Therapists in Asheville, NC

Bo Hess
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
Asheville, NC 28801
"We are all just walking each other home." - Rumi Hello, I am Bo. I am a licensed psychotherapist, licensed clinical addiction specialist, and psychiatric social worker. Thank you for considering me as your clinician. I understand it is difficult to reach out for help. Right now, you may be navigating feelings of shame, embarrassment, and anger. I want you to know, I have been there too, in the middle of the storm, darkness all around. Sometimes in life and in our relationships we all can become "stuck".
"We are all just walking each other home." - Rumi Hello, I am Bo. I am a licensed psychotherapist, licensed clinical addiction specialist, and psychiatric social worker. Thank you for considering me as your clinician. I understand it is difficult to reach out for help. Right now, you may be navigating feelings of shame, embarrassment, and anger. I want you to know, I have been there too, in the middle of the storm, darkness all around. Sometimes in life and in our relationships we all can become "stuck".
(828) 759-5354 View (828) 759-5354
Photo of Lauri Burmeister, Psychological Associate in Asheville, NC
Lauri Burmeister
Psychological Associate, MA, LPA
Verified Verified
Asheville, NC 28803  (Online Only)
My goal as a practitioner, and the cornerstone of good therapy, is to foster a trusting, respectful, and collaborative relationship where clients can feel safe to sort through sensitive issues and make changes. For those reading, I honor your sense of purpose and your courage to take the first step. Together, we can team up to build skills, resolve concerns, and achieve mutually developed goals. You can achieve a high level of well-being and enjoyment in life, no matter where you start from and no matter your challenges. Your goals are within reach; success is possible!
My goal as a practitioner, and the cornerstone of good therapy, is to foster a trusting, respectful, and collaborative relationship where clients can feel safe to sort through sensitive issues and make changes. For those reading, I honor your sense of purpose and your courage to take the first step. Together, we can team up to build skills, resolve concerns, and achieve mutually developed goals. You can achieve a high level of well-being and enjoyment in life, no matter where you start from and no matter your challenges. Your goals are within reach; success is possible!
(828) 738-1509 View (828) 738-1509
Photo of Eliza Sage Meadows, Licensed Clinical Mental Health Counselor in Asheville, NC
Eliza Sage Meadows
Licensed Clinical Mental Health Counselor, LCMHC, SEP, CN
Verified Verified
Asheville, NC 28801
Peace is available to you and life doesn't have to be perfect for you to be okay in the midst of it. Anxiety and stress can feel overwhelming, but there are techniques available to help. I have a speciality in helping you learn to apply mindfulness skills so you can start feeling better from your first session onward. I would be honored to join with you on your journey toward a greater understanding of yourself and your experiences; and I will help you integrate your experiences in a way that helps you see how your past trials have created your present strengths.
Peace is available to you and life doesn't have to be perfect for you to be okay in the midst of it. Anxiety and stress can feel overwhelming, but there are techniques available to help. I have a speciality in helping you learn to apply mindfulness skills so you can start feeling better from your first session onward. I would be honored to join with you on your journey toward a greater understanding of yourself and your experiences; and I will help you integrate your experiences in a way that helps you see how your past trials have created your present strengths.
(828) 593-5998 View (828) 593-5998
Photo of Charlotte Hanks, Licensed Clinical Mental Health Counselor in Asheville, NC
Charlotte Hanks
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Asheville, NC 28803  (Online Only)
My passion in this work comes from guiding individuals toward life goals, healing, growth, and discovery within. I combine various modalities tailored to address blockages and increase momentum in your life. Perhaps you are not yet on your own timeline or feel like you are living someone else's life.
My passion in this work comes from guiding individuals toward life goals, healing, growth, and discovery within. I combine various modalities tailored to address blockages and increase momentum in your life. Perhaps you are not yet on your own timeline or feel like you are living someone else's life.
(828) 332-5590 View (828) 332-5590
Photo of Nikki Hughes, Licensed Professional Counselor in Asheville, NC
Nikki Hughes
Licensed Professional Counselor, LCMHC, LCAS
Verified Verified
1 Endorsed
Asheville, NC 28803
