Therapists in 79111

Photo of Robert Allen MacKeen, Licensed Professional Counselor
Robert Allen MacKeen
Licensed Professional Counselor
1 Endorsed
Amarillo, TX 79111
Pressure makes diamonds! Remember, it’s all about your frame of mind. Stay grounded and be positive. Remember there is purpose in your pain. Grow from your discomfort, trim your sails up when the winds of adversity come. Be mindful and start every day with a reset button and start the day on a positive note. Make your bed and live that day in present moment awareness. “You can do it !” Get a hobby, keep your routine and stay busy. Use your coping skills. Journal your positives. Set firm boundaries and 'SMART' goals. These are just a few things that my clients have needed and received in previous counseling sessions.
Pressure makes diamonds! Remember, it’s all about your frame of mind. Stay grounded and be positive. Remember there is purpose in your pain. Grow from your discomfort, trim your sails up when the winds of adversity come. Be mindful and start every day with a reset button and start the day on a positive note. Make your bed and live that day in present moment awareness. “You can do it !” Get a hobby, keep your routine and stay busy. Use your coping skills. Journal your positives. Set firm boundaries and 'SMART' goals. These are just a few things that my clients have needed and received in previous counseling sessions.
(806) 615-4251 View (806) 615-4251
Photo of Sharyn Delgado, Licensed Professional Counselor, LPC, LPC-S
Sharyn Delgado
Licensed Professional Counselor, LPC, LPC-S
1 Endorsed
Serves Area
I offer a safe environment for my clients to express what is causing them a disruption in their peace. My goal is to be as a tour guide on their journey to self-discovery and finding peace and healing. I use a variety of techniques from sand, art, talk therapy, baking, etc. My clients determine the path or topics that they want to discuss and learn coping skills and how to solve their own issues. We look at the client's whole life picture to see the areas that need to be address. I have been a therapist for 18 years and supervise LPC associates. My goal is for you to find your own peace!
I offer a safe environment for my clients to express what is causing them a disruption in their peace. My goal is to be as a tour guide on their journey to self-discovery and finding peace and healing. I use a variety of techniques from sand, art, talk therapy, baking, etc. My clients determine the path or topics that they want to discuss and learn coping skills and how to solve their own issues. We look at the client's whole life picture to see the areas that need to be address. I have been a therapist for 18 years and supervise LPC associates. My goal is for you to find your own peace!
(806) 496-9406 View (806) 496-9406
Photo of Vanessa Longoria Carter - Thriveworks Counseling & Psychiatry Amarillo, Marriage & Family Therapist
Thriveworks Counseling & Psychiatry Amarillo
Marriage & Family Therapist
Serves Area
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(855) 524-5193 View (855) 524-5193
Photo of Lauren Strickland, Licensed Professional Counselor, LPC
Lauren Strickland
Licensed Professional Counselor, LPC
1 Endorsed
Serves Area
Hi there, I'm Lauren. My hope is to provide genuine and compassionate support for you by allowing a safe space to open up and process emotional hardship. I have a passion for working with those who experience severe mental health issues, and I have worked in this area for 8+ years. I specialize in helping those who may be struggling with dissociation, depression, anxiety, suicidal thoughts, trauma, and difficult life transitions. I believe that it is important to feel heard and safe with your therapist.
Hi there, I'm Lauren. My hope is to provide genuine and compassionate support for you by allowing a safe space to open up and process emotional hardship. I have a passion for working with those who experience severe mental health issues, and I have worked in this area for 8+ years. I specialize in helping those who may be struggling with dissociation, depression, anxiety, suicidal thoughts, trauma, and difficult life transitions. I believe that it is important to feel heard and safe with your therapist.
(806) 230-4676 View (806) 230-4676

