Therapists in Wilmington, NC

Photo of Mindy Carlson, Clinical Social Work/Therapist in Wilmington, NC
Mindy Carlson
Clinical Social Work/Therapist, MSW, LCSW, LCAS-A
Verified Verified
Wilmington, NC 28412
So, you want to know a little bit about me, I suppose. You can share your story with me later! One question I get asked a lot is how and why I chose this career. Here's the backstory: I knew that I wanted to be a therapist as a young child, but as it sometimes happens, life had an alternate plan for me and took a slightly different course for a while. Yes, I am also a person that had to take the long way to get to my dream of supporting people on their journey.
So, you want to know a little bit about me, I suppose. You can share your story with me later! One question I get asked a lot is how and why I chose this career. Here's the backstory: I knew that I wanted to be a therapist as a young child, but as it sometimes happens, life had an alternate plan for me and took a slightly different course for a while. Yes, I am also a person that had to take the long way to get to my dream of supporting people on their journey.
(910) 390-8267 View (910) 390-8267
Photo of Courtney D Huffman, Clinical Social Work/Therapist in Wilmington, NC
Courtney D Huffman
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
1 Endorsed
Wilmington, NC 28411
I believe that everyone, including you, is entitled to experiencing happiness. Whether it be needing to find more work/life balance, learning how to navigate through difficult relationships, or dealing with a MH/SA disorder, I want to help you achieve serenity. One of my main goals as a therapist is to empower, encourage, and support you in achieving your life goals. I know that counseling requires courage and strength, and I am here to make this process easier for you by assisting you along the way. I believe in you and I want you to believe in you too!
I believe that everyone, including you, is entitled to experiencing happiness. Whether it be needing to find more work/life balance, learning how to navigate through difficult relationships, or dealing with a MH/SA disorder, I want to help you achieve serenity. One of my main goals as a therapist is to empower, encourage, and support you in achieving your life goals. I know that counseling requires courage and strength, and I am here to make this process easier for you by assisting you along the way. I believe in you and I want you to believe in you too!
(704) 981-6087 View (704) 981-6087
Photo of Scott Koenigsberg, Licensed Professional Counselor in Wilmington, NC
Scott Koenigsberg
Licensed Professional Counselor, LPC, LCMHC
Verified Verified
1 Endorsed
Wilmington, NC 28403
For over 32 years, I have enjoyed being an agent of change that aims to help others become the best version of themselves that they can possibly be. I have been told by my past clients that I am warm, friendly, empathetic, and a good listener. I am here to help you achieve whatever goals you would like to achieve, to help enrich and enjoy your life to the fullest, because that's what life is all about!
For over 32 years, I have enjoyed being an agent of change that aims to help others become the best version of themselves that they can possibly be. I have been told by my past clients that I am warm, friendly, empathetic, and a good listener. I am here to help you achieve whatever goals you would like to achieve, to help enrich and enjoy your life to the fullest, because that's what life is all about!
(910) 708-9831 View (910) 708-9831
Photo of Anna Hampton, Lic Clinical Mental Health Counselor Associate in Wilmington, NC
Anna Hampton
Lic Clinical Mental Health Counselor Associate, LCMHCA
Verified Verified
1 Endorsed
Wilmington, NC 28403
Hi there! I'm Anna and my passion lies in helping adults navigating the complexities of trauma, motherhood, and anxiety. Through specialized techniques like EMDR therapy, I work with survivors of sexual assault, helping them find solace amidst the turmoil of distressing memories. Together, we uncover their innate strength and resilience, paving the way for healing and growth.
Hi there! I'm Anna and my passion lies in helping adults navigating the complexities of trauma, motherhood, and anxiety. Through specialized techniques like EMDR therapy, I work with survivors of sexual assault, helping them find solace amidst the turmoil of distressing memories. Together, we uncover their innate strength and resilience, paving the way for healing and growth.
(910) 776-5022 View (910) 776-5022
Photo of Latosha Jones, Lic Clinical Mental Health Counselor Associate in Wilmington, NC
Latosha Jones
Lic Clinical Mental Health Counselor Associate, LCMHCA, NCC
Verified Verified
2 Endorsed
Wilmington, NC 28403
Hi there! I'm passionate about helping adults who struggle with anxiety, depression, "empty nest syndrome" and other mid-life difficulties. My specialization lies in guiding individuals through these tough transitions, while providing support for the unique challenges they face.
