Therapists in Sandy, UT

Photo of Chrys Gerber, Counselor in Sandy, UT
Chrys Gerber
Counselor, LCMHC
Verified Verified
Sandy, UT 84070
Waitlist for new clients
There are things in life that can lead us adrift, where we may feel that something is missing, have dissatisfaction with our life, or feel stuck in a situation that is draining and dysfunctional but do not know the way out. I’ve found the experiences of our developmental years, to often color the way we see the world, and can create patterns that hinder access to our true self, and thus, a full and conscious life. I believe that authenticity, resilience, and self-efficacy are crucial to living a satisfying life, and I want to help you move through the wounds that have kept you from getting there.
There are things in life that can lead us adrift, where we may feel that something is missing, have dissatisfaction with our life, or feel stuck in a situation that is draining and dysfunctional but do not know the way out. I’ve found the experiences of our developmental years, to often color the way we see the world, and can create patterns that hinder access to our true self, and thus, a full and conscious life. I believe that authenticity, resilience, and self-efficacy are crucial to living a satisfying life, and I want to help you move through the wounds that have kept you from getting there.
(801) 758-8552 View (801) 758-8552
Photo of Britney Preator, Clinical Social Work/Therapist in Sandy, UT
Britney Preator
Clinical Social Work/Therapist, CSW
Verified Verified
1 Endorsed
Sandy, UT 84094
I believe that mental health is an integral part of our wellbeing and should be attended to like one's own physical health. The therapeutic modalities I have experience in are trauma-focused and person-centered. I enjoy supporting children ages 6 to 18 years old to improve their mental health and heal psychological wounds.
I believe that mental health is an integral part of our wellbeing and should be attended to like one's own physical health. The therapeutic modalities I have experience in are trauma-focused and person-centered. I enjoy supporting children ages 6 to 18 years old to improve their mental health and heal psychological wounds.
(385) 469-1174 View (385) 469-1174
Photo of Jenny Winkel in Sandy, UT
Jenny Winkel
MA, LMT, SEP, NARM
Verified Verified
Sandy, UT 84070
Do you feel like trauma is stuck in your body? Are you constantly in a state of hypervigilance, freeze or feeling numbed out all the time? Do you wish you could have more meaningful connection with the important people in your life (including yourself)? Talk therapy has helped you up to a point but now that you understand your trauma, you are ready to release it from your body and move forward with your life.
Do you feel like trauma is stuck in your body? Are you constantly in a state of hypervigilance, freeze or feeling numbed out all the time? Do you wish you could have more meaningful connection with the important people in your life (including yourself)? Talk therapy has helped you up to a point but now that you understand your trauma, you are ready to release it from your body and move forward with your life.
(385) 526-5287 View (385) 526-5287
Photo of Elizabeth A. Beckmann, Marriage & Family Therapist in Sandy, UT
Elizabeth A. Beckmann
Marriage & Family Therapist, DMFT, LMFT
Verified Verified
Sandy, UT 84070
Finding a therapist and beginning treatment can feel overwhelming, yet the benefits and healing that are possible through therapy are worth taking the leap. You are in the right place to begin your healing process! My goal is to provide you and your family with the specific treatment, support, empowerment, knowledge, and guidance needed to help you to work through challenging issues, build resiliency, and accomplish your life goals. With the right therapeutic treatment, and dedicated effort on your part, you will be able to get through this tough time, accomplish long-term change, and move in the direction of your goals and dreams.
Finding a therapist and beginning treatment can feel overwhelming, yet the benefits and healing that are possible through therapy are worth taking the leap. You are in the right place to begin your healing process! My goal is to provide you and your family with the specific treatment, support, empowerment, knowledge, and guidance needed to help you to work through challenging issues, build resiliency, and accomplish your life goals. With the right therapeutic treatment, and dedicated effort on your part, you will be able to get through this tough time, accomplish long-term change, and move in the direction of your goals and dreams.
(385) 247-2132 View (385) 247-2132
Photo of Synergism Counseling, Clinical Social Work/Therapist in Sandy, UT
Synergism Counseling
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
4 Endorsed
Sandy, UT 84070
