Therapists in 98684

Photo of Melbourne Moran Jr - Wanderlust Therapeutic Services, PLLC, Clinical Social Work/Therapist, LICSW
Wanderlust Therapeutic Services, PLLC
Clinical Social Work/Therapist, LICSW
1 Endorsed
Vancouver, WA 98684
Accepting Clients in our new Vancouver, WA office! Wanderlust is a group practice that offers independently licensed clinicians, conditional licensed professionals, and clinical students that treat a wide array of mental health disorders. Our staff provide individual counseling to children, adolescents and adults. We will work with you to develop a treatment plan that will address your strengths and needs. We accept most major health plans. Each counselor has their own expertise and treatment approach.
Accepting Clients in our new Vancouver, WA office! Wanderlust is a group practice that offers independently licensed clinicians, conditional licensed professionals, and clinical students that treat a wide array of mental health disorders. Our staff provide individual counseling to children, adolescents and adults. We will work with you to develop a treatment plan that will address your strengths and needs. We accept most major health plans. Each counselor has their own expertise and treatment approach.
(360) 564-6562 View (360) 564-6562
Photo of Sofie Sklyarov, Pre-Licensed Professional, MA, LMHCA
Sofie Sklyarov
Pre-Licensed Professional, MA, LMHCA
1 Endorsed
Vancouver, WA 98684
My approach to therapy incorporates a Christian worldview with a cognitive behavioral theoretical orientation (exploring one’s thoughts and beliefs). I view counseling as a collaborative effort to help clients recognize strengths, identify needs, understand conflicts, discover new options, set personal development goals, and make informed choices.
My approach to therapy incorporates a Christian worldview with a cognitive behavioral theoretical orientation (exploring one’s thoughts and beliefs). I view counseling as a collaborative effort to help clients recognize strengths, identify needs, understand conflicts, discover new options, set personal development goals, and make informed choices.
(360) 845-2356 View (360) 845-2356
Photo of Kristen Joy Dodson, MA, LMHC, NCC
Kristen Joy Dodson
Verified Verified
Vancouver, WA 98684
Whether it shows up in how we view ourselves, how we respond and react in relationships or the ways we behave in our communities, our stories impact us in ways that we are often unaware. From our families of origin to our experiences of trauma, we learn and adapt ways to keep ourselves safe. When we are unable to process our experiences and stories, we often find that what we have adapted for our safety becomes the source of our conflict and discomfort. When we have the courage to re-enter and re-learn our stories, we grow in our compassion and understanding of ourselves in a way that leads to healing and freedom.
Whether it shows up in how we view ourselves, how we respond and react in relationships or the ways we behave in our communities, our stories impact us in ways that we are often unaware. From our families of origin to our experiences of trauma, we learn and adapt ways to keep ourselves safe. When we are unable to process our experiences and stories, we often find that what we have adapted for our safety becomes the source of our conflict and discomfort. When we have the courage to re-enter and re-learn our stories, we grow in our compassion and understanding of ourselves in a way that leads to healing and freedom.
(360) 774-4625 View (360) 774-4625
Photo of Shannon Reneau Manuszewski, Licensed Mental Health Counselor , LMHC
Shannon Reneau Manuszewski
Licensed Mental Health Counselor , LMHC
Vancouver, WA 98684
Are you having a hard time understanding or communicating with someone? Or maybe anxiety, depression, or past trauma is making it difficult to reach your personal goals. I provide a safe, non-judgmental space where we can explore the challenges you’re facing, deepen your self-understanding, and work toward positive change. My approach to therapy is to accept you regardless of your religion, race, ethical background, sexual orientation, or gender. This is also what I practice in my personal life. I believe in forming a person-centered approach, creating a trusting environment. This is where your healing begins.
Are you having a hard time understanding or communicating with someone? Or maybe anxiety, depression, or past trauma is making it difficult to reach your personal goals. I provide a safe, non-judgmental space where we can explore the challenges you’re facing, deepen your self-understanding, and work toward positive change. My approach to therapy is to accept you regardless of your religion, race, ethical background, sexual orientation, or gender. This is also what I practice in my personal life. I believe in forming a person-centered approach, creating a trusting environment. This is where your healing begins.
(509) 581-5385 View (509) 581-5385
Photo of Sophia Claudson, Pre-Licensed Professional, MA
Sophia Claudson
Pre-Licensed Professional, MA
2 Endorsed
Vancouver, WA 98684
