Therapists in 80111

Photo of Dr. Jacob R. Confer, Psychologist in 80111, CO
Dr. Jacob R. Confer
Psychologist, PsyD
Verified Verified
Centennial, CO 80111
I am a licensed clinical psychologist and psychoanalyst with over a decade of experience providing psychotherapy to younger and older adults. I have worked at length with individuals struggling with phase of life issues, occupational problems, identity and relationship problems, depression, and anxiety. I have also worked with high performance professionals and executives experiencing burnout and other professional problems. My goal is to help people develop insight into the thoughts, feelings, conflicts, and relational patterns underlying the difficulties they are faced with.
I am a licensed clinical psychologist and psychoanalyst with over a decade of experience providing psychotherapy to younger and older adults. I have worked at length with individuals struggling with phase of life issues, occupational problems, identity and relationship problems, depression, and anxiety. I have also worked with high performance professionals and executives experiencing burnout and other professional problems. My goal is to help people develop insight into the thoughts, feelings, conflicts, and relational patterns underlying the difficulties they are faced with.
(720) 619-2602 View (720) 619-2602
Photo of Annette Nunez, Marriage & Family Therapist in 80111, CO
Annette Nunez
Marriage & Family Therapist, PhD, LMFT, KAP
Verified Verified
Centennial, CO 80111
Hello! I am a family and marriage therapist licensed in Colorado with over 28 years of experience working as a psychotherapist and NOW offering Ketamine Assisted Psychotherapy. I have worked with clients with a wide range of concerns including but not limited to anxiety, depression, grief, women's issues and coping with life transitions. My primary focus is to provide effective therapy to women who are going through life changes and struggle with self-esteem, stress, motivation, and confidence. Through CBT techniques I help my clients discover their self-worth and teach the importance of self-compassion, self-care, and self-love.
Hello! I am a family and marriage therapist licensed in Colorado with over 28 years of experience working as a psychotherapist and NOW offering Ketamine Assisted Psychotherapy. I have worked with clients with a wide range of concerns including but not limited to anxiety, depression, grief, women's issues and coping with life transitions. My primary focus is to provide effective therapy to women who are going through life changes and struggle with self-esteem, stress, motivation, and confidence. Through CBT techniques I help my clients discover their self-worth and teach the importance of self-compassion, self-care, and self-love.
(720) 734-6323 View (720) 734-6323
Photo of Wendy Krueger, Clinical Social Work/Therapist in 80111, CO
Wendy Krueger
Clinical Social Work/Therapist, MSW, LSW, LCSW-C
Verified Verified
Through my 15 years of social work practice, I have honed my skills to support those facing grief, depression, anxiety and transitional life issues. I work in collaboration with my clients to set goals and focus on strengths Utilizing a full-faceted approach, I consider emotional, physical, mental and spiritual factors when strategizing solutions.
Through my 15 years of social work practice, I have honed my skills to support those facing grief, depression, anxiety and transitional life issues. I work in collaboration with my clients to set goals and focus on strengths Utilizing a full-faceted approach, I consider emotional, physical, mental and spiritual factors when strategizing solutions.
(833) 956-8436 View (833) 956-8436
Photo of Jordan Gonzales, Licensed Professional Counselor Candidate in 80111, CO
Jordan Gonzales
Licensed Professional Counselor Candidate, LPC, ADDC
Verified Verified
Jordan has been practicing counseling since 2016, and has experience in community, non-profit, and private practice settings. She’s worked with teens and adults who have experienced trauma, life transitions, self-esteem concerns, depression and anxiety. Jordan is passionate about providing a safe space for clients to express and understand themselves. She uses a client-centered approach, along with expressive arts, CBT and solution-focused therapy to help clients reach their goals. Her approach is playful, creative, and empowering. She also has experience providing therapeutic support for members of the LBGTQIA+ community.
Jordan has been practicing counseling since 2016, and has experience in community, non-profit, and private practice settings. She’s worked with teens and adults who have experienced trauma, life transitions, self-esteem concerns, depression and anxiety. Jordan is passionate about providing a safe space for clients to express and understand themselves. She uses a client-centered approach, along with expressive arts, CBT and solution-focused therapy to help clients reach their goals. Her approach is playful, creative, and empowering. She also has experience providing therapeutic support for members of the LBGTQIA+ community.
