Therapists in San Luis Obispo, CA

Photo of Amber Gambel, Clinical Social Work/Therapist in San Luis Obispo, CA
Amber Gambel
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
San Luis Obispo, CA 93401  (Online Only)
Navigating life is exhausting and complex, it makes total sense that you are seeking support in managing life's stressors and how to cope with the changing world and society's expectations. You may be finding yourself living a life with extensive pressure, guilt, shame and difficulty living the life you want to live. I work with individuals who are often exhausted by their current situations in unhealthy relationships with themselves and others. However, we will work together in smashing societies expectations and creating your own, setting boundaries, learning to love yourself, and exploring and living within your value system.
Navigating life is exhausting and complex, it makes total sense that you are seeking support in managing life's stressors and how to cope with the changing world and society's expectations. You may be finding yourself living a life with extensive pressure, guilt, shame and difficulty living the life you want to live. I work with individuals who are often exhausted by their current situations in unhealthy relationships with themselves and others. However, we will work together in smashing societies expectations and creating your own, setting boundaries, learning to love yourself, and exploring and living within your value system.
(805) 633-3126 x93445 View (805) 633-3126 x93445
Photo of Sara Robinow, Marriage & Family Therapist in San Luis Obispo, CA
Sara Robinow
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Luis Obispo, CA 93401
Many women express feeling lost in the world and struggle to cope with the constant changes we're all experiencing. I specialize in helping women build stability to achieve their goals while navigating life's ups and downs. My passion lies in working with clients who are seeking to find their path in the world, providing support and guidance along the way.
Many women express feeling lost in the world and struggle to cope with the constant changes we're all experiencing. I specialize in helping women build stability to achieve their goals while navigating life's ups and downs. My passion lies in working with clients who are seeking to find their path in the world, providing support and guidance along the way.
(805) 464-3723 View (805) 464-3723
Photo of Ioana B Cebulla, Psychologist in San Luis Obispo, CA
Ioana B Cebulla
Psychologist, PhD
Verified Verified
San Luis Obispo, CA 93401
I am a licensed clinical psychologist offering evidence-based treatment for anxiety and related disorders, obsessive-compulsive and related disorders, trauma and other stress related disorders, mood disorders, well as psychosis. My frame of work is based on CBT, including mindfulness based approach, as well as DBT (Dialectical Behavioral Therapy) to enhance distress tolerance, emotional regulation, and interpersonal effectiveness, and ACT (Acceptance and Commitment Therapy), which is a values-based CBT focusing on willingness, commitment, and valued-action towards a meaningful, fulfilling, and vital life.
I am a licensed clinical psychologist offering evidence-based treatment for anxiety and related disorders, obsessive-compulsive and related disorders, trauma and other stress related disorders, mood disorders, well as psychosis. My frame of work is based on CBT, including mindfulness based approach, as well as DBT (Dialectical Behavioral Therapy) to enhance distress tolerance, emotional regulation, and interpersonal effectiveness, and ACT (Acceptance and Commitment Therapy), which is a values-based CBT focusing on willingness, commitment, and valued-action towards a meaningful, fulfilling, and vital life.
(805) 521-4331 View (805) 521-4331
Photo of Debra Kambourian, Marriage & Family Therapist in San Luis Obispo, CA
Debra Kambourian
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Luis Obispo, CA 93401  (Online Only)
Waitlist for new clients
Do you ever find yourself asking, "Why can't I just get my life together, get along with people like everyone else?" "Am I the crazy one?" How about "I'm tired of feeling misunderstood, walked all over, like I can't do anything right." It's easy to feel stuck and alone when struggling in life and relationships, as if you're "too emotional" and destined for a lonely and shameful life. Many opinions about what you're doing wrong and recommendations of how to fix discourage you, leaving you feeling even more flawed and confused than before. Most importantly, do you find yourself feeling sad and terrified that nobody will EVER get you?
Do you ever find yourself asking, "Why can't I just get my life together, get along with people like everyone else?" "Am I the crazy one?" How about "I'm tired of feeling misunderstood, walked all over, like I can't do anything right." It's easy to feel stuck and alone when struggling in life and relationships, as if you're "too emotional" and destined for a lonely and shameful life. Many opinions about what you're doing wrong and recommendations of how to fix discourage you, leaving you feeling even more flawed and confused than before. Most importantly, do you find yourself feeling sad and terrified that nobody will EVER get you?