More Therapists Nearby

Photo of Beth Mowry, Licensed Professional Counselor Associate, MA, LPC-A
Beth Mowry
Licensed Professional Counselor Associate, MA, LPC-A
3 Endorsed
Amarillo, TX 79101
I aspire to walk alongside clients on their journey to mental wellbeing. Clients come from all walks of life, each facing unique challenges. Whatever obstacles you are encountering I am here to provide compassionate support. My mission is to create a safe and nonjudgmental space where you can explore your feelings, gain insights, and develop coping strategies. Through active listening and collaboration together we can tailor our approach to meet your specific needs.
I aspire to walk alongside clients on their journey to mental wellbeing. Clients come from all walks of life, each facing unique challenges. Whatever obstacles you are encountering I am here to provide compassionate support. My mission is to create a safe and nonjudgmental space where you can explore your feelings, gain insights, and develop coping strategies. Through active listening and collaboration together we can tailor our approach to meet your specific needs.
(806) 666-1024 View (806) 666-1024
Photo of Cassandra Treviño, MA, LPC
Cassandra Treviño
Verified Verified
Amarillo, TX 79119
Beginning therapy is a positive step in helping you create the life that is right for you. At some point in our lives we are faced with challenging circumstances and finding a place to explore those worries can be a challenge in itself. I can help. As a therapist I aim to guide and support my clients through their struggles by providing a safe environment to explore their concerns and help them learn skills that lead to life-long, positive change. Therapy offers the chance to share without judgement and understand yourself on a deeper level so each decision you make is in alignment with who you are and what you want.
Beginning therapy is a positive step in helping you create the life that is right for you. At some point in our lives we are faced with challenging circumstances and finding a place to explore those worries can be a challenge in itself. I can help. As a therapist I aim to guide and support my clients through their struggles by providing a safe environment to explore their concerns and help them learn skills that lead to life-long, positive change. Therapy offers the chance to share without judgement and understand yourself on a deeper level so each decision you make is in alignment with who you are and what you want.
(806) 692-2862 View (806) 692-2862
Photo of Florence 'flo' Bhatia, Licensed Professional Counselor Associate, MS, LPC-A
Florence 'flo' Bhatia
Licensed Professional Counselor Associate, MS, LPC-A
Serves Area
Are you feeling mentally exhausted, constantly second-guessing yourself, or weighed down by stress, grief, or the pressure to hold everything together? Do you spend so much time caring for others—your family, aging parents, or your job—that you’ve lost sight of yourself? You want relief from the constant mental and emotional weight you’ve been carrying. You want to feel like yourself again—not just the caregiver juggling responsibilities. You need someone who truly listens, understands your struggles, and helps you set boundaries, process emotions, and move forward without guilt or self-doubt.
Are you feeling mentally exhausted, constantly second-guessing yourself, or weighed down by stress, grief, or the pressure to hold everything together? Do you spend so much time caring for others—your family, aging parents, or your job—that you’ve lost sight of yourself? You want relief from the constant mental and emotional weight you’ve been carrying. You want to feel like yourself again—not just the caregiver juggling responsibilities. You need someone who truly listens, understands your struggles, and helps you set boundaries, process emotions, and move forward without guilt or self-doubt.
(281) 336-8095 View (281) 336-8095
Photo of Grace Bybee, Licensed Professional Counselor
Grace Bybee
Licensed Professional Counselor
1 Endorsed
Amarillo, TX 79109
It is my professional belief that you are the expert in understanding your own life. As a counselor, I am there to let you guide me through your life experiences in order to help make meaning of past, present, and future circumstances. We all have experiences in our lives that are overwhelming and sometimes traumatic. It is my goal to help you give these experiences a healthy place in your life.
It is my professional belief that you are the expert in understanding your own life. As a counselor, I am there to let you guide me through your life experiences in order to help make meaning of past, present, and future circumstances. We all have experiences in our lives that are overwhelming and sometimes traumatic. It is my goal to help you give these experiences a healthy place in your life.