Our goal at Synergism Counseling is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change the past, we can work together to better understand and resolve challenges in your life. Synergy is defined as the interaction of two or more parts to produce a combined effect greater than the sum of the separate parts. Together you can, with the help of an experienced therapist, make significant positive changes in your life, creating synergy. The relationship and trust we will build leads to empowerment, healing and strengthening individuals and family. Everyone can benefit from counseling.
Our goal at Synergism Counseling is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change the past, we can work together to better understand and resolve challenges in your life. Synergy is defined as the interaction of two or more parts to produce a combined effect greater than the sum of the separate parts. Together you can, with the help of an experienced therapist, make significant positive changes in your life, creating synergy. The relationship and trust we will build leads to empowerment, healing and strengthening individuals and family. Everyone can benefit from counseling.
(801) 416-3692 View (801) 416-3692
Photo of Taunya Cox, Counselor in Sandy, UT
Taunya Cox
Counselor, MA, CMHC, BCN
Verified Verified
Sandy, UT 84070
Origins Therapy is taking NEW clients! I am a person-centered therapist. I have dedicated my career to working with people who suffer from anxiety/OCD, depression, trauma, substance abuse, addiction, PTSD, and other challenges. I look forward to working with you to achieve your goals so that you can live a life worth celebrating.
Origins Therapy is taking NEW clients! I am a person-centered therapist. I have dedicated my career to working with people who suffer from anxiety/OCD, depression, trauma, substance abuse, addiction, PTSD, and other challenges. I look forward to working with you to achieve your goals so that you can live a life worth celebrating.
(801) 829-9048 View (801) 829-9048
Photo of Amy Lambert, Clinical Social Work/Therapist in Sandy, UT
Amy Lambert
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Sandy, UT 84093
So many of us are trapped by our own fears, insecurities, and doubts, facing challenges like OCD, anxiety, hair pulling, skin picking, ADHD, or emotional outbursts. These issues might manifest as overwhelming sadness, fear in social interactions, or constant anxiety from intrusive thoughts, and can lead to avoidance of social situations, struggles with focus at work, difficulty in personal relationships, and a loss of interest in activities once enjoyed. These fears might be stealing your laughter, freedom, and connection with others. In therapy I can help you or your child navigate these complex experiences.
So many of us are trapped by our own fears, insecurities, and doubts, facing challenges like OCD, anxiety, hair pulling, skin picking, ADHD, or emotional outbursts. These issues might manifest as overwhelming sadness, fear in social interactions, or constant anxiety from intrusive thoughts, and can lead to avoidance of social situations, struggles with focus at work, difficulty in personal relationships, and a loss of interest in activities once enjoyed. These fears might be stealing your laughter, freedom, and connection with others. In therapy I can help you or your child navigate these complex experiences.
(801) 332-9526 View (801) 332-9526
Photo of Erika Sheriff, Clinical Social Work/Therapist in Sandy, UT
Erika Sheriff
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sandy, UT 84094
Erika has personal experience with disordered eating and body dysmorphic disorder and chronic illness, and is passionate about using her own recovery journey to help others. Her goal as a therapist is to help others heal from their struggles, and to make the process towards recovery shorter and easier than her own.
Erika has personal experience with disordered eating and body dysmorphic disorder and chronic illness, and is passionate about using her own recovery journey to help others. Her goal as a therapist is to help others heal from their struggles, and to make the process towards recovery shorter and easier than her own.
(801) 845-3673 View (801) 845-3673
Photo of Elevate Counseling Services, Marriage & Family Therapist in Sandy, UT
Elevate Counseling Services
Marriage & Family Therapist, LMFT
Verified Verified
Sandy, UT 84070
We all need connection, understanding and to know that we truly belong to be healthy. At times in life we can feel as though we are isolated and there is no safe way to be seen and accepted by others. Whether it is due to a recent life transition, relationship trauma, poor self-worth, or a myriad of other struggles, we are here to help you toward greater courage to live life more fully!
We all need connection, understanding and to know that we truly belong to be healthy. At times in life we can feel as though we are isolated and there is no safe way to be seen and accepted by others. Whether it is due to a recent life transition, relationship trauma, poor self-worth, or a myriad of other struggles, we are here to help you toward greater courage to live life more fully!