I have great respect for individuals willing to engage in the therapy. It is not an easy process, but it does provide an opportunity for real change and healing. I have spent much of my career working with individuals struggling with issues of addiction, depression and anxiety, and other severe and persistent mental illness and personality disorders. Much time has also been spent working with those recovering from a history of trauma or history of physical, verbal, and sexual abuse.
I have great respect for individuals willing to engage in the therapy. It is not an easy process, but it does provide an opportunity for real change and healing. I have spent much of my career working with individuals struggling with issues of addiction, depression and anxiety, and other severe and persistent mental illness and personality disorders. Much time has also been spent working with those recovering from a history of trauma or history of physical, verbal, and sexual abuse.
(828) 808-8543 View (828) 808-8543
Photo of Chris Hargrove, Clinical Social Work/Therapist in Asheville, NC
Chris Hargrove
Clinical Social Work/Therapist, MSSW, LCSW, CCTP, CCS, CCGP
Verified Verified
1 Endorsed
Asheville, NC 28804  (Online Only)
I believe that each individual already possesses the solutions to the challenges they face. My role as a counselor and a healer is to be a companion in the discovery of those solutions. I am a reliable guide with over 25 years of experience working with people of all ages. I specialize in helping people during major life transitions, times of grief & loss, and with trauma recovery. During my 11 years in Hospice, I learned how to help people navigate the many challenges that come with grief and loss. ​ As a long time meditation instructor, one of the hallmarks of my practice is the use of meditation as a tool for healing.
I believe that each individual already possesses the solutions to the challenges they face. My role as a counselor and a healer is to be a companion in the discovery of those solutions. I am a reliable guide with over 25 years of experience working with people of all ages. I specialize in helping people during major life transitions, times of grief & loss, and with trauma recovery. During my 11 years in Hospice, I learned how to help people navigate the many challenges that come with grief and loss. ​ As a long time meditation instructor, one of the hallmarks of my practice is the use of meditation as a tool for healing.
(828) 618-4184 View (828) 618-4184
Photo of ila counseling, Counselor in Asheville, NC
ila counseling
Counselor, MA, LCMHC
Verified Verified
Asheville, NC 28801
Are you struggling through a family or life transition? Are you feeling weighed down by loss or grief? Even in the darkest moments, there is still hope. I have a passion for supporting people in difficult places, especially teenagers and young adults. I have deep empathy for people who are stepping into new seasons and long to equip them with tools to find joy amidst uncertainty. I enjoy working with adoptive and foster children, and I especially like working with their siblings, who are often the forgotten heroes in the foster/adoption world.
Are you struggling through a family or life transition? Are you feeling weighed down by loss or grief? Even in the darkest moments, there is still hope. I have a passion for supporting people in difficult places, especially teenagers and young adults. I have deep empathy for people who are stepping into new seasons and long to equip them with tools to find joy amidst uncertainty. I enjoy working with adoptive and foster children, and I especially like working with their siblings, who are often the forgotten heroes in the foster/adoption world.
(828) 295-1292 View (828) 295-1292
Photo of Mary Edson, Licensed Clinical Mental Health Counselor in Asheville, NC
Mary Edson
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Asheville, NC 28801  (Online Only)
Welcome! Counseling offers a safe, nonjudgmental, space for exploring the psyche, finding meaning in challenging life events, and experiencing a sense of hope. The counseling process can be creative and exciting, and at times, it can be difficult. I seek to be open, supportive, curious, and responsive to my clients as they navigate their journey. I lean toward a psychodynamic psychotherapy model, exploring how our attachment styles, family stories, coping mechanisms, and unconscious layers of thoughts and feelings influence our present day life.
Welcome! Counseling offers a safe, nonjudgmental, space for exploring the psyche, finding meaning in challenging life events, and experiencing a sense of hope. The counseling process can be creative and exciting, and at times, it can be difficult. I seek to be open, supportive, curious, and responsive to my clients as they navigate their journey. I lean toward a psychodynamic psychotherapy model, exploring how our attachment styles, family stories, coping mechanisms, and unconscious layers of thoughts and feelings influence our present day life.
(828) 457-8853 View (828) 457-8853
Photo of Samantha Waddell Osborne, Licensed Professional Counselor in Asheville, NC
Samantha Waddell Osborne
Licensed Professional Counselor, LPC, LCAS
Verified Verified
