamos conexión emocional con otros . Psicoterapia puede una herramienta poderosa para ayudar a sanar de lesiones emocionales.
Science has shown that mental health issues might not be only genetic, but also the result of current of past adverse experiences, causing unwanted symptoms to appear. As human beings we need connection with others and psychotherapy might be a powerful tool to help heal emotional wounds. ESPAÑOL: Ciencia ha demostrado que trastornos de salud mental no solo pueden ser genéticos pero también el resultado de experiencias adversas presentes o del pasado, causando sintomas no deseados. Como seres humanos necesitamos conexión emocional con otros . Psicoterapia puede una herramienta poderosa para ayudar a sanar de lesiones emocionales.
(479) 668-4538 View (479) 668-4538
Photo of Jordan Griffie, Licensed Professional Counselor, MA, LPC
Jordan Griffie
Licensed Professional Counselor, MA, LPC
1 Endorsed
Fort Smith, AR 72903
Empathic, client centered therapist motivated to enrich clients moving forward towards a more full and meaningful life. I excel in coaching clients who are stuck and lacking support. I'm a well qualified professional with over thirteen years of experience working with a multitude of cultural backgrounds and have extensive experience in guiding clients toward making impactful changes promoting personal welfare and realized potential. This is the start of your journey towards the life that you desire and improving your quality of life.
Empathic, client centered therapist motivated to enrich clients moving forward towards a more full and meaningful life. I excel in coaching clients who are stuck and lacking support. I'm a well qualified professional with over thirteen years of experience working with a multitude of cultural backgrounds and have extensive experience in guiding clients toward making impactful changes promoting personal welfare and realized potential. This is the start of your journey towards the life that you desire and improving your quality of life.
(479) 888-5786 View (479) 888-5786
Photo of Shauna Cox, Licensed Professional Counselor, LPC
Shauna Cox
Licensed Professional Counselor, LPC
1 Endorsed
Greenwood, AR 72936
I work with adolescents, teens, an adults who may be struggling with anxiety, depression, trauma, relationship challenges, or simply feeling overwhelmed by life. Many clients come to therapy feeling emotionally exhausted, stuck, or uncertain about how to move forward. My goal is to provide a supportive and compassionate space where clients feel heard and understood while learning practical coping skills and gaining new perspectives. Together, we work toward making life feel more manageable, strengthening relationships, improving daily functioning, and creating meaningful personal growth.
I work with adolescents, teens, an adults who may be struggling with anxiety, depression, trauma, relationship challenges, or simply feeling overwhelmed by life. Many clients come to therapy feeling emotionally exhausted, stuck, or uncertain about how to move forward. My goal is to provide a supportive and compassionate space where clients feel heard and understood while learning practical coping skills and gaining new perspectives. Together, we work toward making life feel more manageable, strengthening relationships, improving daily functioning, and creating meaningful personal growth.
(479) 398-2127 View (479) 398-2127
Photo of Bryant Omar Prieto - New Leaf Counseling of the River Valley , Licensed Professional Counselor, LPC
New Leaf Counseling of the River Valley
Licensed Professional Counselor, LPC
1 Endorsed
Fort Smith, AR 72903
Award-winning counseling center in Fort Smith offering in-person and telehealth therapy for adults. At New Leaf Counseling, we help adults who feel overwhelmed, disconnected, or stuck in patterns shaped by stress, trauma, and life transitions. Many of our clients are high-functioning on the outside but struggling internally with anxiety, emotional exhaustion, relationship challenges, or the lingering impact of past experiences. Our therapists provide evidence-based, trauma-informed counseling, including EMDR and relationship-focused approaches, tailored to each client’s needs and goals.
Award-winning counseling center in Fort Smith offering in-person and telehealth therapy for adults. At New Leaf Counseling, we help adults who feel overwhelmed, disconnected, or stuck in patterns shaped by stress, trauma, and life transitions. Many of our clients are high-functioning on the outside but struggling internally with anxiety, emotional exhaustion, relationship challenges, or the lingering impact of past experiences. Our therapists provide evidence-based, trauma-informed counseling, including EMDR and relationship-focused approaches, tailored to each client’s needs and goals.
(479) 448-4696 View (479) 448-4696
Photo of Jennifer Levart, Licensed Professional Counselor, MA, LPC
Jennifer Levart
Licensed Professional Counselor, MA, LPC
4 Endorsed
Hartford, AR 72938
Are you overwhelmed? Tired? Frustrated? Hurt? Do you feel like you've tried everything but life and emotions are still hard to manage? When life feels this way, it's difficult to know where to turn. There is HOPE. It IS possible to learn how to manage your feelings, heal from your pain, connect to others, and grow into the person you wish to be.
Are you overwhelmed? Tired? Frustrated? Hurt? Do you feel like you've tried everything but life and emotions are still hard to manage? When life feels this way, it's difficult to know where to turn. There is HOPE. It IS possible to learn how to manage your feelings, heal from your pain, connect to others, and grow into the person you wish to be.