(720) 928-9332 View (720) 928-9332
Photo of Carol S Hollifield-Webster, Licensed Professional Counselor in 80111, CO
Carol S Hollifield-Webster
Licensed Professional Counselor, LPC, DNM
Verified Verified
I am a seasoned therapist with 20 plus years' experience in the mental health and wellness field. I incorporate integrative psychotherapy, with natural and bioenergetic medicine to create a whole person wellness approach. My experience as well as years of scientific research have shown that emotional wellness and physical wellness, mental health and physical health, are interdependent and need to be addressed concurrently for maximum health and wellness benefit. Together, we address the mental, emotional and physical imbalances or upsets that are causing concerns and stresses.
I am a seasoned therapist with 20 plus years' experience in the mental health and wellness field. I incorporate integrative psychotherapy, with natural and bioenergetic medicine to create a whole person wellness approach. My experience as well as years of scientific research have shown that emotional wellness and physical wellness, mental health and physical health, are interdependent and need to be addressed concurrently for maximum health and wellness benefit. Together, we address the mental, emotional and physical imbalances or upsets that are causing concerns and stresses.
(303) 951-3724 View (303) 951-3724
Photo of RNR Life Solutions, Licensed Professional Counselor in 80111, CO
RNR Life Solutions
Licensed Professional Counselor, MA, LPC
Verified Verified
Waitlist for new clients
The human experience can be a complicated journey of great joys and challenges. It is not uncommon for us to feel lost or unsettled during highs and lows. My great passion is to bring a healing perspective to your unique experience. For more than a decade, I have worked with an array of psychological issues. Some of my experience surrounds issues with relationships, work-life balance, anxiety, depression and alcohol/drugs. My clients are from all walks of life, seeking healthy perceptions of themselves or support to work through tough situations.
The human experience can be a complicated journey of great joys and challenges. It is not uncommon for us to feel lost or unsettled during highs and lows. My great passion is to bring a healing perspective to your unique experience. For more than a decade, I have worked with an array of psychological issues. Some of my experience surrounds issues with relationships, work-life balance, anxiety, depression and alcohol/drugs. My clients are from all walks of life, seeking healthy perceptions of themselves or support to work through tough situations.
(720) 663-8632 View (720) 663-8632
Photo of Tiffany Van Deren, Licensed Professional Counselor in 80111, CO
Tiffany Van Deren
Licensed Professional Counselor, LPC
Verified Verified
Individuals, Couples and Families. True happiness and personal stability stems from the quality of our significant relationships! I work from a systemic or relational orientation as well as a strength-based & solution-focused perspective. My emphasis is on an individual's strengths and untapped potential while addressing their current daily challenges. I enjoy helping others identify their core values & redefining purpose in life that's relevant and relational. I believe in a holistic approach to the therapeutic process that incorporates psychological, social, and spiritual dimensions. I look forward to working with you to achieve your goals.
Individuals, Couples and Families. True happiness and personal stability stems from the quality of our significant relationships! I work from a systemic or relational orientation as well as a strength-based & solution-focused perspective. My emphasis is on an individual's strengths and untapped potential while addressing their current daily challenges. I enjoy helping others identify their core values & redefining purpose in life that's relevant and relational. I believe in a holistic approach to the therapeutic process that incorporates psychological, social, and spiritual dimensions. I look forward to working with you to achieve your goals.
(303) 816-8183 View (303) 816-8183
Photo of Danica Hungerford, Counselor in 80111, CO
Danica Hungerford
Counselor, MA, LPC
Verified Verified
Has life not turned out how you thought it would? Have the hopes, dreams, and unfulfilled expectations left you feeling empty, stuck, or with no sense of purpose or direction? Depression, anxiety, grief and loss, or questions about identity, faith, or purpose can leave us feeling paralyzed and without hope. I have experienced many of these problems in my own life and know how daunting it can be to seek help. If this is your situation, know that you have found someone who is willing to listen, care, and help you work through what has been weighing you down so that you can live a more meaningful life.
