Therapists in 94301

Photo of Kathlynn Gates, Associate Clinical Social Worker, ASW
Kathlynn Gates
Associate Clinical Social Worker, ASW
Online Only
Are you experiencing challenges dealing with anxiety, depression, relationship/family issues, and trauma/PTSD? Due to these symptoms, we can be in too much emotional pain and feel too stuck to reframe our perceptions or to find solutions to our problems. Childhood or recent trauma can cause emotional distress that can be difficult to process. I am here to support you in working through unresolved trauma and guide you toward healing. Therefore, you can feel empowered, rejuvenated, and enthusiastic about life again.
Are you experiencing challenges dealing with anxiety, depression, relationship/family issues, and trauma/PTSD? Due to these symptoms, we can be in too much emotional pain and feel too stuck to reframe our perceptions or to find solutions to our problems. Childhood or recent trauma can cause emotional distress that can be difficult to process. I am here to support you in working through unresolved trauma and guide you toward healing. Therefore, you can feel empowered, rejuvenated, and enthusiastic about life again.
(650) 663-3575 View (650) 663-3575
Photo of Ann DeWitt, Marriage & Family Therapist, LMFT
Ann DeWitt
Marriage & Family Therapist, LMFT
Online Only
Experience passion in your marriage and fun in your family. I work with individuals and couples who have hit a snag in an otherwise wonderful life.
Experience passion in your marriage and fun in your family. I work with individuals and couples who have hit a snag in an otherwise wonderful life.
(650) 502-6721 View (650) 502-6721
Photo of Wynn Anderson, Marriage & Family Therapist, MA, LMFT
Wynn Anderson
Marriage & Family Therapist, MA, LMFT
Palo Alto, CA 94301
Are you thinking about making a change or have you found yourself in the midst of an unexpected challenge? I specialize in working with people navigating life transitions, struggling with anxiety, depression, experiencing sleep problems, relationship difficulties, school issues or managing ADHD. I help my clients uncover core issues and build the skills to succeed in the long-term. As a licensed psychotherapist with experience in counseling across the lifespan, I employ a warm, compassionate client-centered approach. Additionally, I have advanced training from the University of Pennsylvania in behavioral sleep medicine and CBT-I.
Are you thinking about making a change or have you found yourself in the midst of an unexpected challenge? I specialize in working with people navigating life transitions, struggling with anxiety, depression, experiencing sleep problems, relationship difficulties, school issues or managing ADHD. I help my clients uncover core issues and build the skills to succeed in the long-term. As a licensed psychotherapist with experience in counseling across the lifespan, I employ a warm, compassionate client-centered approach. Additionally, I have advanced training from the University of Pennsylvania in behavioral sleep medicine and CBT-I.
(650) 681-0821 View (650) 681-0821
Photo of Alexa Enyart, Marriage & Family Therapist Associate, AMFT
Alexa Enyart
Marriage & Family Therapist Associate, AMFT
Online Only
Do you feel as though your anxiety and depression are unmanageable? How about feelings of sadness, hopelessness, or helplessness like you’ve hit rock bottom and are struggling to find hope for tomorrow? Once we start to unravel the details of our past and trauma we give ourselves the ability to process feelings that we have long suppressed. I aim to collaborate with you and provide tools to decrease the challenging feelings you are currently facing and achieve a more integrated and balanced sense of self, leading to emotional healing and personal growth.
Do you feel as though your anxiety and depression are unmanageable? How about feelings of sadness, hopelessness, or helplessness like you’ve hit rock bottom and are struggling to find hope for tomorrow? Once we start to unravel the details of our past and trauma we give ourselves the ability to process feelings that we have long suppressed. I aim to collaborate with you and provide tools to decrease the challenging feelings you are currently facing and achieve a more integrated and balanced sense of self, leading to emotional healing and personal growth.
(650) 910-4282 View (650) 910-4282
Photo of Eleuterio Mendoza - Thriveworks Counseling & Psychiatry Palo Alto, Psychologist
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.
(650) 502-6410 View (650) 502-6410
Photo of Ellen Russin, Clinical Social Work/Therapist, LCSW
Ellen Russin
Clinical Social Work/Therapist, LCSW
Palo Alto, CA 94301