(806) 541-5712 View (806) 541-5712
Photo of Kim Pitney, Clinical Social Work/Therapist, LCSW
Kim Pitney
Clinical Social Work/Therapist, LCSW
1 Endorsed
Amarillo, TX 79109
Thank you for being here. I know taking the first step towards therapy can be difficult. I look forward to getting to know you. I believe that many people have experienced difficult events in their lives and have not had the opportunity to work through them. I take the time to get to know you in a safe, welcoming environment. I am passionate about helping others work through the obstacles that life has thrown at them. I will walk beside you through the journey and help you navigate the ups and downs in life.
Thank you for being here. I know taking the first step towards therapy can be difficult. I look forward to getting to know you. I believe that many people have experienced difficult events in their lives and have not had the opportunity to work through them. I take the time to get to know you in a safe, welcoming environment. I am passionate about helping others work through the obstacles that life has thrown at them. I will walk beside you through the journey and help you navigate the ups and downs in life.
(806) 496-9439 View (806) 496-9439
Photo of Amber Adams, Licensed Professional Counselor, LPC
Amber Adams
Licensed Professional Counselor, LPC
3 Endorsed
Amarillo, TX 79106
At Brighter Day Counseling Services, we understand that life can feel overwhelming at times. Our caring team provides a safe, supportive space to work through anxiety, grief, relationship struggles, and life changes. We’ll walk beside you as you heal, grow, and rediscover your strength. You deserve to feel seen, heard, and empowered to create the life you want.
At Brighter Day Counseling Services, we understand that life can feel overwhelming at times. Our caring team provides a safe, supportive space to work through anxiety, grief, relationship struggles, and life changes. We’ll walk beside you as you heal, grow, and rediscover your strength. You deserve to feel seen, heard, and empowered to create the life you want.
(806) 557-1476 View (806) 557-1476
Photo of Azelin Roberts, Licensed Professional Counselor, LPC
Azelin Roberts
Licensed Professional Counselor, LPC
Amarillo, TX 79101
Immediate openings for weekends and evenings for individuals, relationship, and teens! When life gets hectic and feels uncontrollable, it’s helpful to have a safe, grounding space to process. I’m committed to fostering a nonjudgmental and empathetic environment for individuals to explore their feelings and process through their struggles. Offering individual sessions, I will walk alongside you to create and meet goals that promote healing and living life on your terms.
Immediate openings for weekends and evenings for individuals, relationship, and teens! When life gets hectic and feels uncontrollable, it’s helpful to have a safe, grounding space to process. I’m committed to fostering a nonjudgmental and empathetic environment for individuals to explore their feelings and process through their struggles. Offering individual sessions, I will walk alongside you to create and meet goals that promote healing and living life on your terms.
(806) 557-3430 View (806) 557-3430
Photo of Alice Deeds, Licensed Professional Counselor, LPC
Alice Deeds
Licensed Professional Counselor, LPC
2 Endorsed
Amarillo, TX 79118
My primary therapeutic focus is to help children, adults, and families work through problems to achieve their goals and succeed. I work with adults with ADD, ADHD, trauma, depression, anxiety, grief and loss, divorce, self-harm, behavioral issues, school trouble, learning disabilities, and adjustment problems.
My primary therapeutic focus is to help children, adults, and families work through problems to achieve their goals and succeed. I work with adults with ADD, ADHD, trauma, depression, anxiety, grief and loss, divorce, self-harm, behavioral issues, school trouble, learning disabilities, and adjustment problems.
(806) 301-8992 View (806) 301-8992
Photo of Hannah Barrow, MEd, LPC
Hannah Barrow
Verified Verified
Canyon, TX 79015
I am a licensed professional counselor , and I'm also a certified school counselor. I offer services, to children, teens, and adults. I also do marriage counseling, trauma ,depression, anxiety, and grief and loss. My goal is to work with you through your problems so you can be successful. I believe mental health is very important in all ages. I have over twenty years in the counseling field working with various ages, and I truly believe mental health is key in all parts of life. My desire is for the stigma that gets attached to mental health goes away, and people seek out help no matter how big or small their issue is.