(385) 257-9197 View (385) 257-9197
Photo of Sheila Jacobson Long - Child And Trauma Therapist, Clinical Social Work/Therapist in Sandy, UT
Sheila Jacobson Long - Child And Trauma Therapist
Clinical Social Work/Therapist, LCSW
Verified Verified
14 Endorsed
Sandy, UT 84094
Are you needing healthier ways to cope with difficult emotions? Are traumatic events or hurtful memories keeping you stuck in the past? Do you feel like you are repeating the same behaviors that prevent you from living the life you want? Change is attainable and I'm here to support you. I am empathetic and understanding, while also practical in my approach to address issues effectively. Together we can come up with plans to directly face your concerns and meet your desired goals. I am passionate in guiding clients in learning new methods and coping skills to find relief and improve their quality of life.
Are you needing healthier ways to cope with difficult emotions? Are traumatic events or hurtful memories keeping you stuck in the past? Do you feel like you are repeating the same behaviors that prevent you from living the life you want? Change is attainable and I'm here to support you. I am empathetic and understanding, while also practical in my approach to address issues effectively. Together we can come up with plans to directly face your concerns and meet your desired goals. I am passionate in guiding clients in learning new methods and coping skills to find relief and improve their quality of life.
(801) 658-9899 View (801) 658-9899
Photo of Gail Roberts, Pre-Licensed Professional in Sandy, UT
Gail Roberts
Pre-Licensed Professional, CSW
Verified Verified
Sandy, UT 84094
The majority of life can feel crappy, incomplete, and disconnected. You’re doing things you know are sabotaging your mental wellness, and yet cannot figure out how to have the energy and focus to troubleshoot new ways of coping. Who are you? What do you want out of life? What’s your purpose? I’ll bet you’ve also had therapists who loaded your sessions with their own personal issues, too much academic jargon or simply didn’t make you feel heard. In my experiences with clients, therapy has the best outcomes when you are the climber of the treacherous mountain of life, and I am simply a humble mountain guide.
The majority of life can feel crappy, incomplete, and disconnected. You’re doing things you know are sabotaging your mental wellness, and yet cannot figure out how to have the energy and focus to troubleshoot new ways of coping. Who are you? What do you want out of life? What’s your purpose? I’ll bet you’ve also had therapists who loaded your sessions with their own personal issues, too much academic jargon or simply didn’t make you feel heard. In my experiences with clients, therapy has the best outcomes when you are the climber of the treacherous mountain of life, and I am simply a humble mountain guide.
(801) 448-0371 View (801) 448-0371
Photo of Kyle Jensen, Counselor in Sandy, UT
Kyle Jensen
Counselor, CSW
Verified Verified
1 Endorsed
Sandy, UT 84094
I am ready to work with you if you want to dig deep into emotions. I love helping people remove the emotional dam that keeps them stopped up. It is a daunting, yet liberating experience to feel emotions and learn to stay present in them. My clients often say, "nothing has changed, yet everything has changed." I am experienced in helping people who struggle with substance use, depression and anxiety, trauma, PTSD, and relationship distress. I can help you reach your goals of improved connection with life, improved mood, and deeper more fulfilling relationships. -También ofrezco servicios en español.-
I am ready to work with you if you want to dig deep into emotions. I love helping people remove the emotional dam that keeps them stopped up. It is a daunting, yet liberating experience to feel emotions and learn to stay present in them. My clients often say, "nothing has changed, yet everything has changed." I am experienced in helping people who struggle with substance use, depression and anxiety, trauma, PTSD, and relationship distress. I can help you reach your goals of improved connection with life, improved mood, and deeper more fulfilling relationships. -También ofrezco servicios en español.-
(385) 247-0671 View (385) 247-0671
Photo of Ravens Clinical Services, LLC, Clinical Social Work/Therapist in Sandy, UT
Ravens Clinical Services, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sandy, UT 84094
I enjoy working with individuals who feel they might need some guidance. Maybe you've had a hard time with family dynamics? Focusing on work/school? Questioning your self-worth? All of these are topics worthy of talking about! When you're ready and motivated to make a change, let's work together to make it happen! I am very passionate about working on empowering individuals and helping with self-esteem and worth. I believe that everyone deserves to have a person in their corner, cheering them on as they accomplish their goals.
