Therapists in Laguna Hills, CA

Photo of Dr. Elaine Montag, Psychologist in Laguna Hills, CA
Dr. Elaine Montag
Psychologist, BA, MA, PsyD, CCC
Verified Verified
Laguna Hills, CA 92653
If you are in emotional pain you can find relief in our first session. Most clients have drastic improvement in 4-8 weeks. My work is non-judging and compassionate. I am directive, specific, goal oriented and incorporate a variety of tools customized to your needs. This includes: EMDR, Cognitive Work, Meditative work, supplements to improve mood, Energy work in our healing room, Intuitive knowing of core patterns, prayer, healing grief. I offer a holistic approach to healing on all levels. About Me: I enjoy meditation, spiritual contemplation, sports, animals, nature, hiking, reading and lots of laughter.
If you are in emotional pain you can find relief in our first session. Most clients have drastic improvement in 4-8 weeks. My work is non-judging and compassionate. I am directive, specific, goal oriented and incorporate a variety of tools customized to your needs. This includes: EMDR, Cognitive Work, Meditative work, supplements to improve mood, Energy work in our healing room, Intuitive knowing of core patterns, prayer, healing grief. I offer a holistic approach to healing on all levels. About Me: I enjoy meditation, spiritual contemplation, sports, animals, nature, hiking, reading and lots of laughter.
(949) 347-5886 View (949) 347-5886
Photo of Allison Davis Maxon, Marriage & Family Therapist in Laguna Hills, CA
Allison Davis Maxon
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Laguna Hills, CA 92653
Hi, my name is Allison. I specialize in Attachment, Childhood Trauma, Parenting and Foster Care/Adoption with over 25 years of clinical experience. My clinical orientation in Attachment is specialized in complex family systems and relational (complex) trauma. I'm the co-author of the 'Seven Core Issues in Adoption and Permanency: A Comprehensive Guide to Promoting Understanding and Healing in Adoption, Foster Care, Kinship Families and Third Party Reproduction', as well as 'The Seven Core Issues Workbook for Parents of Traumatized Children and Teens'. To learn more please visit my website.
Hi, my name is Allison. I specialize in Attachment, Childhood Trauma, Parenting and Foster Care/Adoption with over 25 years of clinical experience. My clinical orientation in Attachment is specialized in complex family systems and relational (complex) trauma. I'm the co-author of the 'Seven Core Issues in Adoption and Permanency: A Comprehensive Guide to Promoting Understanding and Healing in Adoption, Foster Care, Kinship Families and Third Party Reproduction', as well as 'The Seven Core Issues Workbook for Parents of Traumatized Children and Teens'. To learn more please visit my website.
(949) 438-5965 View (949) 438-5965
Photo of Natalie Collins, Clinical Social Work/Therapist in Laguna Hills, CA
Natalie Collins
Clinical Social Work/Therapist, LCSW
Verified Verified
Laguna Hills, CA 92653  (Online Only)
I thoroughly enjoy my work as a therapist and witnessing the courage and resilience within each of my clients that guides positive change.
I thoroughly enjoy my work as a therapist and witnessing the courage and resilience within each of my clients that guides positive change.
(415) 996-1829 View (415) 996-1829
Photo of Leyla Sadr Rasooli, Psychologist in Laguna Hills, CA
Leyla Sadr Rasooli
Psychologist, PsyD, LMFT
Verified Verified
Laguna Hills, CA 92653
Are you feeling frustrated, overwhelmed, unsettled, or unbalanced with life, in relationships, or even at work? Are you struggling to get better, But it feels that no matter how much you try, things seem to remain the same; you can’t seem to move forward. Have you found yourself asking: “why me? Am I the problem? Is it my past? My family? Why am I feeling this way? Will it ever end? Is there a way out?... It would be great to find peace. It would be great to “unload” the emotional “hurt,” be heard, and find answers and options to inner peace. You are not alone, and there is “hope” for happiness, Let’s find it together!
Are you feeling frustrated, overwhelmed, unsettled, or unbalanced with life, in relationships, or even at work? Are you struggling to get better, But it feels that no matter how much you try, things seem to remain the same; you can’t seem to move forward. Have you found yourself asking: “why me? Am I the problem? Is it my past? My family? Why am I feeling this way? Will it ever end? Is there a way out?... It would be great to find peace. It would be great to “unload” the emotional “hurt,” be heard, and find answers and options to inner peace. You are not alone, and there is “hope” for happiness, Let’s find it together!
(909) 304-1903 View (909) 304-1903
Photo of Heidi A Berman, Marriage & Family Therapist in Laguna Hills, CA
Heidi A Berman
Marriage & Family Therapist, PhD, MFCT
Verified Verified
Laguna Hills, CA 92653  (Online Only)