Asheville, NC 28801
You're an ambitious person, and you love what you do, but recently something has changed. All of a sudden you don't feel like yourself anymore. You feel exhausted and overwhelmed. You used to feel successful and competent, but these days you don't feel like you are getting anything right. On the surface, things look great, but inside you worry that it's all falling apart. When you lay down at night, you can't seem to quiet your mind, and you wonder if you will ever feel "normal" again.
You're an ambitious person, and you love what you do, but recently something has changed. All of a sudden you don't feel like yourself anymore. You feel exhausted and overwhelmed. You used to feel successful and competent, but these days you don't feel like you are getting anything right. On the surface, things look great, but inside you worry that it's all falling apart. When you lay down at night, you can't seem to quiet your mind, and you wonder if you will ever feel "normal" again.
(704) 931-5491 View (704) 931-5491
Photo of John May, Marriage & Family Therapist Associate in Asheville, NC
John May
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Asheville, NC 28804
I am currently accepting new clients. Whether you are single or partnered; I strive to help you navigate life’s most challenging times. As an affirming and accepting therapist I have experience working with folx from all kinds of backgrounds. Most of my professional experience includes working with childhood and religious trauma, relationship issues, anxiety, depression and personality disorders. So lets walk together along your healing journey and write that next best chapter for your life.
I am currently accepting new clients. Whether you are single or partnered; I strive to help you navigate life’s most challenging times. As an affirming and accepting therapist I have experience working with folx from all kinds of backgrounds. Most of my professional experience includes working with childhood and religious trauma, relationship issues, anxiety, depression and personality disorders. So lets walk together along your healing journey and write that next best chapter for your life.
(828) 373-8237 View (828) 373-8237
Photo of Katie Elizabeth Huntley, Counselor in Asheville, NC
Katie Elizabeth Huntley
Counselor, LCMHC-A
Verified Verified
Asheville, NC 28801
The clients I tend to gravitate towards are those who are neurodivergent, highly sensitive, struggle with eating disorders/disordered eating, are unpacking unhelpful and often harmful messages that they've internalized, relearning their true selves, and finding a way to safely be embodied in their body and their place in this world.
The clients I tend to gravitate towards are those who are neurodivergent, highly sensitive, struggle with eating disorders/disordered eating, are unpacking unhelpful and often harmful messages that they've internalized, relearning their true selves, and finding a way to safely be embodied in their body and their place in this world.
(828) 482-1312 View (828) 482-1312
Photo of Angie King, Counselor in Asheville, NC
Angie King
Counselor, LCMHCA
Verified Verified
3 Endorsed
Asheville, NC 28801
Sometimes we feel stuck. We’ve tried on our own to heal, grow, and learn but we still find ourselves in the same patterns that have led to a continuous cycle of confusion, shame, and hopelessness. You are not alone. If you have found yourself questioning your worth, your relationships, or your identity, I am here to help. Most of us know, logically, that hardship, distress, and unwanted emotions are a part of life. But sometimes we were not given the correct tools to manage these difficult experiences. Together, I believe we can connect back to your authentic self so that you can lead the life you want.
Sometimes we feel stuck. We’ve tried on our own to heal, grow, and learn but we still find ourselves in the same patterns that have led to a continuous cycle of confusion, shame, and hopelessness. You are not alone. If you have found yourself questioning your worth, your relationships, or your identity, I am here to help. Most of us know, logically, that hardship, distress, and unwanted emotions are a part of life. But sometimes we were not given the correct tools to manage these difficult experiences. Together, I believe we can connect back to your authentic self so that you can lead the life you want.
(828) 373-3237 View (828) 373-3237
Photo of Geri Johnson, Licensed Professional Counselor in Asheville, NC
Geri Johnson
Licensed Professional Counselor, MDiv, LCMHC, LCAS
Verified Verified
Asheville, NC 28801  (Online Only)
Are you a woman looking for meaning in your life or having reached the stage of “what now?” Would you like to connect with another who is attuned to your search as a woman? Are you looking for someone with lived experience; someone who is not of any particular religious faith, but who can delve into the deep well of spirit? I would love to work with you on your journey of spiritual transformation. My strengths are in fostering connection, identifying obstacles that keep you from being your authentic self, and learning and practicing techniques and skills that can help to calm, soothe, activate, and create space for change.