Are you struggling to cope with the transitions you are facing? Do you have difficulty connecting in your relationships? Do you find yourself unable to heal from loss? Life is often a series of gains and losses that can be difficult to navigate. I am passionate about coming alongside clients as they seek emotional, mental, relational and spiritual wellness. My goal is to provide a safe, therapeutic space where my clients feel seen and heard. I am convinced that clients are the experts in their own lives. I want to help you understand yourself better, and help you achieve your goals in a way that works the best for you!
Are you struggling to cope with the transitions you are facing? Do you have difficulty connecting in your relationships? Do you find yourself unable to heal from loss? Life is often a series of gains and losses that can be difficult to navigate. I am passionate about coming alongside clients as they seek emotional, mental, relational and spiritual wellness. My goal is to provide a safe, therapeutic space where my clients feel seen and heard. I am convinced that clients are the experts in their own lives. I want to help you understand yourself better, and help you achieve your goals in a way that works the best for you!
(360) 347-2136 View (360) 347-2136
Photo of Becca McCuistion, Pre-Licensed Professional
Becca McCuistion
Pre-Licensed Professional
1 Endorsed
Vancouver, WA 98684
It’s essential for everyone to feel confident and comfortable in their unique selves. I am passionate about helping individuals, children, couples, and families in their journey toward health and mental wellness. It would be an honor to work alongside you to accomplish your personal goals.
It’s essential for everyone to feel confident and comfortable in their unique selves. I am passionate about helping individuals, children, couples, and families in their journey toward health and mental wellness. It would be an honor to work alongside you to accomplish your personal goals.
(360) 217-0525 View (360) 217-0525
Photo of Diana Hoang, Pre-Licensed Professional, MS, LMHCA
Diana Hoang
Pre-Licensed Professional, MS, LMHCA
1 Endorsed
Vancouver, WA 98684
My ideal client is an individual who feels overwhelmed, stuck, or weighed down by emotions they’ve been carrying alone for too long. They may be anxious, burned out, grieving, or unsure why they feel disconnected from themselves or others. What they want is clarity, relief, and a safe place to slow down and be honest without judgment. Their goal is to understand their patterns, feel more grounded, and finally move toward a life that feels calmer, clearer, and more like their own.
My ideal client is an individual who feels overwhelmed, stuck, or weighed down by emotions they’ve been carrying alone for too long. They may be anxious, burned out, grieving, or unsure why they feel disconnected from themselves or others. What they want is clarity, relief, and a safe place to slow down and be honest without judgment. Their goal is to understand their patterns, feel more grounded, and finally move toward a life that feels calmer, clearer, and more like their own.
(360) 300-8319 x707 View (360) 300-8319 x707
Photo of Michael Fernandez, Counselor, MA, LMHC
Michael Fernandez
Counselor, MA, LMHC
4 Endorsed
Vancouver, WA 98684
If you have felt taken advantage of by spiritual leaders, hurt by those who are meant to shepherd, or just turned off by the hypocrisy of the church, we could be a great fit. I work with young adults and grown adults to help you discover a more meaningful way to integrate with your negative spiritual experiences with whatever your remaining faith may look like. Empathy and humor is central to how I interact with clients. If you’re ready to see a change in your life, even if it seems out of reach, please reach out and let me join you on your journey.
If you have felt taken advantage of by spiritual leaders, hurt by those who are meant to shepherd, or just turned off by the hypocrisy of the church, we could be a great fit. I work with young adults and grown adults to help you discover a more meaningful way to integrate with your negative spiritual experiences with whatever your remaining faith may look like. Empathy and humor is central to how I interact with clients. If you’re ready to see a change in your life, even if it seems out of reach, please reach out and let me join you on your journey.
(360) 968-8831 View (360) 968-8831
Photo of Jeremiah L. Peck, Mental Health Counselor, PhD, LMHC, LPC, NCC, ACS
Jeremiah L. Peck
Mental Health Counselor, PhD, LMHC, LPC, NCC, ACS
16 Endorsed
Vancouver, WA 98684
I help individuals and couples overcome their emotional struggles and relational conflicts which are causing them distress. If you are feeling overwhelmed, hopeless, frustrated, or misunderstood, I will equip you with practical tools to navigate your emotional and relational wellbeing, as well as help you discover meaningful insights about your lived experiences