Do you or someone close to you have noticeable mood changes or periods of anxiety & depression that are interfering with your life? Is your child not the same youngster he/she used to be? I am a highly experienced PhD. with specializations in Mood Disorders (e.g. Bipolar, Depression), Anxiety Disorders, Eating Disorders, and all Addictions. Additionally, I have substantial experience in virtually all areas of mental health. I work hard for you to make the therapy process both comfortable and rewarding. My practice is open to adults,teens, children, couples and families. Phone consultation (therapy) is available during or after-hours.
Do you or someone close to you have noticeable mood changes or periods of anxiety & depression that are interfering with your life? Is your child not the same youngster he/she used to be? I am a highly experienced PhD. with specializations in Mood Disorders (e.g. Bipolar, Depression), Anxiety Disorders, Eating Disorders, and all Addictions. Additionally, I have substantial experience in virtually all areas of mental health. I work hard for you to make the therapy process both comfortable and rewarding. My practice is open to adults,teens, children, couples and families. Phone consultation (therapy) is available during or after-hours.
(949) 390-9274 x1 View (949) 390-9274 x1
Photo of Susan Clarke, Marriage & Family Therapist in Laguna Hills, CA
Susan Clarke
Marriage & Family Therapist, MS, , LMFT
Verified Verified
Laguna Hills, CA 92653
I have been a Counselor for 28 years and I feel so lucky to be able to help you on your journey. We all have times when a non-judge mental, compassionate professional can help us process and find clarity to move forward and assist in finding your highest good.
I have been a Counselor for 28 years and I feel so lucky to be able to help you on your journey. We all have times when a non-judge mental, compassionate professional can help us process and find clarity to move forward and assist in finding your highest good.
(949) 734-4648 View (949) 734-4648
Photo of Sherri Abbassi, Marriage & Family Therapist in Laguna Hills, CA
Sherri Abbassi
Marriage & Family Therapist, LMFT, EdD
Verified Verified
2 Endorsed
Laguna Hills, CA 92653
Are you feeling alone and hopeless? Do you feel as though no matter what you do, you aren't able to make progress in your everyday life? Is it difficult to set goals for yourself and actually meet them? Has it become impossible to communicate with those around you? Are you feeling anxious and stressed out by various obstacles that you feel you don't have control over? Well today's the day for you to free your mind! You have taken the initial step of putting yourself first and making positive changes in your life. Welcome to the beginning of your therapeutic journey!
Are you feeling alone and hopeless? Do you feel as though no matter what you do, you aren't able to make progress in your everyday life? Is it difficult to set goals for yourself and actually meet them? Has it become impossible to communicate with those around you? Are you feeling anxious and stressed out by various obstacles that you feel you don't have control over? Well today's the day for you to free your mind! You have taken the initial step of putting yourself first and making positive changes in your life. Welcome to the beginning of your therapeutic journey!
(949) 288-2781 View (949) 288-2781
Photo of Galya Cohen, Psychologist in Laguna Hills, CA
Galya Cohen
Psychologist, PsyD
Verified Verified
Laguna Hills, CA 92653
I provide individual psychotherapy to both adults and adolescents who have a variety of mental health conditions, including trauma, ADHD, mood and anxiety disorders, substance use disorders, personality disorders, and psychotic spectrum disorders. I also have training in Ketamine Assisted Psychotherapy (KAP), and can provide integration services for those who have had experienced psychedelic medicines without the additional therapeutic assistance to integrate the experience.
I provide individual psychotherapy to both adults and adolescents who have a variety of mental health conditions, including trauma, ADHD, mood and anxiety disorders, substance use disorders, personality disorders, and psychotic spectrum disorders. I also have training in Ketamine Assisted Psychotherapy (KAP), and can provide integration services for those who have had experienced psychedelic medicines without the additional therapeutic assistance to integrate the experience.
(949) 996-0348 View (949) 996-0348
Photo of Junko Johnson, Marriage & Family Therapist in Laguna Hills, CA
Junko Johnson
Marriage & Family Therapist, MS, LMFT, RPT
Verified Verified
Laguna Hills, CA 92653