(479) 888-8541 View (479) 888-8541
Photo of Carolyn McKamey, Psychologist, PsyD
Carolyn McKamey
Psychologist, PsyD
3 Endorsed
Serves Area
Accepting new clients. Life can knock you down and leave you feeling overwhelmed, unsure which way is up. I view therapy as a collaboration between you and me, working together to achieve the goals you would like to accomplish, rediscover your strengths, and develop healthier ways of coping and interacting with others. I work to help you understand how patterns of behavior you learned in order to survive may no longer be serving you in a helpful way. My ideal client wants to work on: anxiety, stress, boundaries, depression, people-pleasing, family of origin or relationship issues. I also specialize in working with other therapists.
Accepting new clients. Life can knock you down and leave you feeling overwhelmed, unsure which way is up. I view therapy as a collaboration between you and me, working together to achieve the goals you would like to accomplish, rediscover your strengths, and develop healthier ways of coping and interacting with others. I work to help you understand how patterns of behavior you learned in order to survive may no longer be serving you in a helpful way. My ideal client wants to work on: anxiety, stress, boundaries, depression, people-pleasing, family of origin or relationship issues. I also specialize in working with other therapists.
(501) 881-2392 View (501) 881-2392
Photo of Cassandra Elledge, Licensed Professional Counselor, LPC, CHT, EMDR-T, KAP
Cassandra Elledge
Licensed Professional Counselor, LPC, CHT, EMDR-T, KAP
Serves Area
You may feel stuck in patterns your mind understands but your body won’t release. Trauma, chronic stress, or early relational wounds may live in your nervous system as anxiety, numbness, shutdown, or feeling disconnected from yourself. You’re tired of “just talking” and want healing that actually shifts things. Through trauma-informed, mind-body, somatic, and inner child work, we focus on restoring safety, regulation, and connection—so younger parts can finally be heard and lasting change can occur.
You may feel stuck in patterns your mind understands but your body won’t release. Trauma, chronic stress, or early relational wounds may live in your nervous system as anxiety, numbness, shutdown, or feeling disconnected from yourself. You’re tired of “just talking” and want healing that actually shifts things. Through trauma-informed, mind-body, somatic, and inner child work, we focus on restoring safety, regulation, and connection—so younger parts can finally be heard and lasting change can occur.
(479) 252-9880 View (479) 252-9880
Photo of Rodney Neighbors, Licensed Professional Counselor, MS, LPC
Rodney Neighbors
Licensed Professional Counselor, MS, LPC
Fort Smith, AR 72916
We are all looking for that safe place where we can go to heal and work on finding ways to improve our lives. People's struggles are real and we all just want that person who we know is in our corner when no one else is , but we also need that person who can help us figure out how to turn things around when it seems like there is no hope of changing things.
We are all looking for that safe place where we can go to heal and work on finding ways to improve our lives. People's struggles are real and we all just want that person who we know is in our corner when no one else is , but we also need that person who can help us figure out how to turn things around when it seems like there is no hope of changing things.
(479) 341-5614 View (479) 341-5614
Photo of Melinda Hyatt, Clinical Social Work/Therapist, LMSW
Melinda Hyatt
Clinical Social Work/Therapist, LMSW
1 Endorsed
Fort Smith, AR 72901
As many of us have experienced, life can be difficult with the stress of daily life, caring for loved ones, maintaining friendships, health conditions, and employment issues. This can lead to stress, anxiety, and depression which can further hinder your goals. Seeking guidance and support to ease your struggles can aid you in identifying your strengths, learning to make change, and obtaining your goals. As a Licensed Social Worker for more than 16 years and ,now, a Licensed Master of Social Work, I have been at the side of clients experiencing major life changes and stressors to offer support and therapeutic interventions.
As many of us have experienced, life can be difficult with the stress of daily life, caring for loved ones, maintaining friendships, health conditions, and employment issues. This can lead to stress, anxiety, and depression which can further hinder your goals. Seeking guidance and support to ease your struggles can aid you in identifying your strengths, learning to make change, and obtaining your goals. As a Licensed Social Worker for more than 16 years and ,now, a Licensed Master of Social Work, I have been at the side of clients experiencing major life changes and stressors to offer support and therapeutic interventions.
(479) 408-5562 View (479) 408-5562
Photo of Jesse Bruesch, Licensed Professional Counselor, LPC
Jesse Bruesch
Licensed Professional Counselor, LPC
Fort Smith, AR 72901
What is holding you back? Trauma, anger, shame, sadness, worry? Who would you be if you were able to let any of these go? My name is Jesse Bruesch and I have been a therapist for 9 years. There are ways forward. I am grateful for the opportunity to walk with others on their journeys. Helping people plan goals for their growth and then seeing them surpass what they believed they could, is my passion. Planning our directions can be hard, because as we heal, our mindsets and directions change. I am an EMDR therapist and I also work with cognitive behavioral therapy, with an emphasis on the psychodynamic approach.