I help individuals and couples overcome their emotional struggles and relational conflicts which are causing them distress. If you are feeling overwhelmed, hopeless, frustrated, or misunderstood, I will equip you with practical tools to navigate your emotional and relational wellbeing, as well as help you discover meaningful insights about your lived experiences
(360) 977-3798 View (360) 977-3798
Photo of Stephanie Cahill, Counselor, MA, LMHC
Stephanie Cahill
Counselor, MA, LMHC
1 Endorsed
Vancouver, WA 98684
Helping people uncover truths about themselves as we work together toward your healing and wholeness is my passion. I am experienced in collaborating with clients to challenge negative self concepts by building on existing strengths. I believe processing issues such as shame, low self worth, and identity formation does not need to be done alone, and is worth every ounce of effort. With empathy, compassion, respect, humility, and a little humor along the way, it is my strong desire to help clients overcome unhealthy emotional, thought, and behavioral patterns due to family of origin issues and/or trauma.
Helping people uncover truths about themselves as we work together toward your healing and wholeness is my passion. I am experienced in collaborating with clients to challenge negative self concepts by building on existing strengths. I believe processing issues such as shame, low self worth, and identity formation does not need to be done alone, and is worth every ounce of effort. With empathy, compassion, respect, humility, and a little humor along the way, it is my strong desire to help clients overcome unhealthy emotional, thought, and behavioral patterns due to family of origin issues and/or trauma.
(360) 703-9072 View (360) 703-9072
Photo of Sabrina Fernandes, Pre-Licensed Professional
Sabrina Fernandes
Pre-Licensed Professional
1 Endorsed
Vancouver, WA 98684
I specialize in helping children, teens, and young adults with mild to moderate depression and anxiety. I provide a safe, supportive space where clients feel heard and empowered to manage their emotions, build self-confidence, and create a positive self-image. Using tools like CBT and Trauma-Informed Care, I help clients challenge negative thought patterns and develop healthier coping strategies. My goal is to help them reach their full potential, overcome obstacles, and navigate life with resilience, clarity, and self-love.
I specialize in helping children, teens, and young adults with mild to moderate depression and anxiety. I provide a safe, supportive space where clients feel heard and empowered to manage their emotions, build self-confidence, and create a positive self-image. Using tools like CBT and Trauma-Informed Care, I help clients challenge negative thought patterns and develop healthier coping strategies. My goal is to help them reach their full potential, overcome obstacles, and navigate life with resilience, clarity, and self-love.
(360) 559-6058 View (360) 559-6058
Photo of Terri Kaufman, Clinical Social Work/Therapist, LICSW, MSW, MHP
Terri Kaufman
Clinical Social Work/Therapist, LICSW, MSW, MHP
Vancouver, WA 98684
Are you dealing with mild to moderate depression or anxiety; experiencing a transitional crossroad such as divorce, empty nest, change in career; or struggling with self-worth; maybe experiencing a sense of loneliness and isolation? Or, are you an individual struggling with distorted body image; possibly living in a larger sized body; experiencing a profound sense of shame regarding weight and unable to access appropriate healthcare due to fear of being judged? Or possibly a girl dealing with stress, depression, anxiety, and body image? I provide years of personal and professional experience with a passion in these areas.
Are you dealing with mild to moderate depression or anxiety; experiencing a transitional crossroad such as divorce, empty nest, change in career; or struggling with self-worth; maybe experiencing a sense of loneliness and isolation? Or, are you an individual struggling with distorted body image; possibly living in a larger sized body; experiencing a profound sense of shame regarding weight and unable to access appropriate healthcare due to fear of being judged? Or possibly a girl dealing with stress, depression, anxiety, and body image? I provide years of personal and professional experience with a passion in these areas.
(360) 910-1662 View (360) 910-1662
Photo of Emily Knott - Alive Holistic Counseling Washington, Licensed Professional Counselor
Alive Holistic Counseling Washington
Licensed Professional Counselor
Vancouver, WA 98684
Alive Holistic Counseling is an integrative counseling clinic that uses client-centered, strengths-based therapies to help people achieve their personal goals and cultivate authenticity in their relationships. Our therapists are specially trained in holistic therapies such as EMDR, Emotionally Focused Therapy, Hypnotherapy, and Hakomi that enable clients to go deeper into their healing journey. Our focus on evidence-based approaches that integrate the body with the busy mind allow for work to go beyond what keeps us trapped in old patterns of being.