(805) 316-7283 View (805) 316-7283
Photo of Claire Foster, Marriage & Family Therapist in San Luis Obispo, CA
Claire Foster
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Luis Obispo, CA 93401  (Online Only)
Waitlist for new clients
My clients have told me how valuable my perspective and advice has been for them and that never gets old hearing. I have over 24 years as a licensed clinician and love getting to offer clients real solutions. The best part is watching clients use the tools and skills we discussed to become their best selves. I have helped clients struggling with feeling stuck, low self-esteem, excessive worry, and anxiety. I work well with people who are ready to push up their sleeves and defeat their inner critic.
My clients have told me how valuable my perspective and advice has been for them and that never gets old hearing. I have over 24 years as a licensed clinician and love getting to offer clients real solutions. The best part is watching clients use the tools and skills we discussed to become their best selves. I have helped clients struggling with feeling stuck, low self-esteem, excessive worry, and anxiety. I work well with people who are ready to push up their sleeves and defeat their inner critic.
(805) 590-0227 View (805) 590-0227
Photo of Bettina Hodel, Psychologist in San Luis Obispo, CA
Bettina Hodel
Psychologist, PhD, JD
Verified Verified
San Luis Obispo, CA 93401  (Online Only)
Waitlist for new clients
You feel anxious and depressed. You are told that you are insecure or that you are always "on the edge".
You feel anxious and depressed. You are told that you are insecure or that you are always "on the edge".
(805) 549-5067 View (805) 549-5067
Photo of Emily A. Weatherby Latta, Marriage & Family Therapist in San Luis Obispo, CA
Emily A. Weatherby Latta
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
San Luis Obispo, CA 93405
Life can be so unfair and being human is incredibly difficult, yet there is also so much beauty in life to experience as well! It can be exhausting to feel like you have to put on a front and be filtered in order to do life while suffering. Learning to find a way to hold and make sense of these contradictions can be a painful, confusing and complicated process! We often view things as being “either/or” when much of life is actually "both/and." My desire is to create a safe place for you to JUST BE…unfiltered…to help process, and receive rest for your soul and mind in order to heal and live life as your best authentic self.
Life can be so unfair and being human is incredibly difficult, yet there is also so much beauty in life to experience as well! It can be exhausting to feel like you have to put on a front and be filtered in order to do life while suffering. Learning to find a way to hold and make sense of these contradictions can be a painful, confusing and complicated process! We often view things as being “either/or” when much of life is actually "both/and." My desire is to create a safe place for you to JUST BE…unfiltered…to help process, and receive rest for your soul and mind in order to heal and live life as your best authentic self.
(805) 316-1544 View (805) 316-1544
Photo of Danielle Atencio, Pre-Licensed Professional in San Luis Obispo, CA
Danielle Atencio
Pre-Licensed Professional, ASW
Verified Verified
1 Endorsed
San Luis Obispo, CA 93401
“Look beside you, and I’ll be there;” this is my credo, both as an individual and as a therapist. Life can be difficult; there are always challenges and struggles and in many instances, it is the connection and support that one person gives another that makes the difference. I use a client-centered, strength-based approach to therapy. We will focus processing through life challenges and build skills to identify your own personal strengths and unique goals for treatment. I will support you through difficult and/or uncomfortable emotions to learn effective coping and interpersonal skills that will help you throughout your life.
“Look beside you, and I’ll be there;” this is my credo, both as an individual and as a therapist. Life can be difficult; there are always challenges and struggles and in many instances, it is the connection and support that one person gives another that makes the difference. I use a client-centered, strength-based approach to therapy. We will focus processing through life challenges and build skills to identify your own personal strengths and unique goals for treatment. I will support you through difficult and/or uncomfortable emotions to learn effective coping and interpersonal skills that will help you throughout your life.
(805) 303-8665 View (805) 303-8665
Photo of Timothy Malone, Marriage & Family Therapist in San Luis Obispo, CA
Timothy Malone
Marriage & Family Therapist, LMFT
Verified Verified