Everyone has a story; everyone has struggles; everyone is fighting their own battle. We all experience some degree of suffering though it and all of us need a safe place. A safe place where we can be who we really are, where we can listen to our own needs, wants, feelings, and beliefs. I create this kind of environment for you by providing validation, empathy, and compassion. I conduct psychotherapy with adults, young children, and adolescents. My style of practice is client-centered. I create an approach tailored to the particular characteristics and needs of each client.
Everyone has a story; everyone has struggles; everyone is fighting their own battle. We all experience some degree of suffering though it and all of us need a safe place. A safe place where we can be who we really are, where we can listen to our own needs, wants, feelings, and beliefs. I create this kind of environment for you by providing validation, empathy, and compassion. I conduct psychotherapy with adults, young children, and adolescents. My style of practice is client-centered. I create an approach tailored to the particular characteristics and needs of each client.
(949) 522-7580 View (949) 522-7580
Photo of Kelsie Testa, Marriage & Family Therapist in Laguna Hills, CA
Kelsie Testa
Marriage & Family Therapist, LMFT
Verified Verified
Laguna Hills, CA 92653  (Online Only)
My approach combines teaching you skills to regulate your emotions, tolerate distress and be more mindful with conversations to build insight and process long-term patterns to understand how they got there in the first place. I believe therapy is a relationship first and foremost: I bring knowledge and expertise about the mind and emotions to the table; you bring knowledge and expertise about yourself and your experience. Together you and I will collaborate to find a balance of approaches that works for you.
My approach combines teaching you skills to regulate your emotions, tolerate distress and be more mindful with conversations to build insight and process long-term patterns to understand how they got there in the first place. I believe therapy is a relationship first and foremost: I bring knowledge and expertise about the mind and emotions to the table; you bring knowledge and expertise about yourself and your experience. Together you and I will collaborate to find a balance of approaches that works for you.
(510) 319-0393 View (510) 319-0393
Photo of Mahsa Hojat, Clinical Social Work/Therapist in Laguna Hills, CA
Mahsa Hojat
Clinical Social Work/Therapist, PhD, LCSW, CCTP
Verified Verified
1 Endorsed
Laguna Hills, CA 92653
My experience includes 12 years of helping people improve and repair their relationships. I also assist with individuals and couples with overcoming anxiety, sadness, fear, isolation, inability to trust or build meaningful relationships. If you are having distresses due to relationships at home, work, with the family or being unable to connect with others, I look forward to the opportunity to be of assistance. Very often, we struggle with sadness, difficulty with life transitions or obstacles in relationships. You are in charge and I will act as a guide, collaborator and help you pursue your dreams.
My experience includes 12 years of helping people improve and repair their relationships. I also assist with individuals and couples with overcoming anxiety, sadness, fear, isolation, inability to trust or build meaningful relationships. If you are having distresses due to relationships at home, work, with the family or being unable to connect with others, I look forward to the opportunity to be of assistance. Very often, we struggle with sadness, difficulty with life transitions or obstacles in relationships. You are in charge and I will act as a guide, collaborator and help you pursue your dreams.
(562) 269-1373 View (562) 269-1373
Photo of Brandon Vazirian, Marriage & Family Therapist in Laguna Hills, CA
Brandon Vazirian
Marriage & Family Therapist, MS, MFT
Verified Verified
2 Endorsed
Laguna Hills, CA 92653
The resiliency of people is always something that inspires me. It is my belief that each person is unique and has the potential to grow and change, all it takes is the desire and the commitment to do the work. As a therapist I have had the privilege of walking along side people and see these changes first hand, whether it's through an awaking of insight, breaking patterns of behavior, lifting of anxiety/depression, or deepening of relationships. Therapy is an intimate, empowering experience, and it is truly a beautiful thing to see people meet their goals and lead the lives they always wanted. Lets begin that journey together today.
The resiliency of people is always something that inspires me. It is my belief that each person is unique and has the potential to grow and change, all it takes is the desire and the commitment to do the work. As a therapist I have had the privilege of walking along side people and see these changes first hand, whether it's through an awaking of insight, breaking patterns of behavior, lifting of anxiety/depression, or deepening of relationships. Therapy is an intimate, empowering experience, and it is truly a beautiful thing to see people meet their goals and lead the lives they always wanted. Lets begin that journey together today.