Alive Holistic Counseling is an integrative counseling clinic that uses client-centered, strengths-based therapies to help people achieve their personal goals and cultivate authenticity in their relationships. Our therapists are specially trained in holistic therapies such as EMDR, Emotionally Focused Therapy, Hypnotherapy, and Hakomi that enable clients to go deeper into their healing journey. Our focus on evidence-based approaches that integrate the body with the busy mind allow for work to go beyond what keeps us trapped in old patterns of being.
(360) 531-7537 View (360) 531-7537
Photo of Andrew Eggebraaten, Counselor, CMHC
Andrew Eggebraaten
Counselor, CMHC
1 Endorsed
Vancouver, WA 98684
You may be feeling overwhelmed, stuck, or disconnected from yourself. Maybe anxiety or low mood has been lingering, old experiences are resurfacing, or life transitions have left you unsure of your direction. You don’t have to navigate this alone. I work with adults and teens, supporting men and women who are struggling with anxiety, depression, grief, trauma, identity concerns, and the pressure to keep everything together. Many clients come to therapy feeling exhausted, isolated, or unsure how to move forward—even when things appear “fine” on the outside.
You may be feeling overwhelmed, stuck, or disconnected from yourself. Maybe anxiety or low mood has been lingering, old experiences are resurfacing, or life transitions have left you unsure of your direction. You don’t have to navigate this alone. I work with adults and teens, supporting men and women who are struggling with anxiety, depression, grief, trauma, identity concerns, and the pressure to keep everything together. Many clients come to therapy feeling exhausted, isolated, or unsure how to move forward—even when things appear “fine” on the outside.
(360) 226-8435 View (360) 226-8435
Photo of Kristen Shockley, Pre-Licensed Professional
Kristen Shockley
Pre-Licensed Professional
2 Endorsed
Vancouver, WA 98684
Feeling stuck or overwhelmed? Want to feel more confident, connected, and at peace? You may be navigating anxiety, grief, or a significant life transition. Whatever you’re facing, therapy can provide a supportive space to pause, explore, and move forward with greater clarity. I believe people are capable of overcoming hardship, and I strive to offer a safe, honest, and compassionate environment where new coping skills can be developed and experiences can be thoughtfully processed. I am committed to collaborating with you on your healing journey and supporting you through the meaningful—and often challenging—work that therapy can be.
Feeling stuck or overwhelmed? Want to feel more confident, connected, and at peace? You may be navigating anxiety, grief, or a significant life transition. Whatever you’re facing, therapy can provide a supportive space to pause, explore, and move forward with greater clarity. I believe people are capable of overcoming hardship, and I strive to offer a safe, honest, and compassionate environment where new coping skills can be developed and experiences can be thoughtfully processed. I am committed to collaborating with you on your healing journey and supporting you through the meaningful—and often challenging—work that therapy can be.
(360) 329-9095 View (360) 329-9095
Photo of Pamela Ann Skiver, Clinical Social Work/Therapist, LCSW
Pamela Ann Skiver
Clinical Social Work/Therapist, LCSW
Vancouver, WA 98684
The first environment of the unborn child is the womb, where the relationship between mother and child not only are connected on a physical and biological level, but on a psychological and spiritual level as well. Research now shows the stressors experienced by the mother internally, and in the external world, reach the baby in the womb impacting the baby’s physical, psychological development, personality and quality of later relationships. Prenatal Bonding BA creates a "souls cord" attachment that can last a lifetime.
The first environment of the unborn child is the womb, where the relationship between mother and child not only are connected on a physical and biological level, but on a psychological and spiritual level as well. Research now shows the stressors experienced by the mother internally, and in the external world, reach the baby in the womb impacting the baby’s physical, psychological development, personality and quality of later relationships. Prenatal Bonding BA creates a "souls cord" attachment that can last a lifetime.
(360) 583-4935 View (360) 583-4935
Photo of Austin Radford, Professional Counselor Associate
Austin Radford
Professional Counselor Associate
Vancouver, WA 98684
Austin’s hope is to walk with you through any transition, self-improvement, or lasting change that you want to make in your life. To reach this positive improvement, Austin walks people through Evidence-Based practices and techniques that are Client-Centered, Strength Focused, and Relational in nature. These approaches can help those struggling with anxiety, depression, stress, transitions, men’s issues, spiritual problems and much more. Austin also believes that change with a partner can lead to lasting happiness so if there is a need for Couples, Pre-Marital, or Marriage counseling, Austin has completed level 2 Gottman Training