Hi there! I'm passionate about helping adults who struggle with anxiety, depression, "empty nest syndrome" and other mid-life difficulties. My specialization lies in guiding individuals through these tough transitions, while providing support for the unique challenges they face.
(910) 613-4370 View (910) 613-4370
Photo of Renee Martin McCauley, Licensed Professional Counselor in Wilmington, NC
Renee Martin McCauley
Licensed Professional Counselor, MEd, LCMHC
Verified Verified
Wilmington, NC 28403
Hi there, I am a Licensed Clinical Mental Health Counselor with 18 years of experience in the mental health field. My primary goal as a therapist is to authentically connect with my clients. I believe being present is the fundamental element in building successful therapeutic relationships. It is a privilege to be entrusted with clients' most intimate challenges and dreams. I work with individuals dealing with a vast array of issues. A few of my special interests include: life transitions, mood disorders, working with artists/creative thinkers, the LGBT+ community, addiction & recovery, women’s issues and holistic health.
Hi there, I am a Licensed Clinical Mental Health Counselor with 18 years of experience in the mental health field. My primary goal as a therapist is to authentically connect with my clients. I believe being present is the fundamental element in building successful therapeutic relationships. It is a privilege to be entrusted with clients' most intimate challenges and dreams. I work with individuals dealing with a vast array of issues. A few of my special interests include: life transitions, mood disorders, working with artists/creative thinkers, the LGBT+ community, addiction & recovery, women’s issues and holistic health.
(910) 556-6009 View (910) 556-6009
Photo of Tina Marie Cooke, Licensed Professional Counselor in Wilmington, NC
Tina Marie Cooke
Licensed Professional Counselor, LCMHC, LPC, LCADC, CRC, ACS
Verified Verified
3 Endorsed
Wilmington, NC 28403
Life can be challenging sometimes. When we have people we trust to support us, we can learn and grow through those tough times. For you, I’ll strive to be that safe person, and my job is to guide and help you when you need it the most. My therapy style is based on creating genuine, caring connections with my clients. My goal is to help you gain a sense of empowerment and increased confidence in your ability to handle future life stressors.
Life can be challenging sometimes. When we have people we trust to support us, we can learn and grow through those tough times. For you, I’ll strive to be that safe person, and my job is to guide and help you when you need it the most. My therapy style is based on creating genuine, caring connections with my clients. My goal is to help you gain a sense of empowerment and increased confidence in your ability to handle future life stressors.
(910) 665-7466 View (910) 665-7466
Photo of Cheryl Maddux, Clinical Social Work/Therapist in Wilmington, NC
Cheryl Maddux
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Wilmington, NC 28401
Hi, I'm Cheryl. I have 20+ years of experience as a Clinical Social Worker/therapist. I see therapy as a process of introspection with compassion. Within therapy, one learns to listen and respond with compassion for oneself and others. In therapy, one can develop the ability to expand awareness and be more flexible in making life choices. My specialties include depression, anxiety, loss and grief, relationship issues, gay and lesbian issues, and trauma. I use a blend of cognitive behavioral and psychodynamic models and work with individuals, couples and groups.
Hi, I'm Cheryl. I have 20+ years of experience as a Clinical Social Worker/therapist. I see therapy as a process of introspection with compassion. Within therapy, one learns to listen and respond with compassion for oneself and others. In therapy, one can develop the ability to expand awareness and be more flexible in making life choices. My specialties include depression, anxiety, loss and grief, relationship issues, gay and lesbian issues, and trauma. I use a blend of cognitive behavioral and psychodynamic models and work with individuals, couples and groups.
(910) 212-4660 View (910) 212-4660
Photo of Ijeoma Bennin, Counselor in Wilmington, NC
Ijeoma Bennin
Counselor, MA, LCMHCA
Verified Verified
Wilmington, NC 28403
Therapy can be a ray of light when we have some difficult moments in our life to process. Through the act of a conversation healing can occur. I am passionate about helping individuals recognize their own strengths within their life journey. I want to support you in having faith during uncertain seasons in life. I would like to help you identify any problematic thoughts and reexamine them into a positive viewpoint. Therefore this can involve learning new ways to look at life circumstances and changing thought processes.