San Luis Obispo, CA 93401
Currently Accepting New Clients: I help people who are going through life transitions work through the things that hold them back. If you feel like you just can't get out off a rut, maybe because you have a negative belief or experience that holds you back. If you the "not good enough" or like messages in your head, I can help. The fact is, you do deserve to live the life you want. I can help you work through these messages so you can leave them behind. I have been there myself. It's challenging to move forward sometimes, but it's so worth it, and you don't have to go it alone. I can. help Please feel free to reach out.
Currently Accepting New Clients: I help people who are going through life transitions work through the things that hold them back. If you feel like you just can't get out off a rut, maybe because you have a negative belief or experience that holds you back. If you the "not good enough" or like messages in your head, I can help. The fact is, you do deserve to live the life you want. I can help you work through these messages so you can leave them behind. I have been there myself. It's challenging to move forward sometimes, but it's so worth it, and you don't have to go it alone. I can. help Please feel free to reach out.
(805) 360-5130 View (805) 360-5130
Photo of Denise C Williamson, Marriage & Family Therapist in San Luis Obispo, CA
Denise C Williamson
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Luis Obispo, CA 93401
Waitlist for new clients
Are you struggling with anxiety, low self-worth, or having relationship problems? Or, perhaps you just can't shake the feeling that there should be more to life? Together we can focus on your healing, replacing any negative patterns, and promoting a more positive future. You deserve support and guidance towards achieving your dreams. I invite you to visit my website at www.brighterlifestyle.com.
Are you struggling with anxiety, low self-worth, or having relationship problems? Or, perhaps you just can't shake the feeling that there should be more to life? Together we can focus on your healing, replacing any negative patterns, and promoting a more positive future. You deserve support and guidance towards achieving your dreams. I invite you to visit my website at www.brighterlifestyle.com.
(805) 322-3648 View (805) 322-3648
Photo of Douglas Bing, Marriage & Family Therapist in San Luis Obispo, CA
Douglas Bing
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Luis Obispo, CA 93401
I tend to work with individuals and couples in a collaborative way. I attempt to assess what the goals are and explore how to get there. Generally, I see the work in a couple of phases: establishing a safe, supportive environment and secondly, attempting to provide insight for those I work with. Insight is part of it, then one must attempt to deal with some of the inevitable challenges of changing. To this end, a collaborative relationship allows for us to work at the Client's pace, with perhaps, some occasional supportive nudging.
I tend to work with individuals and couples in a collaborative way. I attempt to assess what the goals are and explore how to get there. Generally, I see the work in a couple of phases: establishing a safe, supportive environment and secondly, attempting to provide insight for those I work with. Insight is part of it, then one must attempt to deal with some of the inevitable challenges of changing. To this end, a collaborative relationship allows for us to work at the Client's pace, with perhaps, some occasional supportive nudging.
(805) 303-5122 View (805) 303-5122
Photo of Josie Traub, Marriage & Family Therapist in San Luis Obispo, CA
Josie Traub
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Luis Obispo, CA 93401
Often times there are aspects of ourselves that we ignore, or push away to avoid experiencing pain or emotions that can feel unbearable. Pushing away parts of ourselves has an impact on our ability to connect with who we are as a whole person. My approach in therapy involves looking at all of these parts within our physical, mental, emotional, and spiritual zones and examining the way they interact with one another. I work in partnership with my clients to support them in discovering their unique path, what's important to them and the ability to access their truest self.
Often times there are aspects of ourselves that we ignore, or push away to avoid experiencing pain or emotions that can feel unbearable. Pushing away parts of ourselves has an impact on our ability to connect with who we are as a whole person. My approach in therapy involves looking at all of these parts within our physical, mental, emotional, and spiritual zones and examining the way they interact with one another. I work in partnership with my clients to support them in discovering their unique path, what's important to them and the ability to access their truest self.
(805) 900-4201 View (805) 900-4201
Photo of Marian A Willingham, Marriage & Family Therapist in San Luis Obispo, CA
Marian A Willingham