I enjoy working with individuals who feel they might need some guidance. Maybe you've had a hard time with family dynamics? Focusing on work/school? Questioning your self-worth? All of these are topics worthy of talking about! When you're ready and motivated to make a change, let's work together to make it happen! I am very passionate about working on empowering individuals and helping with self-esteem and worth. I believe that everyone deserves to have a person in their corner, cheering them on as they accomplish their goals.
(801) 509-5742 View (801) 509-5742
Photo of April Vay Madsen, Counselor in Sandy, UT
April Vay Madsen
Counselor, CMHC, CBC3P
Verified Verified
Sandy, UT 84070
Calm Chaos and Flow Into Self-Harmony! Let's face it, life can be really overwhelming sometimes, and you can be pulled in many different directions. Even though you have a passion for the important things in your life, you can still struggle to move forward in your relationships, finances, or your dreams because of the past. You may feel you suffer from depression and struggle to take care of your own basic needs some days or feel deep loneliness, or even suffer from feelings of anxiety and panic which paralyze you. Ultimately, you may feel helpless and that your life is no longer in your control.
Calm Chaos and Flow Into Self-Harmony! Let's face it, life can be really overwhelming sometimes, and you can be pulled in many different directions. Even though you have a passion for the important things in your life, you can still struggle to move forward in your relationships, finances, or your dreams because of the past. You may feel you suffer from depression and struggle to take care of your own basic needs some days or feel deep loneliness, or even suffer from feelings of anxiety and panic which paralyze you. Ultimately, you may feel helpless and that your life is no longer in your control.
(801) 923-6265 View (801) 923-6265
Photo of Jennie Beal, Pre-Licensed Professional in Sandy, UT
Jennie Beal
Pre-Licensed Professional, MSWI
Verified Verified
2 Endorsed
Sandy, UT 84094
My job is to help people understand themselves more deeply. We all hold unconscious beliefs, patterns, fears, and desires that influence the way we live our lives. By bringing the unconscious to the conscious, we gain the power to grow. I am passionate about working with people who are ready to dive deep and explore their past, present, and future in order to build a happier, healthier, more fulfilled life. My approach is eclectic, taking on elements from psychodynamic, humanistic, and person-centered therapies. I have experience working with anxiety, depression, ADHD, LGBTQIA+ issues, and faith transitions.
My job is to help people understand themselves more deeply. We all hold unconscious beliefs, patterns, fears, and desires that influence the way we live our lives. By bringing the unconscious to the conscious, we gain the power to grow. I am passionate about working with people who are ready to dive deep and explore their past, present, and future in order to build a happier, healthier, more fulfilled life. My approach is eclectic, taking on elements from psychodynamic, humanistic, and person-centered therapies. I have experience working with anxiety, depression, ADHD, LGBTQIA+ issues, and faith transitions.
(801) 896-1266 View (801) 896-1266
Photo of Rachell Waddell, Pre-Licensed Professional in Sandy, UT
Rachell Waddell
Pre-Licensed Professional, CSW
Verified Verified
2 Endorsed
Sandy, UT 84070
I love helping clients overcome the hurdles in their lives, sometimes in the form of anxiety, depression, low self-esteem, relationship problems, addictions, and trauma histories. My background working with children in foster care and post adoption has enabled me to effectively provide support and guidance for people of all walks of life. If you’re feeling alone, scared, frustrated or hopeless in your suffering, please don’t hesitate to call me. I’m prepared and eager to hear your story and offer my support.
I love helping clients overcome the hurdles in their lives, sometimes in the form of anxiety, depression, low self-esteem, relationship problems, addictions, and trauma histories. My background working with children in foster care and post adoption has enabled me to effectively provide support and guidance for people of all walks of life. If you’re feeling alone, scared, frustrated or hopeless in your suffering, please don’t hesitate to call me. I’m prepared and eager to hear your story and offer my support.
(385) 832-6813 View (385) 832-6813
Photo of Loran P Hayes, Psychologist in Sandy, UT
Loran P Hayes
Psychologist, PhD
Verified Verified
1 Endorsed
Sandy, UT 84094  (Online Only)