Has life not turned out how you thought it would? Have the hopes, dreams, and unfulfilled expectations left you feeling empty, stuck, or with no sense of purpose or direction? Depression, anxiety, grief and loss, or questions about identity, faith, or purpose can leave us feeling paralyzed and without hope. I have experienced many of these problems in my own life and know how daunting it can be to seek help. If this is your situation, know that you have found someone who is willing to listen, care, and help you work through what has been weighing you down so that you can live a more meaningful life.
(303) 578-3845 View (303) 578-3845
Photo of Mary Sullivan, Licensed Professional Counselor in 80111, CO
Mary Sullivan
Licensed Professional Counselor, LPC, MA
Verified Verified
1 Endorsed
My goal is to work with clients to overcome barriers that are keeping them from living the life they want to live. I work with the understanding that each client brings something different to the table. With cognitive behavioral therapy integrated with a psychoanalytic approach, I am able to meet clients where they are and works with them to achieve their goals.
My goal is to work with clients to overcome barriers that are keeping them from living the life they want to live. I work with the understanding that each client brings something different to the table. With cognitive behavioral therapy integrated with a psychoanalytic approach, I am able to meet clients where they are and works with them to achieve their goals.
(720) 702-1757 View (720) 702-1757
Photo of Kathleen Shook, Licensed Professional Counselor in 80111, CO
Kathleen Shook
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Englewood, CO 80111
IFS Therapy - You are here because you are hurting and searching. Searching for peace, confidence, reassurance, motivation. You keep trying something new only to be let down. You're scared to ask for help, and you're not sure what therapy entails, but I bet if you are here, you are tired of looking. Now what if I told you that you already have what you are looking for inside of you? You may not believe it right now, but what if? What if all you needed was a guide to help you discover an inner sanctuary found within? This is where I can help.
IFS Therapy - You are here because you are hurting and searching. Searching for peace, confidence, reassurance, motivation. You keep trying something new only to be let down. You're scared to ask for help, and you're not sure what therapy entails, but I bet if you are here, you are tired of looking. Now what if I told you that you already have what you are looking for inside of you? You may not believe it right now, but what if? What if all you needed was a guide to help you discover an inner sanctuary found within? This is where I can help.
(720) 776-1336 View (720) 776-1336
Photo of Danica Eilers, Clinical Social Work/Therapist in 80111, CO
Danica Eilers
Clinical Social Work/Therapist, LSW
Verified Verified
2 Endorsed
The Stratford Clinic is accepting new clients In-Person AND/OR via Telehealth! The first step to getting anywhere is deciding that you’re not willing to stay where you are. Struggling to let go of a job, life phase, or relationship? Not sure where to start? That’s okay! Together, we will explore your current way of being and seek to recognize behavioral patterns in an effort to cultivate opportunities for healing and living a more peaceful and fulfilling life. If you are returning to therapy, or this is your first time, we will identify goals and create a therapy plan that draws upon your unique strengths and experiences.
The Stratford Clinic is accepting new clients In-Person AND/OR via Telehealth! The first step to getting anywhere is deciding that you’re not willing to stay where you are. Struggling to let go of a job, life phase, or relationship? Not sure where to start? That’s okay! Together, we will explore your current way of being and seek to recognize behavioral patterns in an effort to cultivate opportunities for healing and living a more peaceful and fulfilling life. If you are returning to therapy, or this is your first time, we will identify goals and create a therapy plan that draws upon your unique strengths and experiences.
(331) 256-2667 View (331) 256-2667
Photo of Marla Bonds, Psychologist in 80111, CO
Marla Bonds
Psychologist, PsyD
Verified Verified
1 Endorsed
Englewood, CO 80111
I am passionate about working with pre-teens, teens and their parents and have enjoyed learning from and with them through my career as a therapist and as a school psychologist. This is a complicated time. Our young people are struggling with a multitude of stressors that lead to their need for additional supports such as therapy to guide them through their meaningful, developing years. I have over 30 years of experience working with young people and families. I started my career as an educator for students with emotional needs which inspired me to pursue a doctorate in clinical psychology.