(714) 989-6973 View (714) 989-6973
Photo of Janet Marie Congo, Marriage & Family Therapist in Laguna Hills, CA
Janet Marie Congo
Marriage & Family Therapist, MA, LMFT
Verified Verified
Laguna Hills, CA 92653
If you are struggling with low self-esteem, confusion, anxiety, or depression, I will be a compassionate guide. If you have self-defeating beliefs and patterns, together we can create a new mindset. If your relationships are disappointing, I will help you confront the roadblocks. If your marriage is stagnant, I can assist you to intentionally create the "WOW in your VOW". If you are reeling from betrayal, broken relationships, family conflict, parenting or step-parenting issues, I can assist you in developing a strategy that will work for you. If you are grieving, I will walk beside you.
If you are struggling with low self-esteem, confusion, anxiety, or depression, I will be a compassionate guide. If you have self-defeating beliefs and patterns, together we can create a new mindset. If your relationships are disappointing, I will help you confront the roadblocks. If your marriage is stagnant, I can assist you to intentionally create the "WOW in your VOW". If you are reeling from betrayal, broken relationships, family conflict, parenting or step-parenting issues, I can assist you in developing a strategy that will work for you. If you are grieving, I will walk beside you.
(949) 274-7053 View (949) 274-7053
Photo of Julianne Flora-Tostado, Psychologist in Laguna Hills, CA
Julianne Flora-Tostado
Psychologist, PhD
Verified Verified
Laguna Hills, CA 92653
I enjoy working with clients who want to rekindle their naturally creative, and confident Self. Many professionals, parents, and early-career adults have found that therapy helps them learn skills to address worry, to better balance self-care and to become more present, mindful and effective in their relationships and their work. I offer the understanding and research-guided psychological perspectives that help you bounce back from crisis, career paralysis and loneliness. I am also skilled in Recovery work for Depression, Anxiety, including Social Anxiety and OCD, Caregiving and Cancer crises
I enjoy working with clients who want to rekindle their naturally creative, and confident Self. Many professionals, parents, and early-career adults have found that therapy helps them learn skills to address worry, to better balance self-care and to become more present, mindful and effective in their relationships and their work. I offer the understanding and research-guided psychological perspectives that help you bounce back from crisis, career paralysis and loneliness. I am also skilled in Recovery work for Depression, Anxiety, including Social Anxiety and OCD, Caregiving and Cancer crises
(949) 397-2559 View (949) 397-2559
Photo of Cathy Conway, Clinical Social Work/Therapist in Laguna Hills, CA
Cathy Conway
Clinical Social Work/Therapist, LCSW
Verified Verified
Laguna Hills, CA 92653  (Online Only)
My approach to therapy is down to earth, warm yet direct. My primary task is to get to know you, your challenges, strengths, and goals so that together we can find ways to build more joy into your life. I find it helpful to work with clients to understand lifelong patterns and also to seek out specific ways to experience personal growth.
My approach to therapy is down to earth, warm yet direct. My primary task is to get to know you, your challenges, strengths, and goals so that together we can find ways to build more joy into your life. I find it helpful to work with clients to understand lifelong patterns and also to seek out specific ways to experience personal growth.
(510) 726-8242 View (510) 726-8242
Photo of Diana Jochai, Psychologist in Laguna Hills, CA
Diana Jochai
Psychologist, PhD
Verified Verified
1 Endorsed
Laguna Hills, CA 92654  (Online Only)
Life can throw some real curveballs at us, right? We all have moments when we’re just not feeling our best, and it can make the world seem like a confusing place. Maybe you’ve tried to figure things out on your own, or perhaps you’ve talked to someone about it before. But now, you’re looking for something more, something deeper. I specialize in helping teens and adults who are struggling to find clarity and peace of mind in the face of life’s challenges. They’re on a quest for a safe space where they can unpack their thoughts and feelings, trying to make sense of why they might be feeling down, anxious, or just a bit lost.
Life can throw some real curveballs at us, right? We all have moments when we’re just not feeling our best, and it can make the world seem like a confusing place. Maybe you’ve tried to figure things out on your own, or perhaps you’ve talked to someone about it before. But now, you’re looking for something more, something deeper. I specialize in helping teens and adults who are struggling to find clarity and peace of mind in the face of life’s challenges. They’re on a quest for a safe space where they can unpack their thoughts and feelings, trying to make sense of why they might be feeling down, anxious, or just a bit lost.