Therapy can be a ray of light when we have some difficult moments in our life to process. Through the act of a conversation healing can occur. I am passionate about helping individuals recognize their own strengths within their life journey. I want to support you in having faith during uncertain seasons in life. I would like to help you identify any problematic thoughts and reexamine them into a positive viewpoint. Therefore this can involve learning new ways to look at life circumstances and changing thought processes.
(910) 490-3919 View (910) 490-3919
Photo of Sara Scott Ford, Licensed Clinical Mental Health Counselor in Wilmington, NC
Sara Scott Ford
Licensed Clinical Mental Health Counselor, MS, LCMHC, CRC, CSP
Verified Verified
2 Endorsed
Wilmington, NC 28403
Not accepting new clients
Do your current struggles make you feel like you're treading water in the middle of the ocean? You may be feeling overwhelmed with worry, fear, sadness, anger, guilt, frustration, uncertainty, hopelessness, or helplessness. You may also be experiencing sleepless nights and disturbing negative thoughts that just won't seem to go away. You feel stuck - unable to move forward or swim back to shore. Whether these struggles stem from anxiety, stress, depression, PTSD, a significant life change, a serious tragedy, or a traumatic life event, I am here to help you find your way back. *Also available for evening & Saturday appointments*
Do your current struggles make you feel like you're treading water in the middle of the ocean? You may be feeling overwhelmed with worry, fear, sadness, anger, guilt, frustration, uncertainty, hopelessness, or helplessness. You may also be experiencing sleepless nights and disturbing negative thoughts that just won't seem to go away. You feel stuck - unable to move forward or swim back to shore. Whether these struggles stem from anxiety, stress, depression, PTSD, a significant life change, a serious tragedy, or a traumatic life event, I am here to help you find your way back. *Also available for evening & Saturday appointments*
(910) 601-2206 View (910) 601-2206
Photo of Lea Cartner, Lic Clinical Mental Health Counselor Associate in Wilmington, NC
Lea Cartner
Lic Clinical Mental Health Counselor Associate, LCMHCA, NCC
Verified Verified
Wilmington, NC 28403
I work with kids, teenagers, adults and families. I have experience working with issues of anxiety, depression, self-esteem, ADHD, Autism Spectrum Disorder, LGBTQ+ issues, trauma and family conflict.
I work with kids, teenagers, adults and families. I have experience working with issues of anxiety, depression, self-esteem, ADHD, Autism Spectrum Disorder, LGBTQ+ issues, trauma and family conflict.
(910) 407-0234 View (910) 407-0234
Photo of Isabel Hardy, LCSW Associate in Wilmington, NC
Isabel Hardy
LCSW Associate, MSW, LCSWA
Verified Verified
1 Endorsed
Wilmington, NC 28403
Hi there! I'm committed to assisting adults and college students in discovering effective strategies to navigate life's challenges with greater balance and ease. Whether you're struggling with social anxiety, battling depression, or feeling the weight of burnout, I'm here to equip you with practical, applicable skills to overcome these challenges.
Hi there! I'm committed to assisting adults and college students in discovering effective strategies to navigate life's challenges with greater balance and ease. Whether you're struggling with social anxiety, battling depression, or feeling the weight of burnout, I'm here to equip you with practical, applicable skills to overcome these challenges.
(910) 519-1791 View (910) 519-1791
Photo of Tab Ballis, Clinical Social Work/Therapist in Wilmington, NC
Tab Ballis
Clinical Social Work/Therapist, LCSW, LCAS, CCS
Verified Verified
11 Endorsed
Wilmington, NC 28401
My approach to the collaborative effort of psychotherapy is influenced by structural/strategic family systems theory, informing the process of joining with clients to clarify their roles in relationship, family, and community. Creative engagement in experiential learning assists individuals, couples, and families in gaining a fresh perspective through focused work that brings lasting results. I endeavor, in every client relationship, to de-mystify the daunting prospect of change, empowering personal choice in difficult circumstances through guided self-exploration.
My approach to the collaborative effort of psychotherapy is influenced by structural/strategic family systems theory, informing the process of joining with clients to clarify their roles in relationship, family, and community. Creative engagement in experiential learning assists individuals, couples, and families in gaining a fresh perspective through focused work that brings lasting results. I endeavor, in every client relationship, to de-mystify the daunting prospect of change, empowering personal choice in difficult circumstances through guided self-exploration.
(910) 684-5005 View (910) 684-5005
Photo of Heily Aktuglu, Licensed Professional Counselor in Wilmington, NC
Heily Aktuglu
Licensed Professional Counselor, MEd, LCMHC
Verified Verified