I am passionate about working with pre-teens, teens and their parents and have enjoyed learning from and with them through my career as a therapist and as a school psychologist. This is a complicated time. Our young people are struggling with a multitude of stressors that lead to their need for additional supports such as therapy to guide them through their meaningful, developing years. I have over 30 years of experience working with young people and families. I started my career as an educator for students with emotional needs which inspired me to pursue a doctorate in clinical psychology.
(844) 291-8953 View (844) 291-8953
Photo of Nick Van Atta, Licensed Professional Counselor Candidate in 80111, CO
Nick Van Atta
Licensed Professional Counselor Candidate , MA, LPCC
Verified Verified
At the outset of life's journey, many carry aspirations to respond eagerly to the call-to-adventure, in order to lead rich and meaningful lives. Yet, along the way, there are plenty of adversities and afflictions that impede one's journey. To boot, in a rapidly changing, shapeshifting world, confusion and disorientation can create difficulty in making sense of one's experiences and seeing a path forward. I consider it my professional mission to help individuals heal from traumatic experiences and other psycho-emotional injuries, and to see them unburdened from the obstacles that hinder their personal growth.
At the outset of life's journey, many carry aspirations to respond eagerly to the call-to-adventure, in order to lead rich and meaningful lives. Yet, along the way, there are plenty of adversities and afflictions that impede one's journey. To boot, in a rapidly changing, shapeshifting world, confusion and disorientation can create difficulty in making sense of one's experiences and seeing a path forward. I consider it my professional mission to help individuals heal from traumatic experiences and other psycho-emotional injuries, and to see them unburdened from the obstacles that hinder their personal growth.
(720) 802-0892 View (720) 802-0892
Photo of Tamara Kiekhaefer, Clinical Social Work/Therapist in 80111, CO
Tamara Kiekhaefer
Clinical Social Work/Therapist, LCSW
Verified Verified
Greenwood Village, CO 80111  (Online Only)
Being in the field of mental health since 1994, I've worked in juvenile halls, in-patient mental health hospitals (adults & adolescents),EAP's. I've facilitated court ordered domestic violence treatment groups for men & women and I've maintained a private practice since 2002. Day, evening and weekend hours available. In addition, I am a certified yoga instructor and offer yoga therapy. Combining mind, body, spirit promotes personal growth.
Being in the field of mental health since 1994, I've worked in juvenile halls, in-patient mental health hospitals (adults & adolescents),EAP's. I've facilitated court ordered domestic violence treatment groups for men & women and I've maintained a private practice since 2002. Day, evening and weekend hours available. In addition, I am a certified yoga instructor and offer yoga therapy. Combining mind, body, spirit promotes personal growth.
(720) 443-2316 View (720) 443-2316
Photo of Courtney Fisher, Licensed Professional Counselor in 80111, CO
Courtney Fisher
Licensed Professional Counselor, LPC
Verified Verified
Centennial, CO 80111
Courtney Fisher, LPC Courtney Fisher is a Licensed Professional Counselor in Colorado who has been practicing since 2020. She has a BA from The Ohio State University and an MA from the University of Northern Colorado. Courtney believes in a treatment philosophy that incorporates CBT, DBT, and is humanistic and eclectic. In her spare time, Courtney enjoys hiking, cycling, knitting, and crocheting.
Courtney Fisher, LPC Courtney Fisher is a Licensed Professional Counselor in Colorado who has been practicing since 2020. She has a BA from The Ohio State University and an MA from the University of Northern Colorado. Courtney believes in a treatment philosophy that incorporates CBT, DBT, and is humanistic and eclectic. In her spare time, Courtney enjoys hiking, cycling, knitting, and crocheting.
(720) 802-6385 View (720) 802-6385
Photo of Sarah Wolf, Licensed Professional Counselor in 80111, CO
Sarah Wolf
Licensed Professional Counselor, LPC
Verified Verified
I work with individuals to help them develop value driven meaningful lives. As a Licensed Professional Counselor (LPC) I help people identify and remove obstacles in their lives and provide them with tools to help them thrive vs. survive in life.
I work with individuals to help them develop value driven meaningful lives. As a Licensed Professional Counselor (LPC) I help people identify and remove obstacles in their lives and provide them with tools to help them thrive vs. survive in life.
(720) 613-5986 View (720) 613-5986
Photo of Denver Psychology, Clinical Social Work/Therapist in 80111, CO