(949) 868-7395 View (949) 868-7395
Photo of Kintsugi Mind Spa, Clinical Social Work/Therapist in Laguna Hills, CA
Kintsugi Mind Spa
Clinical Social Work/Therapist, LCSW
Verified Verified
Laguna Hills, CA 92653
We are highly skilled, compassionate, empathetic and solutions-oriented therapists dedicated to providing exceptional care and implementing effective treatment plans for children, adolescents and adults experiencing mental health issues. We believe that approaching a client as a learner allows for the deepest level of growth and transformation to occur. It enables individuals to learn how to coexist with everything that makes that individual the best they can be.
We are highly skilled, compassionate, empathetic and solutions-oriented therapists dedicated to providing exceptional care and implementing effective treatment plans for children, adolescents and adults experiencing mental health issues. We believe that approaching a client as a learner allows for the deepest level of growth and transformation to occur. It enables individuals to learn how to coexist with everything that makes that individual the best they can be.
(949) 763-3240 View (949) 763-3240
Photo of Lindsey Fletcher, Clinical Social Work/Therapist in Laguna Hills, CA
Lindsey Fletcher
Clinical Social Work/Therapist, LCSW
Verified Verified
Laguna Hills, CA 92653
Being REAL, therapy is hard and challenging to face all the pain we try to avoid. Finding a therapist is usually the hardest part! Maybe you're struggling with the pain of loneliness or being controlled by overwhelming fears? Are you watching the relationships in your life and not sure why you feel so disconnected and misunderstood? Maybe you have experienced betrayal and trauma? I want you to feel safe to go deeper, stay in the emotions and gain more self awareness to make decisions in your relationships.
Being REAL, therapy is hard and challenging to face all the pain we try to avoid. Finding a therapist is usually the hardest part! Maybe you're struggling with the pain of loneliness or being controlled by overwhelming fears? Are you watching the relationships in your life and not sure why you feel so disconnected and misunderstood? Maybe you have experienced betrayal and trauma? I want you to feel safe to go deeper, stay in the emotions and gain more self awareness to make decisions in your relationships.
(949) 978-0358 View (949) 978-0358
Photo of Dr. Daryl Sparks, Psychologist in Laguna Hills, CA
Dr. Daryl Sparks
Psychologist, PsyD, RYT
Verified Verified
Laguna Hills, CA 92653  (Online Only)
Not accepting new clients
I see each of my clients as far more complex and resilient than a diagnosis can define. I believe that a person experiencing disorienting life events can benefit from a therapist knowledgeable about the intense and chronic nature of their symptoms. I have many years of experience providing therapy targeted at relieving emotional overwhelm and preventing mental and physical exhaustion.
I see each of my clients as far more complex and resilient than a diagnosis can define. I believe that a person experiencing disorienting life events can benefit from a therapist knowledgeable about the intense and chronic nature of their symptoms. I have many years of experience providing therapy targeted at relieving emotional overwhelm and preventing mental and physical exhaustion.
(734) 926-5667 View (734) 926-5667
Photo of Pathways Community Counseling Center in Laguna Hills, CA
Pathways Community Counseling Center
LCSW, MFTI
Verified Verified
Laguna Hills, CA 92653
Pathways Community Counseling Center provides high quality, low-cost counseling, psychotherapy, life skills and supportive services to individuals, couples, and families in English and Spanish.
Pathways Community Counseling Center provides high quality, low-cost counseling, psychotherapy, life skills and supportive services to individuals, couples, and families in English and Spanish.
(949) 245-6828 View (949) 245-6828

See more therapy options for Laguna Hills

How does your Therapist compare?

Number of Therapists in Laguna Hills, CA

100+

Average cost per session

$175

Therapists in Laguna Hills, CA who prioritize treating:

96% Anxiety
93% Depression
79% Relationship Issues
76% Trauma and PTSD
75% Self Esteem
69% Coping Skills
67% Stress

Average years in practice

13 Years

Top 3 insurances accepted

65% Aetna
62% Cigna and Evernorth
39% MHN | Health Net

How Therapists in Laguna Hills, CA see their clients

79% In Person and Online
21% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Laguna Hills?

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.