Austin’s hope is to walk with you through any transition, self-improvement, or lasting change that you want to make in your life. To reach this positive improvement, Austin walks people through Evidence-Based practices and techniques that are Client-Centered, Strength Focused, and Relational in nature. These approaches can help those struggling with anxiety, depression, stress, transitions, men’s issues, spiritual problems and much more. Austin also believes that change with a partner can lead to lasting happiness so if there is a need for Couples, Pre-Marital, or Marriage counseling, Austin has completed level 2 Gottman Training
(360) 443-9532 View (360) 443-9532
Photo of Courtney Miller, Pre-Licensed Professional
Courtney Miller
Pre-Licensed Professional
1 Endorsed
Vancouver, WA 98684
We all have a story, and that story is worth telling. Here, you have a safe and supportive, caring and compassionate counselor who is willing to listen first and speak second. Whether it is a story about deep-rooted struggles, or simply the very human life stages and changes that come along the way. Your heart, your story, and your struggles are all precious and unique to who you are. They matter, because you matter. Your value far surpasses the struggles you are facing in this moment and season of life. Here, you have a place to come, to breathe, and to simply be as we walk through your journey together.
We all have a story, and that story is worth telling. Here, you have a safe and supportive, caring and compassionate counselor who is willing to listen first and speak second. Whether it is a story about deep-rooted struggles, or simply the very human life stages and changes that come along the way. Your heart, your story, and your struggles are all precious and unique to who you are. They matter, because you matter. Your value far surpasses the struggles you are facing in this moment and season of life. Here, you have a place to come, to breathe, and to simply be as we walk through your journey together.
(360) 310-4508 View (360) 310-4508
Photo of Pauline Matheson - Blue Daisy Counseling , Clinical Social Work/Therapist, LICSW
Blue Daisy Counseling
Clinical Social Work/Therapist, LICSW
Vancouver, WA 98684
Hello! I am a Licensed Clinical Social Worker and have over 7 years experience. I've been a Washingtonian my entire life and have always been passionate about the need to treat mental wellness as importantly as our physical health, (especially with our long fall/winter gloomy season)! I specialize in working with Veterans, woman's health, substance use disorders, mood disorders and grief. I also love working with clients who are experiencing caregiver fatigue due to caring for a loved one. I use a narrative approach with clients with a strong psychoeducational component. I look forward to connecting with you!
Hello! I am a Licensed Clinical Social Worker and have over 7 years experience. I've been a Washingtonian my entire life and have always been passionate about the need to treat mental wellness as importantly as our physical health, (especially with our long fall/winter gloomy season)! I specialize in working with Veterans, woman's health, substance use disorders, mood disorders and grief. I also love working with clients who are experiencing caregiver fatigue due to caring for a loved one. I use a narrative approach with clients with a strong psychoeducational component. I look forward to connecting with you!
(360) 395-9525 View (360) 395-9525
Photo of Lauralea K Franklin, Pre-Licensed Professional
Lauralea K Franklin
Pre-Licensed Professional
2 Endorsed
Vancouver, WA 98684
Do you find yourself stuck in patterns that you are so tired of, it hurts? I'd like to invite you to an intentional journey to discover and walk forward in new options available to you. Taking those steps is courageous and I am honored to walk alongside each person in exploring the past, present and future for growth in healing and wholeness.
Do you find yourself stuck in patterns that you are so tired of, it hurts? I'd like to invite you to an intentional journey to discover and walk forward in new options available to you. Taking those steps is courageous and I am honored to walk alongside each person in exploring the past, present and future for growth in healing and wholeness.
(360) 525-1904 View (360) 525-1904

See more therapy options for 98684

How does your Therapist compare?

Number of Therapists in 98684

100+

Average cost per session

$150

Therapists in 98684 who prioritize treating:

89% Anxiety
85% Depression
74% Trauma and PTSD
69% Grief
66% Relationship Issues
65% Self Esteem
61% Stress

Average years in practice

11 Years

Top 3 insurances accepted

82% Aetna
73% Regence
65% BlueCross and BlueShield

How Therapists in 98684 see their clients

70% In Person and Online
30% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 98684?

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.