I am a clinical psychologist with expertise in the assessment and treatment of tic disorders (e.g., Tourette Syndrome), obsessive-compulsive disorder, and anxiety disorders. Many people with these types of concerns feel frustrated, scared, restricted, or embarrassed. My approach is to work collaboratively with you to develop an individually tailored plan that helps you achieve your goals in therapy. I provide evidenced-based treatment for these concerns in an open and non-judgmental manner. We will work together using techniques from behavioral science to help you live the life you want.
I am a clinical psychologist with expertise in the assessment and treatment of tic disorders (e.g., Tourette Syndrome), obsessive-compulsive disorder, and anxiety disorders. Many people with these types of concerns feel frustrated, scared, restricted, or embarrassed. My approach is to work collaboratively with you to develop an individually tailored plan that helps you achieve your goals in therapy. I provide evidenced-based treatment for these concerns in an open and non-judgmental manner. We will work together using techniques from behavioral science to help you live the life you want.
(385) 316-1587 View (385) 316-1587
Photo of Lyna Tevenaz Jones, LPC Intern in Sandy, UT
Lyna Tevenaz Jones
LPC Intern
Verified Verified
Sandy, UT 84093
Although we cannot always remove obstacles in life, we can develop resiliency and coping skills that help us navigate towards fulfillment and growth. It is my fundamental belief that our personal history does not have to determine our future. In my clinical practice, I create a safe, compassionate therapeutic environment where thoughts and feelings are processed to guide you to your unique expression of fulfillment. I am an intern psychotherapist specializing in psychodynamic psychotherapy serving children, adolescents, and adults.
Although we cannot always remove obstacles in life, we can develop resiliency and coping skills that help us navigate towards fulfillment and growth. It is my fundamental belief that our personal history does not have to determine our future. In my clinical practice, I create a safe, compassionate therapeutic environment where thoughts and feelings are processed to guide you to your unique expression of fulfillment. I am an intern psychotherapist specializing in psychodynamic psychotherapy serving children, adolescents, and adults.
(801) 997-9497 View (801) 997-9497
Photo of Lateisha Golub, Clinical Social Work/Therapist in Sandy, UT
Lateisha Golub
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
3 Endorsed
Sandy, UT 84070
Not accepting new clients
I believe that the therapeutic relationship is an important key to success in therapy. Much of my passion and practice has focused on individuals with mood and emotional regulation issues, depression, anxiety, trauma, and racial identity issues. I often find that many of our adult issues come from unresolved childhood situations. I like to understand this with my clients and provide a space for exploration, coping and healing. I also have a passion for assisting my clients in developing the necessary skills and tools to deal with many of life's challenges.
I believe that the therapeutic relationship is an important key to success in therapy. Much of my passion and practice has focused on individuals with mood and emotional regulation issues, depression, anxiety, trauma, and racial identity issues. I often find that many of our adult issues come from unresolved childhood situations. I like to understand this with my clients and provide a space for exploration, coping and healing. I also have a passion for assisting my clients in developing the necessary skills and tools to deal with many of life's challenges.
(801) 436-5083 View (801) 436-5083
Photo of Dr. Lindsay O'Shea, Psychologist in Sandy, UT
Dr. Lindsay O'Shea
Psychologist, PhD
Verified Verified
Sandy, UT 84094
WELCOME! Many of my clients are looking to heal from past painful experiences whether it be family, friendships or romantic relationships - I work to help you improve self-esteem, build resiliency, manage anxiety/ADHD symptoms teens & adults in their 20's, 30's, & 40’s. It be really tough to get a handle on these things on your own. Don't worry, I can help.
WELCOME! Many of my clients are looking to heal from past painful experiences whether it be family, friendships or romantic relationships - I work to help you improve self-esteem, build resiliency, manage anxiety/ADHD symptoms teens & adults in their 20's, 30's, & 40’s. It be really tough to get a handle on these things on your own. Don't worry, I can help.
(801) 663-7973 View (801) 663-7973

How does your Therapist compare?

Number of Therapists in Sandy, UT

300+

Average cost per session

$150

Therapists in Sandy, UT who prioritize treating:

93% Anxiety
89% Depression
79% Trauma and PTSD
79% Self Esteem
73% Relationship Issues
65% Coping Skills
63% Stress

Average years in practice

10 Years

Top 3 insurances accepted

72% SelectHealth
69% BlueCross and BlueShield
63% EMI Health

How Therapists in Sandy, UT see their clients

88% In Person and Online
12% Online Only

Gender breakdown

73% Female
26% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Sandy?

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.