I have been a psychotherapist for adults and adolescents for over 20 years. People come to me to deal with painful feelings and difficulties in living, and to improve their sense of well-being. Many of the clients I see have relationship issues, depression, anxiety or low self-esteem. Living in Silicon Valley brings its own set of problems, which I am particularly interested in. Some people are unclear what troubles them, but are unhappy with their lives.
I have been a psychotherapist for adults and adolescents for over 20 years. People come to me to deal with painful feelings and difficulties in living, and to improve their sense of well-being. Many of the clients I see have relationship issues, depression, anxiety or low self-esteem. Living in Silicon Valley brings its own set of problems, which I am particularly interested in. Some people are unclear what troubles them, but are unhappy with their lives.
(415) 800-4094 View (415) 800-4094
Photo of Geetanjali Vij - TheraWin Health, Licensed Professional Clinical Counselor , LPCC
TheraWin Health
Licensed Professional Clinical Counselor , LPCC
Online Only
Adapting to a new culture while preserving your identity can be overwhelming. We understand the isolation, dealing with language barriers, and confusion you might feel. At TheraWin, we provide that balance between honoring your roots and embracing your new life, all while helping you manage the everyday stresses and potential traumas that come with such a significant life change. We're here to help you not just survive, but thrive - building meaningful relationships, achieving your dreams, and finding peace amidst the challenges of your new life. Book your FREE Consult Today: bit.ly/3Zq7ZeW
Adapting to a new culture while preserving your identity can be overwhelming. We understand the isolation, dealing with language barriers, and confusion you might feel. At TheraWin, we provide that balance between honoring your roots and embracing your new life, all while helping you manage the everyday stresses and potential traumas that come with such a significant life change. We're here to help you not just survive, but thrive - building meaningful relationships, achieving your dreams, and finding peace amidst the challenges of your new life. Book your FREE Consult Today: bit.ly/3Zq7ZeW
(650) 456-9242 View (650) 456-9242
Photo of Chantal Daley, Marriage & Family Therapist, LMFT
Chantal Daley
Marriage & Family Therapist, LMFT
Online Only
Do you find yourself having a difficult time coping with anxiety, depression, and trauma? Do you have a hard time communicating and setting boundaries with others? Life is full of obstacles and hardships that may be difficult to overcome without the right tools, resources, and, guidance leading to the manifestation of these symptoms. I specialize in working with adults, couples, and adolescents using a Psychodynamic approach to explore unconscious thoughts and behaviors. In doing this, we are able to collaboratively recognize old ineffective patterns and process unresolved feelings and trauma.
Do you find yourself having a difficult time coping with anxiety, depression, and trauma? Do you have a hard time communicating and setting boundaries with others? Life is full of obstacles and hardships that may be difficult to overcome without the right tools, resources, and, guidance leading to the manifestation of these symptoms. I specialize in working with adults, couples, and adolescents using a Psychodynamic approach to explore unconscious thoughts and behaviors. In doing this, we are able to collaboratively recognize old ineffective patterns and process unresolved feelings and trauma.
(650) 405-0267 View (650) 405-0267
Photo of Barbara Green, Clinical Social Work/Therapist, LCSW, MSW
Barbara Green
Clinical Social Work/Therapist, LCSW, MSW
Palo Alto, CA 94301
I work best with individuals and couples who are interested in understanding how they got stuck and who want to develop skills and insights to move forward. Everyone gets stuck in their life or relationships at times. Perhaps there is job stress, a new baby, a divorce or break up, sexual/intimacy problems or a last child leaving home. Sometimes we know we are distressed but don't really know why. I strive to create a safe and accepting atmosphere in my office that enables people to be less reactive and more thoughtful and creative in addressing their conflicts.
I work best with individuals and couples who are interested in understanding how they got stuck and who want to develop skills and insights to move forward. Everyone gets stuck in their life or relationships at times. Perhaps there is job stress, a new baby, a divorce or break up, sexual/intimacy problems or a last child leaving home. Sometimes we know we are distressed but don't really know why. I strive to create a safe and accepting atmosphere in my office that enables people to be less reactive and more thoughtful and creative in addressing their conflicts.
(312) 818-5548 View (312) 818-5548
Photo of Sarah Polidor, Licensed Master Social Worker, LMSW, ASW
Sarah Polidor