Wilmington, NC 28403
Every day is a chance to make a new start! I LOVE what I do, and it is a great privilege to help people on their journey through life. I welcome clients of all ages and all backgrounds. I have extensive experience working with youth and young adults. am a Licensed Clinical Mental Health Counselor, Life Coach and a NC Licensed School Counselor. I like to incorporate Positive Psychology & Humor into my sessions. I believe nature can be healing, so I offer Nature Therapy sessions...therapy outdoors! I offer evening and weekend sessions as well. Don't Have Insurance? I offer a discounted self-pay rate for clients without insurance:)
Every day is a chance to make a new start! I LOVE what I do, and it is a great privilege to help people on their journey through life. I welcome clients of all ages and all backgrounds. I have extensive experience working with youth and young adults. am a Licensed Clinical Mental Health Counselor, Life Coach and a NC Licensed School Counselor. I like to incorporate Positive Psychology & Humor into my sessions. I believe nature can be healing, so I offer Nature Therapy sessions...therapy outdoors! I offer evening and weekend sessions as well. Don't Have Insurance? I offer a discounted self-pay rate for clients without insurance:)
(910) 841-1405 View (910) 841-1405
Photo of Dana King, Lic Clinical Mental Health Counselor Associate in Wilmington, NC
Dana King
Lic Clinical Mental Health Counselor Associate, LCMHCA
Verified Verified
Wilmington, NC 28403
Welcome to “Beyond Reach Professional Counseling Center.” Thank you for visiting my profile, Dana King LCMHCA. As an African-American woman, counseling was not something that was discussed in my family. I am excited to see how the perception of therapy has changed for the better. We all experience difficult times and sometimes it takes a professional to assist in the healing process and that’s ok. I want to provide you with a safe and open environment. I can offer a space of comfort, mutual respect and trust.
Welcome to “Beyond Reach Professional Counseling Center.” Thank you for visiting my profile, Dana King LCMHCA. As an African-American woman, counseling was not something that was discussed in my family. I am excited to see how the perception of therapy has changed for the better. We all experience difficult times and sometimes it takes a professional to assist in the healing process and that’s ok. I want to provide you with a safe and open environment. I can offer a space of comfort, mutual respect and trust.
(910) 714-9237 View (910) 714-9237
Photo of Jordan Mitchener, Licensed Clinical Mental Health Counselor in Wilmington, NC
Jordan Mitchener
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
7 Endorsed
Wilmington, NC 28403
We all experience different seasons of change throughout our lives and I enjoy helping others navigate these changes and find new rhythms that work best for them. I work with college students who are adjusting to all of the new changes and stressors that college life can bring. I also work with women who are pregnant, have experienced loss, or are new mothers. Pregnancy and motherhood can bring different challenges and I love supporting women through this transition. Working together through individual therapy we can build on your strengths and help you to achieve your goals so you can live a healthy and fulfilling life.
We all experience different seasons of change throughout our lives and I enjoy helping others navigate these changes and find new rhythms that work best for them. I work with college students who are adjusting to all of the new changes and stressors that college life can bring. I also work with women who are pregnant, have experienced loss, or are new mothers. Pregnancy and motherhood can bring different challenges and I love supporting women through this transition. Working together through individual therapy we can build on your strengths and help you to achieve your goals so you can live a healthy and fulfilling life.
(910) 387-4123 View (910) 387-4123
Photo of Linda Burbank, Clinical Social Work/Therapist in Wilmington, NC
Linda Burbank
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Wilmington, NC 28401  (Online Only)
I have been providing outpatient therapy in Wilmington NC for 20 years. I work with families, children, adolescents, adults, and couples. I am experienced treating people with depression, anxiety, school issues, relationship issues, difficult family dynamics, couples issues, and parenting difficulties. My approach is empowering and non threatening as well as solution focused and goal oriented. I will help people build on their strengths to improve their lives
I have been providing outpatient therapy in Wilmington NC for 20 years. I work with families, children, adolescents, adults, and couples. I am experienced treating people with depression, anxiety, school issues, relationship issues, difficult family dynamics, couples issues, and parenting difficulties. My approach is empowering and non threatening as well as solution focused and goal oriented. I will help people build on their strengths to improve their lives