I am a licensed professional counselor , and I'm also a certified school counselor. I offer services, to children, teens, and adults. I also do marriage counseling, trauma ,depression, anxiety, and grief and loss. My goal is to work with you through your problems so you can be successful. I believe mental health is very important in all ages. I have over twenty years in the counseling field working with various ages, and I truly believe mental health is key in all parts of life. My desire is for the stigma that gets attached to mental health goes away, and people seek out help no matter how big or small their issue is.
(806) 216-3379 View (806) 216-3379
Photo of Rhonda Hoover - Rhonda Hoover, LPC-A @ Evolve Psychiatry, Licensed Professional Counselor Associate, MS, LPC-A, LCDC
Rhonda Hoover, LPC-A @ Evolve Psychiatry
Licensed Professional Counselor Associate, MS, LPC-A, LCDC
Serves Area
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
(940) 748-1365 View (940) 748-1365
Photo of Mary S Strong, Licensed Professional Counselor, L, P, C, RPT, CAS
Mary S Strong
Licensed Professional Counselor, L, P, C, RPT, CAS
Amarillo, TX 79106
I am a Licensed Professional Counselor with a Certification in Play Therapy. The full intent of my service is to provide a comfortable partnership in creating a joyful, empowering, and healing experience in the lives of children, adolescence, and adults. In these trying times where we all have feelings of overwhelming anxiety and frustration. The client that I believe would be ideal would need empathy, genuineness, and unconditional positive regard. A client who needs someone a therapist that cares about their well-being and is willing to take this journey with them even when it seems too hard to do.
I am a Licensed Professional Counselor with a Certification in Play Therapy. The full intent of my service is to provide a comfortable partnership in creating a joyful, empowering, and healing experience in the lives of children, adolescence, and adults. In these trying times where we all have feelings of overwhelming anxiety and frustration. The client that I believe would be ideal would need empathy, genuineness, and unconditional positive regard. A client who needs someone a therapist that cares about their well-being and is willing to take this journey with them even when it seems too hard to do.
(318) 310-4107 View (318) 310-4107
Photo of Josie Shrader, Licensed Professional Counselor, MA, LPC, LMHC
Josie Shrader
Licensed Professional Counselor, MA, LPC, LMHC
Amarillo, TX 79109
Philosopher Lao Tzu said “a journey of a thousand miles begins with a single step.” I commend you on taking that step. You have shown a lot of courage searching for someone to help you on your journey. Maybe you feel like you have already tried everything, but there are other paths to be explored. Together we can find "you" again, and move forward. No one needs to be "fixed". What is needed are new skills to help cope with life's challenges. If you are uncertain about your needs, please call/email me. Together we can discuss options and next steps.
Philosopher Lao Tzu said “a journey of a thousand miles begins with a single step.” I commend you on taking that step. You have shown a lot of courage searching for someone to help you on your journey. Maybe you feel like you have already tried everything, but there are other paths to be explored. Together we can find "you" again, and move forward. No one needs to be "fixed". What is needed are new skills to help cope with life's challenges. If you are uncertain about your needs, please call/email me. Together we can discuss options and next steps.
(806) 491-1947 View (806) 491-1947
Photo of Dr. Timothy Allan Mouw, Licensed Professional Counselor, PhD, LPC
Dr. Timothy Allan Mouw
Licensed Professional Counselor, PhD, LPC
Amarillo, TX 79101
I believe in the resilience of the human spirit. Life brings many hardships and challenges, and it brings us opportunities to learn and grow. I have worked with many people who battle anxiety and depression, and still others working to move past traumatic experiences or addictions. Whatever circumstance you may be facing, there is hope! I believe that people in need of positive change desire an element of self-efficacy and control over the areas of their life that can indeed be brought under their power. This sense of control then contributes to better relationships, health, attitudes, and a more positive life!