What is holding you back? Trauma, anger, shame, sadness, worry? Who would you be if you were able to let any of these go? My name is Jesse Bruesch and I have been a therapist for 9 years. There are ways forward. I am grateful for the opportunity to walk with others on their journeys. Helping people plan goals for their growth and then seeing them surpass what they believed they could, is my passion. Planning our directions can be hard, because as we heal, our mindsets and directions change. I am an EMDR therapist and I also work with cognitive behavioral therapy, with an emphasis on the psychodynamic approach.
(479) 370-5091 View (479) 370-5091
Photo of Dr. Jj LaMaster, Licensed Professional Counselor, EdD, LPC, DCC, EMDR-II
Dr. Jj LaMaster
Licensed Professional Counselor, EdD, LPC, DCC, EMDR-II
2 Endorsed
Serves Area
If you’ve been carrying too much for too long, you’re not weak — you’re tired. Many of the people I work with are competent, capable adults who function well on the outside but feel overwhelmed, stuck, anxious, or emotionally exhausted on the inside. Trauma, chronic stress, complicated relationships, or long-standing patterns can quietly shape how we see ourselves and the world. Therapy doesn’t have to feel cold or clinical. Healing can be serious work — and still include moments of relief, perspective, and even humor. Sometimes a well-timed laugh is part of how the nervous system resets. I believe growth happens in safe spaces.
If you’ve been carrying too much for too long, you’re not weak — you’re tired. Many of the people I work with are competent, capable adults who function well on the outside but feel overwhelmed, stuck, anxious, or emotionally exhausted on the inside. Trauma, chronic stress, complicated relationships, or long-standing patterns can quietly shape how we see ourselves and the world. Therapy doesn’t have to feel cold or clinical. Healing can be serious work — and still include moments of relief, perspective, and even humor. Sometimes a well-timed laugh is part of how the nervous system resets. I believe growth happens in safe spaces.
(501) 697-4993 View (501) 697-4993
Photo of Heather Ray - Ray of Sunshine Pediatric Therapy, LLC, Occupational Therapist, OTD, OTR/L
Ray of Sunshine Pediatric Therapy, LLC
Occupational Therapist, OTD, OTR/L
Fort Smith, AR 72916
We are a pediatric therapy clinic that brings therapy to your child’s school, daycare, or your doorstep or at our clinic location in fort smith AR! Our clinic is credentialed in multiple private and state insurances and service two states (Oklahoma and Arkansas).
We are a pediatric therapy clinic that brings therapy to your child’s school, daycare, or your doorstep or at our clinic location in fort smith AR! Our clinic is credentialed in multiple private and state insurances and service two states (Oklahoma and Arkansas).
(479) 348-1063 View (479) 348-1063
Photo of Drew Marr, Clinical Social Work/Therapist, BSW, MSW, LMSW
Drew Marr
Clinical Social Work/Therapist, BSW, MSW, LMSW
Fort Smith, AR 72908
I am a Licensed Master Social Worker (LMSW) with a vision impairment, providing mental health services to children, adolescents, and adults covered by Arkansas Medicaid and PASSE.
I am a Licensed Master Social Worker (LMSW) with a vision impairment, providing mental health services to children, adolescents, and adults covered by Arkansas Medicaid and PASSE.
(479) 391-5704 View (479) 391-5704
Photo of Kristan Williams, Licensed Professional Counselor, LPC
Kristan Williams
Licensed Professional Counselor, LPC
Fort Smith, AR 72903
Whether you're feeling stuck in cycles of self-doubt, navigating intense emotions, or working through painful past experiences, I am here to help you gain clarity, build resilience, and reconnect with your sense of worth. I bring a trauma-informed, client-centered approach to therapy, with a deep commitment to creating a safe, compassionate space where healing can take root. I work with individuals navigating OCD, anxiety, trauma, life transitions, low self-esteem, mood disorders, and emotional distress-helping them better understand their experiences, reconnect with their strengths,and build meaningful change at their own pace.
Whether you're feeling stuck in cycles of self-doubt, navigating intense emotions, or working through painful past experiences, I am here to help you gain clarity, build resilience, and reconnect with your sense of worth. I bring a trauma-informed, client-centered approach to therapy, with a deep commitment to creating a safe, compassionate space where healing can take root. I work with individuals navigating OCD, anxiety, trauma, life transitions, low self-esteem, mood disorders, and emotional distress-helping them better understand their experiences, reconnect with their strengths,and build meaningful change at their own pace.
(479) 315-5876 View (479) 315-5876

How does your Therapist compare?

Number of Therapists in 72918

< 10

Therapists in 72918 who prioritize treating:

100% Relationship Issues
100% Depression
100% Addiction
100% Anxiety
100% Trauma and PTSD
100% Substance Use
100% Family Conflict

Average years in practice

15 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Optum

How Therapists in 72918 see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 72918?

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.