(910) 292-4208 View (910) 292-4208
Photo of Andrea Hunt, Psychologist in Wilmington, NC
Andrea Hunt
Psychologist, PsyD
Verified Verified
Wilmington, NC 28403
Waitlist for new clients
It is my great honor to be of service to people and assist them in having more alignment, integration, and coherence in their lives. I have a doctoral degree in psychology and have worked in mental health for 25 years. I work with adults and my ideal clients are people who are interested in learning ways to source more spaciousness, curiosity, and compassion in their lives to help get untangled from old cognitive and emotional patterning no longer serving them. My approach to therapy has evolved over these last 25 years to become more holistic and my toolbox is ever expanding as I am a very committed life long student and seeker.
It is my great honor to be of service to people and assist them in having more alignment, integration, and coherence in their lives. I have a doctoral degree in psychology and have worked in mental health for 25 years. I work with adults and my ideal clients are people who are interested in learning ways to source more spaciousness, curiosity, and compassion in their lives to help get untangled from old cognitive and emotional patterning no longer serving them. My approach to therapy has evolved over these last 25 years to become more holistic and my toolbox is ever expanding as I am a very committed life long student and seeker.
(910) 408-4243 View (910) 408-4243
Photo of Michael T Helfer, Psychologist in Wilmington, NC
Michael T Helfer
Psychologist, PhD
Verified Verified
Wilmington, NC 28401
Waitlist for new clients
I work to provide a judgment-free space where I can help others discuss and manage life’s challenges. I try to be transparent in my thoughts and advice. I am comfortable exploring topics that people may have a hard time communicating. I like to create a sense of warmth and humor, while also matching the tone of the interaction. I realize people have their own unique background, values, and culture. I appreciate these differences, and I want to help others in a way that feels right for them. My areas of work include but are not limited to anxiety, relationship issues (all types), men’s issues, trauma, and depression.
I work to provide a judgment-free space where I can help others discuss and manage life’s challenges. I try to be transparent in my thoughts and advice. I am comfortable exploring topics that people may have a hard time communicating. I like to create a sense of warmth and humor, while also matching the tone of the interaction. I realize people have their own unique background, values, and culture. I appreciate these differences, and I want to help others in a way that feels right for them. My areas of work include but are not limited to anxiety, relationship issues (all types), men’s issues, trauma, and depression.
(910) 543-8153 View (910) 543-8153
Photo of Brittany Patterson, Clinical Social Work/Therapist in Wilmington, NC
Brittany Patterson
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Wilmington, NC 28403
Waitlist for new clients
"The world breaks everyone, but some are strong at the broken places." -Ernest Hemingway. We all encounter challenges from time to time that seem to break us but with support we can strengthen the broken places to become whole again. If you are facing challenges in life with PTSD, depression, anxiety, relationship challenges or parenting needs I will help come alongside you to find the strength to heal and become whole again. I work with individuals of all ages (0-adult) as well as families. I take a holistic client centered approach to therapy.
"The world breaks everyone, but some are strong at the broken places." -Ernest Hemingway. We all encounter challenges from time to time that seem to break us but with support we can strengthen the broken places to become whole again. If you are facing challenges in life with PTSD, depression, anxiety, relationship challenges or parenting needs I will help come alongside you to find the strength to heal and become whole again. I work with individuals of all ages (0-adult) as well as families. I take a holistic client centered approach to therapy.
(910) 405-8825 View (910) 405-8825

How does your Therapist compare?

Number of Therapists in Wilmington, NC

600+

Average cost per session

$125

Therapists in Wilmington, NC who prioritize treating:

93% Anxiety
88% Depression
80% Self Esteem
76% Relationship Issues
74% Trauma and PTSD
74% Coping Skills
73% Stress

Average years in practice

10 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
69% Aetna
60% UnitedHealthcare UHC | UBH

How Therapists in Wilmington, NC see their clients

72% In Person and Online
28% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Wilmington?

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.