Licensed Master Social Worker, LMSW, ASW
1 Endorsed
Palo Alto, CA 94301
I understand that finding a therapist you connect with can be challenging, but discovering someone who genuinely listens and understands you can make a huge difference in your mental health journey. I have made it my life's mission to cultivate an environment where my clients feel heard and supported. One where they look forward to our weekly sessions and knowing that I am firmly in their corner as they sit across from me on the couch. From working with adolescents and young adults in New York City to working with adults in crisis in Washington State, my dedication to each individual has remained unwavering.
I understand that finding a therapist you connect with can be challenging, but discovering someone who genuinely listens and understands you can make a huge difference in your mental health journey. I have made it my life's mission to cultivate an environment where my clients feel heard and supported. One where they look forward to our weekly sessions and knowing that I am firmly in their corner as they sit across from me on the couch. From working with adolescents and young adults in New York City to working with adults in crisis in Washington State, my dedication to each individual has remained unwavering.
(650) 547-0848 View (650) 547-0848
Photo of Tayler Lim-Mosier, LPCC
Tayler Lim-Mosier
Verified Verified
Palo Alto, CA 94301
Having walked a long way on my own healing journey, I understand the value of learning from painful experiences with compassion for self and others. Transitioning into adulthood can be an amazing, complex, and lonely experience, full of ups and downs. Maybe you are questioning your life paths, searching for community, feeling lost, experiencing the effects of trauma, or trying to figure out how to exist in this wildly complicated world. Whatever you are experiencing, please know that you do not have to go through it alone.
Having walked a long way on my own healing journey, I understand the value of learning from painful experiences with compassion for self and others. Transitioning into adulthood can be an amazing, complex, and lonely experience, full of ups and downs. Maybe you are questioning your life paths, searching for community, feeling lost, experiencing the effects of trauma, or trying to figure out how to exist in this wildly complicated world. Whatever you are experiencing, please know that you do not have to go through it alone.
(650) 870-2812 View (650) 870-2812
Photo of Shelly Sarig Nadav, Marriage & Family Therapist, MA, MS, LMFT
Shelly Sarig Nadav
Marriage & Family Therapist, MA, MS, LMFT
Palo Alto, CA 94301
I'm a licensed psychotherapist experienced in working with individuals of all ages, as well as couples, and families. I also provide parent guidance to assist parents in promoting their child's well being and improve family communication. I see my role as helping people recognize underlying core issues and blind spots that may be preventing them from achieving a sense of peace and fulfillment. Learning new ways of coping, and of relating to self and others, can further improve confidence and vitality, as well as the capacity to engage in satisfying personal and professional relationships.
I'm a licensed psychotherapist experienced in working with individuals of all ages, as well as couples, and families. I also provide parent guidance to assist parents in promoting their child's well being and improve family communication. I see my role as helping people recognize underlying core issues and blind spots that may be preventing them from achieving a sense of peace and fulfillment. Learning new ways of coping, and of relating to self and others, can further improve confidence and vitality, as well as the capacity to engage in satisfying personal and professional relationships.
(650) 546-7883 View (650) 546-7883
Photo of Emily Peltason, Marriage & Family Therapist, MA, LMFT
Emily Peltason
Marriage & Family Therapist, MA, LMFT
Online Only
Waitlist for new clients
Wherever you find yourself right now, I am here to support you in your journey to connect with yourself or others, gain understanding, experience relief, and, ultimately, build a more satisfying life. Whether you are struggling with depression, anxiety, or feelings of being stuck, therapy presents an opportunity to shift your experience and grow your capacity for change. Effective therapy produces relief from suffering, but not only that: it is also makes way for a new sense of freedom to emerge, rendering once unthinkable choices or ways of being in the world newly within reach.