Are you a woman looking for meaning in your life or having reached the stage of “what now?” Would you like to connect with another who is attuned to your search as a woman? Are you looking for someone with lived experience; someone who is not of any particular religious faith, but who can delve into the deep well of spirit? I would love to work with you on your journey of spiritual transformation. My strengths are in fostering connection, identifying obstacles that keep you from being your authentic self, and learning and practicing techniques and skills that can help to calm, soothe, activate, and create space for change.
(828) 481-8955 View (828) 481-8955
Photo of Kathryn Shanks, Licensed Clinical Mental Health Counselor in Asheville, NC
Kathryn Shanks
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
2 Endorsed
Asheville, NC 28801  (Online Only)
Waitlist for new clients
I work with people who feel overwhelmed--by work, big transitions, relationships, family, life. My approach is gentle, non-judgmental, and deep. I enjoy helping clients become more fully aware of themselves and of the patterns that hold them back in life, and working with them to feel more grounded and connected with themselves and with others. Many of my clients are people who are in helping professions or caretaking roles. Many are women or non-binary individuals, and are longing to feel more at home in their own skin and more confident in their own strength, beauty, and wisdom.
I work with people who feel overwhelmed--by work, big transitions, relationships, family, life. My approach is gentle, non-judgmental, and deep. I enjoy helping clients become more fully aware of themselves and of the patterns that hold them back in life, and working with them to feel more grounded and connected with themselves and with others. Many of my clients are people who are in helping professions or caretaking roles. Many are women or non-binary individuals, and are longing to feel more at home in their own skin and more confident in their own strength, beauty, and wisdom.
(828) 354-0564 View (828) 354-0564
Photo of Leyla El-Baba, Clinical Social Work/Therapist in Asheville, NC
Leyla El-Baba
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Asheville, NC 28806  (Online Only)
Well, hello there :) It is nice to see you here. Are you struggling to exist within the constructs of late-stage capitalism? Do you want to find meaning, purpose and connection in a world that feels unpredictable and unsafe? The pain inside of you is reflective of the collective chaos outside of you. Your feelings are valid. If this resonates with you, look no further. Your anti-capitalist therapist is here.
Well, hello there :) It is nice to see you here. Are you struggling to exist within the constructs of late-stage capitalism? Do you want to find meaning, purpose and connection in a world that feels unpredictable and unsafe? The pain inside of you is reflective of the collective chaos outside of you. Your feelings are valid. If this resonates with you, look no further. Your anti-capitalist therapist is here.
(704) 610-2719 View (704) 610-2719
Photo of Stephen Wollentin, Licensed Clinical Mental Health Counselor in Asheville, NC
Stephen Wollentin
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
6 Endorsed
Asheville, NC 28801
Not accepting new clients
Please note my practice is currently full. If you’re here, it’s because you’re encountering hardship of some form. I don’t yet know your story, but I do know hardship and I know it’s not easy. I know that it takes courage to ask for help, which is why I’m here, to welcome all parts and experiences that make up who you are, to listen to your inner wisdom, to be your ally in navigating difficult roads, and to see you for the incredible person you truly are.
Please note my practice is currently full. If you’re here, it’s because you’re encountering hardship of some form. I don’t yet know your story, but I do know hardship and I know it’s not easy. I know that it takes courage to ask for help, which is why I’m here, to welcome all parts and experiences that make up who you are, to listen to your inner wisdom, to be your ally in navigating difficult roads, and to see you for the incredible person you truly are.
(828) 532-5109 View (828) 532-5109
Photo of Emily Cox, Licensed Professional Counselor in Asheville, NC
Emily Cox
Licensed Professional Counselor, LCMHC, LCAS
Verified Verified
1 Endorsed
Asheville, NC 28801
Things can feel off and you're not sure why. Maybe noticing your teen pulling away, shut behind a closed door. Your child changing, giving one word answers when they are usually a chatterbox. You may feel that everything is getting on your nerves, having ADHD overwhelm, or like things are in a funk. You know that something is wrong, but are stuck on how to fix it. The disconnect can get to a point where we need some more support. Feeling unheard, unseen, or misunderstood can lead us to seek that help to reconnect to ourselves and our inner strengths. You can find your strengths again and use them to heal and feel better.