I believe in the resilience of the human spirit. Life brings many hardships and challenges, and it brings us opportunities to learn and grow. I have worked with many people who battle anxiety and depression, and still others working to move past traumatic experiences or addictions. Whatever circumstance you may be facing, there is hope! I believe that people in need of positive change desire an element of self-efficacy and control over the areas of their life that can indeed be brought under their power. This sense of control then contributes to better relationships, health, attitudes, and a more positive life!
(806) 602-2947 View (806) 602-2947
Photo of Robert Butler, Licensed Professional Counselor Associate, MBA, MA, LPC-A
Robert Butler
Licensed Professional Counselor Associate, MBA, MA, LPC-A
1 Endorsed
Amarillo, TX 79106
There are times when life has its ups, but there are certainly times when it has its downs. Some of these downs may look like marriage issues, depression, anxiety, trauma, or grief. During these times it may feel like the world may be pressing in on you, and you don't feel like yourself. You desire to regain some sense of normalcy. You hope to feel connected again. You aspire to feel like yourself again.
There are times when life has its ups, but there are certainly times when it has its downs. Some of these downs may look like marriage issues, depression, anxiety, trauma, or grief. During these times it may feel like the world may be pressing in on you, and you don't feel like yourself. You desire to regain some sense of normalcy. You hope to feel connected again. You aspire to feel like yourself again.
(806) 545-9714 View (806) 545-9714
Photo of Tim Enevoldsen, Licensed Professional Counselor, MEd, , LPC-S, LMFT
Tim Enevoldsen
Licensed Professional Counselor, MEd, , LPC-S, LMFT
Amarillo, TX 79106
I have been in the mental health field for over 36 years and have a wide variety of experience. I help all kinds of clients both young and old and offer a wide variety of services. My youngest client to date is 6 months old and oldest was 82. I work with local doctors in assessing clients who are in need of medications for their psychological problems. I have extensive experience in working with people and their traumas, anxiety, depression, ADHD, parenting, relationship issues, etc. I have worked in many different settings both here in Texas and on the other side of the world in Iraq where I worked as a EAP counselor.
I have been in the mental health field for over 36 years and have a wide variety of experience. I help all kinds of clients both young and old and offer a wide variety of services. My youngest client to date is 6 months old and oldest was 82. I work with local doctors in assessing clients who are in need of medications for their psychological problems. I have extensive experience in working with people and their traumas, anxiety, depression, ADHD, parenting, relationship issues, etc. I have worked in many different settings both here in Texas and on the other side of the world in Iraq where I worked as a EAP counselor.
(806) 878-9930 View (806) 878-9930
Photo of Justin C Ford, Licensed Professional Counselor, MA, LPC
Justin C Ford
Licensed Professional Counselor, MA, LPC
5 Endorsed
Amarillo, TX 79109
Now accepting Healthscope! Are you struggling with depression, anxiety, memories of a traumatic experience, the end of a relationship, or the loss of a loved one? Does this affect your daily life and relationships? Do you feel discouraged or exhausted from trying to cope every day? Do you wish you could get help to overcome these struggles and improve your life? Now more than ever, people of all ages and backgrounds feel overwhelmed by the emotional burdens they carry. I believe that, no matter the circumstances, people can heal and live better lives.
Now accepting Healthscope! Are you struggling with depression, anxiety, memories of a traumatic experience, the end of a relationship, or the loss of a loved one? Does this affect your daily life and relationships? Do you feel discouraged or exhausted from trying to cope every day? Do you wish you could get help to overcome these struggles and improve your life? Now more than ever, people of all ages and backgrounds feel overwhelmed by the emotional burdens they carry. I believe that, no matter the circumstances, people can heal and live better lives.
(806) 424-4479 View (806) 424-4479

How does your Therapist compare?

Number of Therapists in 79111

< 10

Therapists in 79111 who prioritize treating:

100% Anxiety
75% Relationship Issues
75% Depression
75% Trauma and PTSD
75% Bipolar Disorder
75% Behavioral Issues
75% Stress

Average years in practice

18 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% UnitedHealthcare UHC | UBH

How Therapists in 79111 see their clients

100% In Person and Online

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 79111?

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.