Wherever you find yourself right now, I am here to support you in your journey to connect with yourself or others, gain understanding, experience relief, and, ultimately, build a more satisfying life. Whether you are struggling with depression, anxiety, or feelings of being stuck, therapy presents an opportunity to shift your experience and grow your capacity for change. Effective therapy produces relief from suffering, but not only that: it is also makes way for a new sense of freedom to emerge, rendering once unthinkable choices or ways of being in the world newly within reach.
(650) 262-3992 View (650) 262-3992
Photo of Beth O'Malley, Marriage & Family Therapist, MA, LMFT
Beth O'Malley
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Palo Alto, CA 94301
Wouldn't it be nice to become clear about how you want to live your life? The dynamic process of a patient and therapist working together so that troubling thoughts and feelings, unrealized dreams and hidden fears can emerge in the therapy session strengthens the ability to grow in meaningful ways, and in intimate relationships. Working with the concept of how individuals balance both the need for autonomy and the need for connection, I will help you sort out how to relate and hold on to yourself.
Wouldn't it be nice to become clear about how you want to live your life? The dynamic process of a patient and therapist working together so that troubling thoughts and feelings, unrealized dreams and hidden fears can emerge in the therapy session strengthens the ability to grow in meaningful ways, and in intimate relationships. Working with the concept of how individuals balance both the need for autonomy and the need for connection, I will help you sort out how to relate and hold on to yourself.
(650) 262-5681 View (650) 262-5681
Photo of Jane Loya Ryan, PhD, MS
Jane Loya Ryan
Verified Verified
Palo Alto, CA 94301
Clients seek me out to become outstanding leaders in a dynamic world. They want a trusted guide to elevate their lives and leadership. Today's world reshapes our thinking, emotions, actions, resilience, and triumphs. Upholding integrity, values, and purpose amid shifting priorities is demanding. Emotional intelligence unlocks your full potential, fostering thriving, not just surviving. As your coach, I support you in conquering unique challenges, realizing your vision, and reaching your goals, empowering you to adapt, evolve, and lead exceptionally.
Clients seek me out to become outstanding leaders in a dynamic world. They want a trusted guide to elevate their lives and leadership. Today's world reshapes our thinking, emotions, actions, resilience, and triumphs. Upholding integrity, values, and purpose amid shifting priorities is demanding. Emotional intelligence unlocks your full potential, fostering thriving, not just surviving. As your coach, I support you in conquering unique challenges, realizing your vision, and reaching your goals, empowering you to adapt, evolve, and lead exceptionally.
(650) 675-2823 View (650) 675-2823
Photo of Zainab Waheed, Pre-Licensed Professional, EMDR, IFS
Zainab Waheed
Pre-Licensed Professional, EMDR, IFS
Online Only
Do you find yourself feeling anxious, depressed, angry, and overwhelmed? Do you continue to repeat the same patterns of being in unhealthy relationships, engaging in harmful behaviors that are not serving you in a good way, and continuously trying to find a way to numb the pain? I am a process-oriented and trauma-informed therapist who meets clients where they are at. I draw from the psychodynamic approach focusing on bringing the unconscious to the conscious to get to the root of the issue and explore defense mechanisms that have been adapted along the way.
Do you find yourself feeling anxious, depressed, angry, and overwhelmed? Do you continue to repeat the same patterns of being in unhealthy relationships, engaging in harmful behaviors that are not serving you in a good way, and continuously trying to find a way to numb the pain? I am a process-oriented and trauma-informed therapist who meets clients where they are at. I draw from the psychodynamic approach focusing on bringing the unconscious to the conscious to get to the root of the issue and explore defense mechanisms that have been adapted along the way.
(650) 955-1505 View (650) 955-1505
Photo of Brenda Brownlow, Psychologist, PhD
Brenda Brownlow
Psychologist, PhD
Palo Alto, CA 94301
Everyone experiences difficult times and I focus on hope and change. I am a licensed psychologist with 20+ years of experience, including working at Stanford University before entering private practice. I take an integrative approach, analyzing each client individually then using the best techniques and skills from cognitive behavioral, DBT, emotion regulation and interpersonal orientations. I am active in the change process and will actively engage you in introspection and change. I believe in warmth, honesty, and collaboration in the process.