Denver Psychology
Clinical Social Work/Therapist, LCSW
Verified Verified
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(720) 790-7393 View (720) 790-7393
Photo of April Cordova-Williams, Licensed Professional Counselor in 80111, CO
April Cordova-Williams
Licensed Professional Counselor, LPC, NCC, PMH-C
Verified Verified
2 Endorsed
Throughout my training as a therapist there were two phrases that impacted my understanding of the therapy process: "You are the expert on the process and your client is the expert on their story, pain, thoughts, and feelings" & "The client is the key to their own success." With these two phrases I continuously reminded myself that I'm responsible for guiding my clients in the direction(s) that are beneficiary and to collaborate with them throughout the therapeutic process. My training was specifically geared toward individual counseling and addressing various challenges that can occur throughout life.
Throughout my training as a therapist there were two phrases that impacted my understanding of the therapy process: "You are the expert on the process and your client is the expert on their story, pain, thoughts, and feelings" & "The client is the key to their own success." With these two phrases I continuously reminded myself that I'm responsible for guiding my clients in the direction(s) that are beneficiary and to collaborate with them throughout the therapeutic process. My training was specifically geared toward individual counseling and addressing various challenges that can occur throughout life.
(720) 580-6849 x1002 View (720) 580-6849 x1002
Photo of Anna Welle, Clinical Social Work/Therapist in 80111, CO
Anna Welle
Clinical Social Work/Therapist, LCSW
Verified Verified
Waitlist for new clients
Hello all, I am a Licensed Clinical Social Worker, and I enjoy working with school-aged children and their families. In my work, I feel driven to be authentic, intentional and supportive. I have provided therapy within school-based, community-based and outpatient settings. I utilize techniques from trauma-based treatments, cognitive-behavioral therapy and feel there is much value in exploring the systems each client exists within. I value each client and the uniqueness they hold. I work to provide a safe and accepting space that is led by relationship building, a celebration of wins, gentle guidance and healthy goal setting.
Hello all, I am a Licensed Clinical Social Worker, and I enjoy working with school-aged children and their families. In my work, I feel driven to be authentic, intentional and supportive. I have provided therapy within school-based, community-based and outpatient settings. I utilize techniques from trauma-based treatments, cognitive-behavioral therapy and feel there is much value in exploring the systems each client exists within. I value each client and the uniqueness they hold. I work to provide a safe and accepting space that is led by relationship building, a celebration of wins, gentle guidance and healthy goal setting.
(720) 706-9791 View (720) 706-9791
Photo of Cali Babey, Psychologist in 80111, CO
Cali Babey
Psychologist, PsyD
Verified Verified
1 Endorsed
Please note, I will be out of the office 4/17-5/5 and will respond to all inquiries shortly after my return! My work centers around supporting clients in accessing fully embodied living. I particularly enjoy working with adult clients who are navigating life transitions and identity development, individuals in the LGBTQ+ community, as well as folks who would like to know themselves on a deeper level. I am a NARM therapist and provide consultation and supervision for clinicians and I am able to offer in-person services, as well as telehealth services to clients in 39 PsyPACT states.
Please note, I will be out of the office 4/17-5/5 and will respond to all inquiries shortly after my return! My work centers around supporting clients in accessing fully embodied living. I particularly enjoy working with adult clients who are navigating life transitions and identity development, individuals in the LGBTQ+ community, as well as folks who would like to know themselves on a deeper level. I am a NARM therapist and provide consultation and supervision for clinicians and I am able to offer in-person services, as well as telehealth services to clients in 39 PsyPACT states.
(720) 784-5912 View (720) 784-5912

How does your Therapist compare?

Number of Therapists in 80111

500+

Average cost per session

$150

Therapists in 80111 who prioritize treating:

94% Anxiety
88% Depression
79% Relationship Issues
75% Self Esteem
74% Trauma and PTSD
68% Coping Skills
66% Stress

Average years in practice

12 Years

Top 3 insurances accepted

68% Aetna
63% UnitedHealthcare UHC | UBH
58% Cigna and Evernorth

How Therapists in 80111 see their clients

80% In Person and Online
20% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in 80111?

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.