Things can feel off and you're not sure why. Maybe noticing your teen pulling away, shut behind a closed door. Your child changing, giving one word answers when they are usually a chatterbox. You may feel that everything is getting on your nerves, having ADHD overwhelm, or like things are in a funk. You know that something is wrong, but are stuck on how to fix it. The disconnect can get to a point where we need some more support. Feeling unheard, unseen, or misunderstood can lead us to seek that help to reconnect to ourselves and our inner strengths. You can find your strengths again and use them to heal and feel better.
(828) 374-0958 View (828) 374-0958
Photo of Cynthia A Bailey, Psychologist in Asheville, NC
Cynthia A Bailey
Psychologist, PhD
Verified Verified
Asheville, NC 28801  (Online Only)
A lot of people think therapy is a one-sided conversation, with little opportunity to experience each other as real people. My clients know that I am as real as it gets! I want to help you achieve your goals, learn more about yourself, and understand how your mind and brain work. While progressing along this path, you will enjoy the process of learning about yourself and perceiving yourself in new ways. My experience is that therapy doesn't need to be painful. I know it can be intimidating to call a therapist, but I hope you will call me and see how I can help you.
A lot of people think therapy is a one-sided conversation, with little opportunity to experience each other as real people. My clients know that I am as real as it gets! I want to help you achieve your goals, learn more about yourself, and understand how your mind and brain work. While progressing along this path, you will enjoy the process of learning about yourself and perceiving yourself in new ways. My experience is that therapy doesn't need to be painful. I know it can be intimidating to call a therapist, but I hope you will call me and see how I can help you.
(828) 471-4673 View (828) 471-4673
Photo of Vanessa Guerrero, LCMHC Associate in Asheville, NC
Vanessa Guerrero
LCMHC Associate, MA, LCMHC-A, NCC
Verified Verified
Asheville, NC 28803  (Online Only)
Currently Accepting Clients ( Telehealth Only)-My name is Vanessa Guerero and I am a clinical therapist with Winter to Spring Wellness. Prior to being in Asheville for almost a decade, I originally hail from Miami, Fl. I am a proud daughter of Cuban immigrants and a first-generation college student. As a teen I had my own battles with physical and mental wellness, difficulties with acculturation as well as struggled with cultural stigma in regard to mental health care. Through my own work, I have been able to find healing and am now honored to support others who struggle with their own mental wellness and similar issues.
Currently Accepting Clients ( Telehealth Only)-My name is Vanessa Guerero and I am a clinical therapist with Winter to Spring Wellness. Prior to being in Asheville for almost a decade, I originally hail from Miami, Fl. I am a proud daughter of Cuban immigrants and a first-generation college student. As a teen I had my own battles with physical and mental wellness, difficulties with acculturation as well as struggled with cultural stigma in regard to mental health care. Through my own work, I have been able to find healing and am now honored to support others who struggle with their own mental wellness and similar issues.
(828) 382-8550 View (828) 382-8550
Photo of Michelle Stephan, Counselor in Asheville, NC
Michelle Stephan
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Asheville, NC 28806
Growth and healing begin with compassion and understanding, for ourselves and those around us. When we allow ourselves to speak our truths and breathe life into our experiences in a supportive environment, we may begin movement towards healing. Maybe we take one small step at a time. Maybe all we need to do is pause and breathe.
Growth and healing begin with compassion and understanding, for ourselves and those around us. When we allow ourselves to speak our truths and breathe life into our experiences in a supportive environment, we may begin movement towards healing. Maybe we take one small step at a time. Maybe all we need to do is pause and breathe.
(828) 457-8007 View (828) 457-8007

How does your Therapist compare?

Number of Therapists in Asheville, NC

1,000+

Average cost per session

$140

Therapists in Asheville, NC who prioritize treating:

92% Anxiety
86% Depression
78% Relationship Issues
78% Self Esteem
75% Trauma and PTSD
69% Coping Skills
69% Stress

Average years in practice

11 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
70% Aetna
50% UnitedHealthcare UHC | UBH

How Therapists in Asheville, NC see their clients

69% In Person and Online
31% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Asheville?

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.