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Luis Obispo, CA 93405
Are you seeking a safe theraputic environment where you can resolve issues, deal with internal emotional conflicts, heal and move forward in life? I can help you. In my private practice, I provide my clients with real help and real hope so you can recover and discover the person you were meant to be. I have experience in providing Court Ordered Supervised Therapeutic Visitation and reporting to the Court.
Are you seeking a safe theraputic environment where you can resolve issues, deal with internal emotional conflicts, heal and move forward in life? I can help you. In my private practice, I provide my clients with real help and real hope so you can recover and discover the person you were meant to be. I have experience in providing Court Ordered Supervised Therapeutic Visitation and reporting to the Court.
(805) 317-4310 View (805) 317-4310
Photo of Grace Peavy, Clinical Social Work/Therapist in San Luis Obispo, CA
Grace Peavy
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
San Luis Obispo, CA 93401
Grace (licensed as Margaret Peavy), offers client-centered therapy to adults, youth, and families navigating life’s challenges. Taking the time and energy to earn your trust, she shares a relational approach to spark genuine connection in a non-judgemental space where you’re encouraged to build on your strengths. Over a decade serving youth and families of all ages in the mental health community makes Grace an impactful facilitator of personal growth.
Grace (licensed as Margaret Peavy), offers client-centered therapy to adults, youth, and families navigating life’s challenges. Taking the time and energy to earn your trust, she shares a relational approach to spark genuine connection in a non-judgemental space where you’re encouraged to build on your strengths. Over a decade serving youth and families of all ages in the mental health community makes Grace an impactful facilitator of personal growth.
(805) 865-7503 View (805) 865-7503
Photo of Cortney Wagner, Marriage & Family Therapist in San Luis Obispo, CA
Cortney Wagner
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Luis Obispo, CA 93405
Waitlist for new clients
We all have challenges and experiences throughout our life span that can cause pain, frustration, feeling stuck and other difficult emotions. These experiences can result in us becoming disconnected with our true selves and unable to live life to the fullest. I am here to help you connect with your true self so that you can not only heal from difficult experiences but grow from them and create a sense of empowerment. I provide a safe, non-judgmental environment offering a highly personalized approach tailored to each individual's needs.
We all have challenges and experiences throughout our life span that can cause pain, frustration, feeling stuck and other difficult emotions. These experiences can result in us becoming disconnected with our true selves and unable to live life to the fullest. I am here to help you connect with your true self so that you can not only heal from difficult experiences but grow from them and create a sense of empowerment. I provide a safe, non-judgmental environment offering a highly personalized approach tailored to each individual's needs.
(805) 567-4255 View (805) 567-4255
Photo of Laura Weronski, Marriage & Family Therapist in San Luis Obispo, CA
Laura Weronski
Marriage & Family Therapist, LMFT, PMH-C
Verified Verified
San Luis Obispo, CA 93401
Not accepting new clients
Making the decision to begin therapy can be tough & finding a therapist even harder. I'm so glad you're here! I am a Licensed Therapist with over 12 years of experience. I provide a safe & supportive environment to help you walk through difficult life circumstances. I use evidence based practices and work collaboratively with you to teach skills and support you in meeting your goals. I have a passion for young adults and those struggling with issues related to family building and parenthood. I hold a certificate in perinatal mental health-one of a handful on the central coast -and have lived experience as a mother to two young boys.
Making the decision to begin therapy can be tough & finding a therapist even harder. I'm so glad you're here! I am a Licensed Therapist with over 12 years of experience. I provide a safe & supportive environment to help you walk through difficult life circumstances. I use evidence based practices and work collaboratively with you to teach skills and support you in meeting your goals. I have a passion for young adults and those struggling with issues related to family building and parenthood. I hold a certificate in perinatal mental health-one of a handful on the central coast -and have lived experience as a mother to two young boys.
(805) 410-9837 View (805) 410-9837
Photo of Monique Nelson Sigler, Marriage & Family Therapist in San Luis Obispo, CA
Monique Nelson Sigler
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
San Luis Obispo, CA 93401