Everyone experiences difficult times and I focus on hope and change. I am a licensed psychologist with 20+ years of experience, including working at Stanford University before entering private practice. I take an integrative approach, analyzing each client individually then using the best techniques and skills from cognitive behavioral, DBT, emotion regulation and interpersonal orientations. I am active in the change process and will actively engage you in introspection and change. I believe in warmth, honesty, and collaboration in the process.
(650) 843-9506 View (650) 843-9506
Photo of Dr. Marlina Rose Selva, Marriage & Family Therapist, PsyD, LMFT
Dr. Marlina Rose Selva
Marriage & Family Therapist, PsyD, LMFT
4 Endorsed
Online Only
I work with foster/adopted children and their families, as well as individuals and couples seeking counseling. I help families work through difficulties including depression, anxiety, trauma, school adjustment, attachment, and family conflict. My passion for working with families dates back to my undergraduate training in psychology at UCLA. I have worked extensivley with children, adolescents, and parents on overcoming obstacles related to cognitive, social and emotional needs. Upon special request, I provide in-home therapy services in the Bay Area.
I work with foster/adopted children and their families, as well as individuals and couples seeking counseling. I help families work through difficulties including depression, anxiety, trauma, school adjustment, attachment, and family conflict. My passion for working with families dates back to my undergraduate training in psychology at UCLA. I have worked extensivley with children, adolescents, and parents on overcoming obstacles related to cognitive, social and emotional needs. Upon special request, I provide in-home therapy services in the Bay Area.
(650) 899-8509 View (650) 899-8509
Photo of Mary Ellen Lemieux - Mary Ellen Lemieux, JD, LCSW, Clinical Social Work/Therapist, JD, LCSW
Mary Ellen Lemieux, JD, LCSW
Clinical Social Work/Therapist, JD, LCSW
Palo Alto, CA 94301
I enjoy working with adults and families who desire change, but aren't sure how to make it happen. For some, it means a change in relationship dynamics or parenting style. For others, it means collaborating on complicated life issues, such as difficult teenagers, substance abuse, or co-parenting. If you are looking to leave a long marriage, I can help you navigate that process. I also enjoy working with individuals in their 20's and 30's trying to figure out this thing called adulting. I split my time between Steamboat Springs,CO and northern California, and am licensed to see clients in California, Colorado and Utah.
I enjoy working with adults and families who desire change, but aren't sure how to make it happen. For some, it means a change in relationship dynamics or parenting style. For others, it means collaborating on complicated life issues, such as difficult teenagers, substance abuse, or co-parenting. If you are looking to leave a long marriage, I can help you navigate that process. I also enjoy working with individuals in their 20's and 30's trying to figure out this thing called adulting. I split my time between Steamboat Springs,CO and northern California, and am licensed to see clients in California, Colorado and Utah.
(650) 899-4458 View (650) 899-4458
Photo of Catherine Nelson, Marriage & Family Therapist, MFT
Catherine Nelson
Marriage & Family Therapist, MFT
Palo Alto, CA 94301
My ideal client is someone who suffers from Trauma and who has chronic depression and/or chronic anxiety. This person may also have some physical issues that point to areas of concern in the therapy. Everyone needs to feel safe, respected and to have their feelings validated. They may want to feel better but afraid of what therapy might uncover. They may also need to go more slowly in therapy. Reaching out for therapy expresses a hope that they can feel better.
My ideal client is someone who suffers from Trauma and who has chronic depression and/or chronic anxiety. This person may also have some physical issues that point to areas of concern in the therapy. Everyone needs to feel safe, respected and to have their feelings validated. They may want to feel better but afraid of what therapy might uncover. They may also need to go more slowly in therapy. Reaching out for therapy expresses a hope that they can feel better.
(650) 899-7224 View (650) 899-7224

See more therapy options for 94301

How does your Therapist compare?

Number of Therapists in 94301

600+

Average cost per session

$200

Therapists in 94301 who prioritize treating:

93% Anxiety
85% Depression
80% Relationship Issues
73% Self Esteem
67% Stress
67% Life Transitions
63% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

73% Aetna
60% Cigna and Evernorth
58% UnitedHealthcare UHC | UBH

How Therapists in 94301 see their clients

50% Online Only
50% In Person and Online

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 94301?

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.