My passion is serving those in SLO community and promoting meaningful change and healing in the individuals I treat. I imagine you are here because something in your life has caused you pain or suffering. Achieving emotional and mental wellness is hard and uncomfortable work, but it does not have to happen alone. I honor the vulnerability and courage it takes to begin therapy. My goal is to help you discover a life of balance, authenticity, and happiness. Everyone can benefit from therapy— from children to adults.
My passion is serving those in SLO community and promoting meaningful change and healing in the individuals I treat. I imagine you are here because something in your life has caused you pain or suffering. Achieving emotional and mental wellness is hard and uncomfortable work, but it does not have to happen alone. I honor the vulnerability and courage it takes to begin therapy. My goal is to help you discover a life of balance, authenticity, and happiness. Everyone can benefit from therapy— from children to adults.
(805) 429-1170 View (805) 429-1170
Photo of Jenilee Sneed, Psychologist in San Luis Obispo, CA
Jenilee Sneed
Psychologist, PhD
Verified Verified
1 Endorsed
San Luis Obispo, CA 93401
Do you find yourself feeling overwhelmed, no matter what you do? You may be fed up with having anxiety or panic attacks, feeling like you’re always getting triggered, or feeling like you are no longer yourself. You might not even remember a time things didn’t feel this way. You want to be able to function in your day to day life again without feeling anxious and on edge. You’re ready to find tools to feel calm, stable, and at ease. You’re ready to understand why you feel the way you do. Most of all, you’re ready to reclaim your life.
Do you find yourself feeling overwhelmed, no matter what you do? You may be fed up with having anxiety or panic attacks, feeling like you’re always getting triggered, or feeling like you are no longer yourself. You might not even remember a time things didn’t feel this way. You want to be able to function in your day to day life again without feeling anxious and on edge. You’re ready to find tools to feel calm, stable, and at ease. You’re ready to understand why you feel the way you do. Most of all, you’re ready to reclaim your life.
(805) 232-5911 View (805) 232-5911
Photo of Meagan Edwards, Licensed Professional Clinical Counselor in San Luis Obispo, CA
Meagan Edwards
Licensed Professional Clinical Counselor, LPCC
Verified Verified
San Luis Obispo, CA 93405
Hi, I'm Meagan Edwards and I'm a Licensed Professional Clinical Counselor. My degree, training, and specialties are centered on repairing and enhancing relationships; both those with ourselves and others. I consider and work with individuals and families with holistic frameworks and consideration of the various systems that impact them. My style is client-centered. I utilize systems frameworks in my practice.
Hi, I'm Meagan Edwards and I'm a Licensed Professional Clinical Counselor. My degree, training, and specialties are centered on repairing and enhancing relationships; both those with ourselves and others. I consider and work with individuals and families with holistic frameworks and consideration of the various systems that impact them. My style is client-centered. I utilize systems frameworks in my practice.
(805) 386-9054 View (805) 386-9054
Photo of Lindsey Levenson, Marriage & Family Therapist in San Luis Obispo, CA
Lindsey Levenson
Marriage & Family Therapist, LMFT
Verified Verified
San Luis Obispo, CA 93401
We all go through things in our lives that are difficult. I believe that it is through these struggles that we have the opportunity to grow. If you're finding yourself feeling stuck, overwhelmed, or you're not able to function like you'd like to, it may be time to seek the support of a therapist. Oftentimes connecting with another person to help guide you can be the changing factor in transitioning from struggle to growth.
We all go through things in our lives that are difficult. I believe that it is through these struggles that we have the opportunity to grow. If you're finding yourself feeling stuck, overwhelmed, or you're not able to function like you'd like to, it may be time to seek the support of a therapist. Oftentimes connecting with another person to help guide you can be the changing factor in transitioning from struggle to growth.
(805) 870-9641 View (805) 870-9641

See more therapy options for San Luis Obispo

How does your Therapist compare?

Number of Therapists in San Luis Obispo, CA

400+

Average cost per session

$150

Therapists in San Luis Obispo, CA who prioritize treating:

92% Anxiety
86% Depression
80% Relationship Issues
77% Trauma and PTSD
77% Self Esteem
67% Coping Skills
66% Stress

Average years in practice

13 Years

Top 3 insurances accepted

54% Other
45% Aetna
37% UnitedHealthcare UHC | UBH

How Therapists in San Luis Obispo, CA see their clients

76% In Person and Online
24% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Luis Obispo?

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.